02/17/2021 Agreement 47'7:.s, Kevin Madok, CPA
Clerk of the Circuit Court& Comptroller—Monroe County, Florida
DATE: May 6, 2021
TO: Sheryl Graham, Director
Social Services
ATTN: Lourdes Francis
FROM: Pamela G. Hann a;1.C.
SUBJECT: February 1T" 110CC Meeting
Attached is an electronic copy of the following item for your handling:
C16 Agreement between Key West PD, LLC d/b/a Island Private Care and Monroe
County Social Services/In-Home Services Program for period beginningJarmary I, 2020 and
ending March 31, 2021.
Should you have any questions please feel free to contact me at (305) 292-35.50.
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
AGREEMENT IPC 2020/202/1
THIS AGREEMENT, made and entered into this 1st day of _January_, 2020. by and
between Care in the Keys, Inc., also termed herein as "Island Private Care" (hereafter
"Consultant/Contractor")whose physical/mailing address is 22978 Overseas Highway,Cudjoe Key, FL
33042, and whose remittance address is 1200 4th Street 4170, Key West,FL 33040 and Monroe County
Board of County Commissioners, whose address is 1100 Simonton Street, #2-257 Key West, Florida,
33040 (hereafter "County").
WHEREAS, the County provides In-Home Services to the elderly and disabled residing
throughout Monroe County; and
WHEREAS, the County receives funding from the Alliance for Aging, Inc., the Florida
Department of Children and Families, the Florida Agency for Health Care Administration, and
the Monroe County Board of County Commissioners for the purposes of providing In-Home
Services Countywide,and
WHEREAS, the County has provided In-Home Services to assist the vulnerable elderly
and/or disabled residents to remain in their homes and maintain independence for over 30 years; and
WHEREAS, the County desires to contract for In-Home Services to ensure that such
services are available throughout the County, and
WHEREAS, Care in the Keys, Inc., dba Island Private Care is qualified and desires to provide
In-Home Services;
NOW THEREFORE, in consideration of the mutual covenants and provisions contained
herein, the parties agree as follows: That the parties hereto, for the consideration hereinafter set
forth, mutually agree as follow:
1. SCOPE OF THE WORK
The Contractor shall provide In-Home Services for the County. The Contractor warrants
that it is authorized by law to engage in the performance of the activities herein described, subject
to the terms and conditions set forth in these contract documents. The provider shall at all times
exercise independent, professional judgment and shall assume professional responsibility for the
services to be provided. Contractor shall provide services using the following standards, as a
minimum requirement:
1V The Contractor shall maintain adequate staffing levels to provide the services
required under this contract.
B. The personnel shall not be employees of or have any contractual relationship with the
County.
C. All personnel engaged in performing services under this contract shall be fully
qualified, and, if required, be authorized or permitted under State and local law to perform such
services.
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2. PAYMENTS TO THE CONTRACTOR
A. The Contractor shall submit to the County an invoice with supporting documentation
acceptable to the Clerk. Acceptability to the Cleric is based on generally accepted accounting principles
and such laws, rules and regulations as may govern the Clerk's disbursement of funds.
B. Upon Monroe County's receipt of said invoices Monroe County Clerk's Office
shall submit payment to the Contractor in accordance with Florida Prompt Payment Act.
3. TERM OF CONTRACT
The term of this contract is for 15 months, retroactive to the I"day of January, 2020 and ending
on the 31 st day of March, 2021.
4. CONTRACTOR'S RESPONSIBILITIES
A. The Contractor will perform only authorized In-Dome Services in the homes of
elderly and/or disabled residents in Areas 1, 2, 3 and 4 for the unit rate(s) specified herein. Only those
In-Home Services that are specifically authorized by the County as documented by the Social
Services Department will be reimbursable. In-Home Services will be provided by the
Contractor in accordance with DOEA definitions/specification, by agencies that hold necessary
licenses, and by individual workers qualified to perform such services as detailed in the m o s t.
r e c e n t v e r s i o n o f t h e Florida Department of Elder Aft airs (OEA) Handbook and the
CT OP 140-8, ConnPiarniq, Care for Disabled Adults Operating Procedures, and in accordance with. the
Agency for Health Care Administration (AI-ICA) guidelines as required and any subsequent
modifications thereto.
B. The In-Home services the Contractor will provide under these terms and
conditions are: X in-home respite care, X homemaker, X personal care, and X chore, as
defined by DOER handbook, DCF CFOP 140-8 and AHCA guidelines as noted above and any
subsequent revisions thereto.
C. The Contractor will provide In-Home Services during the term of this contract
for the unit rates as agreed upon and that follow: $21.00/unit for in-home respite care, $21.06/unit
for homemaker, $25.00/unit for personal care, and $ 3.00/unit for chore. A unit for each service is
defined by t h e in o s t r e c e n t v e r s i o n o f t h e DOER Handbook, DC'F CFOP 140-8, and AHCA
guidelines as noted above and any subsequent revisions thereto. The number of units of services
performed for each client must be pre-authorized by the County in accordance with the Activity Plan,
D� The Contractor will provide the In-Home service(s) detailed in "B" above for the
unit rate agreed upon in "C" above in the following geographic areas _X_ 1, _X_ 2, _X_ 3,
and _X_ 4. Contractors are required to select at least one of the four geographic areas in order
to ensure that In-Home Services are available.
E. The Contractor will in all cases provide In-tome Services within the timeframes
agreed upon in the Activity Plan, required by the most recent version of the Florida Department
of Elmer Affairs (DOER) Handbook and the CFOP 1 0-8, Community Care for Disabled Adults
Operating Procedures, and AHCA guidelines as noted above and any subsequent revisions thereto.
The Contractor agrees that Monroe County Social Services will designate representatives to
visit the Contractor's facility(ies) periodically to conduct random open file evaluations and/or
other contract monitoring activities during the Contractor's normal business hours.
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F. The Contractor has, and shall maintain throughout the term of this contract,
appropriate licenses and approvals required to conduct its business, and that it will at all times
conduct its business activities in a reputable manner. proof of such licenses and approvals
shall be submitted to the County annually and upon request.
G. The Contractor must maintain approval status from the Alliance for Aging,
Inc., as a Medicaid Waiver Provider of Choice, if applicable.
5. CONTRACTOR'S FINANCIAL RECORDS
Contractor shall maintain all books, records, and documents directly pertinent to
performance under this Agreement in accordance with generally accepted accounting principles
consistently applied. Each party to this Agreement or their authorized representatives shall have
reasonable and timely access to such records of each other party to this Agreement for public
records purposes during the term of the Agreement and for six years following the termination of
this Agreement. If an auditor employed by the County or Clerk determines that monies paid
to Contractor pursuant to this Agreement were spent for purposes not authorized by this
Agreement, the Contractor shall repay the monies together with interest calculated pursuant
to Sec. 55.03, FS, running from the date the monies were paid to Contractor.
C. PUBLIC ACCESS
Public Records Compliance. Contractor must comply with Florida public records laws, including but
not limited to Chapter 119, Florida Statutes and Section 24 of article I of the Constitution of Florida.
The County and Contractor shall allow and permit reasonable access to, and inspection of, all
documents, records, papers, letters or other .`public record" materials in its possession or under its
control subject to the provisions of Chapter 119, Florida Statutes, and made or received by the County
and Contractor in conjunction with this contract and related to contract performance. The County
shall have the right to unilaterally cancel this contract upon violation of this provision by the
Contractor. Failure of the Contractor to abide by the terms of this provision shall be deemed a
material breach of this contract and the County may enforce the terms of this provision in the form of
a court proceeding and shall, as a prevailing party, be entitled to reimbursement of all attorney's fees
and costs associated with that proceeding. This provision shall survive any termination or expiration
of the contract.
The Contractor is encouraged to consult with its advisors about Florida Public Records Law in order
to comply with this provision.
Pursuant to F.S. 119.0701 and the terms and conditions of this contract, the Contractor is required to:
(1) Deep and maintain public records that would be required by the County to perform the service.
(2) Upon receipt from the County's custodian of records, provide the County with a copy of the
requested records or allow the records to be inspected or copied within a reasonable time at a cost that
does not exceed the cost provided in this chapter or as otherwise provided by law.
(3) Ensure that public records that are exempt or confidential and exempt from public records
disclosure requirements are not disclosed except as authorized by law for the duration of the contract
term and following completion of the contract if the contractor does not transfer the records to the
County.
(4) Upon completion of the contract, transfer, at no cost, to the County all public records in
possession of the Contractor or keep and maintain public records that would be required by the
County to perform the service. If the Contractor transfers all public records to the County upon
completion of the contract, the Contractor shall destroy any duplicate public records that are exempt
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or confidential and exempt from public records disclosure requirements. If the Contractor beeps and
maintains public records upon completion of the contract, the Contractor shall meet all applicable
requirements for retaining public records. All records stored electronically must be provided to the
County, upon request from the County's custodian of records, in a format that is compatible with the
information technology systems of the County.
(5) A request to inspect or copy public records relating to a County contract must be made directly
to the County, but if the County does not possess the requested records, the County shall immediately
notify the Contractor of the request, and the Contractor must provide the records to the County or
allow the records to be inspected or copied within a reasonable time.
IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER
119, FLORIDA STATUTES, TO THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC
RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC
RECORDS, BRIAN BRADLEY, AT (305) 292-3470
7. INDEMNIFICATION/HOLD HARMLESS
Notwithstanding any minimum insurance requirements prescribed elsewhere in this
agreement, Contractor shall defend, indemnify and hold the County and the County's elected and
appointed offices, and employees harmless from and against (i) any claims, actions or causes of
action, (ii) any litigation, administrative proceedings, appellate proceedings, or other proceedings
relating to any type of injury (including death), loss, damage, fine, penalty or business
interruption, and (iii) any costs or expenses that may be asserted against, initiated with respect
to, or sustained by, any indemnified party by reason of, or in connection with, (A) any activity of
Contractor or any of its employees, agents, sub-contractors or other invitees during the term of
this Agreement, (B) the negligence or willful misconduct of Contractor or any of its employees,
agents, sub-contractors or other invitees, or (C) Contractor's default in respect of any of the
obligations that it undertakes under the terms of this Agreement, except to the extent the claims,
actions, causes of action, litigation, proceedings, cost or expenses arise from the intentional
or sole negligent acts or omissions of the County or any of its employees, agents, or invitees
(other than Contractor). Insofar as the claims, actions causes of action, litigation, proceedings,
cost or expenses relate to events or circumstances that occur during the term of this Agreement,
this section will survive the expiration of the term of this Agreement or any earlier termination of
this Agreement.
The extent of liability is in no way limited to, reduced, or lessened by the insurance requirements
contained elsewhere within this agreement.
8. INSURANCE REQUIREMENTS
Prior to execution of this agreement, the contractor shall furnish the Owner Certificates
of Insurance indicating the minimum coverage limitations as indicated on the attached forms
identified as forms WC 1(2018 Edition), VL 1(2.018 Edition), PRO2(2018 Edition), and GL 1(2018
Edition) each attached hereto and incorporated as part of this contract document, and all
other requirements found to be in the best interest of Monroe County as may be imposed by the
Monroe County Risk Management Department.
9. NON-WAIVER OF IMMUNITY
Notwithstanding the provisions of Sec. 768.28, Florida Statutes, the participation of the
County and the Contractor in this Agreement and the acquisition of any commercial liability
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insurance coverage, self-insurance coverage, or local government liability insurance pool
coverage shall not be deemed a waiver of immunity to the extent of liability coverage, nor shall
any contract entered into by the County be required to contain any provision for waiver.
10. INDEPENDENT CONTRACTOR
At all times and for all purposes under this agreement the Contractor is an independent
contractor and not an employee of the Board of County Commissioners of Monroe County. No
statement contained in this agreement shall be construed so as to find the Contractor or any of his
employees, contractors, servants, or agents to be employees of the Board of County
Commissioners of Monroe County,
11. NONDISCRIMINATION
County and Contractor agree that there will be no discrimination against any person, and
it is expressly understood that upon a determination by a court of competent jurisdiction
that discrimination has occurred, this Agreement automatically terminates without any further
action on the part of any party, effective the date of the court order. Contractor agrees to
comply with all Federal and Florida statutes, and all local ordinances, as applicable,
relating to nondiscrimination. These include but are not limited to; 1) Title VI of the Civil
Rights Act of 1964 (PL 88-352) which prohibits discrimination on the basis of race, color or
national origin; 2) Title IX of the Education Amendment of 1972, as amended (20 USC ss.
