Item C03 C.3
County f � .�� ",�, 1 BOARD OF COUNTY COMMISSIONERS
Mayor Craig Cates,District 1
Mayor Pro Tem Holly Merrill Raschein,District 5
The Florida Keys
Michelle Lincoln,District 2
James K.Scholl,District 3
David Rice,District 4
County Commission Meeting
April 19, 2023
Agenda Item Number: C.3
Agenda Item Summary #11835
BULK ITEM: Yes DEPARTMENT: Facilities Maintenance
TIME APPROXIMATE: STAFF CONTACT: Alice Steryou (305) 292-4549
None
AGENDA ITEM WORDING: Approval of a Lease Agreement with the State of Florida
Department of Health, Monroe County Health Department to provide continued office space at the
Gato Building, 1100 Simonton Street, Key West, FL. The County leases the space to the Health
Dept. at no costs for the year.
ITEM BACKGROUND: Since 2009, the Florida Department of Health (DOH) has been leasing
office space at the Gato Building for the purpose of delivering public health related education,
chronic diseases prevention, preparation for emergencies affecting public health, maintenance of
vital statistics information and certifications, administrative support, delivery of clinical services,
and environmental testing and inspection programs. In 2014, the environmental testing and
inspection programs offices were relocated to the DJJ Building on Stock Island, but in 2020, DOH
moved those offices back to the Gato and incorporated those services within its current occupied
spaces. On April 20, 2016, the BOCC approved adding additional square footage and removed
certain rooms from the lease, thus changing the square footage from 1,872.57 to 1,619.73. On June
20, 2018, the BOCC approved an annual lease including office space, storage, and common areas
occupied, but not identified in the previous lease.
The Health Department currently leases a total of 10,115 square feet in the Gato Building with
Exhibits A and B identifying the rooms and square footage per room. The term of this Lease is for a
one (1) year period beginning May 1, 2023, through April 30, 2024. The lease has been satisfactory
for both parties and Florida Department of Health is once again requesting to lease the space at no
charge. Staff seeks approval of another Lease for the Health Dept.
PREVIOUS RELEVANT BOCC ACTION:
Approval of annual Lease Agreements since 2009, with the most current Lease having been
approved on April 20, 2022.
CONTRACT/AGREEMENT CHANGES:
New one-year agreement with a term beginning May 1, 2023, through April 30, 2024
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C.3
STAFF RECOMMENDATION: Approval.
DOCUMENTATION:
04-19-2023-Lease Agreement- Health Dept. for Gato 2023 (Final legal stamped)with Exhibits and
COI-Partial Exec
2022-2023 DOH Core Contract Exec
2023 04 Proof of Insurance - signed exp 7 12023
FINANCIAL IMPACT:
Effective Date: May 1, 2023
Expiration Date: April 30, 2024
Total Dollar Value of Contract: N/A
Total Cost to County: N/A
Current Year Portion: N/A
Budgeted: Yes
Source of Funds: N/A
CPI: No
Indirect Costs: N/A
Estimated Ongoing Costs Not Included in above dollar amounts:
Revenue Producing: No If yes, amount:
Grant: No
County Match: No
Insurance Required: Yes
Additional Details: Approval of annual Lease Agreements since 2009 at no charge.
None
REVIEWED BY:
William DeSantis Completed 03/03/2023 12:32 PM
Patricia Eables Completed 04/04/2023 10:39 AM
Purchasing Completed 04/04/2023 10:59 AM
Budget and Finance Completed 04/04/2023 11:42 AM
Brian Bradley Completed 04/04/2023 12:22 PM
Lindsey Ballard Completed 04/04/2023 12:50 PM
Board of County Commissioners Pending 04/19/2023 9:00 AM
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C.3.a
LEASE,AGREE T
GATO BUILDING
This Agreement is made and entered into this 19th day of April, 2023, by
MONROE COUNTY, a political subdivision of the State of Florida, whose address is
1100 Simonton Street, Key West, Florida 33040, ("COUNTY" or the "LESSOR"), and
STATE OF FLORIDA, DEPARTMENT OF HEALTH, MONROE COUNTY HEALTH
DEPARTMENT ("TENANT" or the "LESSEE"), a non-profit corporation incorporated in
the State of Florida, whose address is 1100 Simonton Street, Key West, Florida CL
33040.
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WHEREAS, the COUNTY leases premises to other governmental agencies
and not-for-profit organizations serving the County community; and
WHEREAS, the State of Florida, Department of Health, Monroe County
Health Department has requested use of County office space; and
WHEREAS, the State of Florida, Department of Health, Monroe County
Health Department provides essential services to the citizens of Monroe County,
and works to improve the health of the public through preparedness, education,
prevention, the delivery of clinical services, and by conducting environmental U)
inspection and testing programs; and
WHEREAS, the COUNTY owns an office building known as the Gato Building
at 1100 Simonton Street, Key West, Florida; and
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WHEREAS, the Gato Building has a number of vacant offices due to the Q
reduction of the County workforce; and
WHEREAS, the COUNTY has determined that is in the best interests of
Monroe County to lease unused office space at the Gato Building;
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NOW, THEREFORE, IN CONSIDERATION of the promises contained herein
the parties agree to the following:
1. PROPERTY. The COUNTY leases to the LESSEE 10,115 square feet of office
space, storage, and common area in the Gato Building, which is shown on Exhibit
"A" and Exhibit "B" hereafter identified as the "Premises." Exhibit "A"- First Floor
Gato, Exhibit "A"- Second Floor Gato, and Exhibit "B"- Rooms with square footage,
are attached hereto and made a part of this Agreement.
2. TERM. The term of this Agreement is for a period of one (1) year beginning CU
May 1, 2023, and terminating on April 30, 2024.
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3. USE ANQQ CONDITIONS. The premises shall be used solely for the CN
purposes of delivering State of Florida, Department of Health, Monroe County
Health Department services, including public health related education, chronic
disease prevention, preparation for emergencies affecting public health,
maintenance of vital statistics information and certifications, administrative support,
delivery of clinical services, and environmental testing and inspection programs. If
the Premises are used for any other purpose, the COUNTY shall have the option of
immediately terminating this Agreement. LESSEE shall not permit any use of the
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Premises in any manner that would obstruct or interfere with any COUNTY functions CL
and duties.
The LESSEE will further use and occupy said Premises in a careful and proper
manner, and not commit any waste thereon. LESSEE will not cause, or allow to be X
caused, any nuisance or objectionable activity of any nature on the Premises. Any
activities in any way involving hazardous materials or substances of any kind
whatsoever, either as those terms may be defined under any State or Federal laws
or regulations or as those terms are understood in common usage, are specifically
prohibited. The LESSEE will not use or occupy said Premises for any unlawful
purpose and will, at LESSEE's sole cost and expense, conform to and obey any
present or future ordinance and/or rules, regulations, requirements and orders of
governmental authorities or agencies respecting the use and occupation of said
Premises. These covenants of the LESSEE shall also be binding on the use of the
Premises by personnel, volunteers, or clients of LESSEE in accessing any common
areas of the Gato Building.
4. RENT. For the use of the Premises, the LESSEE must pay the COUNTY the
sum of $-0- per year, for 10,115 square feet of office space at $-0- per square
foot, which rental sum is due in monthly installments of $-0-. The COUNTY will
invoice the LESSEE each month and these twelve (12) monthly payments shall be
remitted to Monroe County Clerk's Office, 500 Whitehead Street, Key West, FL U)
33040. If a warrant in payment of an invoice is not issued within forty (40) days
after receipt of the invoice and receipt, inspection, and approval of the goods and
services, the LESSEE shall pay to the LESSOR, in addition to the amount of the
invoice, interest at a rate established pursuant to Florida Statutes, Section 55.03(1)
on the unpaid balance from the expiration of such forty (40) day period until such N
time as the warrant is issued to the LESSOR. N
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a) Additional consideration from each party: CU
Electricity, office maintenance, office cleaning, and local phone calls will be
provided by LESSOR at no additional cost to LESSEE, unless the occupation of the
Premises has a significant impact on any of such costs to LESSOR, in which case
the parties will either renegotiate the consideration or mutually terminate this
agreement. LESSEE shall be entitled to use the common areas of the GatoCU
Building, such as bathrooms, lobby, and other common areas incidental to the
purpose of their occupancy of the Premises, including use of conference rooms.
5. TAXES. The LESSEE must pay all taxes and assessments, including any
sales or use tax, levied by any government agency with respect to the LESSEE's
operations on the Premises. If at any time after any tax or assessment has become
due or payable, the LESSEE, or its legal representative, neglects to pay the tax or CU
assessment, LESSOR shall be entitled to pay the tax or assessment at any time
after that and the amount paid by LESSOR shall be deemed to be additional rent for N
the leased Premises, due and,payable by the LESSEE. C14
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6. INSURANCE. The Department of Health, State of Florida, provides General �
Liability Coverage for Monroe County Health Department Operations through the
Division of Risk Management and the State Risk Management Trust Fund. Florida
Statutes, Chapter 284 and Section 768.28(16) authorize the State to administer a
self-insurance program and Florida Statutes, Section 768.28(5) currently sets the
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general liability coverage limits as follows: $200,000 each person; $300,000 each
occurrence.
Lessee and/or State of Florida, Department of Health shall reimburse Lessor
for its pro rata share of insurance costs for certain vehicles owned by the County, X
but fully utilized by Lessee in its operations, and its proportionate share of building
insurances as set forth in the 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 ("Core Contract"), as
more specifically set forth in Addendum I to the Core Contract.
7. C NQITIQN( O►F__: EIMI5ES. The LESSEE must keep the Premises in good U
order and condition. The LESSEE must promptly repair damage to the Premises.
At the end of the term of this Agreement, the LESSEE must surrender the Premises
to the COUNTY in the same good order and condition as the Premises were on the
commencement of the term, normal wear and tear excepted. The LESSEE is solely
responsible for any improvements to land and appurtenances placed on the
Premises.
8. IMPROVEMENTS. No structure or improvements of any kind shall be placed
upon the land without prior approval in writing by the County Administrator, a
building permit issued by the COUNTY and any other agency, federal or state, as U)
required by law. Any such structure or improvements shall be constructed in a
good and workmanlike manner at LESSEE's sole cost and expense. Subject to any
landlord's lien, any structures or improvements constructed by LESSEE shall be
removed by the LESSEE at LESSEE's sole cost and expense, by midnight on the day
of termination of this Agreement or extension hereof, and the land restored as
nearly as practical to its condition at the time this agreement is executed unless the Q
Board of County Commissioners accepts in writing delivery of the Premises together 0
with any structures or improvements constructed by LESSEE. Portable or temporary
advertising signs are prohibited.
LESSEE shall perform, at the sole expense of LESSEE, all work required in
the preparation of the property or premises hereby leased for occupancy by
LESSEE; and LESSEE does hereby accept the leased property or premises as now
being in fit and tenantable condition for all purposes of LESSEE.
COUNTY reserves the right to inspect the leased area and to require
whatever adjustment to structures or improvements as COUNTY, in its sole
discretion, deems necessary. Any adjustments shall be done at LESSEE's sole costs
and expense. Any building permits sought by LESSEE shall be subject to permit
fees at LESSEE's sole cost and expense.
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9. IN DIEM NIFI ATIQ H L ti HAAN M The parties to this Lease
Agreement stipulate that each is a state governmental agency as defined by Florida
Statutes and represents to the other that it has purchased suitable Commercial N
General Liability, Business Automobile Liability, and Workers' Compensation
insurance, or is self-insured, in amounts adequate to respond to any and all claims
within the limitations of Sections 768.28 and Chapter 440, Florida Statutes, arising
out of the activities governed by this Lease Agreement.
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As between the governmental entity parties to this Lease Agreement, each
party is responsible for any negligent acts or omissions on the part of its own
employees, agents, contractors, and subcontractors and shall defend, indemnify
and hold the other governmental entity party harmless from claims arising out of
such negligent acts or omissions, and agrees to be liable to the statutory limits for X
any damages proximately caused by said acts or omissions, or intentional tortious
acts.
The governmental entity parties to this agreement stipulate that the
agreement does not contain any provision that requires one party to indemnify or
insure the other party for the other party's negligence or to assume any liability for U
the other party's negligence. The governmental entities are prohibited from
entering into agreements to indemnify another agency or subdivision of the state
for the other entity's negligence or to assume any liability for the other entity's
negligence.
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Nothing contained in this Section shall be construed to be a waiver by either
party of any protections under sovereign immunity, Section 768.28, Florida
Statutes, or any other similar provision of law. Nothing contained herein shall be
construed to be a consent by either party to be sued by third parties or to be liable
to third parties in any matter arising out of this or any other Agreement.
The COUNTY and the other governmental agency do not get named as an
additional insured on each other's policies.
10. NQN-QISCRXM_INATI0N. LESSOR and LESSEE agree that there will be no ,
discrimination against any person, and it is expressly understood that upon a Q
determination by a court of competent jurisdiction that discrimination has occurred, 0
this Lease Agreement automatically terminates without any further action on the CU
part of any party, effective the date of the court order. LESSOR and LESSEE agree
to comply with all Federal and Florida statutes, and all local ordinances, as
applicable, relating to nondiscrimination. These include but are not limited to: 1) CL
Title VI of the Civil Rights Act of 1964 (PL 88-352), which prohibits discrimination in
employment on the basis of race, color, religion, sex, and national origin; 2) Title IX
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of the Education Amendment of 1972, as amended (20 USC ss. 1681-1683, and
1685-1686), which prohibits discrimination on the basis of sex; 3) Section 504 of
the Rehabilitation Act of 1973, as amended (20 USC s. 794), which prohibits
discrimination on the basis of disability; 4) The Age Discrimination Act of 1975, as
amended (42 USC ss. 6101- 6107) which prohibits discrimination on the basis of E
age; 5) The Drug Abuse Office and Treatment Act of 1972 (PL 92-255), as
amended, relating to nondiscrimination on the basis of drug abuse; 6) The
Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and
Rehabilitation Act of 1970 (PL 91-616), as amended, relating to nondiscrimination
on the basis of alcohol abuse or alcoholism; 7) The Public Health Service Act of Q
1912, ss. 523 and 527 (42 USC ss. 690dd-3 and 290ee-3), as amended, relating to
confidentiality of alcohol and drug abuse patient records; 8) Title VIII of the Civil
Rights Act of 1968 (42 USC §§3601 et seq.), as amended, relating to
nondiscrimination in the sale, rental or financing of housing; 9) The Americans with
Disabilities Act of 1990 (42 USC §§ 12101 Note), as may be amended from time to E
time, relating to nondiscrimination on the basis of disability; 10) Monroe County
Code Chapter 14, Article II, which prohibits discrimination on the basis of race,
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color, sex, religion, national origin, ancestry, sexual orientation, gender identity or
expression, familial status or age; and 11) Any other nondiscrimination provisions
in any Federal or State statutes which may apply to the parties to, or the subject
matter of, this Lease Agreement.
11. TERMINATION, This Agreement may be terminated with cause at the
discretion of the COUNTY in the following circumstances:
a) Lessee fails to pay the rent when due;
b) Lessee fails to obtain the insurance required under this Lease or allows
the required insurance coverage to lapse or fall below the minimum
required; or
c) Lessee otherwise breaches the terms of this Lease. U)
Unless the COUNTY has accepted in writing a delay in performance of duties,
the failure to perform said duties shall constitute a default under the terms of this
agreement. In the case of default/breach, the COUNTY shall first give LESSEE a
written notification stating the default/breach and that Lessee has ten (10) days to
correct the default/breach. If the Lessee has not commenced correction of the
default/breach at the end of the ten (10) days, then the COUNTY may terminate
the Lease in its discretion. If it shall be necessary to employ the services of an
attorney in order to enforce its rights under this Agreement, the COUNTY shall be
entitled to reasonable attorney's fees. Waiver of a default in any particular month
shall not bind the COUNTY to forego the provisions of this paragraph and any
subsequent default shall be grounds for termination. The COUNTY may in its
discretion treat the LESSEE in default and terminate this Agreement immediately,
without prior notice, upon failure of LESSEE to comply with any provision of this N
Agreement. LESSEE may terminate this Agreement upon giving thirty (30) days' N
prior written notice to COUNTY.
COUNTY may terminate this Agreement without cause by providing Lessee
with written notice of termination at least sixty (60) days prior to the date of
termination.
12. !DEEAULT. LESSOR'S right to repossess, operate, or sublease: If the rental
reserved by this Lease or other charges to be paid under this Lease by LESSEE, or
any part of this Lease, are not paid when due and remain unpaid for a period of ten
(10) days after notice in writing, or if LESSEE fails to promptly perform any
covenant, condition, or agreement by it to be performed under this Lease and such
failure shall continue for a period of ten (10) days after notice in writing specifying
the nature of such failure, or if LESSEE abandons the demised Premises, or if
LESSEE breaches any obligation under this Lease to be performed by it which
cannot be cured, then , and in any such event, LESSEE shall be deemed to be in
default and LESSOR, without further notice may at its option take possession of the
leased Premises, including all improvements and fixtures and equipment located at, Q
in or about the Premises.
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By legal proceedings, LESSOR shall take, operate, or sublease the Premises,
in whole or in part, for the account of the LESSEE as the LESSOR in good faith may
deem proper, for a term not exceeding the unexpired period of the full term of this E
Lease. LESSOR shall receive all proceeds and rent accruing from such operation or
subleasing of the leased Premises or fixtures and equipment. LESSOR shall apply
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these proceeds first, to the payment of all costs and expenses incurred by the
LESSOR in obtaining the possession of, and the operation or subleasing of the
Premises or fixtures and equipment, including reasonable attorney's fees,
commissions, and collection fees, and any alteration or repairs reasonably
necessary to enable the LESSOR to operate or sublease the Premises or fixtures M
and equipment; and second, to the payment of all such amounts as may be due or
become payable under the provisions of this Lease. The remaining balance, if any,
given by the LESSOR to the LESSEE, shall be paid over to the LESSEE at the
expiration of the full term of this Lease or on the sooner termination of the Lease
by written notice of termination.
