FY2000 10/13/1999BRANCH OFFICE
3117 OVERSEAS HIGHWAY
MARATHON, FLORIDA 33050
TEL. (305) 289-6027
FAX (305) 289-1745
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O`gOF COUNTY. Fy0 `-.,.
;Dannp 1. Rotbage
CLERK OF THE CIRCUIT COURT
MONROE COUNTY
500 WHITEHEAD STREET
KEY WEST, FLORIDA 33040
TEL. (305) 292-3550
FAX (305) 295-3660
M E M O R A N D U M
TO: Deanna Lloyd, Grants Management
FROM: Isabel C. DeSantis, Deputy Clerk pr
Date: November 19, 1999 !J
BRANCH OFFICE
88820 OVERSEAS HIGHWAY
PLANTATION KEY, FLORIDA 33070
TEL. (305) 852-7145
FAX (305) 852-7146
As you know, at the October 13, 1999 meeting, the Board grated
approval and authorized execution of Fiscal Year 1999-2000
Funding Agreement between Monroe County and the Guidance Clinic
of the Upper Keys, Inc.
Enclosed please find a duplicate original of the above document
for your handling.
Should you have any questions concerning the above, please do not
hesitate to contact this office.
cc: County Attorney Finance
County Administrator, w/o docs. File
AGREEMENT
This Agreement is made and entered into this /3'6f day of Dc. TtJ &.J!....1999, between
the BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, hereinafter referred
to as "Board" or "County," and the GUIDANCE CLINIC OF THE UPPER KEYS, INC., hereinafter
referred to as "Provider."
WHEREAS, the Board and the Provider desire to enter into an agreement wherein the
Board contracts for services from the Provider for the rendering of mental health services to the
citizens of the Upper Keys, Monroe County, Florida, and
WHEREAS, the Board is vested and charged with certain duties and responsibilities
relating to the mental health and guidance of the citizens of Monroe County, and
WHEREAS, such services have been rendered by the Provider in the past and have been
invaluable to the citizens of the Upper Keys, and
WHEREAS, it is proper and fitting to enter into an agreement for services to be rendered
in the forthcoming fiscal year 1999-2000, now, therefore,
IN CONSIDERATION of the mutual promises and covenants contained herein, it is agreed
as follows:
1 . AMOUNT OF AGREEMENT. The Board, in consideration of the Provider
substantially and satisfactorily performing and carrying out the duties and obligations of the
Board, as to rendering mental health counsel to the citizens of the Upper Keys, Monroe County,
Florida, shall pay to the Provider the sum of Eighty-seven Thousand Four Hundred Forty-four
Dollars ($87,444.00) for fiscal year 1999-2000.
2. TERM. This Agreement shall commence on October 1, 1999, and terminate
September 30, 2000, unless earlier terminated pursuant to other provisions herein.
3. PAYMENT. Payment will be paid monthly as hereinafter set forth. Certified
monthly financial and service load reports will be made available to the Board to validate the
delivery of services under this contract. The monthly financial report is due in the office of the
Clerk of the Board no later than the 15th day of the following month. After the Clerk of the
Board pre-audits the certified report, the Board shall reimburse the Provider for its monthly
expenses. However, the total of said monthly payments in the aggregate sum shall not
exceed the total amount of $87,444.00 during the term of this agreement. To preserve client
confidentiality required by law, copies of individual client bills and records shall not be
available to the Board for reimbursement purposes but shall be made available only under
controlled conditions to qualified auditors for audit purposes.
4. SCOPE OF SERVICES. The Provider, for the consideration named, covenants and
agrees with the Board to substantially and satisfactorily perform and carry out the duties of the
Board in rendering counsel in the matter of mental health and guidance to the citizens of the
Upper Keys, Monroe County, Florida. The Provider shall provide these services in compliance
with Florida Statutes Chapter 394. Said services shall include, but are not limited to, those
services described in Provider's Details of Specific Program for Which Funding is Requested,
attached hereto as Exhibit C and incorporated herein.
