Item O3
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: March 15, 2006
Division: Administrative Services DOH
Bulk Item: Yes ~
No
Department Contact: Thomas 1. Willi
County Administrator
AGENDA ITEM WORDING:
Approval to rescind the Addendum to Agreement approved by the BOCC on June 15, 2005 between
Monroe County and the State of Florida Department of Health for the operation of the Monroe County
Health Department.
ITEM BACKGROUND:
Subsequent to approval of the above-referenced Addendum to Agreement by the BOee, Monroe
County was advised by the Department of Health the Addendum would not be approved by the
Department of Health and they have not, to date, provided an Amendment they are willing to sign.
PREVIOUS RELEVANT BOCC ACTION:
Approval of the Addendum to Agreement on 6/15/2005.
Approval of the Annual Core Contract with the Department of Health on October 19, 2005, which the
Department of Health returned to the Clerk executed but containing substituted pages, modifying the
contract actually presented and approved by the BOCe on 10/19/2005.
ST AFF RECOMMENDATIONS:
Approval to rescind Addendum to Agreement approved by BOCC on 6/15/2005.
TOTAL COST:
N/A
BUDGETED: Yes
No
COST TO COUNTY:
SOURCE OF FUNDS:
REVENUE PRODUCING: Yes
No
AMOUNT PER MONTH_ Year
APPROVED BY: County Atty _ OMB/Purchasing _
DIVISION DIRECTOR APPROVAL:
Risk Management _
TY ADMINISTRATOR
DOCUMENT A TION:
Ind uded
x
To Follow_
Not Required_
DISPOSITION:
AGENDA ITEM #
Clerk If 11Ie
CirculCoon
Dan ny L. Kolhage
Phone: (305)296,;5130
F A..X: (305)295<\6113
Memorandum
To:
Connie Cyr, Aide to the
County Administrator
Isabel C. DeSantis, DepUly Clerk ~
Thursday, September 29,2005
From:
Date:
At the Regular BOee Meeting held on June 15, 2005, the Board approved the
fOllowing:
Addendum to Agreement between Monroe County and the State of Florida
Department of Health for the operation of the Monroe County Health Department.
Attached hereto are three (3) duplicate originals executed by Monroe County for
your handling. Please be sure that the sets marked Monroe County Clerk's Office
Original and Monroe County Finance Department's Original are returned to my
attention as soon as possible. Should you have any questions concerning this matter,
please feel free to contact this office.
Copies;
County Attorney
Finance w! 0 doc.
File
ADDENDUM TO AGREEMENT
This Addendum to Agreement is made and entered into by
MONROE COUNTY (COUNlY), a political subdivision of the State of
Florida, whose address is 1100 Simonton Street, Key West, FL 33040,
and the State of Florida Department of Health (STATE) as the
contracting agent for the Monroe County Health Department, a public
agency of the State of Florida, whose address is 1100 Simonton
Street, Key West, FI. 33040.
WHEREAS, the parties did enter into an agreement dated
January 16, 2005, for the provision of core services for fiscal year
2004-2005; and
WHEREAS, the STATE has been allotted space in the newly
renovated Roth Building, previously know as Old Mariner's Hospital;
and
WHEREAS, the STATE provided an allocation in Exhibit V to the
aforementioned contract to cover $250,000 of its share of the cost of
renovation; and
WHEREAS, the STATE now has no money to cover its share of
the cost of renovation;
NOW THEREFORE, in consideration of the following mutual
promises, the parties agree as follows:
1. Paragraph 4 of the agreement dated January 19, 2005, shall
be revised to read as follows:
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 are 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 in
Schedule C) as provided in Attachment II, Part II is
an amount not to exceed $4/285,415 (State
General Revenue, 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 $417,575 (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 Agreement in the County Health Department Trust
Fund that is attributable to the CHD shall be reimbursed
to COUNTY to cover its advance of the $250,000 cost of
renovating the Roth Building, and if any amount remains
thereafter, that surplus shall be carried forward to the
next contract period.
2. Paragraph 6.e. of the agreement dated January 19, 2005,
shall be revised to read as follows:
6. 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 to the County to the extent necessary to cover the
$250,000 advance of the costs to renovate the Roth Building
space allotted to the Health Department. Any monies
remaining thereafter shall be credited or 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 the Core
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.
3. Attachment IV and Attachment V of the agreement dated
January 19, 2005, shall be revised to read as depicted in the
attachments IV and V, attached hereto and incorporated
herein by reference.
4. The remaining terms of the Agreement entered January 19,
2005 , not inconsistent herewith, shall remain in full force
and effect.
IN WITNESS WHE~()fi:ttle parties have caused these presents to be
executed in their ~~ectiv~~fl~rnes.
l<-'\~"'~/"" " .h. -'.
/Oc.-:' .
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
~,:'~~\,' "".
Attest: '~;\52,
DANNY L. K~Q;I?i CLERK
BY:"~~C .li51j}rliJ
Deputy Clerk r
By:
;/)Ju. >n ~MJ
Mayor Dixie M. Spehar
STATE OF FLORIDA
DEP ARTMENT OF HEALTH
Attest:
Lz?~ M^
By: ( 1 . ..../,y
MIP.H. \
Susana May, M.D., M.P.H.
CRD Director! Administrator
By:
John O. Agwunobi, M.D., M.B.A.,
Secretary of the Department
ATTACHMENT IV
FACILITIES UTILIZED BY THE MONROE COUNTY HEALTH
DEPARTMENT
Facility
Number of
Descriotion
Owner
Square
Location
Footaee
Emolovees
GA TO Building 1100 Simonton Street
42 County
AdminJNursing/EnvHealth Key West, FL 33040
8,691 s.f.
Health Care Center
Lease
1200 Kennedy Drive
3,000 s.f.
9
Key West, FL 33040
Roosevelt Sands Center 105 Olivia Street
6 Lease
Key West, FL 33040
2,000 s.f.
Ruth Ivins Center
9
for Public Health
3333 Overseas Highway
5,000 s.f.
County
~arathon,FL 33050
Environmental Health 13367 Overseas Highway
Lease
Monroe CHD Marathon, FL 33050
1,250 s.f.
7
Roth Building
County
51 Highpoint Road
5,000 s.f.
20
Tavernier, FL 33070
A TT ACHMENT V
MONROE COUNTY HEALTH DEPARTMENT
SPECIAL PROJECT SAVINGS PLAN
IDENTIFY THE AMOL'l-l'lOF CASH THAT IS ANTICIPATED TO BE SET ASIDE ANNUALLY FOR THE PROJECT.
CONTRACT YEAR STATE COUNTY TOTAL
2002-2003 $ $ $
2003-2004 $ $ $
2004-2005 $ 150.000 $ $ 150,000
2005-2006 $ 250.00 $ $ 250.000
2006-2007 $ $ ~- $
PROJECT TOTAL $ 400.000 $ $ 400.000
SPECIAL PROJECT CONSTRUCTION/RENOV A TION PLAN
PROJECT TITLE:
Upper Kevs CHD. Mariner's Hospital
LOCATION:
60 Hif!h Point Road. Plantation Kev. Florida
CATEGORY:
NEW FACILTY
ROOFING
RENOVCATION -L
NEW ADDITION
PLANNING STUDY
SQUARE FOOTAGE:
5~147
PROJECT SlJMMARY: Construction and Renovation: site work, installation of utilities; landscaping,
restoration of structural shell; new interior waDs; doors, windows. hardware, carpet, vinyl, tile, plumbing
and eledrieal. Furnishings and Equipment: medical equipment. office furnishings, filing systems, phone
equipment and wiring, technology equipment and wiring, technology software.
ESTIMATED PROJECT INFORMATION:
START DATE (initial expenditure of funds)
COMPLETION DATE:
January -05
June-OS
DESIGN FEES:
CONSTRUCTION COSTS:
FURNITUREIEQUIPMENT
TOT AL PROJECT COST:
COST PER SQ. FOOT:
$ 2.700
$ 250.000
$ 200.000
$ 452.700
$ 44.00