1681- 1683, and 1685- 1686), which prohibits discrimination on the basis of sex; 3) Section
504 of the F2.ehabilitation Act of 1973, as amended (20 USC s. 794) which prohibits
discrimination on the basis of handicaps; 4) The Age Discrimination Act of 1975. as amended (42
USC ss. 6101- 6107) which prohibits discrimination on the basis of age; 5) The Drug Abuse
Office and Treatment Act of 1972 (PL 92-255), as amended, relating to nondiscrimination on the
basis of drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment
and Rehabilitation Act of 1970 (PL 91-616), as amended, relating to nondiscrimination on the
basis of alcohol abuse or alcoholism; 7) The Public Health Service Act of 1912, ss. 523 and
527 (42 USC ss. 690dd-3 and 290ee-3), as amended, relating to confidentiality of alcohol and
drug abuse patient records; 8) Title VIII of the Civil Rights Act of 1968 (42 USC s. et
seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; 9)
The Americans with Disabilities Act of 1990 (42 USC s. 1201 Note), as maybe amended
from time to time, relating to nondiscrimination on the basis of disability; 10) Monroe
County Code Ch. 13, Art. VI, prohibiting discrimination on the bases of race, color, sex,
religion, disability, national origin, ancestry, sexual orientation, gender identity or expression,
familial status or age; and I 1 )Any other nondiscrimination provisions in any Federal or state
statutes which may apply to the parties to, or the subject matter of,this Agreement.
12. ASSIGNMENT/SUBCONTRACT
The Contractor shall not assign or subcontract its obligations under this agreement, except
in writing and with the prior written approval of the Board of County Commissioners of
Monroe County which approval shall be subject to such conditions and provisions as the Board may
deem necessary. This paragraph shall be incorporated by reference into any assignment or
subcontract and any assignee or subcontractor shall comply with all of the provisions of this
agreement. Unless expressly provided for therein, such approval shall in no manner or event be
deemed to impose any additional obligation upon the board.
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13. COMPLIANCE 'WITH LAW
In providing all services/goods pursuant to this agreement, the Contractor shall abide by
all statutes, ordinances, rules and regulations pertaining to, or regulating the provisions of, such
services, including those now in effect and hereinafter adopted. Any violation of said statutes,
ordinances, rules and regulations shall constitute a material breach of this agreement and shall
entitle the Board to terminate this contract immediately upon delivery of written notice of
termination to the contractor. The contractor shall possess proper licenses to perform work in
accordance with these specifications throughout the term of this contract. Contractor shall use the
Department of Homeland Security's E-verify system to verify the employment eligibility of all new
employees hired during the contract term pursuant to this agreement.
14. SUPPORT TO THE DEAF OR HARD-OF-HEARING
a. The contractor shall comply with section 504 of the Rehabilitation Act of 1973, 29
U.S.C. 794, as implemented by 45 C.F.R. Part 84 (hereinafter referred to as Section 504) and the
American with Disabilities Act of 1990, 42 U.S.C. 12131, as implemented by 28 C.F.R. Part 35
(hereinafter referred to as ADA).
b. The contractor shall if it employs 15 or more employees, designate a Single-Point-of-
Contact (one per firm) to ensure effective communication with deaf or hard-of hearing clients or
companions and/or caregivers in accordance with Section 504 and the ADA. The name and contact
information for the contractor's Single-Point-of-Contact shall be furnished to Monroe County within
14 calendar days of the effective date of this requirement.
C. The Single-Point-of-Contract shall ensure that employees are aware of the requirements,
roles & responsibilities, and contact points associated compliance with Section 504 and the ADA.
Further, employees of the contractor shall attest in writing that they are familiar with the requirement
of Section 504 and the ADA. This attestation shall be maintained in the employee's personnel file.
d. The contractor's Single-Point-of-Contract will ensure that conspicuous Notices which
provide information about the availability of appropriate auxiliary aids and services at no- cost to the
deaf or hard-of-hearing clients or companions and/or caregivers are posted near where people enter or
are admitted within the agent locations. Such Notices must be posted immediately, but not later than
June 30, 2010. The approved Notice can be downloaded through the Internet at:
http://www.def.state.fi.us/admin/ig/eivilrights.shtmi.
The contractor shall document the customer's or companion's and/or caregiver's preferred method
of communication and any requested auxiliary aids/services provided in the client's record.
Documentation, with supporting justification, must also be made if any request was not honored. The
contractor shall submit Compliance Reports monthly, not later than the Ist day of each month, to the
Monroe County Social Services Compliance Manager.
15. DISCLOSURE AND CONFLICT OF INTEREST
The Contractor represents that it, its directors, principles and employees, presently have
no interest and shall acquire no interest, either direct or indirect, which would conflict in
any manner with the performance of services required by this contract, as provided in Sect.
112,311, et. seq., Florida Statutes. County agrees that officers and employees of the County
recognize and will be required to comply with the standards of conduct for public officers and
employees as delineated in Section 112.313, Florida Statutes, regarding, but not limited to,
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solicitation or acceptance of gifts; doing business with one's agency; unauthorized compensation;
misuse of public position, conflicting employment or contractual relationship; and disclosure
or use of certain information.
Upon execution of this contract, and thereafter as changes may require, the Contractor
shall notify the County of any financial interest it may have in any and all programs in Monroe
County which the Contractor sponsors, endorses, recommends, supervises, or requires for counseling,
assistance, evaluation, or treatment. This provision shall apply whether or not such program is
required by statute, as a condition of probation, or is provided on a voluntary basis.
The County and Contractor warrant that, in respect to itself, it has neither employed nor
retained any company or person, other than a bona fide employee working solely for it, to
solicit or secure this Agreement and that it has not paid or agreed to pay any person,
company, corporation, individual, or firm, other than a bona fide employee working solely for it,
any fee, commission, percentage, gift, or other consideration contingent upon or resulting from
the award or making of this Agreement. For the breach or violation of the provision, the
Contractor agrees that the County shall have the right to terminate this Agreement without
liability and, at its discretion, to offset from monies owed, or otherwise recover, the full
amount of such fee, commission, percentage, gift, or consideration.
16. NO PLEDGE OF CREDIT
The Contractor shall not pledge the County's credit or 'make it a guarantor of payment or
surety for any contract, debt, obligation, judgment, lien, or any foram of indebtedness. The
Contractor further warrants and represents that it has no obligation or indebtedness that would
impair its ability to fulfill the terms of this contract.
17. NOTICE REQUIREMENT
Any notice required or permitted under this agreement shall be in writing and hand delivered
or mailed, postage prepaid, to the other party by certified mail, returned receipt requested, to
the following.
FOR COUNTY:
Monroe County and County Attorney
1100 Simonton Street 2-257 1111 121h Street Suite 408
Key West, FI.. 33040 Key West, FL, 33040
FOR CONTRACTOR:
Key West PD, LLC d/b/a Island Private Care
Attn: Managed Care
901 Ilugh Wallis Rd. S.
Lafayette, LA 70508
18. TAXES
The County is exempt from payment of Florida. State Sales and Use taxes. The Contractor
shall not be exempted by virtue of the County's exemption from paying sales tax to its
suppliers for materials used to fulfill its obligations under this contract, nor is the Contractor
authorized to use the County's Tax Exemption Number in securing such materials. The
Contractor shall be responsible for any and all taxes, or payments of withholding, related to
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services rendered under this agreement.
19. TERMINATION
The County may terminate this contract for cause with seven (7) days notice to the
contractor. Cause shall constitute a breach of the obligations of the Contractor to perform the
services enumerated as the Contractor's obligations under this contract.
Either of the parties hereto may terminate this contract without cause by giving the other
party sixty (60) days written notice of its intention to do so.
20. GOVERNING LAW VENUE INTERPRETATION COSTS AND FEES
A. This Agreement shall be governed by and construed in accordance with the laws of
the State of Florida applicable to contracts made and to be performed entirely in the State.
K In the event that any cause of action or administrative proceeding is instituted
for the enforcement or interpretation of this Agreement, the County and Contractor agree that venue
will lie in the appropriate court or before the appropriate administrative body in Monroe County,
Florida.
C. The County and Contractor agree that, in the event of conflicting interpretations of
the terms or a term of this Agreement by or between any of them the issue shall be submitted to
mediation prior to the institution of any other administrative or legal proceeding.
D. Severability. If any term, covenant, condition or provision of this Agreement
(or the application thereof to any circumstance or person) shall be declared invalid or
unenforceable to any extent by a court of competent jurisdiction, the remaining terms, covenants,
conditions and provisions of this Agreement. shall not be affected thereby, and each remaining term,
covenant, condition and provision of this Agreement shall be valid and shall be enforceable to
the fullest extent permitted by law unless the enforcement of the remaining terms, covenants,
conditions and provisions of this Agreement would prevent the accomplishment of the original intent
of this Agreement. The County and Contractor agree to reform the Agreement to replace any stricken
provision with a valid provision that comes as close as possible to the intent of the stricken
provision,
E. Attorney's Fees and Costs. The County and Contractor agree that in the event
any cause of action or administrative proceeding is initiated or defended by any party
relative to the enforcement or interpretation of this Agreement, the prevailing party shall
be entitled to reasonable attorney's fees, court costs, investigative, and out-of-pocket expenses,
as an award against the non-prevailing party, and shall include atto-ney's fees, courts costs,
investigative, and out-of-pocket expenses in appellate proceedings. Mediation proceedings initiated
and conducted pursuant to this Agreement shall be in accordance with the Florida Rules of Civil
Procedure and usual and customary procedures required by the circuit court of Monroe County..
F. Adjudication of Disputes or Disagreements. County and Contractor agree that
all disputes and disagreements shall be attempted to be resolved by meet and confer sessions
between representatives of each of the parties. If no resolution can be agreed upon within 30
days after the first meet and confer session, the issue or issues shall be discussed at a public
meeting of the Board of County Commissioners. If the issue or issues are still not resolved to the
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satisfaction of the parties, then any party shall have the right to seek such relief or remedy as may
be provided by this Agreement or by Florida law.
G. Cooperation. In the event any administrative or legal proceeding is instituted
against either party relating to the formation, execution, performance, or breach of this Agreement,
County and Contractor agree to participate, to the extent required by the other party, in all
proceedings, hearings, processes, meetings, and other activities related to the substance of this
Agreement or provision of the services under this Agreement. County and Contractor
specifically agree that no party to this Agreement shall be required to enter into any arbitration
proceedings related to this Agreement.
2.1. BINDING EFFECT
The terms, covenants, conditions, and provisions of this Agreement shall bind and inure to
the benefit of the County and Contractor and their respective legal representatives, successors,
and assigns.
22. AUTHORITY
Each party represents and warrants to the other that the execution, delivery and performance
of this Agreement have been duly authorized by all necessary County and corporate action,
as required by law.
23. CLAIMS FOR FEDERAL OR STATE AID
Contractor and County agree that each shall be, and is, empowered to apply for, seek, and obtain
federal and state hinds to further the purpose of this Agreement, provided that all applications,
requests, grant proposals, and funding solicitations shall be approved by each party prior to
submission.
24. PRIVILEGES AND IMMUNITIES
All of the privileges and immunities from liability, exemptions from laws, ordinances, and
rules and pensions and relief, disability, workers' compensation, and other benefits which apply to
the activity of officers, agents, or employees of any public agents or employees of the County,
when performing their respective functions under this Agreement within the territorial limits of
the County shall apply to the same degree and extent to the performance of such functions and
duties of such officers, agents, volunteers, or employees outside the territorial limits of the County.
25. LEGAL OBLIGATIONS AND RESPONSIBILITIES
Non-Delegation of Constitutional or Statutory Duties: This Agreement is not intended to,
nor shall it be construed as, relieving any participating entity from any obligation or
responsibility imposed upon the entity by law except to the extent of actual and timely
performance thereof by any participating entity, in which case the performance may be offered
in satisfaction of the obligation or responsibility. Further, this Agreement is not intended to,
nor shall it be construed as, authorizing the delegation of the constitutional or statutory duties of
the County, except to the extent permitted by the Florida constitution, state statute, and case law.
26. NON-RELIANCE BY NON-PARTIES.
No person or entity shall be entitled to rely upon the terms, or any of them, of this Agreement to
enforce or attempt to enforce any third-party claim or entitlement to or benefit of any service or
program contemplated hereunder, and the County and the Contractor agree that neither the
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County nor the Contractor or any agent, officer, or employee of either shall have the authority
to inform, counsel, or otherwise indicate that any particular individual or group of individuals,
entity or entities, have entitlements or benefits under this .Agreement separate and apart, inferior
to, or superior to the community in general or for the purposes contemplated in this Agreement.
27. ATTESTATIONS
Contractor agrees to execute such documents as the County may reasonably require, to include a
Public Entity Crime Statement, an Ethics Statement, and a Drug-Free Workplace Statement.
28, NO PERSONAL LIABILITY
No covenant or agreement contained herein shall be deemed to be a covenant or agreement of
any member, officer, agent or employee of Monroe County in his or her individual capacity, and no
member, officer, agent or employee of Monroe County shall be liable personally on this Agreement
or be subject to any personal liability or accountability by reason of the execution of this Agreement.
29. EXECUTION IN COUNTERPARTS
This Agreement may be executed in any number of counterparts, each of which shall be
regarded as an original, all of which taken together shall constitute one and the same
instrument and any of the parties hereto may execute this Agreement by signing any such
counterpart.
30. SECTION HEADINGS
Section headings have been inserted in this Agreement as a matter of convenience of
reference only, and it is agreed that such section headings are not a part of this Agreement and
will not be used in the interpretation of any provision of this Agreement.
31. PROVISIONS REQUIRED BY FEDERAL LAW, 2 CFR part 200,
A. Equal Employment Opportunity, No Discrimination Provisions:
CONTRACTOR and COUNTY agree that there will be no discrimination against any person,
and it is expressly understood that upon a determination by a court of competent jurisdiction that
discrimination has occurred, this Agreement automatically terminates without any further action on
the part of any party, effective the date of the court order. CONTRACTOR or COUNTY agrees to
comply with all Federal and Florida statutes, and all local ordinances, as applicable, relating to
nondiscrimination. These include but are not limited to: 1) Title VII of the Civil Rights Act of 1964
(PL 88-352) which prohibits discrimination on the basis of race, color or national origin; 2) Title IX
of the Education Amendment of 1972, as amended (20 USC ss. 1681-1683, and 1685-1686), which
prohibits discrimination on the basis of sex; 3) Section 504 of the Rehabilitation Act of 1973, as
amended (20 USC s. 794), which prohibits discrimination on the basis of handicaps; 4) The Age
Discrimination Act of 1975, as amended (42 USC ss. 6101-6107) which prohibits discrimination on
the basis of age; 5) The Drug Abuse Office and Treatment Act of 1972 (PL 92-255), as amended,
relating to nondiscrimination on the basis of drug abuse; 6) The Comprehensive Alcohol Abuse and
Alcoholism Prevention, Treatment and Rehabilitation Act of 1970(PL 91-616), as amended,relating
to nondiscrimination on the basis of alcohol abuse or alcoholism; 7) The Public Health Service Act
of 1912, ss. 523 and 527 (42 USC ss. 690dd-3 and 290ee-3), as amended, relating to confidentiality
of alcohol and drug abuse patient records; 8) Title VIII of the Civil Rights Act of 1968 (42 USC s.
3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing;
9) The Americans with Disabilities Act of 1990 (42 USC s. 12101 Note), as may be amended from
10
time to time, relating to nondiscrimination on the basis of disability; 10) Monroe County Code
Chapter 14, Article 11, which prohibits discrimination on the basis of race, color, sex, religion,
national origin, ancestry, sexual orientation, gender identity or expression, familial status or age; 11)
Any other nondiscrimination provisions in any Federal or state statutes which may apply to the
parties to, or the subject matter of; this Agreement.
During the performance of this Agreement, the CONTRACTOR, in accordance with Equal
Employment Opportunity (30 Fed. Reg. 12319, 12935, 3 C.F.R. Part, 1964-1965 Comp., p. 339), as
amended by Executive Order 11.375, Amending Executive Order 11246 Relating to Equal
Employment Opportunity, and implementing regulations at 41C.F.R. Part 60 (Office of Federal
Contract Compliance Programs, Equal Employment Opportunity, Department of Labor). See 2
C.F.R. Part 200, Appendix 11, ' C, agrees as follows:
1) The contractor will not discriminate against any employee or applicant for
employment because of race, color, religion, sex, sexual orientation,gender identity, or national
origin. The contractor will take affirmative action to ensure that applicants are employed, and
that employees are treated during employment, without regard to their race, color, religion, sex,
sexual orientation, gender identity, or national origin. Such action shall include, but not be
limited to the following: Employment, upgrading, demotion, or transfer, recruitment or
recruitment advertising; layoff or ten-nination; rates of pay or other forms of compensation, and
selection for training, including apprenticeship. The contractor agrees to post in conspicuous
places, available to employees and applicants for employment, notices to be provided by the
contracting officer setting forth the provisions of this nondiscrimination clause.
2) The contractor will, in all solicitations or advertisements for employees placed
by or on behalf of the contractor, state that all qualified applicants will receive consideration
for employment without regard to race, color, religion, sex, sexual orientation, gender identity,
or national origin.
3) The contractor will not discharge or in any other manner discriminate against
any employee or applicant for employment because such employee or applicant has inquired
about, discussed, or disclosed the compensation of the employee or applicant or another
employee or applicant. This provision shall not apply to instances in which an employee who
has access to the compensation information of other employees or applicants as a part of such
employee's essential job functions discloses the compensation of such other employees or
applicants to individuals who do not otherwise have access to such information, unless such
disclosure is in response to a formal complaint or charge, in furtherance of an investigation,
proceeding, hearing, or action, including an investigation conducted by the employer, or is
consistent with the contractor's legal duty to furnish information.
4) The contractor will send to each labor union or representative of workers with
which it has a collective bargaining agreement or other contract or understanding, a notice to
be provided by the agency contracting officer, advising the labor union or workers'
representative of the contractor's commitments under section 202 of Executive Order 11246 of
September 24, 1965, and shall post copies of the notice in conspicuous places available to
employees and applicants for employment.
11
5) The contractor will comply with all provisions of Executive Order 11246 of
September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor.
6) The contractor will furnish all information and reports required by Executive
Order 11246 of September 24, 1965, and by the rules, regulations, and orders of the Secretary
of Labor, or pursuant thereto, and will permit access to his books, records, and accounts by the
contracting agency and the Secretary of Labor for purposes of investigation to ascertain
compliance with such rules, regulations, and orders.
7) In the event of the contractor's non-compliance with the nondiscrimination
clauses of this contract or with any of such rules, regulations, or orders, this contract may be
canceled, terminated or suspended in whole or in part and the contractor may be declared
ineligible for further Government contracts in accordance with procedures authorized in
Executive Order 11246 of September 24, 1965, and such other sanctions may be imposed and
remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule,
regulation, or order of the Secretary of Labor, or as otherwise provided by law.
The Contractor will include the portion of the sentence immediately preceding paragraph (1)
and the provisions of paragraphs (1) through (7) in every subcontract or purchase order unless
exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to section 204 of
Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each
subcontractor or vendor. The Contractor will take such action with respect to any subcontract or
purchase order as the administering agency may direct as a means of enforcing such provisions,
including sanctions for non-compliance; provided, however, that in the event a contractor becomes
involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such
direction by the administering agency the contractor may request the United States to enter into such
litigation to protect the interests of the United States.
32. OTHER FEDERAL CONTRACT REQUIREMENTS
The Contractor and its subcontractors must follow the provisions, as applicable, as set forth in
Appendix 11 to I C.F.R. Part 200, as amended, including but not limited to:
A. Davis-Bacon Act, as amended (40 U.S.C. §§3141-3148). When required by
Federal program legislation, which includes emergency Management Preparedness Grant
Program, Homeland Security Grant Program, Nonprofit Security Grant Program, Tribal
Homeland Security Grant Program, Port Security Grant Program and Transit Security Grant
Program, all prime construction contracts in excess of$2,000 awarded by non-Federal entities
must comply with the Davis-Bacon Act (40 U.S.C. §§3141-3144, and §§3146-3148) as
supplemented by Department of Labor regulations(29 CFR Part 5,"Labor Standards Provisions
Applicable to Contracts Covering Federally Financed and Assisted Construction"). In
accordance with the statute, contractors must be required to pay wages to laborers and
mechanics at a rate not less than the prevailing wages specified in a wage determination made
by the Secretary of Labor. In addition, contractors must be required to pay wages not less than
once a week. If applicable, the COUNTY must place a current prevailing wage determination
issued by the Department of Labor in each solicitation. The decision to award a contract or
subcontract must be conditioned upon the acceptance of the wage determination. The COUNTY
trust report all suspected or reported violations to the Federal awarding agency. When required
by Federal program legislation, which includes emergency Management Preparedness Grant
12
Program, Homeland Security Grant Program, Nonprofit Security Grant Program, Tribal
Homeland Security Grant Program, Port Security Grant Program and Transit Security Grant
Program(it does not apply to other FEMA grant and cooperative agreement programs,including
the Public Assistance Program), the contractors must also comply with the Copeland "Anti-
Kickback" Act (40 U.S.C. § 3145), as supplemented by Department of Labor regulations (29
CFR Part 3, "Contractors and Subcontractors on Public Building or Public Work Financed in
Whole or in Part by Loans or Grants from the United States"). As required by the Act, each
contractor or subrecipient is prohibited from inducing, by any means, any person employed in
the construction, completion, or repair of public work, to give up any part of the compensation
to which he or she is otherwise entitled. The COUNTY must report all suspected or reported
violations to the Federal awarding agency.
I) Contractor. The contractor shall comply with 18 U.S.C. § 874, 40 U.S.C. § 3145,
and the requirements of 29 C.F.R. pt. 3 as may be applicable, which are incorporated by
reference into this contract..
2) Subcontracts. The contractor or subcontractor shall insert in any subcontracts the
clause above and such other clauses as the FEMA may by appropriate instructions require, and
also a clause requiring the subcontractors to include these clauses in any lower tier subcontracts.
The prime contractor shall be responsible for the compliance by any subcontractor or lower tier
subcontractor with all of these contract clauses.
3) Breach. A breach of the contract clauses above may be grounds for termination
of the contract, and for debarment as a contractor and subcontractor as provided in 29 C.F.R.
5.12.
B. Contract Mork Hours and Safety Standards Act (40 U.S.C. 3701-3708). Where
applicable, which includes all FEMA grant and cooperative agreement programs, all contracts
awarded by the COUNTY in excess of$100,000 that involve the employment of mechanics or
laborers must comply with 40 U.S.C.§§ 3702 and 3704, as supplemented by Department of
Labor regulations (29 CFR Part 5). Under 40 U.S.C. §3702 of the Act, each contractor must
compute the wages of every mechanic and laborer on the basis of a standard work week of 40
hours. Work in excess of the standard work week is permissible provided that the worker is
compensated at a rate of not less than one and a half times the basic rate of pay for all hours
worked in excess of 40 hours in the work week. The requirements of 40 U.S.C. 3704 are
applicable to construction work and provide that no laborer or mechanic must be required to
work in surroundings or under working conditions which are unsanitary, hazardous or
dangerous. These requirements do not apply to the purchases of supplies or materials or articles
ordinarily available on the open market, or contracts for transportation or transmission of
intelligence.
C. Rights to Inventions Made Under a Contract or Agreement. If the Federal award
meets the definition of ''funding agreement" under 37 CFR §401.2 (a) and the recipient or
subrecipient wishes to enter into a contract with a small business firm or nonprofit organization
regarding the substitution of parties, assignment or performance of experimental,
developmental, or research work under that "funding agreement," the recipient or subrecipient
roust comply with the requirements of 37 CFR Part 401, "Rights to Inventions Made by
Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and
Cooperative Agreements," and any implementing regulations issued by the awarding agency.
13
D. Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control
Act (33 U.S.C. 1251-1387). Contractor agrees to comply with all applicable standards, orders
or regulations issued pursuant to the Clean Air Act (42 U.S.C. §§7401-7671q) and the Federal
Water Pollution Control Act as amended (33 U.S.C. §§1251-1387) and will report violations to
FEMA and the Regional Office of the Environmental Protection Agency (EPA), The Clean Air
Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-
1387), as amended—applies to Contracts and subgrants of amounts in excess of$150,000.
E. Debarment and Suspension (Executive Orders 12549 and 12689)---A contract
award (see 2 CFR 180.220) must not be made to parties listed on the governmentwide
exclusions in the System for Award Management (SAM), in accordance with the OMB
guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 1986 Comp., p,
189) and 12689 (3 CFR part 1989 Comp., p. 235), "Debarment and Suspension." SAM
Exclusions contains the names of parties debarred, suspended, or otherwise excluded by
agencies, as well as parties declared ineligible under statutory or regulatory authority other than
Executive Order 12549.