Repossession or subleasing not a termination; LESSOR'S right to terminate
not forfeited: No repossession, operation, or subleasing of the Premises or of
fixtures and equipment shall be construed as an election by the LESSOR to
terminate this Lease unless a written notice of such intention is given by the
LESSOR to the LESSEE. Notwithstanding any such operation or subleasing without
termination of this Lease, the LESSOR may at any time after that elect to terminate
the Lease in the event that the LESSEE remains in default under this Lease.
LESSEE'S obligation to pay deficiencies: In the event the proceeds of rentals
received by the LESSOR under the provisions of this Section are insufficient to pay E
all costs and expenses and all amounts due and becoming due under this Lease, the
LESSEE shall pay to the LESSOR on demand such deficiency as may occur or exist.
LESSOR'S right to terminate Lease: In the event of LESSEE'S default,
LESSOR may, at its option without further notice, terminate this Lease and all
interest of LESSEE under this Lease, and may then take possession of the leased
Premises by legal proceedings. N
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LESSOR'S right on termination to recover amount equal to rent reserved: If
this Lease is terminated by the LESSOR by reason of any default by LESSEE, 0
LESSOR shall be entitled to recover from the LESSEE, at the time of such 12
termination the excess, if any, of the amount of rent reserved in this Lease for the
balance of the term of the Lease.
LESSOR'S remedies are cumulative: Each and all of the remedies given to
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the LESSOR in this Lease or by law are cumulative, and the exercise of one right of
remedy shall not impair its right to exercise any other right or remedy.
13. DEFAULT-WAIVER. The waiver by the LESSEE or the COUNTY of an act or
omission that constitutes a default of an obligation under this Agreement does not
waive another default of that or any other obligation.
14. A5SIGNMENT. The LESSEE may not assign this Agreement or assign or
subcontract any of its obligations under this Agreement without the approval of the
COUNTY's Board of County Commissioners. All the obligations of this Agreement cN
will extend to and bind the legal representatives, successors, and assigns of the
LESSEE and the COUNTY.
15. YR DINATI . This Agreement is subordinate to the laws and
regulations of the United States, the State of Florida, and the COUNTY, whether in
effect on commencement of this Lease or adopted after that date.
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16. GOVERNING LAWSLVgNUE. This Agreement is governed by the laws of
the State of Florida applicable to contracts made and to be performed entirely in
the State. In the event that any cause of action or administrative proceeding is
instituted for the enforcement or interpretation of this Lease Agreement, the
LESSOR and LESSEE agree that venue will lie in the appropriate court or before the X
appropriate administrative body in Monroe County, Florida. The LESSOR and c,
LESSEE agree that, in the event of conflicting interpretations of the terms or a term
of this Lease Agreement by or between any of them, the issue shall be submitted to
mediation prior to the institution of any other administrative or legal proceeding.
ON-
17. MUTUAL REVIEW''. This Agreement has been carefully reviewed by the
LESSEE and the COUNTY. Therefore, this Agreement is not to be construed against
either party on the basis of authorship.
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18. NOTICES. Notices in this Agreement, unless otherwise specified, must be
sent by certified mail to the following:
COUNTY LESSEE
County Administrator Monroe County Health Department
Roman Gastesi, Jr. Carla Fry, Administrator
1100 Simonton Street 1100 Simonton Street
Key West, FL 33040 Key West, FL 33040
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And
County Attorney
Monroe County
1111 12th Street `N
Suite 408 0
Key West, FL 33040
19. ELAT"IONS'NI—P OF P'ARTIE .. LESSEE is, and shall be, in the performance
of all works, services, and activities under this Agreement, an independent agency,
and not an employee, agent, or servant of the COUNTY. LESSEE shall exercise
control, direction, and supervision over the personnel and volunteers who use the
Premises. LESSEE shall have no authority whatsoever to act on behalf and/or as
agent for the COUNTY in any promise, agreement, or representation other than
specifically provided for in this Agreement. The COUNTY shall at no time be legally
responsible for any negligence on the part of LESSEE, its employees, agents, or
volunteers resulting in either bodily or personal injury or property damage to any
individual, property, or corporation.
20. FULL UNDERSTANDING. This Agreement is the parties' final mutual
understanding. It replaces any earlier agreements or understandings, whether
written or oral. This Agreement cannot be modified or replaced except by another
written and signed agreement. '
21. RIGHT, OF INGRESS AND EG E S. LESSEE, its agent, employees,
customers, suppliers, and patrons shall have the right of ingress and egress to and
from the leased Premises, which shall not be unreasonably restricted by the
COUNTY.
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22. RIGHT QP INSPECTION aND REPAIRS_. LESSOR shall have access to the
Premises, and each and every part thereof, during LESSEE'S regular business hours
for the purpose of inspecting the same, making repairs, and posting notices that
LESSOR may deem to be for the protection of the LESSOR or the property.
duly This Lease may be modified or
amended only by a writing y authorized and executed by both LESSOR and
LESSEE. It may not be amended or modified by oral agreements or understandings �
between the parties unless the same shall be reduced to writing duly authorized
and executed by both LESSOR and LESSEE. CL
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24. HOLDING OVER. No holding over and continuation of any business of the �
LESSEE after the expiration of the term hereof shall be considered to be a renewal
or extension of this Lease unless written approval of such holding over and a
definite agreement to such effect is signed by the LESSOR defining the length of
such additional term. Any holding over without consent of the LESSOR shall be
considered to be a day-to-day tenancy at a rental of three (3) times the daily rate
of the fixed minimum monthly rental provided herein, computed on the basis of a
thirty 30) day month.
25. ENTIRE AGREEMENT. This writing embodies the entire agreement and
understanding between the parties hereto, and there are no other agreements and
understandings, oral or written, with reference to the subject matter hereof that are
not merged herein and superseded hereby. Any amendment to this Lease shall be
in writing, approved by the Board of County Commissioners, and signed by both E
parties before it becomes effective.
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26. SEVERAM ILITY. If any term, covenant, condition or provision of this Lease N
Agreement (or the application thereof to any circumstance or person) shall be
declared invalid or unenforceable to any extent by a court of competent jurisdiction,
the remaining terms, covenants, conditions, and provisions of this Lease
Agreement, shall not be affected thereby; and each remaining term, covenant,
condition, and provision of this Lease Agreement shall be valid and shall be
enforceable to the fullest extent permitted by law unless the enforcement of the
remaining terms, covenants, conditions, and provisions of this Lease AgreementCU
would prevent the accomplishment of the original intent of this Lease Agreement.
The LESSOR and LESSEE agree to reform the Lease Agreement to replace any
stricken provision with a valid provision that comes as close as possible to the
intent of the stricken provision.
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27. ATT0_R'NE ' FEES AND COSTS. In the event either party requires the
services of an attorney in connection with enforcing any of the terms, covenants,
and/or conditions of this Lease, or in the event a lawsuit is brought for the recovery
of any Rent due under this Lease, or for any other sum or amount, or for the
breach of any term, covenant, and/or condition of this Lease, or for return of the
Premises to the Landlord and/or eviction of the Tenant during the term, or after the '
expiration thereof, each party shall be responsible for its own attorneys' fees, and
for any and all other legal costs and expenses, including, but not limited to,
expenses associated with expert witnesses, whether incurred at trial, on appeal, or
otherwise. Mediation proceedings initiated and conducted pursuant to this Lease
Agreement shall be in accordance with the Florida Rules of Civil Procedure and
usual and customary procedures required by the circuit court of Monroe County.
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28. BINNING EFFECT. The terms, covenants, conditions, and provisions of this
Lease Agreement shall bind and inure to the benefit of the LESSOR and LESSEE and
their respective legal representatives, successors, and assigns.
29. AUTHORITY. Each party represents and warrants to the other that the M.
execution, delivery, and performance of this Lease Agreement have been duly
authorized by all necessary County and corporate action, as required by law.
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30. ADJUDICATION OF QISPUTES III DISAGagEMENTS. LESSOR and
LESSEE agree that all disputes and disagreements shall be attempted to be
resolved by meet and confer sessions between representatives of each of the
parties. If the issue or issues are still not resolved to the satisfaction of the parties, U
then any party shall have the right to seek such relief or remedy as may be
provided by this Lease Agreement or by Florida law.
31. COOPERATION. In the event any administrative or legal proceeding is
instituted against either party relating to the formation, execution, performance, or
breach of this Lease Agreement, LESSOR and LESSEE agree to participate, to the
extent required by the other party, in all proceedings, hearings, processes,
meetings, and other activities related to the substance of this Lease Agreement or
provision of the services under this Lease Agreement. LESSOR and LESSEE
specifically agree that no party to this Lease Agreement shall be required to enter U)
into any arbitration proceedings related to this Lease Agreement.