5. RECORDS. The Provider shall maintain appropriate records to insure a proper
accounting of all funds and expenditures, and shall provide a clear financial audit trail to allow
for full accountability of funds received from said Board. Access to these records shall be
provided during weekdays, 8 a.m. to 5 p.m., upon request of the Board, the State of Florida, or
authorized agents and representatives of the Board or State.
The Provider shall be responsible for repayment of any and all audit exceptions which
are identified by the Auditor General of the State of Florida, the Clerk of Court for Monroe
County, an independent auditor, or their agents and representatives. In the event of an audit
exception, the current fiscal year contract amount or subsequent fiscal year contract amounts
shall be offset by the amount of the audit exception. In the event this agreement is not
renewed or continued in subsequent years through new or amended contracts, the Provider
shall be billed by the Board for the amount of the audit exception and the Provider shall
promptly repay any audit exception.
6. INDEMNIFICATION AND HOLD HARMLESS. The Provider covenants and agrees to
indemnify and hold harmless Monroe County Board of County Commissioners from any and all
claims for bodily injury (including death), personal injury, and property damage (including
property owned by Monroe County) and any other losses, damages, and expenses (including
attorney's fees) which arise out of, in connection with, or by reason of services provided by the
Provider occasioned by the negligence, errors, or other wrongful act or omission of the
Provider's employees, agents or volunteers. The extent of liability is in no way limited to,
reduced, or lessened by the insurance requirements contained elsewhere within this
agreement.
7. INDEPENDENT CONTRACTOR. At all and for all purposes hereunder, the Provider
is an independent contractor and not an employee of the Board. No statement contained in
this agreement shall be construed so as to find the Provider or any of its employees,
contractors, servants or agents to be employees of the Board.
8. COMPLIANCE WITH LAW. In providing all services pursuant to this agreement, the
Provider shall abide by all statutes, ordinances, rules and regulations pertaining to or regulating
the provision 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 Provider.
9. COMPLIANCE WITH COUNTY GUIDELINES.
compliance with:
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
(I)
The Provider demonstrate and sustain
501 (c)(3) Registration;
Board of Directors of seven or more;
Annual election of Officers and Director;
Annual provision of annual report to County;
Corporate Bylaws;
Corporate Policies and Procedures Manual;
Hiring policies for all staff;
Cooperate with County monitoring visits; and
Semi-annual performance reports to be presented to County.
2
10. PROFESSIONAL RESPONSIBILITY AND LICENSING. The Provider shall assure that all
professionals have current and appropriate professional licenses and professional liability
insurance coverage. Funding by the Board is contingent upon retention of appropriate local,
state and/or federal certification and/or licensure of the Provider's program and staff.
11. INSURANCE. As a pre-requisite of the services supplied under this contract, the
Provider shall obtain, at its own expense, insurance to cover all its activities.
12. MODIFICATIONS AND AMENDMENTS. Any and all modifications of the services
and/or reimbursement of services shall be amended by an agreement amendment, which
must be approved in writing by the Board.
13. NO ASSIGNMENT. The Provider shall not assign this agreement except in writing
and with the prior written approval of the Board, which approval shall be subject to such
conditions and provisions as the Board may deem necessary. This agreement shall be
incorporated by reference into any assignment and any assignee shall comply with all of the
provisions herein. Unless expressly provided for therein, such approval shall in no manner or
event be deemed to impose any obligation upon the Board in addition to the total agreed
upon reimbursement amount for the services of the Provider.
14. NON-DISCRIMINATION. The Provider shall not discriminate against any person on
the basis race, creed, color, national origin, sex or sexual orientation, age, physical handicap,
or any other characteristic or aspect which is not job-related in its recruiting, hiring, promoting,
terminating or any other area affecting employment under this agreement. At all times, the
Provider shall comply with all applicable laws and regulations with regard to employing the
most qualified person(s) for positions under this agreement. The Provider shall not discriminate
against any person on the basis of race, creed, color, national origin, sex or sexual orientation,
age, physical handicap, financial status or any characteristic or aspect in its providing of
services.
