Item Q02 Q.2
Coty f � ,�� ,' BOARD OF COUNTY COMMISSIONERS
�� Mayor David Rice,District 4
The Florida Keys � Mayor Pro Tem Craig Cates,District I
y Michelle Coldiron,District 2
James K.Scholl,District 3
Ij Holly Merrill Raschein,District 5
County Commission Meeting
November 15, 2022
Agenda Item Number: Q.2
Agenda Item Summary #11395
BULK ITEM: Yes DEPARTMENT: County Administrator
TIME APPROXIMATE: STAFF CONTACT: Lindsey Ballard(305) 292-4443
n/a
AGENDA ITEM WORDING: Approval of the contract between Monroe County Board of County
Commissioners and the State of Florida, Department of Health for operation of the Monroe County
Health Department— contract year 2022-2023.
ITEM BACKGROUND: Review of annual contract for county funding of the local health
department. The County direct contribution is $1,532,677 (+ $133,917 or +10% from previous
fiscal year).
PREVIOUS RELEVANT BOCC ACTION: This is the annual renewal of an agreement between
Monroe County and the Florida Department of Health that has continued for 20+years.
CONTRACT/AGREEMENT CHANGES:
Increase in funding from previous fiscal year contract.
STAFF RECOMMENDATION: Approval.
DOCUMENTATION:
Core Contract 22-23 signed
FINANCIAL IMPACT:
Effective Date: October 1, 2022
Expiration Date: September 30, 2023
Total Dollar Value of Contract: $1,532,677.00
Total Cost to County: $1,532,677.00
Current Year Portion:
Budgeted: Yes
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Q.2
Source of Funds:
CPI:
Indirect Costs:
Estimated Ongoing Costs Not Included in above dollar amounts:
Revenue Producing: If yes, amount:
Grant:
County Match: No
Insurance Required: No
Additional Details:
REVIEWED BY:
Roman Gastesi Skipped 11/01/2022 4:43 PM
Cynthia Hall Completed 11/01/2022 4:44 PM
Purchasing Completed 11/01/2022 4:49 PM
Budget and Finance Completed 11/01/2022 5:26 PM
Brian Bradley Completed 11/01/2022 5:27 PM
Lindsey Ballard Completed 11/01/2022 5:29 PM
Board of County Commissioners Pending 11/15/2022 9:00 AM
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Q.2.a
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 2022-2023
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, 2022. State and County are jointly referred to as
the "parties".
RECITALS N
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A. Pursuant to Chapter 154, Florida Statutes, the intent of the legislature is to
"promote, protect, maintain, and improve the health and safety of all citizens and visitors of this
state through a system of coordinated county health department services." U
B. County Health Departments were created throughout Florida to satisfy this U
legislative intent through the "promotion of the public's health, the control and eradication of
preventable diseases, and the provision of primary health care for special populations." U
C. Monroe County Health Department ("CHD") is one of the created County Health
Departments. U'
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D. It is necessary for the parties hereto to enter into this contract to ensure N
coordination between the State and the County in the operation of the CHD.
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NOW, THEREFORE, in consideration of the mutual promises set forth herein, the c0
sufficiency of which is hereby acknowledged, the parties hereto agree as follows:
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1. RECITALS. The parties mutually agree that the foregoing recitals are true and correct
and incorporated herein by reference.
2. TERM. The parties mutually agree that this contract shall be effective from October 1,
2022, through September 30, 2023, or until a written contract replacing this contract is entered
into between the parties, whichever is later, unless this contract is otherwise terminated
according to the termination provisions outlined in paragraph 8. below.
3. SERVICES MAINTAINED BY THE CHD. The parties mutually agree that the CHD shall
provide those services as outlined in Part III of Attachment II hereof, 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 that are organized and operated to
protect the health of the general public by monitoring and regulating activities in the
environment that may contribute to the occurrence or transmission of disease. Environmental
health services shall be supported by available federal, state, and local funds and shall include
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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 that protect the health of
the general public through the detection, control, and eradication of diseases that 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 U
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 U
first contact acute care services; chronic disease detection and treatment; maternal and child
health services; family planning; nutrition; school health; supplemental food assistance for U
women, infants, and children; home health; and dental services.
4. FUNDING. The parties further agree that funding for the CHD will be handled as follows.. U'
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a. The funding to be provided by the parties and any other sources is outlined in Part II of N
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, 0
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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 $„ 4,245,7 (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,
othercash, orlocal contributions) as provided in Attachment II, Part II is an amount
not to exceed $1,532,677 (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 the current year or from surplus trust funds) in any service category. Unless
requested otherwise, any surplus at the end of the term of this contract in the County Health
Department Trust Fund that is attributed to the CHD shall be carried forward to the next contract
period.
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c. Either party may establish service fees as allowed by law to fund activities of the CHD.
Where applicable, such fees shall be automatically adjusted to at least the Medicaid fee
schedule.
d. Either party may increase or decrease funding of this contract during the term hereof by
notifying the other party in writing of the amount and purpose for the change in funding. If the
State initiates the increase or decrease, the CHD will revise Attachment II and send a copy of
the revised pages to the County and the State's Office of Budget and Revenue Management.
If the County initiates the increase or decrease, the County shall notify the CHD in writing. The
CHD will then revise Attachment II and send a copy of the revised pages to the State's Office
of Budget and Revenue Management.
e. The name and address of the official payee to whom payments shall be made is:
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County Health Department Trust Fund N
Monroe County CU
P. O. Box 6193
Key West, FL 33040 U
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5, CHD DIRECTOR or ADMINISTRATOR. Both parties agree the director or administrator U
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 State's Deputy Secretary for County Health Systems. The director U
or administrator shall be selected by the State with the concurrence of the County. The director
or 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 N
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 c0
extent permitted for the use of County purchasing procedures as outlined in subparagraph b.,
below. All CHD employees shall be State or State-contract personnel subject to State U
personnel rules and procedures. Employees will report time in the Health Management System
compatible format by program component as specified by the State.
b. The CHD shall comply with all applicable provisions of federal and state laws and
regulations relating to its operation with the exception that the use of County purchasing
procedures shall be allowed when it will result in a better price or service and no statewide
purchasing contract has been implemented for those goods or services. In such cases, the
CHD director or 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 following 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 following the Generally
Accepted Accounting Principles, as promulgated by the Governmental Accounting Standards
Board, and the requirements of federal or state law. These records shall be maintained as
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required by the State's 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 is 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 System; and
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; and
iii. Financial procedures specified in the State's Accounting Procedures
Manuals, Accounting memoranda, and Comptroller's memoranda; and
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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. c0
d. All funds for the CHD shall be deposited in the County Health Department Trust Fund X
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 or deficit funds, including fees or accrued interest, remaining in the U)
County Health Department Trust Fund account at the end of the contract year shall be credited N
or debited to the State or County, as appropriate, based on the funds contributed by each and N
the expenditures incurred by each. Expenditures will be charged to the program accounts byCU
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 U
surplus or deficit funds accruing to the State and County is determined each month and at the
contract year-end. Surplus funds may be applied toward the funding requirements of each U
party 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 that clearly
illustrates the amount which has been credited to each party. 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 or administrator determines that an emergency exists
wherein a time delay would endanger the public's health and the State's Deputy Secretary for
County Health Systems have approved the transfer. The State's Deputy Secretary for County
Health Systems shall forward written evidence of this approval to the CHD within 30 days after
an emergency transfer.
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g. The CHD may execute subcontracts for services necessary to enable the CHD to car Q.2.a
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 certified
public accountant 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, as revised, and may be in conjunction with audits performed
by the County government. If audit exceptions are found, then the director or 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 N
this contract for five years after termination of this contract. If an audit has been initiated and N
audit findings have not been resolved at the end of five years, the records shall be retained
until the resolution of the audit findings.
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k. The CHD shall maintain the confidentiality of all data, files, and records that are
confidential under the law or are otherwise exempted from disclosure as a public record under U
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, U
Florida Statutes, and all other state and federal laws regarding confidentiality. All confidentiality
procedures implemented by the CHD shall be consistent with the State's 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 M
practice concerning client confidentiality. N
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. c0
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m. The CHD shall establish a system through which applicants for services and current c0
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 right to a fair hearing to the final governing authority E
of the CHD. 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 Compliance and
Non-Discrimination Certificate, hereby incorporated into this contract as Attachment III.
o. The CHD shall submit quarterly reports to the County that shall include at least the
following:
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i. The DE3851_1 Contract Management Variance Report and the DE580L1
Analysis of Fund Equities Report; and
ii. A written explanation to the County of service variances reflected in the year-
end DE3851_1 report if the variance exceeds or falls below 25 percent of the
planned expenditure amount for the contract year. However, if the amount
of the service-specific variance between actual and planned expenditures
does not exceed three percent of the total planned expenditures for the level
of service in which the type of service is included, a variance explanation is
not required. A copy of the written explanation shall be sent to the State's
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 are delayed due to circumstances beyond the CHD's N
control: N
i. March 1, 2023, for the reporting period of October 1, 2022, through
December 31, 2022; and U
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ii. June 1, 2023, for the reporting period of October 1, 2022, through U
March 31, 2023; and
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iii. September 1, 2023, for the reporting period of October 1, 2022
through June 30, 2023; and
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iv. December 1, 2023, for the reporting period of October 1, 2022
through September 30, 2023. N
7. FACILITIES AND EQUIPMENT. The parties mutually agree that:
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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. U
b. The County shall ensure adequate fire and casualty insurance coverage for County-
owned CHD offices and buildings and all furnishings and equipment in CHD offices through
either a self-insurance program or insurance purchased by the County.
c. All vehicles will be transferred to the ownership of the County and registered as County
vehicles. The County shall ensure insurance coverage for these vehicles is available through
either a self-insurance program or insurance purchased by the County. All vehicles will be
used solely for CHD operations. Vehicles purchased through the County Health Department
Trust Fund shall be sold at fair market value when they are no longer needed by the CHD and
the proceeds returned to the County Health Department Trust Fund.
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8. TERMINATION.
a. Termination at Will. This contract may be terminated by either party without cause upon
no less than 180 calendar days' notice in writing to the other party unless a lesser time is
mutually agreed upon in writing by both parties.
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 24 hours'
notice.
c. Termination for Breach. This contract may be terminated by either party for a material
breach of an obligation hereunder, upon no less than 30 days' notice. Waiver of a 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. I
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9. MISCELLANEOUS. The parties further agree;
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a. Availability of Funds. If this contract, any renewal hereof, or any term, performance, or U
payment hereunder, extends beyond the fiscal year beginning July 1, 2023, it is agreed that
the performance and payment under this contract are contingent upon an annual appropriation U
by the Legislature, under section 287.0582, Florida Statutes. X
b. Contract Managers. The name and addresses of the contract managers for the parties
under this contract are as follows:
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For the State: For the County: N
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Carla A F PhD MSN RN Roman Gastesi
Name Name
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Asst County I!-Health Dept Director County Administrator
Title Title U
1100 Simonton Street 1100 Simonton Street
Key West, Florida 33040 Key West, Florida 33040
Address Address
Email Address Email Address
305 676-3835 305 292-4441
Telephone Telephone
Approved as to form and legal sufficiency:
Monroe County Attorney's Office 11-1-2022
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If different contract managers are designated after the execution of this contract, the name,
address, email address, and telephone number of the new representative shall be furnished in
writing to the other parties and attached to the 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.
d. Notices. Any notices provided under this contract must be delivered by certified mail,
return receipt requested, in person with proof of delivery, or by email to the email address of
the respective party identified in Section 9.b., above.
In WITNESS THEREOF, the parties hereto have caused this eight page contract, with its ,
attachments as referenced, including Attachment I (two pages), Attachment II (seven pages),
Attachment III (one page), Attachment IV (one page), and Attachment V (one page),
Attachment VI (3 pages), and Addendum 1 (2 pages) to be executed by their undersigned
officials as duly authorized effective the 1 st day of October 2022.
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BOARD OF COUNTY COMMISSIONERS STATE OF FLORIDA U
FOR MONROE COUNTY DEPARTMENT OF HEALTH
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SIGNED BY: SIGNED BY:
NAME: NAME: Joseph A. Lada o M.D. Ph.D. N
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TITLE: TITLE: State Surgeon General
DATE:. DATE: c0
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ATTESTED TO:
SIGNED BY: SIGNED BY: . 01
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NAME: NAME: Robert Eadie
TITLE: TITLE: CHD Director or Administrator
DATE: DATE:
Ir if
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ATTACHMENT
MONROE COUNTY HEALTH DEPARTMENT
PROGRAM SPECIFIC REPORTING REQUIREMENTS AND PROGRAMS REQUIRING
COMPLIANCE WITH THE PROVISIONS OF SPECIFIC MANUALS
Some health services must comply with specific program and reporting requirements in addition to the Personal Health
Coding Pamphlet(DHP 50-20), Environmental Health Coding Pamphlet(DHP 50-21)and FLAIR requirements because of
federal or state law, regulation or rule. If a county health department is funded to provide one of these services, it must
comply with the special reporting requirements for that service. The services and the reporting requirements are listed
below:
Service Requirement
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1. Sexually Transmitted Disease Program Requirements as specified in F.A.C. 64D-3, F.S. 381 and F.S. 384. �
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2. Dental Health Periodic financial and programmatic reports as specified by the
program office.
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3. Special Supplemental Nutrition Service documentation and monthly financial reports as specified in t0
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 L)
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 °U)
contract with each county health department. M
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5. Family Planning Requirements as specified in Public Law 91-572,42 U.S.C. 300,et c14
seq.,42 CFR part 59,subpart A, 45 CFR parts 74&92,2 CFR 215
(OMB Circular A-110)OMB Circular A-102, F.S. 381.0051, F.A.C.
64F-7, F.A.C. 64F-16,and F.A.C. 64F-19. Requirements and 0
Guidance as specified in the Program Requirements for Title X U
Funded Family Planning Projects(Title X Requirements)(2014)and
the Providing Quality Family Planning Services(QFP): U
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(DH 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
Attach Packet Pg. 3676
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ATTACHMENT I (Continued)
levels as documented in Florida SHOTS and supported by CHID
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 CHID 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.
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9. School Health Services Requirements as specified in the Florida School Health 1
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Administrative Guidelines(May 2012). Requirements as specified in c14
F.S. 381.0056, F.S. 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 U
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and F.S. 392.
11. General Communicable Disease Carry out surveillance for reportable communicable and other acute U
Control diseases,detect outbreaks, respond to individual cases of reportable
diseases, investigate outbreaks, and carry out communication and U
quality assurance functions, as specified in F.A.C. 64D-3, F.S. 381,
F.S. 384 and the CHID Epidemiology Guide to Surveillance and
Investigations.
12. Refugee Health Program Programmatic and financial requirements as specified by the
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program office. M
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or the subsequent replacement if adopted during the contract period. �
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Attach Packet Pg. 3677
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ATTACHMENT ELTIT II
MONROE COUNT'HEALTH DEPARTMENT
Part II,Sources of Contributions to County Health Department
October 1,2022 to September 30,2623
State CHD County Total CHI}
Trust Fund CHD Trust fund tither
(Dash) Trust,Fund (cash) Contribution; Total
1.GENERAL REVENUE STATE
015040 AIDS PREVENTION&SURVEILLANCE GENERAL REVENUE 73,522 0 73,522 0 73,
015040 CHD-TB COMMUNITY PROGRAM 33,240 0 33,240 0 33,
015040 SEXUALLY TRANSMITTED DISEASE CONTROL PROGRAM GR 16,755 0 16,755 0 16,
015040 DENTAL SPECIAL INITIATIVE PROJECTS 6,935 0 6,935 0 6,
015040 EPIDEMIOLOGY SURVEILLANCE GENERAL REVENUE 79,035 0 79,035 0 79,
015040 FAMILY PLANNING GENERAL REVENUE 34,239 0 34,239 0 34,
015040 HEPATITIS AND LIVER FAILURE PREVENTION&CONTROL 72,000 0 72,000 0 72,
N
015040 PRIMARY CARE PROGRAM 199,742 0 199,742 0 199, CN
C°J
015040 RACIALÐNIC DISPARITIES-CHD EXPENSES 52,000 0 52,000 0 52,
015040 SCHOOL HEALTH SERVICES-GENERAL REVENUE 96,223 0 96,223 0 96,
015050 CHD GENERAL REVENUE NON-CATEGORICAL 1,425,962 0 1,425,962 0 1,425, f0
GENERAL REVENUE TOTAL 2,089,653 0 2,089,653 0 2,089,
0
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2.NON GENERAL REVENUE-STATE
015010 ENVIRONMENTAL BIOMEDICAL WASTE PROGRAM 3,381 0 3,381 0 3, L)
NON GENERAL REVENUE TOTAL 3,381 0 3,381 0 3,
3.FEDERAL FUNDS-STATE
007000 AIDS DRUG ASSISTANCE PROGRAM ADMIN HQ 61,183 0 61,183 0 61, Ce)
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007000 WIC BREASTFEEDING PEER COUNSELING PROG 66,515 0 66,515 0 66, C•d
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007000 COASTAL BEACH WATER QUALITY MONITORING 16,059 0 16,059 0 16,
007000 COMPREHENSIVE COMMUNITY CARDIO-PHBG 35,000 0 35,000 0 35,
007000 STRENGTHENING STD PREVENTION AND CONTROL 22,616 0 22,616 0 22, 0
007000 ELC COVID ENHANCED DETECTION EXPANSION GRANT 164,133 0 164,133 0 164,
007000 EPIDEMIOLOGY FOODBORNE CAPACITY 1,047 0 1,047 0 1, 0
007000 FAMILY PLANNING TITLE X-GRANT 59,108 0 59,108 0 59, 4,
007000 HEALTH DISPARITIES GRANT COVID-19 114,073 0 114,073 0 114,
007000 HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS 558,200 0 558,200 0 558, C
C)
007000 INFANT MORTALITY 8,506 0 8,506 0 8,
a.+
007000 IMMUNIZATION ACTION PLAN 49,843 0 49,843 0 49,
007000 MCH SPECIAL PROJECT PRAMS 12,985 0 12,985 0 12,
007000 MATERNAL MORTALITY 8,518 0 8,518 0 8,
007000 BASE COMMUNITY PREPAREDNESS CAPABILITY 112,207 0 112,207 0 112,
007000 AIDS PREVENTION 119,837 0 119,837 0 119,
007000 RYAN WHITE TITLE II CARE GRANT 171,821 0 171,821 0 171,
007000 TOBACCO STATE AND COMMUNITY INTERVENTIONS 121,086 0 121,086 0 121,
007000 WIC PROGRAM ADMINISTRATION 448,917 0 448,917 0 448,
015075 SUPPLEMENTAL SCHOOL HEALTH 123,839 0 123,839 0 123,
015075 REFUGEE HEALTH SCREENING REIMBURSEMENT ADMIN 71,966 0 71,966 0 71,
015075 REFUGEE HEALTH SCREENING REIMBURSEMENT SERVICES 215,360 0 215,360 0 215,
018005 RYAN WHITE TITLE II ADAP DRUG REBATES 76,027 0 76,027 0 76,
FEDERAL FUNDS TOTAL 2,638,846 0 2,638,846 0 2,638,
Attach Packet Pg. 3679
ATTACHMENT ELTIT II
MONROE COUNTY HEALTH DEPARTMENT
Part II,Sources of Contributions to County Health Department
October 1,2022 to September 30,2623
State CHD County Total CHI}
Trust Fund CHD Trust fund tither
(Dash) Trust,Fund (cash) Contribution; Total
4.FEES ASSESSED BY STATE OR FEDERAL RULES STATE
001020 CHD STATEWIDE ENVIRONMENTAL FEES 155,541 0 155,541 0 155,
001092 ON SITE SEWAGE DISPOSAL PERMIT FEES 19,086 0 19,086 0 19,
001092 CHD STATEWIDE ENVIRONMENTAL FEES 5,200 0 5,200 0 5,
001206 ON SITE SEWAGE DISPOSAL PERMIT FEES 306 0 306 0
001206 SANITATION CERTIFICATES(FOOD INSPECTION) 2,130 0 2,130 0 2,
001206 PUBLIC SWIMMING POOL PERMIT FEES-10%HQ TRANSFER 10,548 0 10,548 0 10,
001206 REGULATION OF BODY PIERCING SALONS 123 0 123 0
C14
001206 TATTO PROGRAM ENVIRONMENTAL HEALTH 778 0 778 0 N
C14
001206 MOBILE HOME&RV PARK FEES 1,986 0 1,986 0 1, j
FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 195,698 0 195,698 0 195,
0
L)
5.OTHER CASH CONTRIIBUTIONS-STATE:
0 0 0 0
C3
090001 DRAW DOWN FROM PUBLIC HEALTH UNIT 239,371 0 239,371 0 239,
OTHER CASH CONTRIIBUTION TOTAL 239,371 0 239,371 0 239, L)
6.MEDICAID-STATEICOUNTY: q�s
001057 CHD CLINIC FEES 0 7,387 7,387 0 7, .0
7
001148 CHD CLINIC FEES 0 70,748 70,748 0 70, Ce)
C14
MEDICAID TOTAL 0 78,135 78,135 0 78, C14
C14
U
7.ALLOCABLE REVENUE-STATE:
001009 CHD CLINIC FEES 100 0 100 0 0
018000 CHD CLINIC FEES 2,499 0 2,499 0 2, L)
ds
031005 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 5,613 0 5,613 0 5, f0
031005 TRUST FOR AMERICA'S HEALTH AGREEEMENT 2,500 0 2,500 0 2, ,j
038000 CHD CLINIC FEES 100 0 100 0
ALLOCABLE REVENUE TOTAL 10,812 0 10,812 0 10,
C5
S.OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND STATE
ADAP 0 0 0 780,718 780,
PHARMACY DRUG PROGRAM 0 0 0 8,386 8,
WIC PROGRAM 0 0 0 1,165,070 1,165,
BUREAU OF PUBLIC HEALTH LABORATORIES 0 0 0 8,023 8,
IMMUNIZATIONS 0 0 0 847,573 847,
OTHER STATE CONTRIIBUTIONS TOTAL 0 0 0 2,809,770 2,809,
9.DIRECT LOCAL CONTRIBUTIONS-1BCC/TAX DISTRICT
008005 CHD LOCAL REVENUE&EXPENDITURES 0 1,008,397 1,008,397 0 1,008,
008005 IMMUNIZATION CAMPAIGN MONROE COUNTY BOCC 0 524,280 524,280 0 524,
DIRECT COUNTY CONTRIIBUTIONS TOTAL 0 1,532,677 1,532,677 0 1,532,
10.FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION-COUNTY
001025 CHD CLINIC FEES 0 1,800 1,800 0 1,800
Attach Packet Pg. 3680
ATTACHMENT ELTIT II
MONROE COUNTY HEALTH DEPARTMENT
Part II,Sources of Contributions to County Health Department
October 1,2022 to September 30,2623
State CHD County Total CHI}
Trust Fund CHD Trust fund tither
(Dash) Trust,Fund (cash) Contribution; Total
001077 CHD CLINIC FEES 0 31,750 31,750 0 31,
001094 CHD LOCAL ENVIRONMENTAL FEES 0 141,000 141,000 0 141,
001110 VITAL STATISTICS CERTIFIED RECORDS 0 71,336 71,336 0 71,
FEES AUTHORIZED BY COUNTY TOTAL 0 245,886 245,886 0 245,
11.OTHER CASH AND LOCAL CONTRIBUTIONS-COUNTY
001029 CHD CLINIC FEES 0 153,700 153,700 0 153,
001029 CURANT 340B REVENUE AND EXPENSE TRACKING 0 30,000 30,000 0 30, i y
N
001090 CHD CLINIC FEES 0 69,403 69,403 0 69, a
N
C14
007010 RYAN WHITE TITLE III DIRECT TO CHD 0 378,539 378,539 0 378,
U
007010 RYAN WHITE TITLE III DIRECT TO CHD 0 238,210 238,210 0 238,
a.+
010300 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT 0 56 56 0
U
010400 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT 0 2,400 2,400 0 2, L)
010500 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT 0 93,562 93,562 0 93, U
L)
011000 SOS FOUNDATION 0 30,000 30,000 0 30,
011001 CHD HEALTHY START COALITION CONTRACT 0 290,000 290,000 0 290,
090002 DRAW DOWN FROM PUBLIC HEALTH UNIT 0 72,417 72,417 0 72,
OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL 0 1,358,287 1,358,287 0 1,358,
�9
12.ALLOCABLE REVENUE-COUNTY �y
001009 CHD CLINIC FEES 0 100 100 0
N
018000 CHD CLINIC FEES 0 2,499 2,499 0 2, C14
C14
031005 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 0 5,613 5,613 0 5,
031005 TRUST FOR AMERICA'S HEALTH AGREEEMENT 0 2,500 2,500 0 2,
038000 CHD CLINIC FEES 0 100 100 0 U
C)
COUNTY ALLOCABLE REVENUE TOTAL 0 10,812 10,812 0 10,
U
L)
13.1BUILDINGS-COUNTY ;
ANNUAL RENTAL EQUIVALENT VALUE 0 0 0 597,605 597,
OTHER(Specify) 0 0 0 0
UTILITIES 0 0 0 83,369 83,
BUILDING MAINTENANCE 0 0 0 75,223 75,
GROUNDS MAINTENANCE 0 0 0 115,566 115,
INSURANCE 0 0 0 0
OTHER(Specify) 0 0 0 0
OTHER(Specify) 0 0 0 0
]BUILDINGS TOTAL 0 0 0 871,763 871,
14.OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND COUNTY
EQUIPMENT/VEHICLE PURCHASES 0 0 0 0
VEHICLE INSURANCE 0 0 0 0
VEHICLE MAINTENANCE 0 0 0 0
OTHER COUNTY CONTRIBUTION(SPECIFY) 0 0 0 0
OTHER COUNTY CONTRIBUTION(SPECIFY) 0 0 0 0
OTHER COUNTY CONTRIBUTIONS TOTAL 0 0 0 0 0
Attach Packet Pg. 3681
ATTACHMENT ELTIT II
MONROE COUNTY HEALTH DEPARTMENT
Part II,Sources of Contributions to County Health Department
October 1,2022 to September 30,2623
State CHD County Total CHI}
Trust Fund CHD Trust fund tither
(Dash) Trust,Fund (cash) Contribution; Total
GRAND TOTAL CHD PROGRAM 5,177,761 3,225,797 8,403,558 3,681,533 12,085,
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Attach Packet Pg. 3682
ATTACHMENT II
MfONROE COUNTY HEALTH AEPARTMENT
Part III,Planned staffing.Clients,services and Expenditures By Program service Aiea Within Each Level of service
October 1,2422 to september,34;2023
Quarterly tx,penditure Plan-
FTE's Clients services/ 1st 2nd- 3rd 4th Grand
(0.66) Units visits- (Whole dollars only) state county Total'
A. COMMUNICABLE DISEASE CONTROL:
IMMUNIZATION (101) 11.14 4,023 6,267 316,115 271,023 316,115 271,023 538,568 635,708 1,174,:
SEXUALLY TRANS.DIS. (102) 3.42 120 213 82,038 70,336 82,038 70,336 270,817 33,931 304,
HIV/AIDS PREVENTION (03A1) 2.25 0 592 70,103 60,104 70,103 60,104 260,288 126 260,
HIV/AIDS SURVEILLANCE (03A2) 0.00 0 0 0 0 0 0 0 0
HIV/AIDS PATIENT CARE (03A3) 11.35 279 1,419 454,600 389,753 454,600 389,753 990,870 697,836 1,688,
ADAP (03A4) 1.17 0 0 25,313 21,703 25,313 21,703 93,966 66 94,,
TUBERCULOSIS (104) 0.95 2 2 25,045 21,472 25,045 21,472 92,831 203 93,, Cn
CN
a
COMM.DIS.SURV. (106) 6.17 0 605 139,667 119,745 139,667 119,745 518,824 0 518, N
a.+
HEPATITIS (109) 0.71 53 58 21,424 18,368 21,424 18,369 79,545 40 79, U
PREPAREDNESS AND RESPONSE (116) 2.38 0 0 62,922 53,946 62,922 53,946 233,615 121 233,
0
REFUGEE HEALTH (118) 3.58 618 1,597 99,069 84,937 99,069 84,937 367,811 201 368,, L)
d!
VITAL RECORDS (180) 1.24 2,035 6,970 24,990 21,425 24,990 21,425 21,494 71,336 92, 0
L)
COMMUNICABLE DISEASE SUBTOTAL 44.36 7,130 17,723 1,321,286 1,132,812 1,321,286 1,132,813 3,468,629 1,439,568 4,908,
B. PRIMLARY CARE: L)
CHRONIC DISEASE PREVENTION PRO (210) 2.60 273 276 62,120 53,259 62,120 53,258 190,808 39,949 230,
'L3
WIC (21W1) 5.77 1,998 11,712 143,406 122,950 143,406 122,949 448,917 83,794 532, 0)
TOBACCO USE INTERVENTION (212) 2.38 0 0 45,532 39,037 45,532 39,037 121,086 48,052 169,
U)
WIC BREASTFEEDING PEER COUNSELING (21W2) 0.91 0 1,603 19,250 16,504 19,250 16,503 66,515 4,992 71, CV)
CN
a
FAMILY PLANNING (223) 3.90 884 1,946 119,560 102,505 119,560 102,505 93,347 350,783 444, N
a.+
IMPROVED PREGNANCY OUTCOME (225) 0.05 0 0 8,445 7,241 8,445 7,241 30,009 1,363 31,
HEALTHY START PRENATAL (227) 2.54 517 2,579 55,226 47,348 55,226 47,349 0 205,149 205,
0
COMPREHENSIVE CHILD HEALTH (229) 0.00 0 0 0 0 0 0 0 0 L)
d!
HEALTHY START CHILD (231) 2.54 561 2,535 52,799 45,268 52,799 45,268 0 196,134 196, 0
SCHOOL HEALTH (234) 1.84 0 166,613 61,443 52,679 61,443 52,679 220,062 8,182 228,:
COMPREHENSIVE ADULT HEALTH (237) 4.28 265 1,160 112,457 96,416 112,457 96,415 199,742 218,003 417, E
COMMUNITY HEALTH DEVELOPMENT (238) 2.61 0 240 76,094 65,240 76,094 65,240 116,573 166,095 282,E
a.+
DENTAL HEALTH (240) 0.07 0 0 17,374 14,895 17,374 14,895 6,935 57,603 64,
PRIMARY CARE SUBTOTAL 29.49 4,498 188,664 773,706 663,342 773,706 663,339 1,493,994 1,380,099 2,874,,
C. ENVIRONMENTAL HEALTH:
Water and Onsite Sewage Programs
COSTAL BEACH MONITORING (347) 0.33 279 283 8,350 7,159 8,350 7,160 16,059 14,960 31,,
LIMITED USE PUBLIC WATER SYSTEMS (357) 0.00 0 0 0 0 0 0 0 0
PUBLIC WATER SYSTEM (358) 0.00 0 0 0 0 0 0 0 0
PRIVATE WATER SYSTEM (359) 0.00 0 0 0 0 0 0 0 0
ONSITE SEWAGE TREATMENT&DISPOSAL (361) 1.01 351 270 19,564 16,773 19,564 16,773 19,086 53,588 72,E
Group Total 1.34 630 553 27,914 23,932 27,914 23,933 35,145 68,548 103,1
]utility Programs
TATTOO FACILITY SERVICES (344) 0.12 237 81 2,059 1,765 2,059 1,764 7,501 146 Ti
Packet Pg. 3683 2
ATTACHMENT II
MONROE COUNTY HEALTH AEPARTMENT
Part III,Planned staffing.Clients,services and Expenditures By Program service Aiea Within Each Level of service
October 1,2422 to september,34;2023
Quarterly tx,penditure Plan-
FTE's Clients services/ 1st 2nd- 3rd 4th Grand
(0.66) Units visits- (Whole dollars only) state county Total'
FOOD HYGIENE (348) 0.57 153 435 12,427 10,654 12,427 10,654 23,100 23,062 46,
BODY PIERCING FACILITIES SERVICES (349) 0.17 12 12 2,814 2,413 2,814 2,414 910 9,545 10,
GROUP CARE FACILITY (351) 0.13 100 126 2,078 1,782 2,078 1,782 0 7,720 7,'
MIGRANT LABOR CAMP (352) 0.00 0 0 0 0 0 0 0 0
HOUSING&PUB.BLDG. (353) 0.00 0 0 0 0 0 0 0 0
MOBILE HOME AND PARK (354) 0.57 570 435 12,049 10,330 12,049 10,329 19,000 25,757 44,
POOLS/BATHING PLACES (360) 2.68 823 2,218 47,804 40,985 47,804 40,985 99,230 78,348 177,
BIOMEDICAL WASTE SERVICES (364) 0.48 528 442 8,342 7,152 8,342 7,153 14,381 16,608 30,' Cv)
CN
a
TANNING FACILITY SERVICES (369) 0.09 0 0 1,329 1,139 1,329 1,139 0 4,936 4,' CN
CN
Group Total 4.81 2,423 3,749 88,902 76,220 88,902 76,220 164,122 166,122 330,: U
Groundwater Contamination `
0
STORAGE TANK COMPLIANCE SERVICES (355) 0.00 0 0 0 0 0 0 0 0 L)
d!
SUPER ACT SERVICES (356) 0.00 0 0 0 0 0 0 0 0 0
L)
Group Total 0.00 0 0 0 0 0 0 0 0
Community Hygiene L)
COMMUNITY ENVIR.HEALTH (345) 0.00 0 0 0 0 0 0 0 0
'L3
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 L35
U)
PUBLIC SEWAGE (362) 0.00 0 0 0 0 0 0 0 0 CN
N
a
SOLID WASTE DISPOSAL SERVICE (363) 0.00 0 0 0 0 0 0 0 0 N
a.a
SANITARY NUISANCE (365) 0.18 68 302 3,198 2,742 3,198 2,741 0 11,879 11,
RABIES SURVEILLANCE (366) 0.10 0 0 1,711 1,467 1,711 1,466 0 6,355 6,;
0
ARBORVIRUS SURVEIL. (367) 0.00 0 0 0 0 0 0 0 0 L)
d!
RODENT/ARTHROPOD CONTROL (368) 0.00 0 0 0 0 0 0 0 0 0
L)
WATER POLLUTION (370) 0.01 0 6 144 123 144 124 0 535
INDOOR AIR (371) 0.00 0 0 0 0 0 0 0 0
E
RADIOLOGICAL HEALTH (372) 0.00 0 0 0 0 0 0 0 0 U
a.+
TOXIC SUBSTANCES (373) 1.99 498 498 41,086 35,225 41,086 35,225 0 152,622 152,E
Group Total 2.28 566 806 46,139 39,557 46,139 39,556 0 171,391 171,
ENVIRONMENTAL HEALTH SUBTOTAL 8.43 3,619 5,108 162,955 139,709 162,955 139,709 199,267 406,061 605,
D. NON-OPERATIONAL COSTS:
NON-OPERATIONAL COSTS (599) 0.00 0 0 0 0 0 0 0 0
ENVIRONMENTAL HEALTH SURCHARGE (399) 0.00 0 0 4,272 3,663 4,272 3,664 15,871 0 15,
MEDICAID BUYBACK (611) 0.00 0 0 19 16 19 15 0 69
NONOPERATIONAL COSTS SUBTOTAL 0.00 0 0 4,291 3,679 4,291 3,679 15,871 69 15,'.
TOTAL CONTRACT 82.28 15,247 211,495 2,262,238 1,939,542 2,262,238 1,939,540 5,177,761 3,225,797 8,403,
Packet Pg. 3684 2
Q.2.a
ATTACHMENT III
CIVIL RIGHTS COMPLIANCE AND
NON-DISCRIMINATION
CERTIFICATE
1. The CHD agrees to complete the Civil Rights Compliance Questionnaire, DH Forms 946 A and B (or the
subsequent replacement if adopted during the contract period), if so requested by the Department.
2. The CHD assures that it will comply with 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.
3. Assurance of Civil Rights Compliance: The CHD hereby agrees that it will comply with Title VI of the
Civil Rights Act of 1964 (42 U.S.C. 2000d et seq.); Title IX of the Education Amendments of 1972 (20
U.S.C. 1681 et seq.); Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794); the Age N
Discrimination Act of 1975 (42 U.S.C. 6101 et seq.); Title II and Title III of the Americans with Disabilities N
Act (ADA) of 1990, as amended by the ADA Amendment Act of 2008 (42 U.S.C. 12131-12189) and as
implemented by Department of Justice regulations at 28 CFR Parts 35 and 36; Executive Order 13166,
"Improving Access to Services for Persons with Limited English Proficiency" (August 11, 2000); all t0
provisions required by the implementing regulations of the U.S. Department of Agriculture (7 CFR Part
15 et seq.); and FNS directives and guidelines to the effect that no person shall, on the ground of race, t0
color, national origin, age, sex, or disability, be excluded from participation in, be denied the benefits of,
or otherwise be subjected to discrimination under any program or activity for which the agency receives
Federal financial assistance from FNS; and hereby gives assurance that it will immediately take
measures necessary to effectuate this agreement.
By providing this assurance, the CHD agrees to compile data, maintain records and submit records and 0
reports as required to permit effective enforcement of the nondiscrimination laws, and to permit
Department personnel during normal working hours to review and copy such records, books and
accounts, access such facilities, and interview such personnel as needed to ascertain compliance with
the non-discrimination laws. If there are any violations of this assurance, the Department of Agriculture
shall have the right to seek judicial enforcement of this assurance.
0
U
This assurance is given in consideration of and for the purpose of obtaining any and all Federal
financial assistance, grants, and loans of Federal funds, reimbursable expenditures, grant or donation U
of Federal property and interest in property, the detail of Federal personnel, the sale and lease of, and
the permission to use Federal property or interest in such property or the furnishing of services without
consideration or at a nominal consideration, or at a consideration that is reduced for the purpose of
assisting the recipient, or in recognition of the public interest to be served by such sale, lease, or
furnishing of services to the recipient, or any improvements made with Federal financial assistance
extended to the Program applicant by USDA. This includes any Federal agreement, arrangement, or
other contract that has as one of its purposes the provision of cash assistance for the purchase of food,
and cash assistance for purchase or rental of food service equipment or any other financial assistance
extended in reliance on the representations and agreements made in this assurance.
This assurance is binding on the CHD, its successors, transferees, and assignees as long as it receives
or retains possession of any assistance from the Department. The person or persons whose
signatures appear below are authorized to sign this assurance on the behalf of the CHD.
4. Confidentiality of Data, Files, and Records: The CHD agrees to restrict the use and disclosure of
confidential USDA, Women, Infant, and Children (WIC) applicant and participant information as specified
in 7 CFR § 246.26(d)(1)(i) in accordance with 7 CFR § 246.26(d)(1)(ii), as applicable.
Packet Pg. 3685
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ATTACHMENT V
MONROE COUNTY HEALTH DEPARTMENT
SPECIAL PROJECTS SAVINGS PLAN
CASH RESERVED OR ANTICIPATED TO BE RESERVED FOR PROJECTS
CONTRACT YEAR STATE COUNTY TOTAL
2021-2022* $ 0 $ 0 $ 0
2022-2023** $ 0 $ 0 $ 0
2023-2024*** $ 0 $ 0 $ 0
2024-2025*** $ 0 $ 0 $ 0
PROJECT TOTAL $ 0 $ 0 $ 0
SPECIAL PROJECTS CONSTRUCTION/RENOVATION PLAN
t'1!
t'1!
PROJECT NUMBER:
C5
PROJECT NAME:
O
LOCATION/ADDRESS: C)
PROJECT TYPE: NEW BUILDING ROOFING O
t)
RENOVATION PLANNING STUDY
t)
NEW ADDITION OTHER
SQUARE FOOTAGE: 0
P
PROJECT SUMMARY: Describe scope of work in reasonable detail. U)
M
C14
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C14
C5
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t)
4i
START DATE (Initial expenditure of funds) 9=
0
E
COMPLETION DATE:
C5
DESIGN FEES: $ 0
CONSTRUCTION COSTS: $ 0
FURNITURE/EQUIPMENT: $ 0
TOTAL PROJECT COST: $ 0
COST PER SQ 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 9/30/22
**Cash to be transferred to FCO account.
***Cash anticipated for future contract years.
Attac Packet Pg. 3687
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Q.2.a
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 2022 —2023
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, 2022.
PAYMENTS MADE BY THE STATE TO THE COUNTY
In order to get a more complete picture of the financial arrangement between the two U
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 U
receiving benefit. The following is a list of the services handled in this manner:
U
• 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.
N
• Vehicle Fuel
The County charges the State for fuel whenever the County pumps are used.
0
• Vehicle Insurance U
The County carries the title, registration, and associated insurance coverage for all 0
U
vehicles. The State reimburses the County for their share of these 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 1 of 2
Packet Pg. 3691
Q.2.a
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 2022 —2023
PROPERTY PURCHASED BY THE CHD
N
Per F.S. 274.11 title to all property purchased by county health departments from any N
source shall be vested in the name of the counties and must be accounted for as
otherwise provided in Chapter 274 (which requires property to be inventoried and
recorded). U
Additionally, FAC 691-73 was revised in 2020, to provide that only property with a dollar U
value of$5,000 or more needs to be recorded, unless the item is "attractive" (e.g, an
iPhone), in which case it should be recorded too. (The dollar value was raised from U
$1,000 to $5,000 in 2020.) The county clerk has opted to keep the value at $1,000 for
property purchased by the CHD.
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Page 2 of 2
Packet Pg. 3692