32. COVENANT_Ct NO INTEND T. LESSOR and LESSEE covenant that neither
presently has any interest, and shall not acquire any interest, which would conflict
in any manner or degree with its performance under this Lease Agreement, and
that the only interest of each is to perform and receive benefits as recited in this
Lease Agreement. 0
33. CODE QF ETHICS. LESSOR agrees that officers and employees of the �
COUNTY recognize and will be required to comply with the standards of conduct for
public officers and employees as delineated in Section 112.313, Florida Statutes, CL
regarding, but not limited to, solicitation or acceptance of gifts; doing business with
one's agency; unauthorized compensation; misuse of public position, conflicting
employment or contractual relationship; and disclosure or use of certain
information.
34. NO SOLICITA110NIPAY!JENThe LESSOR and LESSEE warrant that, in
respect to itself, it has neither employed nor retained any company or person, other E
than a bona fide employee working solely for it, to solicit or secure this Lease
Agreement and that it has not paid or agreed to pay any person, company, 0
corporation, individual, or firm, other than a bona fide employee working solely for
it, any fee, commission, percentage, gift, or other consideration contingent upon or
resulting from the award or making of this Lease Agreement. For the breach or
violation of the provision, the LESSEE agrees that the LEESSOR shall have the right
to terminate this Lease Agreement without liability and, at its discretion, to offset
from monies owed, or otherwise recover, the full amount of such fee, commission,
percentage, gift, or consideration.
35. PUBLIC REC!QRDS COMPLIANCE. Lessee must comply with Florida public �
records laws, including but not limited to Chapter 119, Florida Statutes and Section
9
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C.3.a
24 of Article I of the Constitution of Florida. The COUNTY and LESSEE shall allow
and permit reasonable access to, and inspection of, all documents, records, papers,
letters or other public record materiails in its possession or under its control
subject to the provisions of Chapter 119, Florida Statutes, and made or received by
the COUNTY and LESSEE in conjunction with this Lease Agreement and related to
contract performance. The COUNTY shall have the right to unilaterally cancel this
Lease Agreement upon violation of this provision by the LESSEE. Failure of the
LESSEE to abide by the terms of this provision shall be deemed a material breach of
this Lease Agreement and the COUNTY may enforce the terms of this provision in
the form of a court proceeding and shall, as a prevailing party, be entitled to
reimbursement of all attorney's fees and costs associated with that proceeding. This cs
provision shall survive any termination or expiration of the Lease Agreement.
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The LESSEE is encouraged to consult with its advisors about Florida Public
Records Law in order to comply with this provision.
Pursuant to Fla. Stat., Sec. 119.07 1, and the terms and conditions of this Lease
Agreement, the Lessee is required to:
(1) Keep and maintain public records that would be required by the COUNTY to
perform the service.
(2) Upon receipt from the COUNTY'S custodian of records, provide the COUNTY U)
with a copy of the requested records or allow the records to be inspected or copied
within a reasonable time at a cost that sloes not exceed the cost provided in this �-
chapter or as otherwise provided by law.
(3) Ensure that public records that are exempt or confidential and exempt from
public records disclosure requirements are not disclosed except as authorized by N
law for the duration of the Lease Agreement term and following completion of the N
agreement if the LESSEE does not transfer the records to the COUNTY.
(4) Upon completion of the Lease Agreement, transfer, at no cost, to the County
all public records in possession of the LESSEE or keep and maintain public records
that would be required by the COUNTY to perform the service. If the LESSEE
transfers all public records to the COUNTY upon completion of the agreement, the
LESSEE shall destroy any duplicate public records that are exempt or confidential
and exempt from public records disclosure requirements. If the LESSEE keeps and
maintains public records upon completion of the agreement, the LESSEE shall meet
all applicable requirements for retaining public records. All records stored
electronically must be provided to the COUNTY, upon request from the COUNTY'S
custodian of records, in a format that is compatible with the information technology
systems of the COUNTY.
(5) A request to inspect or
q p copy public records relating to a COUNTY contract
must be made directly to the COUNTY, but if the COUNTY does not possess the
requested records, the COUNTY shall immediately notify the LESSEE of the request,
and the LESSEE must provide the records to the COUNTY or allow the records to be
inspected or copied within a reasonable time. Q
If the LESSEE does not comply with the COUNTY'S request for records, the
COUNTY shall enforce the public records contract provisions in accordance with the
Lease Agreement, notwithstanding the COUNTY'S option and right to unilaterally
cancel this agreement upon violation of this provision by the LESSEE. A LESSEE
who fails to provide the public records to the COUNTY or pursuant to a valid public
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C.3.a
records request within a reasonable time may be subject to penalties under Section
119.10, Florida Statutes.
The LESSEE shall not transfer custody, release, alter, destroy, or otherwise
dispose of any public records unless or otherwise provided in this provision or as
otherwise provided by law.
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IF THE LESSEE HAS QUESTIONS REGARDING THE
APPLICATION OF CHAPTER 11 FLORIDA ;STATUTES TO
THE LESSEE'S DUTY TO PROVI DE PUBLIC RECORDS U
RELATING TO THIS LEASE AGREEMENTI rzONTACT THE
CUSTODIAN OF PUBLIC RECORDS BRIAN BRAOLEY AT
PHONE NO. 305-292-3479 BRADLEY-
BRIAN M0NR0EC0UNTY-FL.G0V MONROE COUNTY
A ORNEY'S PFFICE, 1111 I.2T"H STREET" SUITE 408 KEG'"
'BEST FL 33040.
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36. NON-WAIVER CAE IMMUN T" . Notwithstanding the provisions of Sec. U)
768.28, Florida Statutes, the participation of the LESSOR and LESSEE in this Lease
Agreement and the acquisition of any commercial liability insurance coverage, self-
insurance coverage, or local government liability insurance pool coverage shall not
be deemed a waiver of immunity to the extent of liability coverage, nor shall any
contract entered into by the LESSOR be required to contain any provision for CN
waiver. CN
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37. PRIVILEGES_AND,,IMMUNITIES. All of the privileges and immunities from
liability, exemptions from laws, ordinances, and rules and pensions and relief,
disability, workers' compensation, and other benefits which apply to the activity of
officers, agents, or employees of any public agents or employees of the LESSOR,
when performing their respective functions under this Lease Agreement within the
territorial limits of the County shall apply to the same degree and extent to the CU
performance of such functions and duties of such officers, agents, volunteers, or
employees outside the territorial limits of the County.
38. NON-RELIANCE BY NON-PART I No person or entity shall be entitled
to rely upon the terms, or any of them, of this Lease Agreement to enforce or
attempt to enforce any third-party claim or entitlement to or benefit of any service
or program contemplated hereunder, and the LESSOR and LESSEE agree that
neither the LESSOR nor the LESSEE or any agent, officer, or employee of either
shall have the authority to inform, counsel, or otherwise indicate that any particular
individual or group of individuals, entity or entities, have entitlements or benefits
under this Lease Agreement separate and apart, inferior to, or superior to the
community in general or for the purposes contemplated in this Lease Agreement.
39. TTESTA_ I NS. LESSEE agrees to execute such documents as the LESSOR
may reasonably require, to include a Public Entity Crime Statement, an Ethics
Statement, and a Drug-Free Workplace Statement.
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Packet Pg. 113
C.3.a
40. 'EXECUTION COUNTERPARTS. This Lease Agreement may be executed
in any number of counterparts, each of which shall be regarded as an original, all of
which taken together shall constitute one and the same instrument and any of the
parties hereto may execute this Lease Agreement by signing any such counterpart.
41. EFFECTIVE DATE. This Agreement will take effect on May 1, 2023.
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IN WITNESS WHEREOF, each party has caused this Agreement to be
executed by its duly authorized representative.
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(SEAL) BOARD OF COUNTY COMMISSIONERS OF
ATTEST: KEVIN MADOK, CLERK MONROE COUNTY, FLORIDA, LESSOR
By By
As Deputy Clerk Mayor/Chairman
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STATE OF FLORIDA, DEPARTMENT OF
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DEPARTMENT, LESSEE
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ROOM# Square Foota ROOM# S uare Footage
1 280 HEALTHY START SURE 176
3 216 CE 200
4 40 CE
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CE 88 x
6 88 CE 275
40 1-176 248
8 88 1-177 176
9 88 1-177 rear 100 Or
10 176 1-177 rear 65
11 18 1-181 83 U
12 22 1-188 114
13 304 1-188 57 U)
14 175 1-184 80
15 88 1-187 81
16 88 UPSTAIRS �c
17 35 242 310 _
18 88 241 149
19 40 243 169
20 44 244 170 CL
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23 1 88 246 85 U)
24 88 247 85
25 88 248 85
Supply Closet by room 28 40 249 85
26 _ 127 250 172 E
27 96 2-231 (hall closet) 110
28 96 M
29 96 Q
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31 256
32 80 RO rS AREA TOTALS 10,115
33 192 Net Area 7,7311
34 80 Common Areas 2,384 CL
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37 192
38 128 0
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40 176
41 256
42 118
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DEPARTMENT oF FINANCIAL SERVICES X
Division of Risk Management
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STATE RISK MANAGEMENT
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Policy Number: GL-8300 General Liability
Certificate of Coverage
Name Insured: Department of Health U)
General Liability Coverage provided pursuant to Chapter 284, Part II, Section 768.28, Florida
Statutes, and any rules promulgated thereunder.
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Coverage Limits:
General Liability: $200 000,00 each person
$ 00 000.00 each occurrence CL
Inception Date: July 1, 2022
Expiration Date: July 1, 2023
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C.3.b
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
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."
B. County Health Departments were created throughout Florida to satisfy this
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."
C. Monroe County Health Department ("CHD") is one of the created County Health
Departments. 0
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D. It is necessary for the parties hereto to enter into this contract to ensure
coordination between the State and the County in the operation of the CHD. Ui
NOW, THEREFORE, in consideration of the mutual promises set forth herein, the
sufficiency of which is hereby acknowledged, the parties hereto agree as follows: CN
1. RECITALS. The parties mutually agree that the foregoing recitals are true and correct N
and incorporated herein by reference. N
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 enteredCU
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
1
Packet Pg. 123
C.3.b
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. o
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
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
first contact acute care services; chronic disease detection and treatment; maternal and child
health services; family planning; nutrition; school health; supplemental food assistance for
women, infants, and children; home health; and dental services.
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4. FUNDING. The parties further agree that funding for the CHD will be handled as follows,
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a. The funding to be provided by the parties and any other sources is outlined in Part II of
Attachment II hereof. This funding will be used as shown in Part I of Attachment II. Ui
i. The State's appropriated responsibility (direct contribution excluding any state fees,
Medicaid contributions, or any other funds not listed on the Schedule C) aS provided in N
Attachment II, Part II is an amount not to exceed $ 4 248,733 (State General N
Revenue, State Funds, Other State Funds and Federal Funds listed on the Schedule C). N
The State's obligation to pay under this contract is contingent upon an annual N
appropriation by the Legislature.
ii. The County's appropriated responsibility (direct contribution excluding any fees,
othercash, orlocalcontributions) as provided in Attachment II, Part II is an amount
not to exceed $1 53_J�2 677 (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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Packet Pg. 124
c. Either party may establish service fees as allowed by law to fund activities of the CHID.
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 11 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 CHID in writing. The
CHD will then revise Attachment 11 and send a copy of the revised pages to the State's Office
of Budget and Revenue Management.
0
e. The name and address of the official payee to whom payments shall be made is:
U)
County Health Department Trust Fund
Monroe County
P. O. Box 6193
Key West, FL 33040
5. CHD DIRECTOR or ADMINILSTRATOR. Both parties agree the director or administrator
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
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or administrator shall be selected by the State with the concurrence of the County. The director W
or administrator of the CHID shall ensure that non-categorical sources of funding are used to
fulfill public health priorities in the community and the Long-Range Program Plan.
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6. ADMINISTRATIVE POLICIES AND PROCEDURES. The parties hereto agree that the 2
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following standards should apply in the operation of the CHID: U
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a. The CHID and its personnel shall, follow all State policies and procedures, except to the a
extent permitted for the use Of County purchasing procedures as outlined, in subparagraph b., N
below. All CHD employees shall be State or State-contract personnel subject to State N
personnel rules and procedures. Employees will report time in the Health Management System N N
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compatible format by program component as specified by the State. N
b. The CHD shall comply with all applicable provisions of federal and state laws and E
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 CHID following the terms
of this contract. State procedures must be followed for all leases on facilities not enumerated
in Attachment IV.
c. The CHID 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
3
1 Packet Pg. 125
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
N. Financial procedures specified in the State's Accounting Procedures
Manuals, Accounting memoranda, and Comptroller's memoranda; and
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.
X
d. All funds for the CHD shall be deposited in the County Health Department Trust Fund
maintained by the state treasurer. These funds shall be accounted for separately from funds
X
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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
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County Health Department Trust Fund account at the end of the contract year shall be credited U
or debited to the State or County, as appropriate, based on the funds contributed by each and 2
0
the expenditures incurred by each. Expenditures will be charged to the program accounts by U
State and County based on the ratio of planned expenditures in this contract and funding from X
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all sources is credited to the program accounts by State and County. The equity share of any
surplus or deficit funds accruing to the State and County is determined each month and at the N
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contract year-end. Surplus funds may be applied toward, the funding requirements of each
party in the following year. However, in each such case, all surplus funds, including fees and N N
accrued interest, shall remain in the trust fund until accounted for in a manner that clearly N
illustrates the amount which has been credited to each party. The planned use of surplus funds
shall be reflected in Attachment 11, Part I of this contract, with special capital projects explained E
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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C.3.b
g. The CHD may execute subcontracts for services necessary to enable the CHD to carry
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, threw 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 „
this contract for five years after termination of this contract. If an audit has been initiated and
audit findings have not been resolved at the end of five years, the records shall be retained
until the resolution of the audit findings.
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
Florida law. The CHD shall implement procedures to ensure the protection and confidentiality M
of all such records and shall comply with sections 384.29, 381.004, 392.65, and 456.057,
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 c0
practice concerning client confidentiality.
U
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.
m. The CHD shall establish a system through which applicants for services and current N
clients may present grievances over denial, modification, or termination of services. The CHD N
will advise applicants of the right to appeal a denial or exclusion from services, of failure to take N
account of a client's choice of service, and right to a fair hearing to the final governing authority
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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Packet Pg. 127
C.3.b
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 DE385L1 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 States
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
control:
i. March 1, 2023, for the reporting period of October 1, 2022, through
December 31, 2022; and
ii. June 1, 2023, for the reporting period of October 1, 2022, through
March 31, 2023; and
X
iii. September 1, 2023, for the reporting period of October 1, 2022
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through June 30, 2023; and
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iv. December 1, 2023, for the reporting period of October 1, 2022 U
through September 30, 2023. 0
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7. FACILITIES AND EQUIPMENT. The parties mutually agree that:
a. CHD facilities shall be provided as specified in Attachment IV to this contract and the N
County shall own the facilities used by the CHD unless otherwise provided in Attachment IV.
N
b. The County shall ensure adequate fire and casualty insurance coverage for County- N
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.
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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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C.3.b
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 Fund . 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.
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9. MISCELLANEOUS. The parties further agree:
CL
a. Ava,ilabilitv of Funds. If this contract„ any renewal hereof, or any term, performance, or
payment hereunder, extends beyond the fiscal year beginning duly 1, 2023, it is agreed that
the performance and payment under this contract are contingent upon an annual appropriation
by the Legislature, under section 287.0582, Florida Statutes.
X
b. Contract Managers. The name and addresses of the contract managers for the parties
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under this contract are as follows:
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For the State: For the County: U
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Carlla A FU PhD MSN RN Roman Oastesi Ui
Name Name
Asst County Health Lie t Director Count t Administrator CN
Title Title C14
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1100 Simonton Street 1100 Simonton Street N
Key West, Florida 33040 Key West, Florida 33040
Address Address
Email Address Email Address
305) 578-3835 305 292-4441
Telephone Telephone
Approved as to form and legal sufficiency:
Monroe County Attorney's Office 11-1-2022
ffw
Packet Pg. 129
C.3.b
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 Isi day of October 2022.
BOARD OF COUNTY COMMISSIONERS STATE OF FLORIDA
FOR MONROE COUNTY DEPARTMENT OF HEALTH
X
c�
SIGNED BY: SIGNED BY:
71 U
NAME: Crai Cates NAME: .Jose h A. Lada o M.D. Ph.D.
TITLE:. Mayor TITLE: State Sur eon General Ui
ATE,, DATE:
OV " O: KEVIN MADOK, CLERK N
r
r N
SIGNED B
*M Elizabeth Yon ue NAME: Robert Eadie
TITLE: De u Clerk TITLE: CHD Director or Adroinistrator,
DATE: 11 ZL l DATE:
s
Packet Pg. 130
C.3.b
ATTACHMENTI
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
1. Sexually Transmitted Disease Program Requirements as specified in F.A.C.64D-3, F.S. 381 and F.S. 384,
2. Dental Health Periodic financial and programmatic reports as specified by the CL
program office.
3, Special Supplemental Nutrition Service documentation and monthly financial reports as specified in
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
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
contract with each county health department. 0
t)
5. Family Planning Requirements as specified in Public Law 91-572,42 U.S.C.300,et 0
seq.,42 CFR part 59,subpart A,45 CFR parts 74&92,2 CFR 215 UI
(OMB Circular A-1 10)OMB Circular A-1 02, F.S.381.0051, F.A.C.
64F-7, F.A.C.64F-16, and F.A.C.64F-19. Requirements and
Guidance as specified in the Program Requirements for Title X
Funded Family Planning Projects(Title X Requirements)(2014)and cN
the Providing Quality Family Planning Services(QFP): C14
Recommendations of CDC and the U.S. Office of Population Affairs cv
c14
published on the Office of Population Affairs website. Programmatic Q
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
c�
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
Attachment-1-Page 1 of 12
Packet Pg. 131
C.3.b
ATTACHMENT I(Continued)
levels as documented in Florida SHOTS and supported by CHD
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 CHD 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.
9, School Health Services Requirements as specified in the Florida School Health
Administrative Guidelines(May 2012). Requirements as specified in
F.S.381.0056, F.S.381.0057, F.S.402.3026 and F.A.C. 64F-6.
CL
10. Tuberculosis Tuberculosis Program Requirements as specified in F.A.C.64D-3
and F.S.392.
11 o General Communicable Disease Carry out surveillance for reportable communicable and other acute
Control diseases,detect outbreaks, respond to individual cases of reportable X
diseases, investigate outbreaks, and carry out communication and c�
quality assurance functions, as specified in F.A.C.64D-3, F.S.381,
F.S. 384 and the CHD Epidemiology Guide to Surveillance and
Investigations.
12. Refugee Health Program Programmatic and financial requirements as specified by the
program office. 0
U
or the subsequent replacement if adopted during the contract period. 0
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Attachment_I-Page 2 of 12
Packet Pg. 132
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Packet Pg. 133
C.3.b
AWACHMENT II
MONROE COUNTY HEALTH DEPARTMENT
Part M Sources of Contributions utions to County Health Department
October 1,2022 to September 30,`2023
State CED County Total CHD
Trust Fund CHD Trust Fund Other
(cash) Trust Fund (cash) Contribution Total
1.GENERAL E STATE
015040 AIDS PREVENTION&SURVEILLANCE-GENERAL REVENUE 73,522 0 73,522 0 73,522
015040 CHD-TB COMMUNITY PROGRAM 33,240 0 33,240 0 33,240
015040 SEXUALLY TRANSMITTED DISEASE CONTROL PROGRAM GR 16,755 0 16,755 0 16,755
015040 DENTAL SPECIAL INITIATIVE,PROJECTS 6,935 0 6,935 0 6,935
015040 EPIDEMIOLOGY SURVEILLANCE GENERAL REVENUE 79,035 0 79,035 0 79,035
015040 FAMILY PLANNING GENERAL REVENUE 34,239 0 34,239 0 34,239
015040 HEPATITIS AND LIVER FAILURE PREVENTION&CONTROL 72,000 0 72,000 0 72,000
015040 PRIMARY CARE PROGRAM 199,742 0 199,742 0 199,742
015040 RACIALÐNIC DISPARITIES-CHD EXPENSES 52,000 0 52,000 0 52,000 0
015040 SCHOOL HEALTH SERVICES-GENERAL REVENUE 96,223 0 96,223 0 96,223CL
015050 CHD GENERAL REVENUE NON-CATEGORICAL 1,425,962 0 1,425,962 0 1,425,962
GENERAL REVENUE T 2,089,653 0 2,089,653 0 2,089,653
2.NON GE .STATE
015010 ENVIRONMENTAL BIOMEDICAL WASTE PROGRAM 3,381 0 3,381 0 3,381
NON GENERAL REVENUE TOTAL 3,381 0 3,381 0 3,381
C)
3.FEDERAL FUNDS-STATE
007000 AIDS DRUG ASSISTANCE PROGRAM ADMIN HQ 61,183 0 61,183 0 61,183 0
L)
007000 WIC BREASTFEEDING PEER COUNSELING PROG 66,515 0 66,515 0 66,515
007000 COASTAL BEACH WATER QUALITY MONITORING 16,059 0 16,059 0 16,059 0
L
007000 COMPREHENSIVE COMMUNITY CARDIO-PHBG 35,000 0 35,000 0 35,000
I
007000 STRENGTHENING STD PREVENTION AND CONTROL 22,616 0 22,616 0 22,616
007000 ELC COVID ENHANCED DETECTION EXPANSION GRANT 164,133 0 164,133 0 164,133 N
007000 EPIDEMIOLOGY POODBORNECAPACITY 1,047 0 I,047 0 1,047 N
1
007000 FAMILY PLANNING TITLE X-GRANT 59,108 0 59,108 0 59,108 N
CN
007000 HEALTH DISPARITIES GRANT COVID-19 114,073 0 114,073 0 114,073 CN
007000 HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS 558,200 0 558,200 0 558,200 4i
007000 INFANT MORTALITY 8,506 0 8,506 0 8,506
007000 IMMUNIZATION ACTION PLAN 49,843 0 49,843 0 49,843 U
007000 MCH SPECIAL PROJECT PRAMS 12,985 0 12,985 0 12,985
007000 MATERNAL MORTALITY 8,518 0 8,518 0 8,518
007000 BASE COMMUNITY PREPAREDNESS CAPABILITY 112,207 0 112,207 0 112,207
007000 AIDS PREVENTION 119,837 0 119,837 0 119,837
007000 RYAN WHITE TITLE II CARE GRANT 171,821 0 171,821 0 171,821
007000 TOBACCO STATE AND COMMUNITY INTERVENTIONS 121,086 0 121,086 0 121,086
007000 WIC PROGRAM ADMINISTRATION 448,917 0 448,917 0 448,917
015075 SUPPLEMENTAL SCHOOL HEALTH 123,839 0 123,839 0 123,839
015075 REFUGEE HEALTH SCREENING REIMBURSEMENT ADMIN 71,966 0 71,966 0 71,96E
015075 REFUGEE HEALTH SCREENING REIMBURSEMENT SERVICES 215,360 0 215,360 0 215,36C
018005 RYAN WHITE TITLE II ADAP DRUG REBATES 76,027 0 76,027 0 76,02'
FEDERAL FUNDS TOTAL 2,638,846 0 2,638,846 0 2,638,84E
Attachment-III-Part-0-Page 4 of 12
Packet Pg. 134
C.3.b
ATTACERVIENT 11
MONROE COUNTYMMTHIMPARTMENT
Part H,,1$0,urce$ofCoutributioria to CountyHealthDapartmeut
October 1,2092 to Sept N"is
State CHD oulltY Total CHD
T�xat Fund C*W Trust `uud s
dab) (Ca C,6ntnibution Toted-
4.FEES ASSESSED BY STATE OR FEDERAL RULES-STATE
001020 CHD STATEWIDE ENVIRONMENTAL FEES 155,541 0 155,541 0 155,541
001092 ON SITE SEWAGE DISPOSAL PERMIT FEES 19,086 0 19,086 0 19,086
001092 CHD STATEWIDE ENVIRONMENTAL FEES 5,200 0 5,200 0 5,200
001206 ON SITE SEWAGE DISPOSAL PERMIT FEES 306 0 306 0 306
001206 SANITATION CERTIFICATES(FOOD INSPECTION) 2,130 0 2,130 0 2,130
O
001206 PUBLIC SWIMMING POOL PERMIT FEES-10%HQ TRANSFER 10,548 0 10,548 0 10,548
001206 REGULATION OF BODY PIERCING SALONS 123 0 123 0 123 1
001206 TATTO PROGRAM ENVIRONMENTAL HEALTH 778 0 778 0 778
001206 MOBILE HOME&RV PARK FEES 1,986 0 1,986 0 1,986
ES ASSESSED BY STATE OR FEDERAL RULES TOTAL 195,698 0 195,698 0 195,698CL
0)
5.OTHER CASH CONTRIBUTIONS.STATE:
0 0 0 0 0
090001 DRAW DOWN FROM PUBLIC HEALTH UNIT 239,371 0 239,371 0 239,371
OTHER CASH CONTRIBUTION TOTAL 239,371 0 239,371 0 239,371
x
6.MEDICAID•STATE/CO
001057 CHD CLINIC FEES 0 7,387 7,387 0 7,387
001148 CHD CLINIC FEES 0 70,748 70,748 0 70,748 f0
MEDICAID TOTAL 0 78,135 78,135 0 78,135
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I
7.ALLOCABLE REVENUE-STATE:
001009 CHD CLINIC FEES 100 0 100 0 100
018000 CHD CLINIC FEES 2,499 0 2,499 0 2,499 N
031005 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 5,613 0 5,613 0 5,613 CJ
031005 TRUST FOR ERICA'S HEALTH AGREEE NT 2,500 0 2,500 0 2,500 N
038000 CHD CLINIC FEES 100 0 100 0 100 N
ALLOCABLE T 10,812 0 10,812 0 10,812
E
8.OTHER STATE CONTRIBUTIONS NOT IN CED TRUST FUND-STATE
c5
ADAP 0 0 0 780,718 780,718
PHARMACY DRUG PROG 0 0 0 8,386 8,386
WIC PROGRAM 0 0 0 1,165,070 1,165,07C
BUREAU OF PUBLIC HEALTH LABORATORIES 0 0 0 8,023 8,023
IMMUNIZATIONS 0 0 0 847,573 847,573
OTHER STATE CONTRIBUTIONS TOTAL 0 0 0 2,809,770 2,809,77C
9.DIRECT LOCAL CONTRIBUTIONS.BCCITAX DISTRICT
008005 CHD LOCAL REVENUE&EXPENDITURES 0 1,008,397 1,008,397 0 1,008,391
008005 IMMUNIZATION CAMPAIGN MONROE COUNTY BOCC 0 524,280 524,280 0 524,28(
DIRECT COUNTY CONTRIBUTIONS TOTAL 0 1,532,677 1,532,677 0 1,532,67,
10.FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION.COUNTY
001025 CHD CLINIC FEES 0 1,800 1,800 0 1,80(
Attachmen4_II_Part_II-Page 5 of 12
Packet Pg. 135
C.3.b
ATTACHMENT U
'MONROF,COUNTYDEPARTMXNT
Stato CHD Comty Total CHD
Trust Fund HD Trust Fund O&er
(c" Trust Fund (mob) Contribution Total
001077 CD CLINIC FEES 0 31,750 31,750 0 31,750
001094 CHD LOCAL ENVIRONMENTAL FEES 0 141,000 141,000 0 141,000
001110 VITAL STATISTICS CERTIFIED RECORDS 0 71,336 71,336 0 71,336
ES AUTHORIZED BY COUNTY TOTAL 0 245,886 245,886 0 245,886
IL OTHER CASH AND LOCAL CONTRIBUTIONS-COUNTY
001029 CHD CLINIC FEES 0 153,700 153,700 0 153,700
001029 CURANT 340B REVENUE EXPENSE TRACKING 0 30,000 30,000 0 30,000
1
001090 CHD CLINIC FEES 0 69,403 69,403 0 69,403
U)
007010 RYAN WHITE TITLE III-DIRECT TO CHD 0 378,539 378,539 0 378,539
007010 RYAN WHITE TITLE III-DIRECT TO CHD 0 238,210 238,210 0 238,210
CL
010300 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT 0 56 56 0 56
010400 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOUT 0 2,400 2,400 0 2,400
010500 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOUT 0 93,562 93,562 0 93,562
011000 SOS FOUNDATION 0 30,000 30,000 0 30,000
011001 CHD HEALTHY START COALITION CONTRACT 0 290,000 290,000 0 290,000 cy
090002 DRAW DOWN FROM PUBLIC HEALTH UNIT 0 72,417 72,417 0 72,417
OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL 0 1,358,287 1,358,287 0 1,358,287
12.ALLOCABLE R -COUNTY
O
001009 CHD CLINIC FEES 0 100 100 0 100 U
018000 CHD CLINIC FEES 0 2,499 2,499 0 2,499
031005 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 0 5,613 5,613 0 5,613 UI
031005 TRUST FOR ERICA°S HEALTH AGREEEMENT 0 2,500 2,500 0 2,500
038000 CHD CLINIC FEES 0 100 100 0 100
CV)
COUNTY ALLOCABLEREVENUE TOTAL0 10,812 10,812 0 10,812 CN
N
N
13.BUILDINGS-CO
ANNUAL RENTAL EQUIVALENT VALUE 0 0 0 597,605 597,605 N
OTHER(Specify) 0 0 0 0 0
UTILITIES 0 0 0 83,369 83,369
BUILDING MAINTENANCE 0 0 0 75,223 75,223
GROUNDS MAINTENANCE 0 0 0 115,566 115,566
INSURANCE 0 0 0 0 0
OTHER(Specify) 0 0 0 0 0
OTHER(Specify) 0 0 0 0 C
B GS TOTAL 0 0 0 871,763 871,763
14.OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND COUNTY
EQUIPMENT/VEHICLE PURCHASES 0 0 0 0 C
VEHICLE INSURANCE 0 0 0 0 C
VEHICLE MAINTENANCE 0 0 0 0
OTHER COUNTY CONTRIBUTION(SPECIFY) 0 0 0 0 C
OTHER COUNTY CONTRIBUTION(SPECIFY) 0 0 0 0 C
OTHER COUNTY CONTRIBUTIONS TOTAL 0 0 0 0 c
Atfacnment_O-Part_t-Page 6 of 12
Packet Pg. 136
C.3.b
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sit `ate Totw CBD
'fit F004 v TrwA od,' o
(cub 'Tnwt,Fund (casb) Conttibution Toud
GRAND TOTAL CHD PROGRAM 5,1.77,761 3,225,797 8,403,558 3,681,533 12,085,091.
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Packet Pg. 137
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ATrACHDaNT It
Part 111,P nne4 Staffius.Cliento,Smviws Ana ftendibms BY PVW04U S"00 Am Witbda Bab'Lovd O(SorTWO
tabor 1r 2022 to S'optalliber"tl{1,20
quarterly Expandit Plim
FT EIS houttt rvi N 14 2md Ud Etta f"11C'and
(0.00 units Vi6fib (Whokdolimo*) state county Total
A. COMMUNICABLE DISE&SE CONTROL:
IMMUNIZATION (101) 11.14 4,023 6,267 316,11.5 271,023 316,115 271,023 538,568 635,708 1,1.74,276
SEXUALLY"TRANS.DIS. (102) 3A2 120 213 82,038 70,336 82,038 70,336 270,817 33,931. 304,748
HIV/AIDS PREVENTION (03AD 2.26 0 592 70,103 60,1.04 70,103 60,104 260,288 126 260,414
I V/AIDS SURVEILLANCE (03A2) 0.00 0 0 0 0 0 0 0 0 0
HIV/AID;PATIENT CARE (03A3) 1135 279 1,419 454,600 389,753 454,600 389,753 990,870 697,836 1,688,706
ADAP (03A4) 1.17 0 0 25,313 21,703 25,313 21,703 93,966 66 94,032 0
TUBERCULOSIS (104) 095 2 2 25,045 21,472 25,045 21,472 92,831 203 93,034
a
COMM,DIS.:SURV. (106) 8.17 0 605 :139,667 1.1.9,745 1.39,667 119,745 51.8,824 0 518,824
U)
M
HEPATITIS (109) 031 53 58 21,424 1.8,368 21,424 18,369 79,545 40 79,585 0
PREPAREDNESS AND RESPONSE (116) 2.38 0 0 62,922 53,946 62,922 53,946 233,615 121 233,736
0
R.EFUGEEHEALTH (118) 3.58 618 1,597 99,069 84,937 99,069 84,937 367,811 201. 368,012.
VITAL RECORDS (1.80) L24 2,035 6,970 24,990 21,425 24,990 21,425 21,494 71,336 92,830
COMMUNICABLE DISE&SE% TOTAL 44.:36 7.1.30 17,723 1,321,286 1,132,812 1,321,286 1,132,813 3,468,629 1,439,568 4,908,197
B. PRIMARY C ' �
CHRONIC DISEASE:PREVENTION PRO (210) 2,60 273 276 62,1.20 53,259 62,11.20 1533,258 190,808 39,949 230,757
WIC (21.WD 5.77 1,998 11,712 143,406 122,950 143,406 11.22,949 448,917 83,794 532,711
TOBACCO USE INTERVENTION (212) 2.38 0 0 45,532 39,037 45,53.12 39,037 121,086 48,052 169,1138
0
WIC BREASTFEEDING PEER COUNSELING (21W2) 0.91 0 1,603 19,250 116,504 19,250 1.6,503 66,515 4,992 71,507 ()
FAMILY PLANNING (223) 390 884 1,946 1.119,560 1.02',505 11.1.9,560 102,505 93,347 350,"783 444 D1$0
IMPROVED PREGNANCY OUTCOME (225) 0,05 0 0 8,445 7,241. 8,445 7,241. 30,009 1,e363 31,372 LI
HEALTHY START PRENATAL (227) 254 517 2,579 55,226 47,348 55,226 47,5349 0 205,11.49 205,1.49
COMPREHENSIVE CHILD HEALTH. (229) 0.00 0 0 0 0 0 0 0 0 0 y'M°j
C®1
HEALTHY START CHILD (231) 2.54 561 2,535 52,799 4,5,206 52,799 45,268 0 196,134 1.96,134 N
a
SCHOOL HEALTH (234) L84 0 166,61.3 611,445.3 52,679 61,443 52,679 220,062 8,1.82 228,244 N
CN
COMPREHENSIVE ADULTHEALTH (237) 4.28 265 1,160 112,457 96,416 1.1.2,457 96,4115 199,742 2183,003 411.7,745 N
4i
COMMUNITY HEALTH DEVELOPMENT (238) 2,61 0 240 76,094 65,240 76:1,094 65,240 1.16,573 166,095 282,668 9=
DENTAL HEALTH (240) 0.07 0 0 113,374 14,895 17,374 11.4,895 6,935 57,6103 64,538
U
PEUMARYC „SUBTOTAL 29.49 4,498 188,664 '773,706 668.3,342 773,706 663,339 1,493,994 1,380,099 2,874,093
C. ENVIRONMENTAL AL BMALTH:
Water and Ona1ke Sewage Programs
COSTAL BEACH.MONITORING (347) 0.33 279 283 8,350 7,1.59 8,350 7,160 16,059 11.4,960 31,019
LIMITED USE PUBLIC WATER SYSTEMS (357) 0.00 0 0 0 0 0 0 b 0 0
PUBLIC WATER SYSTEM (358) 0100 0 0 0 0 0 0 0 0 0
PRIVATE WATER SYSTEM (359) 0.00 0 0 0 0 0 0 0 0 0
ONSITE SEWAGE TREATMENT&DISPOSAL (361) 1,01 351. 270 19,564 11.6,773 19,564 16,773 11.9,086 53.1,588 72,674
Group Total 1,34 630 553 27,911.4 23,932 27,914 23,933 35,145 68,548 11.03,693
Feea1a4:,y Programs
TATTOOFACILITCSERVICES (344) 01.2 237 81 2,059 1,765 2,059 1,764 7,501 146 7,647
Affachmenl,_If_Part_111-Page 8®f 12
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TT l "l
PUtIn.PlAt OdC Steffilig.CIWAts,Sornm"d Expenditumlly Propam Service'Ar"'WithinwA gl drib '
Quartorly txpeoftvam Man
Me Clients SoMeW lot 23w Ord 4th Grand.
�0 00) U111ta " altat flu dEtllttra 0190 stato County Total
FOOD HYGIENE (348) 0.57 153 435 1.2,427 10,654 12,427 10,654 23,100 23,062 46,162
BODY PIERCING FACILITIES SERVICES (349) 0,17 t2 1.2 2,814 2,413 2,814 2,414 91.0 9,545 10,455
GROUP CARE FACILITY (351.) 0.13 1.00 1.26 2,078 1,782 2,078 1,782 0 '7,720 7,720
MIGRANT LABOR CAMP (352) 0.00 0 0 0 0 0 0 0 0 0
110USING&PUB.BLDG. (353) 0.00 0 0 0 0 0 0 0 0 0
MOBILE;HOME AND PARK(354) 0.57 570 435 1.2,049 10,330 12,049 10,329 19,000 25,757 44,757
POOLS/BATIIING PLACES" (360) 2.68 823 2,21.8 47,804 40,985 47,804 40,985 99,230 78,348 177,578
BIOMEDICAL WASTE SERVICES (364) 0.48 528 44.2 8,342 7,152 8,342 7,153 1.4,381 1.6,608 30,989 �
TANNING FACILITY SERVICES (369) 0.09 0 0 1,329 1,1.39 1.,329 1,139 0 4,936 4,936
U)
M
Group Total 4"81 2,423 3,749 88,902 76,220 88,902 76,220 164,122 1.66,122 330,244 �
Groundwater Contamination CL
STORAGE TANK COMPLIANCE;SERVICES (355) 0,00 0 0 0 0 0 0 0 0 0
SUPER ACT SERVICES (356) 0,00 0 0 0 0 0 0 0 0 0
Group Total 0.00 0 0 0 0 0 0 0 0 0 X
C®a mymnnaanty Hygiene 0
x
COMMUNITY ENVIR.HEALTH (345) 0,00 0 0 0 0 0 0 0 0 0
INJURY PREVENTION (346) 0.00 0 0 0 0 a 0 0 0 a �
LEAD MONITOWNG SERVICES (350) 000 0 0 0 0 0 0 0 0 a
0
PUBLIC,SEWAGE; (362) 0,00 0 0 0 0 0 0 0 0 0 L)
t
SOLID WASTE DISPOSAL SERVICE (363) 0.00 0 0 0 0 0 0 0 0 0 0
L)
SANITARY NUISANCE (365) 0.18 68 302 3,:1.98 2,742 3,198 2,741 0 11,879 1.1,879 I
RABIES SURVEILLANCE (366) 0.10 0 0 1,711 1,467 1,711 1,466 0 6,355 6,355
ARBORVIRUS SURVEIL, (367) 0,00 0 0 0 0 0 0 0 0 0 N
RODENT/ARTHROPOD CONTROL (368) 0.00 0 0 0 0 0 0 0 0 0 C"4
C14
WATER.POLLUTION (370) 001 0 6 1.44 123 144 124 0 535 535 04
INDOOR AIR (371.) 0.00 0 0 0 0 0 a 0 0 0
RADIOLOGICAL HEALTH (372) 0.00 0 0 0 0 0 0 0 0 0
E
TOXIC SUBSTANCES (373) 199 498 498 4:1,086 35,225 41,086 35,225 0 152,622 152,622
U
Group Total 2,28 566 806 46,1.39 39,557 46,139 39,556 0 1.71,391 171,391
ENVIRONMENTAL NTAdaHEALTH SUBTOTAL 8.43 3,619 5,108 162,955 139,709 1.62,955 139,709 199,267 406,061 605,328
D. NON-OPERATIONAL COSTS:
NONOPERATIONAL COSTS (599) 0,00 0 0 0 0 0 0 0 0 0
ENVIRONMENTAL HEALTHSURCIIARGE. (399) 0.00 0 0 4,272 3,663 4,272 3,664 15,871 0 1.5,871.
MEDICAID BUYBACK(61.1) 000 0 0 19 16 19 15 0 69 69
NON-OPERATIONAL COSTS SUBTOTAL 0,00 0 0 4,291 3,679 4,291 3,679 15,871. 69 15,940
TOTAL CONTRACT 82,28 15,247 21.1,495 2,262,238 1,939,542 2,262,238 11,939,540 5,177,7611 3,225,797 8,403,558
NHachment_I1.._Part,.-111-Page 9 of 12
Packet Pg. 139
C.3.b
ATTACHMENT III
MONROE COUNTY HEALTH DEPARTMENT
CIVIL RIGHTS COMPLIANCE AND NON-DISCRIMINATION CERTIFICATE
1. The CHID 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 CHID 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
Discrimination Act of 1975(42 U.S.C.6101 et seq.); Title II and Title III of the Americans with Disabilities
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 CL
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,
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 X
Federal financial assistance from FNS; and hereby gives assurance that it will immediately take c�
measures necessary to effectuate this agreement.
X
By providing this assurance,the CHD agrees to compile data, maintain records and submit records and c�
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 U
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. t0
I
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
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 N
furnishing of services to the recipient, or any improvements made with Federal financial assistance car
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 CHID, 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.
Attachment—III-Page 1 of 1
Packet Pg. 140
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C.3.b
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
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PROJECT NUMBER:
PROJECT NAME: CL
LOCATION/ADDRESS'
PROJECT TYPE: NEW BUILDING ROOFING
RENOVATION PLANNING STUDY
NEW ADDITION OTHER X
SQUARE FOOTAGE: 0
PROJECT SUMMARY; Describe scope of work in reasonable detail.
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START DATE (Initial expenditure of funds) N
COMPLETION DATE:
DESIGN FEES: $ 0
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CONSTRUCTION COSTS: $ 0
FURNITURE/EQUIPMENT: $ 0
TOTAL PROJECT COST: $ 0
COST PER SO 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 9130/22
**Cash to be transferred to FCO account.
***Cash anticipated for future contract years.
Attachment_V-Page 12 of 12
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C.3.b
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
parties, it should be noted that the State is making payments to the County for various .a
services. These are services rendered by the County or by a third party, and the State is
receiving benefit. The following is a list of the services handled in this manner: X
c�
X
• 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. U
0
• Vehicle Fuel U�
The County charges the State for fuel whenever the County pumps are used..
• Vehicle Insurance
The County carries the title, registration, and associated insurance coverage for all
vehicles. The State reimburses the County for their share of these costs. N
N
• 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. 146
C.3.b
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
Per F.S. 274.11 title to all property purchased by county health departments from any
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).
Additionally, FAC 691-73 was revised in 2020, to provide that only property with a dollar
value of$5,000 or more needs to be recorded, unless the item is "attractive" (e.g, an X
iPhone), in which case it should be recorded too. (The dollar value was raised from
$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. 147
Ron DeSan C.3.b
Mission: GoveIflul
To protect,promote&improve the health
of all people in Florida through integrated ` "` Joseph A Ladapo, MD, PhD
state,county&community efforts. State Surgeon General
HEALTH
Vision:To be the Healthiest State in the Nation
INTEROFFICE MEMORANDUM
DATE: 12/12/2022
TO: Evelyn Ballester
Office of Budget and Revenue Management
FROM: Bunny Portne
Monroe Counth Department
SUBJECT: Core Contract tion for 2022-2023
Please find attached three (3) copies of the Core Contract between Monroe County BOCC and Florida
Department of Health, Monroe County. Please return to my attention once signed by the State Surgeon
General. I can be reached at 305-676-3822 with any questions.
Thank you. a
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FLeve'alt t 't�ac ,tt
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Florida Department of Health
in XXXXXX County
XXXX Address•City,Florida Zip Accredited Health Department
PHONE:XXX/XXX-XXXX•FAX XXX/XXX-XXXX Public Health Accreditation Board
FloridaHealth.gov
Packet Pg. 148
C.3.c
DEPARTMENT OF FINANCIAL.SERVICES
` Division of Risk Management
STATE RISK MANAGEMENT
TRUST FUND
U)
Policy Number: GL-8300 General Liability
Certificate of Coverage
c�
Name Insured: Department of Health
T-
X
General Liability Coverage provided pursuant to Chapter 284, Part 11, Section 768.28, Florida
Statutes, and any rules promulgated thereunder.
Coverage Limits:
CU
General Liability: $200 000.00 each person
E
$300,000.00 each occurrence -
4-
0
0
Inception Date: July 1, 2022 APPROVED BY RISK MANAGEMENT
v CNExPiration Date: July l, 2023 BY .
DATE 4/4/2023 c14
WAIVER N/A YES
c5
DFS-DO-863
(REV 7/17)
Packet Pg. 149