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3rd Amendment 11/15/2022
GVS COURTq° o: A Kevin Madok, CPA - �o ........ � Clerk of the Circuit Court& Comptroller Monroe County, Florida �z cooN DATE: December 13, 2022 TO: Bryan Cook, Director Employee Services ATTN: Natalie Maddox, Administrator Employee Benefits FROM: Liz Yongue, Deputy Clerk SUBJECT: November 15th BOCC Meeting Attached is a copy of the following item for your handling: F 19 3rd Amendment to the Agreement with Quantum Health Solutions to provide Employee Assistance Program services to all benefit-eligible employees in the BOCC and Constitutional Offices, extending the current agreement by three (3)years with no change in terms, services, or cost. Should you have any questions please feel free to contact me at(305) 292-3550. cc: County Attorney Finance File KEY WEST MARATHON PLANTATION KEY 500 Whitehead Street 3117 Overseas Highway 88770 Overseas Highway Key West, Florida 33040 Marathon, Florida 33050 Plantation Key, Florida 33070 THIRD AMENDMENT TO MONROE COUNTY CONTRACT FOR PROFESSIONAL SERVICES FOR EMPLOYEE ASSISTANCE PROGRAM 15th THIS THIRD AMENDMENT ("Third Amendment"), entered into on November 46 2022, is by and between Monroe County (hereinafter called the "County") and Quantum Health Solutions of Florida, Inc. (hereinafter the "Contractor") (collectively, the "Parties"). WHEREAS, on June 1, 2014, the Parties entered into an agreement for the provision of professional services for employee assistance ("Agreement"); and WHEREAS, the Agreement was extended on January 18, 2017 by a First Amendment ("First Amendment") to extend the term of the Agreement by three years from the Effective Date of the First Amendment; and WHEREAS, the Agreement was extended on January 17,2020 by a Second Amendment ("Second Amendment") to extend the term of the Agreement by three years from the Effective Date of the First Amendment; and WHEREAS, the County would like to renew and extend the Agreement beyond its current term; and WHEREAS, the Contractor has provided rates with no cost increase for the renewal as defined within this Amendment and Exhibit A, Scope of Services, and has offered to have the rates remain constant for an additional three (3) years; and WHEREAS, the Parties now desire to amend the Agreement by three years on the terms and conditions offered by the Contractor. 1. Paragraph 3.1 of the Agreement, as amended by Paragraph 3 of the Second Amendment, is revised to read as follows: The term of this Agreement, as amended, is extended from January 17, 2023 and renewed for an additional three (3) years, to run through January 17, 2026. Monroe County's performance and obligations under this Third Amendment remain contingent upon annual appropriation by the Monroe County Board of County Commissioners. 2. In all other respects, the terms and conditions of the Agreement between the Parties, as amended by the Second Amendment, remain in full force and effect. 1 IN WITNESS HEREOF, this Third Amendment has been executed by the duly authorized representatives of the Parties, each of whom has full authority to enter 0To,'E is Third Amendment. .,t iFop0 v§3 \\ For the County: . L, MONROE COU. TY BOARD OF ~ ' t s grin Madok, Clerk COUNTY C• ►ff", °ISSION S a ~� �.usv'. ;1Nry re.�.� By: By: 7 a s' As Deputy CI rk Mayor Date: ill 15)2027 For the Contractor: QUANTUM HEALTH SOLUTIONS OF FLORIDA, INC. CD ,, L . ,-„.„ .- By: Alit r�c�„ .,e •-~r- Anthony Riccio, President w� . Date: 10-26-2022 s- Cad., '�(;���''�/�/"' I L ! !:1US itally sig byCyal /V �. :cndynLHa 1` tof ,' nty BOCu, US Dale:202211,1515:1451-05.00. Approved for form and legal sufficiency Cynthia Hall, Sr. Assistant County Attorney 2 THE HARTFORD BUSINESS SERVICE CENTER THE ,o 3600 WISEMAN BLVD HARTFORD SAN ANTONIO TX 78251 December 13, 2022 Monroe County BOCC 1100 SIMONTON ST KEY WEST FL 33040 Account Information: QUANTUM HEALTH SOLUTIONS Contact Us Policy Holder Details : INC Need Help? Chat online or call us at (866)467-8730. We're here Monday- Friday. Enclosed please find a Certificate Of Insurance for the above referenced Policyholder. Please contact us if you have any questions or concerns. Sincerely, Your Hartford Service Team WLTRO05 CERTIFICATE OF LIABILITY INSURANCE rA 'M TEM/DD/YYYY) 12/13/2022 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 be endorsed. If SUBROGATIONIS 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 USAA INSURANCE AGENCY INC/PHS NAME: 65812846 PHONE (888)242-1430 FAX (A/C,No,Ext): (A/C,No): The Hartford Business Service Center 3600 Wiseman Blvd E-MAIL San Antonio,TX 78251 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA: Hartford Casualty Insurance Company 29424 QUANTUM HEALTH SOLUTIONS INC INSURERB: Hartford Underwriters Insurance Company 30104 4873 PALM COAST PKWY NW UNIT 3 INSURERC: PALM COAST FL 32137-3669 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD MM/DD/YYYY MM/DD/YYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED $300 000 PREMISES Ea occurrence X General Liability MED EXP(Any one person) $10,000 A X 65 SBA TF9660 12/05/2022 12/05/2023 PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY❑PRO- LOC PRODUCTS-COMP/OPAGG $4,000,000 JECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO APPROVED BY RISK MANAGEMENT BODILY INJURY(Per person) r, ALL OWNED SCHEDULED AUTOS AUTOS DATE �/1 3/202T BODILY INJURY(Per accident) HIRED NON-OWNED WAIVER N/A YES PROPERTY DAMAGE AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS- AGGREGATE HMADE DED RETENTION$ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY Y/N E.L.EACH ACCIDENT $1,000,000 B PROPRIETOR/PARTNER/EXECUTIVE N/A 65 WEC GD3821 02/11/2022 02/11/2023 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below A EMPLOYMENT PRACTICES 65 SBA TF9660 12/05/2022 12/05/2023 Each Claim Limit $5,000 LIABILITY Aggregate Limit $5,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Those usual to the Insured's Operations.Certificate holder is an additional insured per the Business Liability Coverage Form SS0008 attached to this policy. CERTIFICATE HOLDER CANCELLATION Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 1100 SIMONTON ST BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED KEY WEST FL 33040 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE A,1 12�3 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD