FY2001 11/22/2000BRANCH OFFICE
3117 OVERSEAS HIGHWAY
MARATHON, FLORIDA 33050
TEL. (305) 289-6027
FAX (305) 289-1745
MEMORANDUM
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CLERK OF THE CIRCUIT COURT
MONROE COUNTY
500 WHITEHEAD STREET
KEY WEST, FLORIDA 33040
TEL. (305) 292-3550
FAX (305) 295-3660
DATE: January 8, 2001
TO: Jennifer Hill, Budget Director
Office of Management & Budget
ATTN: Dave Owens
Grants Administrator
FROM: Pamela G. Hanco6f"
Deputy Clerk
BRANCH OFFICE
88820 OVERSEAS HIGHWAY
PLANTATION KEY, FLORIDA 33070
TEL. (305) 852-7145
FAX (305) 852-7146
At the November 22, 2000, Board of County Commissioner's meeting the Board granted
approval and authorized execution of the Fiscal Year 2001 Agreement between Monroe County
and the Guidance Clinic of the Middle Keys, Inc. to provide funding.
Enclosed please find a duplicate original of the above for your handling. Should you have
any questions please feel free to contact this office.
Cc: County Administrator w/o document
Risk Management w/o document
Finance
File ✓
AGREEMENT
This Agreement is made and entered into this 2-)~ day of /y6Vtit(f?~ 2000,
between the BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, hereinafter
referred to as "Board" or "County," and the GUIDANCE CLINIC OF THE MIDDLE 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 Middle 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 Middle Keys, and
WHEREAS, it is proper and fitting to enter into an agreement for services to be rendered in
the forthcoming fiscal year 2000-2001, 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, shall reimburse the Provider for a portion of the Provider's expenditures for Baker Act
hospital, physician and crisis stabilization services, as billed by the Provider, for clients qualifying
for such services under applicable state and federal regulations and eligibility determination
procedures, and for Baker Act transportation services, non-Baker Act mental health services and
substance abuse treatment. This cost shall not exceed a total reimbursement of Six Hundred
Ninety-six Thousand Nine Hundred Fifty-five Dollars ($696,955.00), during the fiscal year 2000-
2001, payable as follows:
a) Pay to the Provider the sum of Fifteen Thousand Six Hundred Dollars ($15,600.00)
for the providing of transportation of patients in Monroe County to treatment facilities.
b) Pay to the Provider the sum of Five Hundred Twenty-nine Thousand Two Hundred
Forty-six Dollars ($529,246.00) for rendering counseling services.
c) Pay to the Provider the sum of Eighty-two Thousand One Hundred Seventy-eight
Dollars ($82,178.00) for substance abuse treatment services. .:t
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d) Pay to the provider the sum of Sixty-nine Thousand Nine Hundr~~eniY;-one=
Dollars ($69,971.00) for Baker Act transportation. rr,f;:2 ~ g]
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2. TERM. This Agreement shall commence on October 1, 2000,~te~inc!@
September 30, 2001, unless earlier terminated pursuant to other provisions herei~C"')g ~ --
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3. PAYMENT. Payment will be paid monthly as hereinafter set f~h~' B~er ~
Billing Summary Forms, certified monthly financial and service load reports will be made 8"Iail@le
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 $696,955.00 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
Middle 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. The Provider demonstrate and
sustain compliance with:
(a) SOl(c)(3) Registration;
(b) Board of Directors of seven or more;
(c) Annual election of Officers and Director;
(d) Annual provision of annual report to County;
(e) Corporate Bylaws;
(f) Corporate Policies and Procedures Manual;
2
(g) Hiring policies for all staff;
(h) Cooperate with County monitoring visits; and
(I) Semi-annual performance reports to be presented to County.
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 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 sha,lI 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
PO Box 1026
Key West, Florida 33041
For Provider:
Dr. David Rice, Executive Director
Guidance Clinic of the Middle Keys, Inc.
3000 41st Street
Marathon, Florida 33050
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.
ESS WHEREOF, the parties hereto have caused these presents to be executed as
~ ear first written above.
..
~RD OF COUNTY COMMISSIONERS
MONROE COUNTY, FLORIDA
By ({- -e ~~d
Mayor/Chairman
-
GUIDANCE CLINIC OF THE MIDDLE 'tfYS, INC.
(Federal ID No. 59 - (V 5' f 32- )
By ~~,~
BY~~
President
Jdconguidancemk
BY
AN~/~UTTON
OATE I~ I. W
/
4
AlTACHMENT A
Exoense Reimbursement Reauirements
This document is intended to provide "basic" guidelines to Human Service Organizations, county
travelers, and contractual parties who have reimbursable expenses associated with Monroe County
business, These guidelines, as they relate to travel, are from FS 112.061, which is attached for
reference,
A cover letter summarizing the major line items on the reimbursable expense request 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 expenses should be paid prior to requesting a reimbursement.
Only current charges will be considered, no previous balances.
Reimbursement requests will be monitored in 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 305/292-3528.
Pavroll
A certified statement verifying the accuracy and authenticity of the payroll expenses,
If a Payroll Journal is provided, it should include:
Payroll Journal dates, employee name, salary, or hourly rate, hours worked during the payroll
journal dates, with holdings 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 Compensation and Liability insurance
coverage.
Teleohone Exoenses
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.
Suoolies, 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 payments will not be
allowable expenses.
Postaae, overniaht 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.
Reoroductions, cooies, etc.
A log of copy expenses as it relates to the County contract is required for reimbursement. The log
must define the date, number of copies made, source document, purpose, and recipient, 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 Exoenses: Please refer to Florida Statute 112.061.
Travel expenses must be submitted on a State of Florida Voucher for Reimbursement of Travel
Expenses, Credit card statements are not acceptable documentation for reimbursement.
Airfare reimbursement requires the original passenger receipt portion of the airline ticket. 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 reimbursed without
receipts, Taxis are not reimbursed if taken to arrive at a departure point: for example, taking a
taxi from one's residence to the airport for a business trip is not reimbursable.
Original toll receipts 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 detailed 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 6:00 a,m. for breakfast reimbursement, before noon and end
after 2:00 p,m. for lunch reimbursement, and before 6:00 p.m. and after 8:00 p.m. for dinner
reimbursement,
Mileage reimbursement is calculated at 29 cents per mile for personal auto mileage while on county
business. An odometer'reading must be included on the state travel voucher for vicinity travel. A
mileage map is available 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 a business trip is not a reimbursable expense,
Data orocessina, PC time, etc.
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 followina 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)
ATIACHMENT B
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 Oroanization name) for the
time period of to
Check # Pavee Reason Amount
101 A Company Rent $xxxx.xx
102 B Company Utilities $xxxx,xx
103 D Company Phone $xxxx,xx
104 Person A Payroll $xxxx.xx
105 Person B Payroll $xxxx.xx
(A) Total $xxxx.xx
-------
-------
(B) Total prior payments $xxxx.xx
(C) Total requested and paid (A + B) $xxxx.xx
(D) Total contract amount $xxxx.xx
Balance of contract (D - C) $xxxx.xx
-------
-------
I certify that the above checks have been submitted to the vendors as noted and that 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 Commissioners
and will not be submitted for reimbursement to any other funding source,
Executive Director
Attachments (supporting documentation)
STATE OF FLORIDA
COUNTY OF MONROE
SWORN TO AND SUBSCRIBED before me this _ day of , 200_ by
(Event Contact Person) who is personally known
to me
presented as identification:
Notary Public, State of Florida at Large
My Commission Expires:
Jdconhsoex
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18. Is your agency receiving any in-kind services, Le., free rent, utilities, maintenance, etc., from
the County or any other organization? If so, what is the fair market value?
GCMK receives no in-kind services.
19. What is the percentage of total agency revenue that goes to the following:
Fundraising Expenses: 0 percent
Administrative Expenses: 13.7 percent
20. Complete Attachment B - Agency Salary Detail Form, see attachment.
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'_ t:::.J.e\, LaW:. . .'''u _" . ~I,~: .iI'"U . n.aIV.... .,,". ,... "'. . ..r;)' _ c.:;J:.[";UJ.... . I~~ .o::o.t;.W.LI. ~__..~'k~~(,;:':~:, .'. ,c,
21. Please give a one paragraph description of the agency program for which you are
requesting funding.
See page 5, #2.
22. What need or problem in this community does this program address? Include your target
population.
The District 118 Needs Assessment and Strategic Plan, 1997-1998 developed and
distributed by the Florida Department of Children and Families the following target group
priorities:
. children and late adolescents with or at risk of substance abuse problems
. children with an emotional handicap, serious emotional disturbance, or mental illness
. children who have been abused or neglected by their families
. adults with disabilities who need long-term care to remain in the community
. adults and families who need assistance to become economically self-sufficient
. victims-of domestic violence
. adults with substance abuse problems
. families with children in child care
. families with children at risk of abuse and neglect
. indigent persons who are unable to work due to age, disability, or incapacity
. child victims of abuse or neglect who have become eligible for adoption
. adults with mental illness
. adults with disabilities and frail elderly at risk or victims of abuse, neglect, or
exploitation
. persons with developmental disabilities.
GCMK provides some services to most of the target groups that were prioritized in this
needs assessment and most services to some of the target groups. Priorities in this
assessment and strategic plan were based on services not being provided in Monroe
Monroe County Application
FY 00/01
9
t:j<<ida<<e @ude D/ de?Jtu:tale ~~, 'lite,
2. Explain specifically how your agency plans to use the money you are requesting; i.e., rent,
salaries, expansion of services or service area or general agency operations?
GCMK will use County funds in six program areas:
Program Area # Service Units $ Requested
Substance Abuse Detoxification Services. $111,494
Mental Health Services, including assessment, outpatient services,
and outpatient medical services. 57 ,336
Baker Act Inpatient Services: GCMK's crisis stabilization unit (CSU)
is a Baker Act receiving facility and provides crisis stabilization and
treatment services to adults ($18 years) who are in sufficient 319,419
emotional distress as to require acute care and continuous
monitorina to assure their safety and the safety of others,
Baker Act Transportation for persons throughout the County who
required crisis stabilization at the GCMK's CSU or another CSU. 40,997
The amount shown represents the allocation for the program
already in place.
This service is required by law.
Baker Act Transportation -Lower Keys. The amount shown
represents costs for expanding the services to having a vehicle and
drivers in Key West to facilitate transfer of persons from the Monroe 69,971
County Jail and The Lower Keys Health Systems Hospitals to
GCMK and Miami, if necessary, These monies could come from
Gas Tax revenues rather than from the General Revenues,
Keys to Recovery-Department of Corrections Resident program.
This is a very successful but costly program. This amount is 82,178
requested from the County Fines and Forfeitures Fund.
Community Transportation Disadvantaged Coordination. This
request is for General Revenues. 15,600
, . TOTAL $696,995
3. If your funding request is greater than last year, explain in detail, what the increase is
expected to buy.
Increases for Substance Abuse Detoxification Services, Mental Health Services, Baker Act
Transportation (current program), Keys to Recovery and CTC Transportation are requested to
cover cost increases over the past several years. The last increase granted by the county for
existing programs was in 1993. In fact, allocations were decreased in FY 98-99. In the wake of
increasing costs and without an increase in funding, GCMK will likely be forced to curtail and/or
discontinue services.
Baker Act Transportation (expanded program)-There is a crisis in the lower Keys because of
the loss of Baker Act Transportation services two years ago. As it stands now, the jail is serviing
as the primary Baker Act Facility. GCMK has the inpatient services so desperately needed;
Monroe County Application
FY 00/01
5