F. Byrd Anti-Lobbying Amendment (31 U.S.G. 1352) Contractors that apply or
bid for an award exceeding $100,000 must file the required certification. Each tier certifies to
the tier above that it will not and has not used Federal appropriated funds to pay any person or
organization for influencing or attempting to influence an officer or employee of any agency, a
member of Congress,officer or employee of Congress,or an employee of a member of Congress
in connection with obtaining any Federal contract, grant or any other award covered by 31
U.S.C. 1352. Each tier must also disclose any lobbying with non-Federal fronds that takes place
in connection with obtaining any Federal award, Such disclosures are forwarded from tier to
tier up to the non-Federal award.
G. Compliance with Procurement of recovered materials as set forth in 2 CFR §
200.322. CONTRACTOR must comply with section 6002 of the Solid Waste disposal Act, as
amended, by the Resource Conservation and Recovery Act. The requirements of Section 6002
include procuring only items designated in guidelines of the Environmental Protection Agency
(EPA)at 40 CFR part 247 that contain the highest percentage of recovered materials practicable,
consistent with maintaining a satisfactory level of competition, where the purchase price of the
item exceeds $10,000 or the value of the quantity acquired during the preceding fiscal year
exceeded $10,000; procuring solid waste management services in a manner that maximizes
energy and resource recovery; and establishing an affirmative procurement program for
procurement of recovered materials identified in the EPA guidelines.
H. Americans with Disabilities Act of 1990, as amended (ADA) -® The
CONTRACTOR will comply with all the requirements as imposed by the ADA,the regulations
of the Federal government issued thereunder, and the assurance by the CONTRACTOR
pursuant thereto.
I. Disadvantaged Business Enterprise (DBE) Policy and Obligation- It is the policy of the
COUNTY that DBEs, as defined in 49 C.F.R. Part 26, as amended, shall have the opportunity
to participate in the performance of contracts financed in whole or in part with COUNTY funds
under this Agreement. The DBE requirements of applicable federal and state laws and
regulations apply to this Agreement. The COUNTY and its CONTRACTOR agree to ensure
14
that DBE's have the opportunity to participate in the performance of this Agreement. In this
regard, all recipients and contractors shall take all necessary and reasonable steps in accordance
with 2 C.F.R. § 200.321( as set forth in detail below), applicable federal and state laws and
regulations to ensure that the DBE's have the opportunity to compete for and perform contracts.
The COUNTY and the CONTRACTOR and subcontractors shall not discriminate on the basis
of race,color, national origin or sex in the award and performance of contracts, entered pursuant
to this Agreement.
2 C.F.R. § 200.321 CONTRACTII's11G WITH SMALL AND MINORITY BUSINESSES,
WOMEN'S BUSINESS ENTERPRISES, AND LABOR SURPLUS AREA FIRMS
1. If the CONTRACTOR, with the funds authorized by this Agreement, seeks to
subcontract goods or services,then,in accordance with 2 C.F.R. §200.321,the CONTRACTOR
shall take the following affirmative steps to assure that minority businesses, women's business
enterprises, and labor surplus area firms are used whenever possible.
2. Affirmative steps must include:
a) Placing qualified small and minority businesses and women's business
enterprises on solicitation lists;
b) Assuring that small and minority businesses, and women's business enterprises
are solicited whenever they are potential sources;
c) Dividing total requirements, when economically feasible, into smaller tasks or
quantities to permit maximum participation by small and minority businesses, and women's
business enterprises;
d) Establishing delivery schedules, where the requirement permits, which
encourage participation by small and minority businesses, and women's business enterprises;
e) Using the services and assistance, as appropriate, of such organizations as the
Small Business Administration and the Minority Business Development Agency of the
Department of Commerce.
f) Requiring the Prime contractor, if subcontractor are to be let, to take the affirmative
steps listed in paragraph (a) through (f) of this section.
J. The Contractor shall utilize the U.S. Department of Homeland Security's E-Verify
system to verify the employment eligibility of all new employees hired by the Contractor during
the term of the Contract and shall expressly require any subcontractors performing work or
providing services pursuant to the Contract to likewise utilize the U.S. Department of Homeland
Security's E-Verify system to verify the employment eligibility of all new employees hired by
the subcontractor during the Contract term.
33. MUTUAL REVIEW
This agreement has been carefully reviewed by the Contractor and the County. Therefore, this
agreement is not to be construed against any party on the basis of authorship.
THE REMAINDER OF THIS PAGE HAS BEEN INTENTIONALLY LEFT BLANK.
15
IN WITNESS WHEREOF the parties hereto have executed this Agreement on the day and date
first written above in four (4) counterparts, each of which shall, without proof or accounting for
the other counterparts,be deemed an original contract.
Care in the Keys,Inc. BOARD OF COUNTY COMMISSIONERS
d/b/a Island Private Care OF MONRO -: :, - i ' _ _
/So ) B '/1 �1�1p �/. .
By. yrr. ^aa
/Date: a l Gt Ian
/� Date: 7 2 2 10 /
`%��
Title: 4/XP% ✓ _ �, y{ tle: Mayor Michelle Coldiron
C
4nr '.,, T: KEVIN MADOK, CLERK
NRO COUNTY ATTORNEY , 1 Il `
As Deputy Clerk P
ASSI NTY ATTORNEY
Date 5/5/21
=
C< C
p
-VI
1 r C.r
16
2018 Hmots
WORKERS' COMPENSATION INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY,FL ILEA
AND
Ke-y b�O
Prior to the commencement.of work governed by this contract, the Contractor will obtain Workers'
Compensation Insurance with limits sufficient to respond to applicable Workers' Compensation
state statutes and the requirements of Chapter 440, Florida Statutes.
In addition, the Conti-actor will obtain Employers' Liability Insurance with limits of not less
than:
S 100,000 Bodily Injury by Accident
$500,000 Bodily Injury by Disease, policy limits
$100,000 Bodily Injury by Disease, each employce
Coverave will be maintained throutylIOUL the entire term of the contract,
Coverage will bc provided by a company or companies LIW11067ed to trams"10 hLlSir[CYs in the Stale
of Florida.
ll' the Contractor has hecn approved by the Roridii's Depm-Iment ofLabor, &, an IuLhOwed self-
in'W-Cr, the COLinty imi), recognize mid honor (lie Contractor's SlatUS. nie contrtictor may be
rC(JUife,d (0 submit a Letter (if Audiciiization is,ucd by the Department ol' Lahor and as Certi(licatc
-)[ 1111A11,11ICT, I)IOViLlill" deikdls oil the CoIlLrnCt 1". 'XCC,o 11hL1r,1nCC PrOgrMll,
11' the Contractol palticip,lic� iH 'I sClf-IHSUIMILC I'Llild, d CCIIHIC&C 01' hlSL1r,'111CC Will be I-CL111ilVd.