15. AUTHORIZED SIGNATURES. The signatory for the Provider below, certifies and
warrants that:
(a) The Provider's name in this agreement is the full name as designated in its
corporate charter, if a corporation, or the full name under which the Provider is authorized to
do business in the State of Florida.
(b) He or she is empowered to act and contract for the Provider; and
(c) This agreement has been approved by the Board of Directors of the Provider if the
Provider is a corporation.
16. NOTICE. Any notice required or permitted under this agreement shall be in
writing and hand-delivered or mailed, postage pre-paid, by certified mail, return receipt
requested, to the other party as follows:
For Board:
Monroe County Attorney
310 Fleming Street, Upstairs
Key West, FL 33040
For Provider
Richard Matthews, Executive Director
Guidance Clinic of the Upper Keys, Inc.
P. O. Box 363,
Tavernier, FL 33070
3
17. CONSENT TO JURISDICTION. This agreement shall be construed by and governed
under the laws of the State of Florida and venue for any action arising under this agreement
shall be in Monroe County, Florida.
18. NON-WAIVER. Any waiver of any breach of covenants herein contained to be
kept and performed by the Provider shall not be deemed or considered as a continuing waiver
and shall not operate to bar or prevent the Board from declaring a forfeiture for any
succeeding breach, either of the same conditions or covenants or otherwise.
19. AVAILABILITY OF FUNDS. If funds cannot be obtained or cannot be continued
at a level sufficient to allow for continued reimbursement of expenditures for services specified
herein, this agreement may be terminated immediately at the option of the Board by written
notice of termination delivered to the Provider. The Board shall not be obligated to pay for any
services or goods provided by the Provider after the Provider has received written notice of
termination, unless otherwise required by law.
20. PURCHASE OF PROPERTY. All property, whether real or personal, purchased with
funds provided under this agreement, shall become the property of Monroe County and shall
be accounted for pursuant to statutory requirements.
21. ENTIRE AGREEMENT. This agreement constitutes the entire agreement of the
;/)....~..."..:~. :@"..~reto with respect to the subject matter hereof and supersedes any and all prior
!r,f2(i~i~~. with respect to such subject matter between the Provider and the Board.
i~7 c::(:~:< ;:~.'IN''''',: .' NESS WH.EREO:, the parties hereto have caused these presents to be executed as
1!~~\'J'y~t.)b'e:;day,:. d year first wntten above.
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....... .,""'ANNY L. KOLHAGE, CLERK
O~e~
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
By ~.L.,."..::_~ ~~ ..... ~
Mayor/Chairman \
/
GUIDANCE CLINIC OF THE UPPER KEYS, INC.
{FederallD No. ~~ - l4fo)"~~~
I, ,--,t~ ( &(,;/1.0> L
~Q.~( 0~
. Witness
By ~
~ j . . Director # --'2 0
BY,Ij-W P( v~ '~ /<.D 4. . t .
President
jconiiukguide
4
SWORN STATEMENT UNDER ORDINANCE NO. 10-1990
MONROE COUNTY. FLORIDA
ETHICS CLAUSE
\\~~ 1\A.t;<\l(L....)~f \;\~. warrants that helil has nol employed, retained
or otherwise had act on his/its behalf any former County officer or employee in violation of
Section :2 of Ordinance no. 10-1990 or any County officer or employee in violation of
Section 1 of Ordinance No. ] 0-1990. For breach or violation of this provision the County
lIlay. In its discretion. terminate this contract without liability and may also. in its discretion.
deduct from the contract or purchase price, or otherwise recover, the full amount of any fcc,
commission. percentage. gift. or consideration paid to the former County officer or employee.
~,.;o
. ,
(signature)
Date: ~ \'\\1 ~
STATE OF PI
COUNTY OF
,
YYl 0 f0 f2.() E:
1:?~e0~ (Y/CL-Hhew ~
PERSON ALL Y APPEARED BEFORE ME, the undersigned authority,
who, after first being sworn by me, affixed hislher
signature (name of individual signing) in the space provided above on this I tf
Oo.--t , 19~.
~ GlAd.}'
NOTARY;~~
day of
My commission expires:
OMB - MCr FORM #4
"",,~ ""#
..... ,6"~ COLLEEN OLstEWSKI
*W* My COmmission CC526061'\
'" Expires Jan. 21, 2000
~.1: ~~
r OF FI.\l~
PUBLIC ENTITY CRIME STATEMENT
"A person or affiliate who has been placed on the convicted vendor list
following a conviction for public entity crime may not submit a bid on a
contract to provide any goods or services to a public entity, may not submit
a bid on a contract with a public entity for the construction or repair of a
public building or public work, may not submit bids on leases of real
property to public entity, may not be awarded or perform work as a
contractor, supplier, subcontractor, or consultant under a contract with any
public entity, and may not transact business with any public entity in excess
of the threshold amount provided in Section 287.017, for CATEGORY
TWO for a period of 36 months from the date of being placed on the
convicted vendor list."
,
.
ATTACHMENT A
Expense Reimbunement Requirements
This document is intended to provide "basic" guidelines to Human Service Organizations, county
travellers, and contractual parties who have reimbursable expenses associated with Monroe
County business. These guidelines, as they relate to travel, are from Florida Statute 112.061,
which is attached for reference.
A cover letter summarizing the major line items on the reimbursable expense "'equest should also
contain a certified statement such as:
I certify that the attached expenses are accurate and in agreement with the records of this
organization. Furthermore, these expenses are in compliance with this organization's contract
with the Monroe County Board of County Commissioners.
Invoices should be billed to the contracting agency. Third party payments will not be considered
for reimbursement. Remember, the expense should be paid prior to requesting a reimbursement.
Only current charges will be considered, no previous balances.
Reimbursement requests will be monitored hi accordance with the level of detail in the contract.
This document should not be considered all-inclusive. The Clerk's Finance Department reserves
the right to review reimbursement requests on an individual basis. Any questions regarding these
guidelines should be directed to Stephanie Griffiths at 305-292-3528.
,
Payroll:
A certified statement verifying the accuracy and authenticity of the payroll expenses.
If a Payroll Joomal is provided, it should include:
Payroll Journal dates
employee name, salary, or hourly rate
hours worked during the payroll journal dates
withholdings where appropriate
check number and check amount
If a Payroll Journal is not provided the following must be listed:
check number, date, payee, check amount
support for applicable payroll taxes
Original vendor invoices must be submitted for Worker's c.ompensation an" :!l:Lbility insurance
coverage.
Telephone expenses:
A user log of pertinent information must be remitted: the party called, the caller, the telephone
number, the date, and the purpose of the call must be identified.
Telefax, fax, etc.:
A fax log is required. The log must define the sender, the intended recipient, the date, the number
called, and the reason for sending the fax.
Supplies, services, etc.:
For supplies or services ordered the County requires the original vendor invoice.
Rents, leases, etc.:
.
A copy of the rental agreement or lease is required. Deposits and advance p~"yments will not be
allowable expenses.
Postage, overnight deliveries, courier, etc.:
A log of all postage expenses as it relates to. the County contract is required for reimbursement.
For overnight or express deliveries, the original vendor invoice must be included.
. .
Reproductions, copies, etc.:
.,
A log of copy expenseS' as it relates to the County contract is required for r( imburscment. The
log must define the date, number of copies made, source documen~ purpo~ie, and ~ecipient. A
reasonable fee for Copy expenses will be allowable. For vendor services, the original vendor
invoice is required and a sample of the finished product.
Travel expenses: please refer to Florida Statute 112.061.
Travel expenses must be submitted on a State of Florida Voucher for Reim~ 'H'Sement of
Travel Expenses. Credit card statements are not acceptable documentation for f' .m. Jrsement.
Airfare reimbursement requires the original passenger receipt portion of the aiuine licket. A
travel itinerary is appreciated to facilitate the audit trail.
Auto rental reimbursement requires the original vendor invoice. Fuel purchases should be
documented with original paid receipts.
Original taxi receipts should be provided. However, reasonable fares will be reimbt 'n:ed without
receipts. Taxis are not reimbursed if taken to arrive at a departure point: for eX:2:. ole, taking a
taxi from onels residence to the airport for a business trip is not reimbursable.
I
Original toll receipt;; should be provided. However, reasonable tolls will be reimbursed without
receipts.
Parking is considered a reimbursable travel expense at the destination. Airport parking during a
business trip is not.
Lodging reimbursement requires a detail listing of charges. The original lodging invoice must be
submitted. The County will only reimburse the actual room and related bed tax. Room service,
movies, and personal telephone calls (see previous guidelines) are not allowable expenses. Per
diem lodging expenses may apply. Again, refer to Florida Statute 112.061.
Meal reimbursement is breakfast at $3.00, lunch at $6.00, and dinner at $12.00. Meal guidelines
are that travel must begin prior to 6 am for breakfast reimbursement, before noon and end after
2pm for lunch reimbursement, and before 6pm and end after 8 pm for dinner reimbursement.
\
1--~\
.
Mileage reimbursement is calculated at 20 cents per mile for personal auto mileage while on
county business. Effective October 1, 1994, mileage will be reimbursed at 25 cents per mile. An
odometer reading must be included on the state travel voucher for vicinity travel. A mileage map
is attached for reference to allowable miles from various Florida destinations.
Mileage is not allowed from a residence or office to a point of departure: for example, driving
from. one's home to the airport for ~ business trip is not a reimbursable expense.
Data processing, PC tim~ etc.:
I
The original vendor invoice is required for reimbursement. Intercompany allocations are not
considered reimbursable expenditures unless appropriate payroll journals for the charging
department (see Payroll above) are attached and certified.
The following expenses are not allowable for reimbursement:
penalties and fines
non-sufficient check charges
fundraising
contributions
capital outlay expenditures (unless specifically included in the contract)
depreciation expenses (unless specifically included in the contract)
SGRlr r 11 lIS
WP51\PROCEDUR\EXP _REIM
A TT ACHMENT D
HUMAN SERVICE ORGANIZATION LETTERHEAD
Monroe County Board of County Commissioners
Finance Department
500 Whitehead Street
Key West, Florida 33040
(Date)
The following is a summary of the expenses for (Human Service Organization_name) for the time
period of _ to _ :
Check # Payee Reason
101 A Company
102 D Company
103 D Company
104 Person A
105 Person B
Amount
rent
utilities
phones
payroll
payroll
$xxxx.XX
$xxxx.X(
$xxxx.xx
$xx~'X.xx
$x>. <x.xx
(A) Total
(B) Total prior' payments
{
(C) Total requested and paid (A + D)
$xxxx.xx
$xxxx.XX
$XXXX.XX
(0) Total contract amount
t'
..!lXxxx.xx
Balance of contract (D - C)
$xxxx xx
I certify that the above checks have been submitted to the vendors as noted and thut the expenses
are accurate and in agreement with the records of this organization. Furthermore, these expenses
.. are in compliance with this organization's contract with the Monroe County Board of County
Commissioners and will not be submitted for reimbursement to any 01 her funding source.
..
Executive Director
Attachments (supporting documentation)
Sworn and subscribed before me this _ day of
199_.
Notary Public
Notary stamp
SEP-15-99 11:05 PM
W-S~cL &-~
~c)02 W~+ clj/S[Cf9
GUIDANCE CLINIC OF THE UPPER KEYS Exlui:u. -1- C
PosT OF'FICI: Boll :1113
TAVERIIIIER. FLORIDA 3307~1I:1
C3C!5J 853-3284 . SUNeoM ..~328.
FAX l:JC)!IJ 853.3288 . SUNCOM 4eA-3288
MONROE COUNTY BUDGET NARRATIVE POR 1999-2000 FY
PERSONNEL SALAay DETAIL
CHElF EXECUTIVE OFFICER
$ 37,551
ASSISTANT DIRECTOR
23,461
FISCAL OFFICER
16,206
CASE MANAGER
10,226
TOTAL REQUESTED
$ 87,444
(fi1l.Oll"'!I!M'I- ·
CHILD.IN
.. 'AMILI.'
12140 OverMa Hllttwey
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TAVERNIER, FLOIIJDA 33070
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