Ill itddllion, (he HIAa ' he fCCIL61Cd to sLlhllllt Ut)ikltCd 1H),11`16,11 StUtCffleWS h'011) the I'Und
U1101) r(2c111M fi'Offl the COL1111�.
NV C I
Administrative hismiction 750(0
2018 Minn
BUSINESS AUTOMOBILE LIABILITY INSURANCE REQUIREMENTS
FOR
C N A� 1 r + r
PA
r
MONROE COUNTY,FLORIDA
AND
`jan PF'(
-e-
Recognizing that the work governed by this contract requires the use of vehicles, the Contractor,
prior to the commencement of work, shall obtain business Automobile Liability Insurance.
Coverage will he maintained throughout the life of the contract and include,as a minimum,liability
coverage for.
0,, Owned,Non-Owned, and ]Aired Vehicles
The minis um limits acceptable is:
300,000 Combined Single Limit (C L)
If split limits care provided, the minimum limits acceptable are:
00,000 per Person
300,000 per Occurrence
200,000 Property Damage
The Ivlonroc County Board of County Cninniksioncrs will be na mcd as Addi(lonall )nNumd on all
110liciC: iW]Cd Ica%J1i%f5 Ilac Qabaavc Wrltait'claacitta,
L
Admil'ialntiva inslydClion 7.100 7
8l
2018 Edown
PRO FESSIONA],LIABILITY INSURANCE REQUIREMENTS
FOR
CONTRACT / jaC&2,EEM jLtT-
BETWEEN
MONROE COUNTY, FLORIDA
AND P,ecognizing that, the work governed by this contract involves the furnishing ol'advice. or services
of a professional nature, the Contractor will purchase and maintain, throffilhout the life of the
contract, Prot'essional Liability Insurance which will respond to damages resuhing from any claim
arising out of the performance of professional services or Lilly error or ornission of the Contractor
arising OUL or work governed by this contract,
The rninimuni liruits of liability are:
S500,000 per Occurrence/$1,0,00,000 Aggregate
If covera"'Cis Provided Oil t1 claims iii£idc hat is, an extended chiitm I-CpOilinl' period Of four(4)
years will hC VC(lL1irCd.
PRO2
Admiiiisiran%c[11SMIUion 7500 7
2018 Hilia"
GENERAL LIABILITY INSURANCE REQUIREME NTS
FOR
CONTRAC fps/ dC—t_�C-;-;C--KlEL,,S—I
BETWEEN
MO OLD COUNTY, FLORIDA
AND
K'q
Prior to (lie commencement of work governed by this contract, the Conti-actor will obtain
Conimercial General Liability Insurance, Coverage will be maintained throughout the life of the
contract and include, as minimum:
0 Premises Operations
a Products and Completed Operations
0 Blanket Contractual Liability
a, Personal Injury Liability
'rhe minimum limit,, accept Lib le is:
$300,000 Combined Single Limit (CSL) -
An OCCUrrence Form policy is preferved. If coverdoe is provided on a Clainis Made policy, its
provisions shOUld include coverage for clainis filed on or after the effective date of this contract.
In addition, (lie period lbr which claims may he reported should extend for a mininium or twelve
(12) nionths following the iicceptance of work by1hC County.
0
'rhe I\Ionroc COUW)' BWRI 01'COL1111y C01111`11issioncrs will be nitmed w, Additionni Insurcd an all
policies issued (osatisfy (he allove rcquircillcnts.
Admini.wative Instruction 7500,8
74/9/2021
E(MM/DDYYY)
A�" CERTIFICATE OF LIABILITY INSURANCE /Y
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME: Glenn LeBlanc
ArthurJ. Gallagher Risk Management Services, Inc. HON Ext: 337-769-0860 Fvc,No:337-429-2234
235 Highlandia Drive, Suite 200 (AMAIL
Baton Rouge LA 70810 ADDRESS: Glenn.LeBlanc@lhcgroup.com
INSURER(S)AFFORDING COVERAGE NAIC#
INSURERA: Illinois Union Insurance Company 27960
INSURED LHCGROU-03 INSURERB:ACE American Insurance Company 22667
LHC Group, Inc.
901 Hugh Wallis Rd-S INsuRERc: Indemnity Insurance Company of N A 43575
Lafayette LA 70508 INSURER D
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:709913182 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
LTR INSD WVD POLICY NUMBER MM/DD MM/DD
A X COMMERCIAL GENERAL LIABILITY Y HPLG27171928007 10/1/2020 10/1/2021 EACH OCCURRENCE $1,000,000
� OCCUR DAMAGE TO
CLAIMS-MADE
PREMISES(Ea occurrence)
ccurrence) $300,000
Approved Risk Managerrent MED EXP(Any one person) $
PERSONAL&ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000
X POLICY❑ PRO ❑ LOC 4-9-2021
JECT PRODUCTS-COMP/OP AGG $3,000,000
OTHER: $
B AUTOMOBILE LIABILITY Y ISAH25305917 10/1/2020 10/1/2021 COMBINED SINGLE LIMIT $1,000,000
Ea accident
X ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
A UMBRELLA LAB OCCUR XHLG2717193AO07 10/1/2020 10/1/2021 EACH OCCURRENCE $10,000,000
X EXCESS LAB CLAIMS-MADE AGGREGATE $10,000,000
DED RETENTION$ $
G WORKERS COMPENSATION WLRC67459362 10/1/2020 10/1/2021 X PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
OFFICE R/M EMBER EXCLUDED? ❑ N/A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
A Medical Professional Liability HPLG27171928007 10/1/2020 10/1/2021 Each Incident $1,000,000
Claims Made Aggregate $3,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
Certificate holder is an additional insured with regards to General Liability and Auto Liability if required by written contract.
Florida Location:
Key West PD, LLC d/b/a Island Private Care(Cudjoe Key, FL)
Key West HHA, LLC d/b/a Island Home Care(Key West, FL)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Monroe County BOCC
1100 Simonton Street AUTHORIZED REPRESENTATIVE
Key West FL 33040
1
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD