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Item N3
N.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: N.3 Agenda Item Summary #11922 BULK ITEM: Yes DEPARTMENT: County Administrator TIME APPROXIMATE: STAFF CONTACT: Lindsey Ballard (305) 292-4443 No AGENDA ITEM WORDING: Approval of employment agreement with Medical Examiner Michael R. Steckbauer, M.D.; creation of County medical examiner department and approval of Medical Examiner as department head; approval of full-time equivalent(FTE) positions for Medical Examiner and Director of Operations positions. ITEM BACKGROUND: In 1970, the State of Florida enacted Chapter 406, Florida Statutes, which establishes a statewide medical examiner system of death investigation. The Governor appoints a medical examiner for each district for three-year terms. The districts correspond with state judicial districts. Dr. Michael R. Steckbauer was appointed by the Governor as the interim Medical Examiner for District 16, corresponding to the 161h Judicial Circuit in Monroe County, on July 1, 2017, and has remained in that capacity since that time. Chapter 406, Florida Statutes,provides that each county shall provide funding for the Medical Examiner's office. Monroe County entered into a contract with the Medical Examiner on July 19, 2017, to provide funding for the office. Since that time, Dr. Steckbauer has been an independent contractor. Recently, the Medical Examiner requested that his relationship with the County be converted from an independent contractor to an employee and that the County establish a medical examiner department, with the Medical Examiner as the department head. Monroe County Personnel Policies and Procedures Manual requires approval by the Board of County Commissioners for appointment of the department head. The Medical Examiner is also requesting that his current Director of Operations be hired. Creation of two Full Time Equivalent(FTE)positions also requires the approval of the BOCC. Pursuant to F.S. 121.0515(2)(g) and F.S. 121.0515(3)(i), both positions are eligible to be designated as members of the Special Risk category for purposes of the Florida Retirement System, subject to submission of applications by the Medical Examiner and his Director of Operations to FRS and approval by FRS. Proposed salary for the Medical Examiner has been approved by the County Administrator. Packet Pg. 2420 N.3 All changes are planned for an effective date of May 1, 2023. PREVIOUS RELEVANT BOCC ACTION: 7/19/2017: approval of Agreement with Michael R. Steckbauer to serve as Medical Examiner; 1/22/2017: approval of Amendment 1 to Agreement to change to name of corporation; 12/10/2019: approval of Amendment 2 to Agreement, to add vehicle stipend and provide that budgeted funds can be used for contributions to pension plans for ME and staff and $1500/day for "locum tenens" doctors. CONTRACT/AGREEMENT CHANGES: New agreement STAFF RECOMMENDATION: Approval. DOCUMENTATION: Signed District 16 Medical Examiner Employee contract 1 st Amendment 09272017 Steckbauer 07192017 Steckbauer Agreement 2nd Amendment 12/11/2019 FINANCIAL IMPACT: Effective Date: May 1, 2023 Expiration Date: No expiration date. Total Dollar Value of Contract: $339,000 per year salary + other benefits as detailed in employment agreement Total Cost to County: as outlined above Current Year Portion: Budgeted: Yes Source of Funds: Primarily ad valorem; approximately $20K annually from fees collected pursuant to Monroe County Resolutions 007-2009, 001-2011,and 135-2011. CPI: No Indirect Costs: Estimated Ongoing Costs Not Included in above dollar amounts: Revenue Producing: No If yes, amount: Grant: No County Match: No Insurance Required: The County reimburses the cost of professional malpractice insurance; approximately $12,000 per year. The County will need to provide liability and other insurances. Additional Details: TBD Packet Pg. 2421 N.3 REVIEWED BY: Roman Gastesi Completed 03/29/2023 10:26 AM Bob Shillinger Completed 04/03/2023 9:32 AM Purchasing Completed 04/03/2023 9:55 AM Bryan Cook Completed 04/04/2023 9:09 AM Budget and Finance Completed 04/04/2023 3:01 PM Brian Bradley Completed 04/04/2023 3:20 PM Lindsey Ballard Completed 04/04/2023 3:24 PM Board of County Commissioners Pending 04/19/2023 9:00 AM Packet Pg. 2422 EMPLOYMENT AGREEMENT BETWEEN MONROE COUNTY, FLORIDA AND MICHAEL STECKBAUER, M.D. FOR POSITION OF MEDICAL EXAMINER THIS AGRIEMEN'r is entered into April 19, 2023 by and between Monroe County, Florida, acting through its Board of County Commissioners ("Board or "BOCC"), a political subdivision of the State of Florida, whose main business address is I 100 Simonton Street, Key West, Florida 33040, and Michael .plobeft Steckbauer, M.D. (" Dr. Steckbauer"or "Medical Examiner"), WHEREAS, the provision of medical examiner services as detailed in Section 406.11., F.S., is an integral part of the criminal justice system; and WHEREAS, Chapter 406. F.S., provides that district medical examiners shall be appointed by the Governor of the State of Florida from nominees who are practicing physicians in pathology, and that the person shall serve as the medical examiner for the district, and shall be entitled to compensation and such reasonable salary and fees as are established by the board of county commissioners in the respective districts, and WHEREAS, Dr. Steckbauer has the specialized education, training, expertise, and experience to perform the necessary forensic laboratory and medical examiner services; and WHEREAS, Dr. Steckbauer was appointed by the Governor to serve as the interim District Medical Examiner for District 16, which covers Monroe County and which corresponds to the 16111 Judicial Circuit, beginning on July 1, 2017; and WHEREAS, on July 19, 2017, the :Board entered into an Agreement for the Provision of Medical Examiner Services("Agreement")with the Medical Examiner, setting forth the terms and conditions of a contractual relationship between the Board and the Medical Director, including scope of services" and annual budget including salary to the Medical Examiner; and WHEREAS, on August 1.6, 2017, the parties entered into Amendment I to the Agreement, in order to replace Dr. Steckbauer with the name of his wholly owned corporation, Michael R. Steckbauer, M.D. M + M Forensics, P.A., as the contracting party; and WHEREAS, on Decerriber 11, 2019, the parties entered into Amendment 2 to the Agreement, in order to (a) add funds for a vehicle allowance for the Medical Examiner, (b) authorize reimbursement for contributions to a 401k or other similar pension plan up to levels approved by the IRS; and (c) authorize reimbursement for payments to assisting doctors ("locurn tenens payments"); and WHEREAS, the Medical Examiner has expressed an interest in converting his relationship with the Board from one of being an independent contractor to one of being all employee; and WHEREAS, the Board is amenable to creating a Medical Examiner employee position, on the terms and conditions set forth below. NOWTHEREFORE, in consideration of the covenants and promises contained herein, the PARTIES hereby agree as follows: 1. RECITALS. The above Whereas statements are incorporated into and made a part of this Employment Agreement ("Agreement"). 2. EMPLOYMENT. A. Michael Robert Steckbauer is hereby employed by the Board for Monroe County, Florida as a contract employee in the position of Medical Examiner, 3. DUTIES. A. Dr. Steckbauer shall perform or cause to be performed all necessary duties required of a district medical examiner under Chapter 406, Florida Statutes, and Chapter I I G, Florida Administrative Code (collectively, the "Medical Examiners Act"), and all of the duties listed on Exhibit A,job description. B. By entering into this Agreement, the Medical Examiner represents that he meets all of the requirements for the position set forth in the Medical Examiners Act, Medical Examiner understands and agrees that his employment will be terminated immediately should lie lose the qualifications set forth in the Medical Examiners Act, including, but not limited to, the qualification of his gubernatorial appointment as the medical examiner for District 16. C. Medical Examiner shall hold and perform the duties required of a department head, including but not limited to: Preparation of annual budget for submission and approval by the BOCC; preparation of departmental goals and action plans; achieving departmental goals and objectives as assigned by the County Administrator; supervision of subordinate employees in accordance with Monroe County personnel policies; those duties, functions, and assignments which may from time to time be directed by the BOCC. D. Duties shall be performed in a professional, respectful, and timely manner and in accordance with the highest standards of ethical behavior established by the Code of Ethics of the International City/County Manager Association and with Part 111, Chapter 112, Florida Statutes, entitled Code of Ethics for Public Officers and Employees. E. Medical Examiner understands and agrees that the position that lie holds is an exempt position as defi tied by the Fair Labor Standards Act. F. In accordance with Section 125,74, Florida Statutes, the Medical Examiner shall report to and be supervised directly by the County Administrator, G. Medical Examiner understands and agrees his duties under this Agreement will require him to routinely work varied hours in excess of the normal County work-day and the hours worked shall be consistent with the needs of the position, Medical Examiner shall not receive overtime compensation for hours worked in excess of forty 40 per week including work done pre or post disaster including but not limited to hurricanes. the 11. Nothing in this Agreement or in the BOCCs policies rules and procedures will limit 2 AO Medical Examiner's s right to make passive financial investments to participate in charitable service or work, with charitable organizations and other community activities including trade and professional organizations or to undertake other activities which do not interfere with the performance of theMedical Examiner s duties under this Agreement it being Mutually agreed that the Medical Examiner's participation in such activities is of such benefit to the BOCC and the County L The Medical Examiner will be reasonably available to BOCC members and key County staff twenty four 24 hours per day. Such availability will be by telephone or electronic messaging or in person J. Due to the nature of the Medical Examiner's duties and the requirements of the position interference with the Medical Examiner's private life is to be expected and it is recognized that the Medical Examiner may from time to time absent himself during normal business hours for personal reasons however the Medical Examiner shall remain reasonably available to Board members and key Board staff by telephone or other electronic means. 4. TERM OF AGREEMENT; TERMINATION. A. Terin of Agreement. The normal term of this,Agreement shall run from May 1,2023 until May 31, 2028. The Agreement may be amended in order to extend the term of the Agreement. B. Termination. L The Medical Examiner may terminate this Agreement with or without cause upon giving the County a minimum of'sixty (60) days prior written notice, ii. The County may terminated this Agreement for cause should it believe that the Medical Examiner has breached any provision within this Agreement, Should the County determine that this Agreement should be terminated for cause, it shall notify the Medical Examiner,the Medical Examiners Commission, and the Government as soon as is feasible after the occurrences) that is(are) the basis for such termination. Recognizing that the Governor and the Medical Examiner Commission have the sole authority to Suspend or remove the Medical Examiner pursuant to Sections 406.06 and 406.0�75, Florida Statutes, the County may only terminate or reduce payment tinder this Agreement for failure of the Medical Examiner to fulfill the terms of this Agreement or other violations of the provisions of the Agreement. In this event, the County shall give written notice to the Medical Examiner of intent to terminate the Agreement, a niinimum of sixty (60) days in advance of the intended termination date, which notice shall specific cause. The notice may allow a time period during which the breach rnay be cured. The County shall pay the Medical Examiner fair and equitable compensation for all expenses incurred,prior to the termination of the Agreement. iii, The Medical Examiner may terminate this Agreement for cause should he believe that the County has breached any provision within this Agreement. In the event that the Medical Examiner determines that this Agreement should be terminated for cause, he shall notify the County and provide a minimum of sixty (60) days in advance of the intended termination date. The notice may allow a time period during which the breach may be cured, iv. In the event that the Medical Examiner's appointment is terminated by the 3 Governor for any reason, this Agreement shall terminate immediately, C. This Agreement is subject to annual appropriation by the Board of County Commissioners. 4. COMPENSATION. As consideration for the agreements and services to be performed by the Medical Examiner I"Or the benefit of the Board and County as contained elsewhere in this Agreement, the Board shall pay to the Medical Examiner an annual salary in the amount of three hundred thirty nine thousand zero dollars and zero cents($339,000.00). "The salary shall be increased annually thereafter according to the County policy of cost-of-living and merit increases provided to other County employees. A. The salary shall be paid in installments at the same time and in the same manner as other County employees are paid, and will be subject to all legally required deductions. Currently, payments are paid in equal biweekly installments (26 pay periods per annum), B. In addition, the Medical Examiner shall be entitled to employment benefits as outlined below. 5. PROFESSIONAL MEMBERSHIPS, The Medical Examiner shall, as a minimum, maintain membership in the following professional organizations and interest groups: The American Board of Pathology, The National Association of Medical Examiners, The Florida Association of Medical Examiners and The American Society for Clinical Pathology. All dues, occupational licenses, fees, and costs, for obtaining and maintaining the memberships delineated above will be paid for by the BOCC. 6. LOCAL LIAISONS AND MEMBERSHIPS. The Medical Examiner shall establish and maintain liaisons with his Counterparts in local governmental and public agencies located within the geographical limits of Monroe County, and with such agencies of the State of Florida and the federal government as may be appropriate and desirable. Any reasonable costs, fees, charges, or other expenses incurred in establishing and maintaining, these liaisons shall be reimbursed or paid for by the BOCC. Additionally, the Medical Examiner is authorized to become a member of civic clubs or organizations deemed to be appropriate by Medical Examiner, and the costs of membership shall be paid for by the BOCC; provided, however, that the costs of membership and participation in such civic organizations shall not exceed one thousand dollars ($1,000�.00) each fiscal year. 7. EMPLOYMENT BENEFITS. A. Health, Medical, Dental, Vision, and Related, Benefits. The BOCC agrees to make available to the Medical Examiner the same health, medical, dental, vision, life, accidental death & dismemberment, and other related benefits as it currently offers to other non- union County employees, under the same terms and conditions as offered to other non-union County, employees, and as may be changed, amended, deleted, or added to from time to time. B. Holiday Benefits. The Medical Examiner will receive the same paid holidays as the County's non- union employees receive, C. Other Customary Benefits. The Medical Examiner shall have the right to,participate in and receive the benefits of other ernployment-related benefits as are available to other non- union County employees, including but not limited to Florida Retirement System, For 4 fl(y purposes of Florida Retirement System, this position is designated as being within the Special Risk class, provided the Medical Examiner meets the criteria set forth in FS. 121.0515(3)(i). D. The County agrees to pay for any and all pro ressional insurance necessary for the perforinance of the duties under this Agreement, including but not limited to medical malpractice insurance. 8. ANNUAL LEAVE SICK LEAVE PERSONAL LEAVE TRANSFER OF LEAVE A. The Medical Examiner will earn and be credited with annual leave at a rate per month equal to the highest rate earned by any other employee or officer of the BOCC. The Medical Examiner may accumulate annual leave without limit and no unused annual leave shall be forfeited due to nonuse any provisions of the Personnel Policies and Procedures Manual to the contrary notwithstanding B. The Medical Examiner will earn and be credited with sick leave at a rate per month equal to the highest rate earned by any other employee or officer of the BO�CC. The Medical Examiner may accumulate sick leave without limit and no unused sick leave shall be forfeited due to nonuse any provisions of the Personnel Policies and Procedures Manual to the contrary notwithstanding Additionally the Medical Examiner shall have the option of joining and receiving the benefits of the Monroe County Sick Leave Pool in accordance with the policies and procedures that are applicable and in effect. C. The Medical Examiner will be credited with five (5) days of paid personal leave each year commencing with the date of May I st 2023 and each anniversary of that date thereafter. Such leave may be used by the Medical Examiner at his discretion and may be accumulated without limit except that any accrued such leave shall not be included in final payment when this agreement terminates for any reason. 9. OFFICE SPACE, OFFICE STAFF AND SUPPORTING SERVICES A. Office Space, The BOCC will provide office/morgue space for the Medial Examiner at the Monroe County Medical Examiner Facility at 56639 Overseas Highway, Marathon, Florida 33050 and this space will be the primary office for the Medical Examiner. B, Staff The BOCC will provide qualified and trained staff to assist the Medical Examiner in efficiently, productively and professionally meeting the mission goals and objectives of the office of the District Medical Examiner and the duties of District Medical Examiner. C. Supporting Services. The BOCC will provide utilities, telephone service, computer hardware and software, electronic research and e mail services, world wide web and internet access, books and Subscriptions, periodicals, office supplies, photocopy equipment, county web page presence and server access and storage space, postage, office equipment and furniture, and other similar materials equipment and services as may be necessary for the proper productive and efficient operation of the District Medical Examiner's office. The County shall provide a laptop for the Medical Examiner's use. All assets provided by the County remain the property of the County, 5 AO 10. INDEMNIFICATION AND COOPERATION. A. Indemnification. The BOCC agrees to defend, hold harmless, and indemnify the Medical Examiner against any tort, professional liability, or other legal demand, claim, or action which is related directly or indirectly to the Medical Examiner's action in his capacity as Medical Examiner and in his performance of duties for the Board. B. Cooperation. In the event of actual or threatened litigation and/or administrative proceedings involved the BOCC' or the County which arises out of an action or actions which occurred or are alleged to have occurred while the Medical Examiner was acting in the capacity of Medical Examiner for District 16, the Medical Examiner will cooperate with, the BOCC and its counsel in defending and resolving the litigation or proceeding. In such regard, the BOCC agrees to pay the Medical Examiner's reasonable travel and subsistence expenses incurred in cooperating with the BOCC and its counsel, including preparation for and actual discovery, settlement, and trial and hearing of such matters. (1) The Medical Examiner agrees that, unless required by law, he will not cooperate with or assist any party,person, or entity who has, had, or may have, or asserts that he, she or it has or may have any claim of any nature against the BOCC or the County, its agents, officers, or employees, unless the BOCC or its authorized agent expressly consents in writing to waive this provision of this Agreement, (i i) The Medical Examiner will not disclose to any person, party, or entity any confidential, proprietary, time-sensitive, or non-public information relating to the BOC CC, the County, and its operations unless required by law to do so. (iii) "I'lie restrictions, prohibitions, and conditions set forth in Section 18.13(i) and (ii) will not be applicable in instances where one or more governmental entities with jurisdiction over a claim or a violation of law are involved. 11. GOVERNING LAW; ATTORNEY'S FEES AND COSTS; VENUE. This Agreement is made in the State of Florida and will be governed by Florida law. 'The prevailing party in any litigation, arbitration, or mediation relating to this Agreement will be entitled to recover its reasonable expenses and attorneys' fees from the other party for all matters, including but not limited to. appeals. Monroe County, Florida will be the proper venue for any litigation involving this Agreement, 12. FORM OF AGREEMENT. This is the entire agreement between the 13OCC and the Medical Examiner and may not be modified or amended except by a written document signed by the party against whom the enforcement is sought. This Agreement may be signed in more than one counterpart, in which case each counterpart will constitute and original of this Agreement. Paragraph headings are for convenience only and are not intended to expand or restrict the scope or Substance of the provisions of this Agreement. Wherever used herein, the singular will include the plural, the plural will include the singular, and pronouns will be read as masculine, feminine, or neuter as the context requires. 13. NOTICE Any notice required to be provided under the terms of this Agreement shall be given by U.S. Postal Service or email, unless otherwise specified herein, to the parties as shown below. 6 The effect date of any notice shall be the date of receipt, provided receipt is confirmed by the recipient. Each party must advise the other of any status change concerning this notice section. For the County: For the Medical Examiner: Monroe County Administrator Michael Steckbauer, M.D. I 100 Simonton St- 2"' Floor 57560 Overseas Highway Key West, FL 33040 Marathon, FL 33050 With a copy to: Monroe County Attorney's Office I I I I 12t" St., Suite 408 Key West, FL 33040 14. OTHER TERMS AND CONDITIONS. A If any provision, term, or portion of this Agreement shall be held to be unconstitutional, illegal, invalid, or enforceable by a court of competent jurisdiction, the remaining terms, conditions, and portions shall remain in full force and effect as, if originally agreed to without the term, condition, or portion that has been determined to be unconstitutional, illegal, invalid or unenforceable. B. The waiver by either the BOCC or the Medical Examiner of a breach or violation of any term or provision of this Agreement by the other party shall not operate or be construed as a waiver of any subsequent breach or violation by the other party. C. Should the Medical Examiner die during the term of this Agreement, the obligations of the BOCC under this Agreement shall immediately terminate except for payment of accrued and unused leave balances to the Medical Examiner's designated beneficiaries of his estate; payment of all outstanding hospitalization, medical, dental, and vision bills in accordance with the County's plans, policies, and procedures; and payment of all life insurance benefits in accordance with the terms of the County's insurance policies or plans. D. The BOCC and Medical Examiner acknowledge that each has shared equally in the drafting and preparation of this Agreement and, accordingly, no court or administrative hearing offlicer shall construe any provision of this Agreement more strictly against one party over the other party, and every term, condition, covenant, and provision of this Agreement shall be construed simply according to its fair meaning. E. This Agreement incorporates and includes all prior negotiations, correspondence, conversations, agreements, and understandings applicable to the matters contained herein. It is further agreed that there are no commitments,agreements,or understandings concerning the subject matter of this Agreement that are not contained herein,and no deviation from the terms hereof shall he predicated upon any prior representations, offers, promises, inducements, or agreements, whether oral or written, and by whomever made. The text herein constitutes the entire agreement between the BOCC and the Medical Examiner, and this agreement cannot be amended except by a written document mutually agreed to and executed with the same formalities as this Agreement. 7 F. The rights and obligations of this Agreement are personal to the Medical Examiner and cannot be assigned, transferred, or otherwise impaired by the Medical Examiner, WHEREFOR11', the parties hereto have signed and sealed this agreement can the date first above written. (SEAL) BOARD OF COUNTY COMMISSIONERS Attest: KEVIN MADOK, Clerk OF MONROE COUNTY By: By: As Deputy Clerk Mayor/Chairperson Witnesses: ...... MICHAEL ROBERTSTECKBAUER, M.D. Print Name: T"rini Narne. Exhibit A Job Description Job Description. Chief Medical Examiner Scope: The Chief Medical Examiner is responsible for fullilling, the requirements of the Florida Statutes 406. This position exercises considerable independent judgement and professional skills in the continuous analysis and review of the office's operating functions and public services. Education, Training, and Experience: - Pathologist certified by the American Board of Pathology in Anatomic Pathology, and Forensic Pathology. - Licensed as a physician in the State of Florida as required by the Florida Department of Professional Regulations, - 10 years of experience in forensic pathology with at least one year of experience as a Deputy Chief/District Medical Examiner, or Chiefflistrict Medical Examiner. Duties and Responsibilities: (Note: The following duties and responsibilities are not descriptive of any one position. The omission of a specific statement does not preclude the assignment of that task to this class.) Managerial: - Develop and promote liaison between all law enforcement and other related agencies including the Medical Examiners Commission of the State of Florida; • Perform a continuous analysis and review of all operating functions; • Measure the effectiveness and efficiency of the various divisions of the office; • Prepare all budget/fiscal materials, affirmative action programs, and other major reports produced by the office; • Monitor legislation that effects the Medical Examiner operations; and, • Prepare and maintain records in accordance with the regulations of the Medical Examiners Commission, the Department of Health and Rehabilitative Services, the Department of Professional Regulation and the Public Records Act. Professional and Technical: • Perform autopsies and physical examinations to determine cause and manner of death.; • Prepare clear, concise narrative descriptions of autopsy findings; • Rotate on-call scene response duties as required; • Serve as public relations spokesperson for the office as necessary; • Testify at deposition and trial as an expert witness on the autopsy findings. • Maintain an up to date reference library pertaining to medical examiner cases; • Provide educational information to the public by means of public speaking appearances at civic groups, law enforcement academies, and other forums; and, - Respond to and, if necessary, conduct conferences with families, news media, attorneys, insurance agencies, etc. Knowledge Required: • Principles and practices of modem clinical and forensic medicine; • Principles of management and leadership; • Federal Wage and 1-lour Law provisions; • Florida Statute 406 (Medical Examiner Act); 9 • Florida Administrative Code Chapter 11 G (Medical Examiner Rules) • Florida Statute 119 (Public Records Law); • Vital Statistics laws which impact on determination of next-of-kin, cremation approval and disposition of bodies; and, • Budgetary procedures in the district Skills Required: • Good phone demeanor for public relations exposure; • Good powers of observation and fact finding; and, • Communicate effectively through grammatically correct written reports, Abilities Required: • Promote a spirit of teamwork to maintain good communication between all members of the office so that details are not overlooked; • Work effectively with law enforcement agencies to gather vital medical and evidential information; • Deal objectively with the emotional stress generated by dealing with death daily; • Work long hours occasionally under adverse conditions (the district 16 Medical 1,xaminer position is unique in that it requires the individual to be available either directly in person, or telephonically 365 days/year, 24 hours per day, and 7 days a week); • Accurately project the fiscal integrity of the office; • Maintain a sense of caring for the survivors' emotional well being; • Apply appropriate leadership principles; and, • Teach short courses lor police academies, civic groups and philanthropic organizations. • 'The District 16 Medical Examiner position is unique in that it requires the individual to be able to perform all of the duties of the office, the individual must be able to; perform all of the own eviscerations to include opening of the cranial vault, they must be able to perform their own forensic photography, they must be able to function as the doctor and forensic technician (frequently they will perform autopsies by themselves as no tech will be available), they must be able and willing to perform janitorial duties as necessary, and they must have the knowledge and ability to input files into the electronic death registry system. Supervision.- - The Chief Medical Examiner is appointed by the Governor following the recommendation of the Medical Examiners Commission. The Chief Medical Examiner is subject to the disciplinary provisions of Florida Statutes 406.075. ADA Requirements. Physical Demands: • Heavy to very heavy work involving occasional long periods of on-call response to death scenes resulting in periods of sleep deprivation. - Administrative office work involving the use of telephones, computers and general office equipment. • Medical and scientific work involving the use of microscopes and reference materials. • Heavy to very heavy work involving loading or unloading of deceased human remains of various sizes and conditions from various locations of death onto mortuary stretchers,and transferring decedents to mobile carts and/or fixed tables. • Work requires ability to lift, pull, push, feet, see (color, acuity, depth perception), carry, walk, stoop, kneel, bend, handle, talk and operate fixed and cellular telephones, computers, microscopes, morgue equipment, office equipment, and motor vehicles, Environmental Demands: • Involves work in both indoor and outdoor environments. • Work requires ability to tolerate exposure to inclement weather (rain, cold, heat, and humidity), chemicals, dust, poor ventilation, foul odors, fumes and fluids of human remains. Mental Demands: • Involves work of both intellectual and emotional challenges. • Work requires ability to • read and comprehend scientific, medical and technical reports, abstracts and documents such as memos, safety rules,evaluations, letters, laws and regulations, perform. algebraic mathematical functions, • analyze information and develop conclusions, • write complex sentences relaying information, data and details, • testify in Court, • speak clearly and concisely when relaying information, • lecture and speak extemporaneously on a variety ofsubjects, • cope with the emotional challenge of handling human remains, and • provide emotional support to surviving family and acquaintances of the deceased, Confidentia,lity Requirements., - Active criminal investigations are not subject to complete disclosure Linder Florida public records laws and employees shall not discuss such cases unless it is with,the involved law enforcement investigator(s). Information related to, corporate financial operations, salaries, personnel records including accrued leave, medical records and disciplinary action falls under Florida's public records laws. Only those positions authorized to provide public records pursuant to lawful requests may release such information to the public. - All other employees shall refrain from discussing or sharing such,privileged inrormation with fellow employees or the public unless directed to do so by competent authority. AMENDMENT 1 TO AGREEMENT FOR THE PROVISION OF MEDICAL EXAMINER SERVICES THIS AMENDMENT ("AMENDMENT") to the Agreement for the Provision of Medical Examiner Services ("Agreement") is made and entered into as of August 16, 2017 ("Effective Date"), by and between the Board of County Commissioners of Monroe County, Florida (hereinafter "County"), and Michael R. Steckbauer, Interim District 16 Medical Examiner of the State of Florida (hereinafter "Medical Examiner"). (Collectively, the County and Medical Examiner shall be referred to as the "Parties.") WHEREAS, on July 19, 2017, the County and Michael Robert Steckbauer, M.D. entered into the Agreement for the provision of Medical Examiner Services with an Effective Date of July 1, 2017; and WHEREAS, for business reasons, Michael Robert Steckbauer, M.D., has formed a corporation, and wishes for the contracting party in this Agreement to be the 0. corporation MICHAEL R. STECKBAUER, M.D., M + M FORENSICS, P.A. in place and instead of himself as an individual; and WHEREAS, the entity change will have no impact on the Agreement and the interim Medical Examiner will continue to perform all of his obligations under the Agreement; and V- WHEREAS, it is in the mutual best interests of County and Medical Examiner to Q amend the Agreement to reflect this entity change; and WHEREAS, both parties agree to amend said Agreement, NOW THEREFORE, in consideration of the mutual promises of the original Agreement as amended herein, the parties agree as follows: E U) 1. The Agreement between the Parties is hereby amended as follows: The name "Michael Robert Steckbauer, M.D." shall be replaced with "Michael R. Steckbauer, M.D., M + M Forensics, P.A." wherever it appears in the Agreement. 2. All other remaining provisions in the Agreement not inconsistent herewith remain in full force and effect. 1 Packet Pg. 2423 IN WITNESS WHEREOF, the parties hereto have executed this Amendment as of the date first above written. L. �r Attest3�`� BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA g' `;Kevin Madok, Clerk By: Deputy Clerk A01V 0 By: Mayor/Chairman MICHAEL R. STECKBAUER, M.D., M + M FORENSICS, P.A. N I- E 4- . � U- By: Michael R. Steckbauer, President E LU MONROE COUNTY ATTORNEY APPROVED AS� RM YNTHIA L. HALL ASSISTANT COUNTY ATTORNEY Dt@ 2 Packet Pg. 2424 N.3.c AGREEMENT FOR THE PROVISION OF MEDICAL EXAMINER SERVICES THIS AGREEMENT ("Agreement") is made and entered into as of 1st day of July, 2017 ("Effective Date"), by and between the Board of County Commissioners of Monroe County, Florida(hereinafter"County"), and Michael Robert Steckbauer, M.D., Interim District 16 Medical Examiner of the State of Florida(hereinafter"Medical Examiner"). (Collectively,the County and Medical Examiner shall be referred to as the "Parties.") WITNESSETH: WHEREAS, Chapter 406, F.S. establishes Medical Examiner Districts; and WHEREAS, the Medical Examiner was appointed by the State Attorney for Monroe County as the Interim Medical Examiner for District 16, encompassing Monroe County, to begin on July 1, 2017; and WHEREAS, Section 406.06(3), F.S. states that district medical examiners shall be entitled to "compensation and such reasonable salary and fees as are established by the board of 2 county commissioners in the respective districts"; and WHEREAS,the fees to be set by the Medical Examiner have been established by Resolution No. 007-2009, as amended and supplemented by Resolution Nos. 001-2001 and 135- 2001; and WHEREAS, Section 406.08(l), F.S., states that"[flees, salaries and expenses may be paid from the general funds or any other funds under the control of the board of county commissioners",and further provides that the district medical examiner shall submit an annual budget to the board of county commissioners; and WHEREAS, the Parties wish to enter into this Agreement in order to set the amount of compensation, including salaries, for the Medical Examiner's office during the period of time in which the Medical Examiner serves as the Interim Medical Examiner, as well as fees to be collected by the Medical Examiner during the term of this Agreement, and also to define other terms and conditions in the contractual arrangement between the Parties; c� NOW THEREFORE, IN CONSIDERATION of the premises and mutual covenants hereinafter contained,the Parties agree as follows: 1. CONTRACT PERIOD. This Agreement covers services provided during the period beginning on July 1, 2017, and shall continue and remain in effect through the last day on which the Medical Examiner serves as the Interim Medical Examiner, unless terminated earlier pursuant to paragraph 14 below. 2. SCOPE OF SERVICES. Medical Examiner shall provide the work plan, staffing and services as necessary to carry out the functions of the district medical examiner as set forth in Ch. 406, F.S., and Title I IG, F.A.C. The Medical Examiner agrees that he will serve as the 1 Packet Pg. 2425 N.3.c full time medical examiner for District 16, and shall reside in Monroe County, Florida, in order to be available in person on a regular basis during the term of this Agreement. These services shall include the completion of death certification, autopsy reports and related paperwork for all cases accepted during the term of this Agreement. The staff of the office shall be employed by and shall be directly responsible to the Medical Examiner, and shall include such positions necessary for the delivery of services under this Agreement. Services provided by the Medical Examiner and any member of his staff as an expert witness or private consultant on medical examiner cases are outside the Scope of Services of this Agreement. The Medical Examiner warrants and agrees that he is a practicing physician in pathology as required by Chapter 406, F.S. and holds the required licensure to perform the duties of the medical examiner in Monroe County. E 3. AMOUNT OF AGREEMENT/PAYMENT. The annual amount of money set 0. aside in the FY 2017 budget for the Medical Examiner's office, exclusive of fees generated by cremation approvals, is six hundred eighty-six thousand fifty-five dollars and no cents ($686, 055.00) ("Budgeted Amount"), which on a monthly basis is fifty-seven thousand one hundred seventy-one dollars and twenty-five cents($57,171.25) ("Monthly Amount") as shown on Attachment A to this Agreement, incorporated herein by reference. A) Compensation/Salaries and Operating Expenses: The County agrees to compensate the Medical Examiner for services based on his actual, reasonable and necessary costs and expenses, provided, however, that such compensation shall not exceed the Budgeted Amount except as provided in paragraph 3(E), below. At the beginning of this Agreement, within ten (10) days following execution of this Agreement by both parties, the County shall provide an initial payment equal to the Monthly Amount. Thereafter, through the term of this Agreement, the Medical Examiner may request reimbursement for payments made by the Medical Examiner. The request for reimbursement may be made as frequently as the Medical Examiner wishes. The Medical Examiner shall submit the request for reimbursement and supporting documentation to the County Administrator, describing the services performed or goods purchased, on a letter which must contain a notarized certification statement. An example �E of the reimbursement request cover letter is included hereto as Attachment B. The submission must be in a form satisfactory to the County Administrator and the Clerk of the Circuit Court (Clerk), and must identify expenditures incurred, with adequate supporting documentation, including receipts for paid bills and purchases. If the County Administrator approves the submission, he shall forward the same to the Clerk. If the County Administrator or Clerk determines that any expenditure is questionable, either of them shall return it to the Medical Examiner in writing with a written description of the deficiency(ies) and a request for further information. The County Administrator and Clerk shall approve any expenditure reasonably related to the delivery of services under Chapter 406 and this Agreement, to include at a minimum, but not be limited to, salary for the Medical Examiner in the amount of$23,833.33 per month, salaries for employees in the amount of$10,400.00 per month, and funds for locum tenens covering doctors in the amount of$1,500.00 per day at 2.33 days per month. The total of 2 Packet Pg. 2426 N.3.c reimbursement payments to the Medical Examiner for the fiscal year in the aggregate including the advance shall not exceed the total amount approved by the Board of County Commissioners for the budget of the Medical Examiner for FY 2017. Any portion of the Budgeted Amount that is not actually used by the Medical Examiner shall be retained by the County at the end of the fiscal year, encumbered for the office, and added to the budget request for the next fiscal year. B) Budget: For each year beginning with FY 2019, the Medical Examiner shall submit a proposed budget for the upcoming fiscal year, no later than May 1 prior to the start of the fiscal year. The budget submission shall include a budget proposal for all services, and shall indicate the previous fiscal year's actual, current fiscal year estimated, and subsequent fiscal year's proposed revenue and expenses. C) The County shall only reimburse those expenses that are reviewed and approved as complying with this Agreement, state and federal laws and regulations, and Monroe County Code of Ordinances. D) The Medical Examiner's final request for reimbursement must be received no later than sixty (60) days following the termination of this Agreement. 0 E) Any funds received by the Medical Examiner from the County must be used exclusively for the performance of services in accordance with paragraph 2 of this Agreement. Any funds received by the Medical Examiner from the County in connection with this Agreement must be placed in a segregated bank account used exclusively for the Medical Examiner's office, and the funds in the account shall not be commingled with personal funds belonging to the Medical Examiner. F) In the event of a disaster or occurrence unusual in nature or magnitude, the Medical Examiner may petition the Board of County Commissioners to increase the budget in order to allow for reimbursement of all additional extraordinary expenses and compensation due to the disaster. ' G) Fees: The fees to be charged by the Medical Examiner are shown on Attachment C, attached hereto. Any increase in fees to be charged by the Medical Examiner V- requires the prior written approval of the Board of County Commissioners. The Medical Examiner is responsible for billing and collection of fees. Any fees collected become and remain the property of the Medical Examiner and may be used for any lawful purpose. c� H) This Agreement is subject to annual appropriation by the Board of County Commissioners. 4. ACCOUNTING AND RECORDS; AUDITS. A) The Medical Examiner agrees to establish and maintain all books,records, and documents related to performance under this Agreement in accordance with generally accepted accounting principles consistently applied (GAAP). The County or its designee, the Florida Department of Law Enforcement, and the Auditor General for the State of Florida shall have reasonable and timely access to such records and reports for inspection or public records purposes, or for the purpose of conducting an audit, during the term of this Agreement and for 3 Packet Pg. 2427 N.3.c five(5) years following the termination of this Agreement. B) The County reserves the right to conduct an audit of the Medical Examiner's books and records related to performance of this Agreement. If an auditor employed by the County or Clerk determines that monies paid to the Medical Examiner pursuant to this Agreement were spent for purposes not authorized by this Agreement, the Medical Examiner shall repay the monies together with interest calculated thereon pursuant to Section 55.03, Florida Statutes, running from the date the monies were paid to the Medical Examiner. As used in this Agreement, the term"audit"means the activity of evaluating the adequacy and effectiveness of organization's risks and control processes regarding the: 1. Reliability and integrity of financial and operational information; 2. Effectiveness and efficiency of operations and programs; 3. Safeguard of assets; and 4. Compliance with laws, regulations, policies, procedures and contracts. Generally, audit scope may involve performance, operational, financial, compliance, and information technology reviews. C) The County reserves the right to conduct site visits,up to four(4)times per year. The site visits shall consist of an observation of non-medical activities and processes. The purpose of the site visits shall be to ensure compliance with contract terms and conditions and to inventory assets. The Medical Examiner agrees to cooperate with designated County staff in order to facilitate the site visits. 5. OFFICE/EQUIPMENT/FACILITY A) Any equipment or supplies purchased with funds supplied by the County shall be maintained at the County's Medical Examiner facility, located at 56639 Overseas Highway, Marathon, Florida. c� B) The County is the owner of the facility, equipment and supplies, including but not limited to capital assets, for which the County has provided funding (including but not I limited to the facility, equipment, furniture, furnishings, and vehicles), other than personal items N purchased with any salary paid to the Medical Examiner. The Medical Examiner is responsible to County for the safekeeping and proper use of the equipment and supplies entrusted to Medical Examiner's care. To the extent that equipment and supplies (including but not limited to capital assets) are titled, all titles will be held in the name of Monroe County. All equipment and supplies shall be relinquished to County upon termination of this agreement. C) All capital assets will be inventoried in accordance with Monroe County Administrative Instruction 4725.1, a copy of which shall be provided to the Medical Examiner. An inventory of capital assets dated May 30, 2017 is attached hereto to this Agreement as Attachment D. For the purpose of this paragraph the definition of a"capital asset"means any item with an expected life of greater than one (1) year, in which the original value of the item is equal to or greater than one thousand dollars ($1,000.00). D) In regards to maintenance of the facility,the County is responsible for: 1. Maintenance and repairs to facility; 4 Packet Pg. 2428 N.3.c 2. Utilities, to include normal waste refuse services, electric and water; and 3. Payment for telephone (land line), facsimile and data(internet) service for the facility. And the Medical Examiner is responsible for: 1. Biohazardous waste collection and disposal services. 2. Janitorial services for the facility. 6. MODIFICATIONS AND AMENDMENTS. Any and all modifications and amendments of this agreement shall be approved by the County and Medical Examiner in writing. No modification or amendment shall become effective until approved in writing by both parties. 7. ASSIGNMENT. This Agreement may not be assigned. ' 8. INDEMNIFICATION. Medical Examiner hereby agrees to indemnify and hold harmless the County and any of its officers and employees from and against any and all claims, liabilities. litigation, causes of action, damages, costs, expenses - including but not limited to fees 0. and expenses arising from any factual investigation. discovery or preparation for litigation - and the payment of any and all of the foregoing or any demands, settlements or judgments (collectively the "Claims") arising directly or indirectly from any negligence or criminal conduct on the part of Medical Examiner, or subcontractors, in the performance of the terms of this Agreement except to the extent that, in the case of any act of negligence, Medical Examiner reasonably relied on material supplied by, or any employee of the County. 9. ANTI-DISCRIMINATION. Medical Examiner will not discriminate against any person on the basis of race, ethnicity, religion, sex, age, national origin, disability, pregnancy, sexual orientation, or any other characteristic which is not job-related, in recruiting, hiring, promoting, terminating or any other area affecting employment under this Agreement. Medical Examiner agrees to abide by all Federal and State laws regarding non- discrimination. 10. ANTI-KICKBACK. Medical Examiner warrants that he has not employed, retained or otherwise had acted on his behalf any former county officer subject to the prohibition in Section 2 of Ordinance No. 10-1990 or any county officer or employee in violation of Section 3 of Ordinance No. 10-1990, and that no employee or officer of the County has any interest, financially or otherwise, in Medical Examiner except for such interests permissible by law and fully disclosed by affidavit attached hereto. For breach or violation of this paragraph,the County may, in its discretion, terminate this Agreement without liability and may also, in its discretion, deduct from the contract or purchase price, or otherwise recover, the full amount of any fee, commission, percentage, gift, or consideration paid to the former county officer or employee. 11. PUBLIC ENTITY CRIME. A person or affiliate who has been placed on the convicted vendor list following a conviction for public entity crime may not submit a bid on a contract to provide any goods or services to a public entity, may not submit a bid on a contract with a public entity for the construction or repair of a public building or public work, may not submit bids on leases of real property to public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity, any 5 Packet Pg. 2429 N.3.c may not transact business with any public entity in excess of the threshold amount provided in Section 287.017, F.S., for CATEGORY TWO for a period of 36 months from the date of being placed on the convicted vendor list. 12. COMPLIANCE WITH LAW. Medical Examiner shall comply with all federal, state, and local laws, ordinances, regulations and rules applicable to the services to be performed by each party under the terms of this Agreement. Medical Examiner shall maintain such licensure as is required by law to carry out the services in this Agreement. 13. INDEPENDENT CONTRACTOR. At all times and for all purposes hereunder, Medical Examiner is an independent contractor and not an employee, agent or servant of the County or of the Florida Department of Law Enforcement. No statement in this Agreement shall be construed so as to find Medical Examiner or any of its employees, contractors, servants, or agents to be employees of the County or State, and they shall be entitled to none of the rights, privileges, or benefits of employees of County or State. The Medical Examiner may subcontract for performance of services as deemed necessary and shall be ultimately responsible legally, operationally, and financially for any such subcontracts; any subcontracts shall be of similarly E licensed individuals. 2 0 0 14. TERMINATION. A) Should County determine that this agreement should be terminated for cause, it shall notify the Medical Examiners Commission and the Governor as soon as is feasible after the occurrence(s) that is(are) the basis for such termination. Recognizing that the Governor and Medical Examiners Commission have the sole authority to suspend or remove the Medical Examiner pursuant to Sections 406.06 and 406.075, Florida Statutes, the County may only terminate or reduce payment under this Agreement for failure of the Medical Examiner to fulfill the terms of this Agreement or other violations of the provisions of the Agreement. In this event, the County shall give written notice to the Medical Examiner of intent to terminate the Agreement, at least sixty (60) days in advance of the intended termination date, which notice shall specify cause. The notice may allow a time period during which the breach may be cured. The County shall pay Medical Examiner fair and equitable compensation for all expenses incurred prior to termination of the Agreement. B) The Medical Examiner may terminate this agreement with or without cause upon giving County sixty(60) days prior written notice. C) In the event that the Governor appoints a successor to the Medical Examiner named herein, this Agreement shall terminate on the day prior to the effective date of such successor's appointment. 15. INSURANCE. The Medical Examiner shall maintain and comply with the insurance requirements as specified below, which include Professional Liability insurance in accordance with FS 406.16. The cost of the insurance coverage is a cost within the Medical Examiner's Budget. 6 Packet Pg. 2430 N.3.c General Insurance Requirements As a pre-requisite of the work governed by this contract (including the pre-staging of personnel and material), the Medical Examiner shall obtain, at his/her own expense, insurance as specified below. The County shall reimburse the Medical Examiner for the cost of the specified Medical Professional Liability. The Medical Examiner shall require all Subcontractors to obtain insurance consistent with the schedules below; and provide proof of insurance in effect during term of subcontract to medical examiner and county upon request from the county. The Medical Examiner will not be permitted to commence work governed by this contract (including pre-staging of personnel and material) until satisfactory evidence of the required insurance has been furnished to the County as specified below. Delays in the commencement of work, resulting from the failure of the Medical Examiner to provide satisfactory evidence of the required insurance, shall not extend deadlines specified in this contract and any penalties and failure to perform assessments shall be imposed as if the work commenced on the specified date and time, except for the Medical Examiner's failure to provide satisfactory evidence. The Medical Examiner shall provide a certificate showing evidence of each type of , coverage prior to start of this Agreement; shall maintain the required insurance throughout the - entire term of this contract and any extensions; and shall notify the County at least thirty (30) days prior to any lapse or change in amount of coverage. Failure to comply with this provision may result in the immediate suspension of all work until the required insurance has been reinstated or replaced. Delays in the completion of work resulting from the failure of the Medical Examiner to maintain the required insurance shall not extend deadlines specified in this contract and any penalties and failure to perform assessments shall be imposed as if the work had not been suspended, except for the Medical Examiner's failure to maintain the required insurance. The Contractor shall provide, to the County, as satisfactory evidence of the required insurance, either: • Certificate of Insurance, or a Certified copy of the actual insurance policy. ° The County, at its sole option, has the right to request a certified copy of any or all insurance policies required by this contract. All insurance policies must specify that they are not subject to cancellation, non- renewal, material change, or reduction in coverage unless the insurer gives a minimum of thirty (30) days prior notification to the County. The acceptance and/or approval of the Medical Examiner's insurance shall not be construed as relieving the Medical Examiner from any liability or obligation assumed under this contract or imposed by law. The Monroe County Board of County Commissioners, its employees and officials will be included as "Additional Insured" on all policies, except for Workers' Compensation. Any deviations from these General Insurance Requirements must be requested in writing on the County prepared form entitled "Request for Waiver of Insurance Requirements" and approved by Monroe County Risk Management. 7 Packet Pg. 2431 N.3.c General Liability. Prior to the commencement of work governed by this contract, the Medical Examiner shall obtain General Liability Insurance. Coverage shall be maintained throughout the life of the contract and include as a minimum: Premises Operations, Products and Completed Operations, Blanket Contractual Liability, Personal Injury Liability, Expanded Definition of Property Damage. The minimum limits acceptable shall be shall be: $300,000 Combined Single Limit(CSL) If split limits are provided, the minimum limits acceptable shall be: $100,000 per Person $300,000 per Occurrence $ 50,000 Property Damage An Occurrence Form policy is preferred. If coverage is provided on a Claims Made policy, its provisions should include coverage for claims filed on or after the effective date of this contract. In addition, the period for which claims may be reported should extend for a minimum of twelve (12) months following the acceptance of work by the County. The Monroe County Board of County Commissioners shall be named as Additional Insured on all policies issued to satisfy the E above requirements. 0. 0 Vehicle Liability. Recognizing that the work governed by this contract requires the use of vehicles, the Medical Examiner, prior to the commencement of work, shall obtain Vehicle Liability Insurance. Coverage shall be maintained throughout the life of the contract and include, as a minimum, E liability coverage for: The minimum limits acceptable shall be: $300,000 Combined Single Limit(CSL) If split limits are provided, the minimum limits acceptable shall be: e $100,000 per Person $300,000 per Occurrence $ 50,000 Property Damage N 0 T The Monroe County Board of County Commissioners shall be named as Additional Insured on a all policies issued to satisfy the above requirements. E Medical Professional Liability. Recognizing that the work governed by this contract involves the providing of professional medical treatment, the Medical Examiner shall purchase and maintain, throughout the life of the contract. Professional Liability Insurance which will respond to the rendering of, or failure to render medical professional services under this contract. The minimum limits of liability shall be: $500,000 per Occurrence/$1,000,000 Aggregate If coverage is provided on a claims made basis, an extended claims reporting period of four (4) years will be required. Workers' Compensation. Prior to the commencement of work governed by this contract, the Medical Examiner 8 Packet Pg. 2432 N.3.c shall obtain Workers' Compensation Insurance with limits sufficient to respond to Florida Statute 440. In addition, the Medical Examiner shall obtain Employers' Liability Insurance with limits of not less than: $100,000 Bodily Injury by Accident $500,000 Bodily Injury by Disease,policy limits $100,000 Bodily Injury by Disease, each employee Coverage shall be maintained throughout the entire term of the contract. Coverage shall be provided by a company or companies authorized to transact business in the state of Florida. If the Medical Examiner has been approved by the Florida's Department of Labor as an authorized self-insurer, the County shall recognize and honor the Medical Examiner's status. The Medical Examiner may be required to submit a Letter of Authorization issued by the Department of Labor and a Certificate of Insurance, providing details on the Medical Examiner's Excess0. Insurance Program. If the Medical Examiner participates in a self-insurance fund, a Certificate of Insurance will be required. In addition, the Medical Examiner may be required to submit updated financial statements from the fund upon request from the County. 16. SEVERABILITY. If any provision of the Agreement shall be held by a court of competent jurisdiction to be invalid or unenforceable, the remainder of this Agreement or the application of such provision other than those as to which it is invalid or unenforceable, shall not be effected thereby; and each provision of the Agreement shall be valid and enforceable to the fullest extent permitted by law. 17. NOTICE. Unless specifically provided otherwise in this Agreement, any notice required or permitted under this Agreement shall be in writing and hand-delivered or mailed, postage prepaid by certified mail, return receipt requested, to the other party as follows: To County: To Medical Examiner: Monroe County Administrator Michael Steckbauer, M.D. 1100 Simonton Street, 2°d Floor 57560 Overseas Highway Key West, FL 33040 Marathon, FL 33050 18. CONSENT TO JURISDICTION. This Agreement, its performance, and all disputes arising hereunder, shall be governed by the laws of the State of Florida and both parties agree that a proper venue for any action shall be Monroe County. 19. REPORTS. The Medical Examiner provide the County with a monthly report, which shall be submitted on a monthly basis beginning with the Effective Date of this Agreement, which shall include, as a minimum the following: 9 Packet Pg. 2433 N.3.c • Number of cases reported and accepted. • Number of all autopsies performed. • List of cremation approvals, with, at a minimum, date of death, name of decedent and name of funeral home. • Hours of court activities for District 16 (by attorney conferences, deposition, and grand jury or court testimony). The activity report shall be submitted by the 1 Oth day of the following month to the County Administrator. In addition, on an annual basis,the Medical Examiner shall submit a list of cases in which fees were collected, showing the type of fee and amount collected. 20. ENTIRE AGREEMENT. This Agreement constitutes the entire agreement of the parties hereto with respect to the subject matter hereof and supersedes any and all prior agreements with respect to such subject matter between Medical Examiner and the County. c 21. Nothing in this Agreement shall preclude the Medical Examiner from engaging in 0. the private practice of medicine or surgery pursuant to section 406.06(4), Florida Statutes, provided such practice does not interfere with the Medical Examiner's official duties under this Agreement. 22. GENERAL REQUIREMENTS OF COUNTY CONTRACTS: A) Code of Ethics. Both Parties agree that officers and employees of the County are required to comply with the standards of conduct for public officers and employees as delineated in Section 112.313, Florida Statutes, 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. c� B) Public Records: Pursuant to F.S. 119.0701, the Medical Examiner, his employees and any contactors or subcontractors shall comply with all public records laws of the State of Florida, including but not limited to: �E c� i. Keep and maintain public records required by Monroe County in order to perform the service. ii. Upon request from the public agency's custodian of public records, provide the public agency with a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided in Florida Statutes, Chapter 119 or as otherwise provided by law. iii. Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law for the duration of the contract term and following completion of the contract if the contractor 10 Packet Pg. 2434 N.3.c does not transfer the records to the public agency. iv. Upon completion of the contract, transfer, at no cost, to Monroe County all public records in possession of the contractor or keep and maintain public records required by the public agency to perform the service. If the contractor transfers all public records to the public agency upon completion of the contract, the contractor shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If the contractor keeps and maintains public records upon completion of the contract, the contractor shall meet all applicable requirements for retaining public records. All records stored electronically must be provided to Monroe County, upon request from the public agency's custodian of records, in a format that is compatible with the information technology systems of Monroe County. IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS, BRIAN BRADLEY, AT (305) 292-3470, bradle -b�riangmonroecounty- fl.g_ov, c/o Monroe County Attorney's Office, 1111 121h St., Suite 408, Key West FL 33040. 0 C) Execution in Counterparts. This 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 Agreement by signing any such counterpart. Electronic signatures shall be recognized with E equal validity as original signatures. V N-WITNESS WHEREOF, the parties hereto have executed this Agreement as of the date first above whtten. BOARD OF COUNTY COMMISSIONERS Xt ;M,adok, Clerk OF MONROE COUNTY, FLORIVA 6-1 C) By. C) v y� _ Deputy Clerk z a = By. �[• 0 o 5 �- l�Ji= Mayor/Chairman v o MEDICAL EXAMINER y Michael R. Steckbauer, M.D., MONROE COUNTY ATTORNEY G/zDJeq� APP�VEDSF,QR(IA� �17 0 7 l 8 C NTHIA L. HALL ��11�^�'� ASSISTANT COUNTY ATTORNEY Date `�- (� Packet Pg. 2435 N.3.c District 16 OFFICE OF THE MEDICAL EXAMINER Thomas R. Beaver,M.D. Attachment A Medical Examiner PO Box 523207 Telephone:(305)743-9011 Marathon Shores,Florida 33052 Fax: (305)743-9013 Email: districtl6medicalexaminer@gmaii.com February 21,2016 F Roman Gastesi,County Administrator Tina Boan,Budget Director FEB 2 31016 Office of Management and Budget By 1100 Simonton Street,Suite 2-213 Key West, FL 33040 0 Greetings, In the spirit of openness and transparency, I am offering a detailed budget for the projected expenditures of the Office of the Medical Examiner for Fiscal Year 2016-2017. 1 wish to note that none of the previous Medical Examiners have done this.The geography and demographics of Monroe County place unique challenges on the Medical Examiner. As a solo physician practice the Medical Examiner is on-call 24 hours a day, every day. The Medical Examiner may have to attend a a K death scene in Key West and another in Key Largo all in the same evening. The very nature of the duties and responsibilities of the Medical Examiner(FS406)defy budgetary predictability. In the preparation of this budget I have used the actual expenditures from 2015. I realize that there is a contract that specifies(and limits)the amount of money Monroe County spends for Medical Examiner services. That contract defines the Medical Examiner as an independent contractor and the financial risks are placed on the contractor. In 2015 Monroe County conducted a financial audit of the corporation contracted with the county. I am in receipt of a draft copy of the audit report.Although I do not agree with all of the assertions and recommendations,I have made significant changes some of which are reflected in this budget. I have been careful to extract any purchase not directly related to medical examiner operations.I have also restructured the benefits package offered to employees including the physician. I welcome the opportunity to personally discuss this budget. Sin erely, i om R. Beaver,M.D. Packet Pg. 2436 N.3.c Thomas R Beaver MD PA Proposed 2016 - 2017 Budget Medical Examiner Office Monroe County 2016 -2017 Note Proposed Number Budget Revenue Monroe County Income 686,055.00 #1 Cremationa Approvals 12,000.00 #2 Total Revenues 698,055.00 Expenses Conferences& Meetings 500.00 #3 Continuing Education 1,000.00 #4 Dues and Subscriptions 1.000.00 45 Insurances 38,775.00 #6 Janitorial and Cleaning 1,500.00 47 Laboratory Fees 47,700.00 #8 Licenses and Fees 3,200.00 #9 Office Expenses 8.560.00 #10 Salaries and Wages 355,720.00 411 Payroll Taxes 28,000.00 912 c� Postage and Shipping 3,000.00 #13 Professional Services 74.800.00 914 Small Medical Equipment 3,000.00 #15 0 SuppliesNaccines/Drugs 15,000.00 416 Telephone 4,900.00 917 Transportation Expense 87,500.00 918 Travel Expense 7,800.00 #19 Uniforms 500.00 #20 Cable/Internet 3.600.00 421 Waste Removal 12,000.00 #22 Total Expenses 698,055.00 Total Needed From Monroe County $ 686,055.00 Monthly Stipend $ 57,171.25 Notes: See attached document for details. 11mk2f2112016Z31-CLIENTSIThomas R Beaver MD PA%Budget 2016-2017 Packet Pg. 2437 N.3.c District 16 OFFICE OF THE MEDICAL EXAMINER Thomas R. Seaver, M.D. Medical Examiner PO Box 523207 Telephone: (305)743-9011 Marathon Shores, Florida 33052 Fax: (305)743-9013 Email:districtl6medicalexaminer@gmail.com Notes for Budget lines: Note 1: Total funds required from Monroe County for 2016 -2017 Fiscal Year. Nate 2: Cremation Approvals 'it $50/each which just covers the additional cost. The amount is an estimate which is based on historical data(cremations approved in 2015). Currently, legislation is being considered which would prohibit the Medical Examiner from charging this fee. Note 3: Medical Examiner conferences and meetings which includes Medical Examiner Commission meetings. Note 4: Annual Continuing Education costs required to maintain medical license and certifications. J Note 5: Annual professional dues which includes dues for the American Medical Association, the Florida Medical Association, the Florida Association of Medical Examiners,the National Association of Medical Examiners, and the American Academy of Forensic Sciences. c, Note 6: Insurances includes Liability, Professional,Medical,and Workman's Compensation. Insurance premiums included with minimal increase for FY2017. C Note 7: Janitorial and Cleaning services for building maintenance. Note 8: Laboratory Costs include blood testing, tissue testing,dental comparison and E forensic anthropology. This is an estimate based on historical data. Toxicological testing is required on most autopsies. The cost is based on the number of tests and the complexity of the testing. I estimate a cost of$200 per case for FY2017. Note 9: Professional License and fee renewals for doctor and corporation. Note 10: Office Expenses are based on actual 2015 expenses. Almost all of the office supplies are purchased from Office Depot online. In preparation of this budget, I reviewed those purchases and I have been careful to exclude all items suggested in the Monroe County Audit. I Packet Pg. 2438 N.3.c District 16 OFFICE OF THE MEDICAL EXAMINER Thomas R. Beaver,M.D. Medical Examiner } PO Box 523207 Telephone:(305)743-9011 Marathon Shores, Florida 33052 Fax: (305)743-9013 Email:district16medicalexaminer@gmaif.com Note It: Salaries and Wages for 4 employees including I Doctor. The previous medical examiner, Dr. Hunt Scheurman,was paid an annual gross salary of$220,000.00. 1 am requesting that salary. I am on-call 24 hours per day, 7 days a week,and 52 weeks a year. ERi SalaryExpert lists the average salary of a Forensic Medical Examiner in Miami as $301,995. See attachment A. The other employees are hourly-workers and get paid overtime when they are on-call to assist me. I have estimated overtime based on historical data at 6 hours per week. The previous Medical Examiner paid hourly employees 10 hours per week overtime for a week on-call. Note 12: Payroll taxes including Social Security, Medicare, FUTA,and SUTA are based CL on salaries and wages. Note 13: Postage and Shipping includes sending toxicology specimens, reports, materials for scientific identification, and forensic anthropology. They are shipped via FedEx for security and timeliness. Note 14: Locum tenens doctors, accounting, answering service, and investigative analysis; legal services, radiation monitoring, and transcription services are all required to perform the functions of the medical examiner's office. When I am sick or leave the county I am required to provide a qualified physician for coverage. These doctors charge $1500 per day. This estimate is based on 4 weeks per year of physician coverage. Which leaves me to work and be on-call 337 days per year. A normal work year is 260 days. N Note 15: Small medical tools and equipment includes scissors, scalpel handles, retractors, clamps, autopsy saw and blades. For example, scissors last about I month and cost $30. Saw blades are replaced every month and cost$80. Other small tools(listed above)must be replaced periodically. The autopsy saw needs yearly maintenance which is approximately$1000. 1 have been careful to exclude items suggested by the audit. Note 16: Supplies, Vaccines, Drugs,Needles, Protective Equipment, Body Bags, etc. costs are based on actual historical data. The Medical Examiner's office supplies body bags for body transport. Two bags are used for each case. One bag to bring the body to the office and one to release the body. Body bags cost between$14 and $45 depending on size and weight. I need to have a supply of at least 50 body bags in case of a mass fatality event. A plastic liner is also used for each case which costs $3.00. Body fluids are collected from each body by syringe and needle. Four syringes and needles are needed for each case. Disposable personal protective equipment for each person at the autopsy consists of hat,mask, face shield,gown, shoe covers,and gloves. I require all morgue staff to wear scrubs for their health and safety. Scrubs are laundered in the morgue. Packet Pg. 2439 N.3.c District 16 OFFICE OF THE MEDICAL EXAMINER Thomas R. Beaver, M.D. Medical Examiner PO Box 523207 Telephone:(305)743-9011 Marathon Shores, Florida 33052 Fax: (305)743-9013 Email:districtl6medica►examiner@gmail.com Note 17: Telephones for the office,on-call phone costs are based on actual 2015 expenditures.All communication with the Medical Examiner is by telephone. It is critical that Law Enforcement, hospitals, and citizens be able to reach the Medical Examiner 24,17/365. These are landline phones, located in the facility, E and three cell phones. An on-call phone for an investigator, an on-call phone for the physician,and a back-up on-call phone. Note 18: Removal of 250 bodies per year at a cost of$350 per body. The previous Medical Examiner paid$350 per body to the funeral home for transport. C Note 19: Gas for travel to scenes, etc. is required as the Medical Examiner is requested and/or required to attend the body at every scene in the case of an out-of-hospital death. Also the Medical Examiner is sometimes required to respond to the hospital for suspicious cases. Note 20: Uniforms,shirts, badges, etc. are supplied by the Medical Examiner for employees including new hires. Some of these items must be replaced periodically due to contamination with biohazardous materials. Note 2l: Internet service as provided by Monroe county is slow and unreliable. Many times I have used my wireless service to keep the office functioning and staff working. For speed and redundancy reasons I maintain a wireless network for the office. Note 22: The Medical Examiner generates biohazardous material requiring specialized waste disposal similar to a hospital. Charges for this service are based on weight and amount which vary with caseload and case specifics. The amount budgeted is based on actual 2015 expenditures with no anticipated increase in FY 2017. Note: Costs of outside services such as laboratory,toxicology, medical waste, insurances,purchase of supplies, etc.are based on current costs with no increase included.This most likely is not a realistic position as costs increase annually in all facets of life. Packet Pg. 2440 N.3.c Attachment B (Request for Reimbursement Form) Monroe County Board of County Commissioners County Administrator 1100 Simonton St., 2nd floor Key West, FL 33040 Date: The following is a summary of expenses for the Medical Examiner's office for the time period of to E Check# Payee Reason Amount c (A) Total $X,XXX.00 (C) Total requested $X,XXX.00 (D) Total budgeted amount in current $X,XXX.00 FY Balance of budgeted amount $X,XXX.00 remaining I certify that the above checks have been paid to the vendors as noted, and that the expenses are accurate and in agreement with the records of this organization. Furthermore, these expenses are in compliance with this office's contract with Monroe County and will not be submitted for c� reimbursement to any other funding source. N Michael R. Steckbauer, M.D., Medical Examiner Attachments (supporting documentation) c� Sworn and subscribed before me this day of , 2017, by who is personally known tome. Notary Public Notary Stamp Packet Pg. 2441 N.3.c Attachment C, Fee Resolutions RESOLUTIONNO. 007 —2009 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA AUTHORIZING THE DISTRICT 16 MEDICAL EXAMINER OFFICE TO ESTABLISH FEES TO BE CHARGED TO THIRD PARTIES FOR SPECIFIC SERVICES AS SET FORTH IN EXHIBIT "A" ATTACHED HERETO AND MADE A PART OF THIS RESOLUTION WHEREAS,F. S. Chapter 406 establishes Medical Examiner Districts; and WHEREAS, F. S. 406.06(3) provides that the District Medical Examiners shall be entitled to compensation and such reasonable salary and fees as are established by the Board of 0. County Commissioners in the respective Districts; and E 0 WHEREAS, on August 20, 2008, the Board of County Commissioners approved the Medical Examiner Agreement between the Monroe County and E. Hunt Scheuerman, M.D., to provide District 16 Medical Examiner services; and E WHEREAS, in accordance with Section 3 of the Agreement, the Medical Examiner shall develop a schedule of reasonable and customary fees which shall be charged to third parties for specific services, and WHEREAS, the Medical Examiner Office has recommended the attached Fee Schedule for approval by the Board of County Commissioners; and WHEREAS, the Board of County Commissioners hereby desires that a fee schedule be established for use by the Medical Examiner Office; NOW THEREFORE; BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY,FLORIDA; 1. That the Board hereby approves the attached Fee Schedule for use by the District 16 Medical Examiner Office. 2. It is agreed that the revenue received from the collection of such fees shall be retained and accounted for by the Medical Examiner and used for operating expenses, thus reducing the overall level of County funding required for Medical Examiner activities in subsequent years, as negotiated. Packet Pg. 2442 N.3.c PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Florida at a regular meeting held on the 28 thday of January, A.D., 2009. Mayor George Neugent Yes Mayor Pro Tem Sylvia Murphy Yes Commissioner Kim Wigington Yes Commissioner Heather Carruthers Yes {,.off;?9 co ` Commissioner Mario DiGennaro _Yes 23 '.'�'' C j _ BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY,FLORIDA AN L.KOLHAGE,CLERK E CL BY: eputy Clerk Mayor 1iONPOE COUNTY ATTORNEY faPPF1QVEDU AS TO M• c� CL ''ANNE A. H' TTON W _t C nUVIY Tr E CN © © rt-yo Ll- o�C Packet Pg. 2443 N.3.c EXHIBIT A District 16 Medical Examiner Office Fee Schedule 1. Reports and other paper work: a. Copy free to investigating agencies, SAO, PDO, family (2) b. All others $0.15lpage plus 1 hour administration time (currently $16.00) 2. Photographs(handled in accordance with FS 406.135): $20.00 (includes CD and time required to make copy of photos) 3. Microscopic Slides: a. Recuts from existing blocks 0 I. $8.00 per slide E 2. Physician time to review slides $75.00 b. Requests for slides from case without initial microscopic exam 1. $8.00 per slide 2. Physician time to select and tissue plus review slides $300.00 E 4. Approval of cremations, body donations and burials at sea—no charge 5. State cases,as per FS 406.08,are charged as follows: a. Body removal/transportation - $ 150.00 b. Investigation and inspection(external examination only)- $ 800.00 c. Investigation and autopsy- $2400.00 N 6. Private autopsy performed by medical examiner, fee for facility and equipment use as well as for reimbursement for expendable supplies- $1000.00 7. Expert Witness Fees a. Criminal cases District 16 ME cases— no fee b. Civil cases District 16 ME cases—no fee c. Criminal cases, consultations etc. from outside District 16 Private practice as allowed under FS 406.06 d. Civil cases, from non-District 16 cases and others - Private practice as allowed under FS 406.06 Packet Pg. 2444 N.3.c RESOLUTION NO. 001 —2011 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA AMENDING RESOLUTION NO. 007-2009 IN ORDER TO PROVIDE FOR A CREMATION APPROVAL FEE WHEREAS, on January 28, 2009, the Board of County Commissioners approved Resolution 007-2009, authorizing the District 16 Medical Examiner Office to establish fees to be charged for third parties for specific services; and E WHEREAS, S. 497.607, F.S., requires that a legally authorized person provide written authorization for a cremation; and WHEREAS, S.497.002(37)includes the medical examiner in the list of legally authorized persons; and E WHEREAS, S. 406.08, F.S., specifies that certain agencies shall pay the fees for medical examiner services for bodies of persons who dies in their custody,that the state may pay all or part of fees for transportation services that might otherwise have been borne by the County, E indicating that there are fees attributable to medical examiner services; and WHEREAS, S. 406.11(1)(c), F.S. requires the medical examiner to determine the cause of death when a body is to be cremated, regardless of which legally authorized person arranges for cremation; and c� WHEREAS, the state has not pre-empted the ability to locally determine fees to be charged for services related to cremation; and N T- WHEREAS, the general rule regarding fees for services is that they must be related to the cost of providing that service, which would allow the fee to be set at the average cost of providing the service even though in some instances the actual cost may be slightly higher or lower than the fee. c� NOW THEREFORE; BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA; 1. Resolution No. 007-2009 is hereby amended to add an eighth item to Exhibit A for Fees to be charged to Third Parties for Specific Services as follows: 8. Cremation Approval Fee $50.00 2. All other provisions of Resolution No. OQ7-2009 and Exhibit A remain in full force and effect. Packet Pg. 2445 N.3.c PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Florida at a regular meeting held on the 19th day of January, A.D.,2011. Mayor Heather Carruthers Yes Mayor Pro Tern David Rice Yes Commissioner Kim Wigington Yes Commissioner George Neugent Yes Commissioner Sylvia Murphy Yes BOARD OF COU TY COMMISSIONERS OF MONROE C N ,FLORIDA e NY L. KOLHAGE, CLERK .� CL Deputy Clerk Mayor . ^mac ^0U`li`,' c� C ) -- Li1 7 � C CL. Cl.. � r. Cv u E L_: cam.. MED Ex Fee Res Revising for Cremation Fees Packet Pg. 2446 N.3.c RESOLUTION NO. 135 _2011 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA AMENDING RESOLUTION NO. 007-2009, AS AMENDED BY RESOLUTION NO. 001-2011 IN ORDER TO PROVIDE FOR A STORAGE FEE FOR LONG-TERM STORAGE OF BODIES BY THE MEDICAL EXAMINER. WHEREAS, on January 28, 2009, the Board of County Commissioners approved Resolution 007-2009, authorizing the District 16 Medical Examiner Office to establish fees to be charged for third parties for specific services; and WHEREAS, on January 19, 2011, the BOCC amended that resolution with resolution No. 001-2011; and CL WHEREAS, S. 406.08, F.S., specifies that certain agencies shall pay the fees for medical examiner services for bodies of persons who dies in their custody, that the state may pay all or part of fees for transportation services that might otherwise have been borne by the County, indicating that there are fees attributable to medical examiner services; and WHEREAS, S. 406.58(2), F.S. specifically allows the anatomical board to collect storage fees for their storage services, recognizing that storage of a body for a lengthy time should be subject to fees; and WHEREAS, the state has not pre-empted the ability to locally determine fees to be charged for storage services; and WHEREAS, the Medical Examiner regularly experiences that storage is required for a number of days due to a high number of unexpected deaths, often of visitors whose families have to make arrangements for transport, or due to other reasons delaying the ability to have the body picked up by a funeral home, but that such short-term storage does not normally present problems; and c� WHEREAS,there are sometimes circumstances where there reasons unrelated to logistical problems which include that the families do not want to pay for the disposition of the body but the existence of assets precludes the County from processing the body as a pauper, leaving the long process of administration without probate to a funeral home to get paid to dispose of the body; and WHEREAS,it is intended that storage fees not be assessed to families who have to take a few days to iron out logistics to deal with the unexpected death of a loved one; and Packet Pg. 2447 N.3.c r WHEREAS, it is intended to have storage fees assessed in situations that the body could have reasonably been claimed in a timely manner, but it was not and there are decedent assets which could be used to cover the costs of storage; and WHEREAS, it is intended that the Medical Examiner be able to charge for storage and charge fees which can be paid by a responsible party or sought through the administration without probate process; NOW THEREFORE; BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY,FLORIDA; 1. Resolution No. 007-2009, as amended by Resolution 001-2011, shall be amended by adding to Established Fees to be charged to Third Parties for Specific Services the following fee: E 9. Storage Fee $50.00 per day, commencing as of the 15`h day of storage This fee may be waived by the Medical Examiner upon provision of an explanation to the CL County Administrator showing good reason for the waiver and upon the Administrator's approval of the waiver. PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Florida at a regular meeting held on the 18th day of May ,A.D., 2011. `. ' o Mayor Heather Carruthers Yes - . x Mayor Pro Tern David Rice Yes _ p O Commissioner Kim Wigington Yes - Commissioner George Neugent Yes = 3 ram*i Commissioner Sylvia Murphy Yes o CN cn !;!" J BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY,FLORIDA o:t �DANNY L. 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FUHU)9U) W M M •• OO O U] O M O p'�OD 0 mW Q O H o H o Hq E. Q O O H H Q Q W El zz � O .<H W O U) r r m w m Q E cn m 9 I r a Packet Pg. 2455 N.3.c 1� NORCAL MUTUAL® 1 Certificate of Insurance Certificate Holder: Insured's Name and Address: Producer: Monroe County Board of County Michael Steckbauer,MD Arthur J Gallagher Risk Management Commissioners 36639 Overseas Hwy Services Houston 500 Whitehead Street Marathon, FL 33050 8511 South Sam Houston Parkway E Key west, FL 33040 Suite 200 Houston,TX 77075 Policy Number: 726831N Effective Date: 7/1/2017 Expiration Date: 7/1/2018 Insured Type:0 Named Insured ❑ Insured ❑ Locum Tenens Coverage A Type: ❑ Shared Limits El Separate Limits Specialty:Pathology(Forensic) Important:This certificate certifies that the policy shown above has been issued and includes coverage for the Insured shown for the period indicated,subject to the policy's provisions and the required payment of premium. It is not an insurance policy and is issued for informational purposes only. It confers no rights upon the certificate holder and does not create a contract between NORCAL Mutual Insurance Company(NORCAL Mutual)and the certificate holder,nor does it amend,extend,or alter the policy's coverage. Notwithstanding any requirement or provision of any contract or other document with respect to which this certificate 2 may be issued or may pertain,the insurance afforded by the policy is subject to the provisions of the policy. CL 0 The Insured is responsible for informing certificate recipients of any policy changes,including declination of issuance or cancellation before the expiration date.An Insured's failure to provide such notice imposes no obligation or liability of any kind upon NORCAL Mutual,its agents or representatives. E Coverages and Limits of Coverage Provided Coverage A:Medical Professional Limits of Coverage: Liability Insurance-Claims Made Retroactive Date: 07/01/2017 $500,000 Each Claim limit $1,500,000 Aggregate Limit Per Policy Period Coverage B:Administrative Defense Limits of Coverage: ° Insurance-Claims Made Retroactive Date: 07/01/2017 $50,000 Each Administrative Proceeding or Employment-Related Civil Action Limit CN $50,000 Aggregate Limit Per Endorsement Period Coverage C:Information and Network Limits of Coverage: Security Insurance-Claims Made Retroactive Date: 07/01/2017 $100,000 Each Claim,Regulatory Privacy Proceeding,or Loss Limit $100,000 Aggregate Limit Per Endorsement Period By: NORCAL Mutual Insurance Company Date Issued:August 09,2017 _VW��G T.Scott Diener Kara M. Ricci BAPP V RISK MENf p ''�� • WA A 'y�Y S HCPCOI-001 Page 1 of 1 12/01/2014 560 DAVIS STREET,SUITE 200,SAN FRANCISCO,CA 94111-1966 Packet Pg. 2456 N.3.c DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 08/03/2017 �- THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATIONIS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: NUTMEG INS AGENCY INC/PHS (A/C, ,Ext: 888 925-3137 (FAX,No: 888 443-6112 76210775 E-MAIL THE HARTFORD BUSINESS SERVICE CENTER ADDRESS: 3600 WISEMAN BLVD INSURER(S)AFFORDING COVERAGE NAICa SAN ANTONIO, TX 78265 INSURER A: The Hartford Casualty Insurance 29424 INSURED INSURER B: MICHAEL R. STECKBAUER, MD, M & M.FORENSICS, P.A. INSURERC: 2850 SW 154TH AVE INSURER D: DAVIE FL 33331-2601 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE E TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS 0 LTR INSR WVD MMIDDM(YY MM DONMI I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE ❑OCCUR DAMAGES(RENTED $ PREMISES Ea occurrence MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: E POLICY ❑PRO LOC PRODUCTS-COMP/OP AGG $ JECT ❑ a„ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident Qp ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE U HIRED AUTOS $ AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ 17 DED I I RETENTION$ $ WORKERS COMPENSATION X PER H- STATUTE ER $ a+ AND EMPLOYERS'LIABILITY YIN E.L.EACH ACCIDENT $ 100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE A OFFICER/MEMBEREXCLUDED? NIP` $ 100,000 76 WEG AA4UV7 07/01/2017 07/01/2018 E.L.DISEASE-EA EMPLOYEE E OFFICER/MEMBER (Mandatory In NH) U If yes,describe under E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS below �-H $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is requir ) Those usual to the Insured's Operations. PPR E4yj C�NAGEMENT DATE 1 CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOARD OF COUNTY SHOULD ANY OF THE ABOVE DESCRIBED PO ICIES BE CANCELLED BEFORE THE COMMISSIONERS EXPIRATION DATE THER:OF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISION 500 WHITEHEAD ST AUTHORIZED REPRESENTATIVE KEY WEST FL 33040-6581 1988-2015 ACORD CORPORATION.All rights reserve_ ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Packet Pg. 2457 N.3.c A DAB DATE(NfM;DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE R002 8/3/2017 THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CONTACT NAME NUTMEG INS AGENCY INC/PHS PHONE (A/C,No,Exp: 1a0,Not (8 8 8) 4 4 3-6112 210775 P: F: (888) 443-6112 E-MAIL (� ADDRESS: PO BOX 29611 INSURER(S)AFFORDING COVERAGE NAIC# CHARLOTTE NC 28229 INSURER A: Twin City Fire Ins Co 29459 INSURED INSURER B: MICHAEL R. STECKBAUER, MD, M & M INSURER C: FORENSICS, P.A. INSURER D: 2850 SW 154TH AVE INSURERE: DAVIE FL 33331 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD M INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LVSR TYPE OFINSCRANCE ADOL SL'BR POLICYNUAIBER POLICY EFF POLICYEXP LIAIITS 0 1V11,1/DD/YM L EACH OCCURRENCE S 3 0 0, 0 0 0 CL COMMERCIAL GENERAL LIABILITY CLAIMS-MADE J OCCUR PREM DAMAGE Ea oNcurr D ence) 5 3 O 0 0 0 0 A X General Liab X 76 SBU IW6366 07/01/2017 07/01/2018 MED EXP(Any one person) 510, 000 PERSONAL&ADV INJURY s300, 000 a�a GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s600, 000 POLICY❑ PRO FX—]LOC PRODUCTS-COMP/OP AGG s 6 0 0, O O O JECT OTHER: 5 COMBINED SINGLE LIMIT s300, 0 00 AUTOMOBILE LIABILITY (Ea accident) ANY AUTO BODILY INJURY(Per person) $ qj A OWNED SCHEDULED X 76 SBU IW6366 07/01/2017 07/01/2018 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Peraccident) 5 C8 UMBRELLA LIAB OCCUR EACH OCCURRENCE 5 �. HIEXCESS LIAB CLAIMS-MADE AGGREGATE 5 N DED RETENTION$ WORKERS COMPE.\'SATION PER STATUTE IER AND EMPLOYERS'LIABILITY .. ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT 5 ' OFFICER/MEMBER EXCLUDED? ❑ N/A 5 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE If yes,describe under E.L.DISEASE-POLICY LIMIT 5 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) Those usual to the Insured' s Operations. Certificate holder is an additional insured per the Business Liability Coverage Form SS0008 and the Hired Auto and Non Owned Auto Endorsement SSO438, attached to this policy. NPi2ciV B EMEM Ye, WAI /A Y CC• � CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE Monroe County Board DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, of County Commissioners AUTHORIZED REPRESENTATIVE 500 WHITEHEAD ST -7A-z— KEY WEST, FL 33040 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Packet Pg. 2458 GV�S COURTq c Kevin Madok, CPA Clerk of the Circuit Court& Comptroller— Monroe Count Florida o p Y, E cOVN DATE: January 7, 2020 TO: Roman Gastesi County Administrator Lindsey Ballard, Aide to the County Administrator a� FROM: Pamela G. Hancock, D.C. SUBJECT: December Ll'BOCC Meeting a� E Attached is an electronic copy of the following item for your handling: 0 C, E M5 2nd Amendment to Agreement with Medical Examiner, to provide that the Medical 0 w Examiner shall receive a vehicle stipend in the amount of$800.00 per month in lieu of submitting 2 travel expenses, and also to provide that a portion of funds may be used for pension plan 0) contributions for the Medical Examiner and his staff. cN V- V- Should you have any questions,please feel free to contact me at (305) 292-3550. E E N E c� cc: County Attorney Finance File KEY WEST MARATHON PLANTATION KEY PK/ROTH BUILDING 500 Whitehead Street 3117 Overseas Highway 88820 Overseas Highway 50 High Point Road Key West,Florida 33040 Marathon,Florida 33050 Plantation Key,Florida 33070 Plan 305-294-4641 305-289-6027 305-852-7145 305- Packet Pg. 2459 AMENDMENT 2-M AGREEMENT FOR THE PROVISION OF MEDICAL EXAMINER SERVICES THIS AMENDMENT 2 ("AMENDMENT")to the Agreement for the Provision of Medical Examiner Services ("Agreement') is made And entered into:as of December 11. 2019 ("Effective Date-), by and between the Board of County Commissioners of Monroe County,unty, Florida (hereinafter"CounW'), and.Michael R. Steckbauer, Interim District 16 Medical Examiner of the State of Florida (hereinafter"Medical Examinee). (Collectively, the County and Medical Examiner shall be referred to at,the"Parties.") WHEREAS, on July 19, 2017,the County and Michael Robert St6ckbauer, M.D. E entered into the Agreement for the provision of Medical.Examiner Services with an Effective Date of July 1, 2017; and WHEREAS,I 3(A) of the Agreement provides that the County will reimburse the E Medical Examiner for all actual, reasonable and necessary costs and expenses, up to 0 the amount budgeted for the office each year, upon presentation of adequate-supporting E documentation for bills and purchases; and 0 W WHEREAS; the Medical Examiner currently drives approximately 20,000 miles per year in his personal-vehicle for work; and N WHEREAS,the Medical Examiner has requested, and the County agrees, that it N would be a time-saving measure if the County were,to provide a monthly stipend covering all automobile expenses, without the need for the Medical Examiner to submit E travel vouchers to document mileage, parking, and other related travel expenses; and WHEREAS,j 3 of the Agreement also states that the County Administrator and E Clerk shall approve any expenditure reasonably related to the delivery of services under Chapter 406, Florida Statutes, and this Agreement, to include at a minimum, but not be N limited to, salaries for employees in the amount of$16,400.00 per month; E WHEREAS, the Medical Examiner has added an additional employee to his.staff who Will ce be 6'repla replacement for an employee Who is retiring, and because of overlap of personnel to train the.new employee, the total combined salaries will temporarily exceed $10,400.00, and the.parties wish to increase the cap to clarify that the Clerk is authorized to pay the combined salaries;_@nd WHEREAS,the Parties wish to add language providing thata portion of the budgeted funds maybe used for a pension plan for the Medical Examiner and/or his employees. Packet Pg. 2460 N.3.d NOW THEREFORE, in consideration,of the mutual promises of the original Agreement as amended herein, the parties.agree as follows: 1. A new paragraph 3(I) is added to the Agreement, which shall read as follows: (1) Notwithstanding the language in.paragraph 3(A), each month,during the term.of this Agreement, the County shall pay to the Medical Examiner a . vehicle stipend in the amount of eight hundred dollars and no cents ($.800.00) as a vehicle allowance for the purchase, lease, or ownership, as well'as operation and maintenance, of personal vehicle. This stipend shall be paid each month in advance, upon presentation of an invoice for the amount, but shall not require the presentation of travel vouchers or other documentation for payment. This stipend is in lieu of any and all claims for reimbursement for mileage, parking, or other personal vehicle expenses for in-County.driving. The Medical Examiner shall be solely responsible for maintenance and operation of the vehicle and all costs 2 associated with the same, including, without limitation, repairs, fuel, and insurance of the personal vehicle. The County shall reimburse the Medical Examiner at the established mileage rate set forth in County ordinance for any business use of the vehicle beyond Monroe County upon presentation of a travel voucher and backup documentation as outlined in paragraph 3(A). N 2. The ninth sentence in Paragraph 3(A) in the Agreement, shown below with underlining, is revised to read as follows: A) Compensation/Salaries and Operating Expenses: The County agrees to compensate the Medical Examiner for services based on his actual, reasonable and_necessary costs_ and expenses, provided, N however, that such compensation shall not exceed the Budgeted Amount except as provided in paragraph 3(E), below. At the.beginning of this Agreement, within ten (10)days following execution of.this_Agreement by both parties, the County shall provide an initial payment equal to the Monthly Amount. Thereafter, through the term of this Agreement,the Medical Examiner may request reimbursement for payments made by the Medical Examiner. The request for reimbursement may be made as frequently as the Medical Examiner wishes. The Medical Examiner shall submit the request for reimbursement and supporting documentation to the County Administrator, describing the services performed or goods purchased,on a letter which must contain a notarized certification statement. An example of the reimbursement request cover letter is included hereto as Attachment B. The submission must be in a form 2 ''AA Packet Pg. 24671 N.3.d satisfactory to the County Administrator and the Clerk.of the Circuit-Court (Clerk),.and must identify expenditures incurred,with adequate supporting documentation, including receipts for paid bills and purchases. If the County Administrator approves the submission,fie shall forward the same to the Clerk. If the County Administrator or Clerk.detbrmines that-,any expenditure is questionable,either of them shall return it to the Medical Examiner in writing with a written description of the deficiency(ies) and a request for further information. The County Administrator and Clerk shall approve any expenditure reasonably related to the.delivery of services. under Chapter 406 and this Agreement,to include at a minimum, but not . : be limited to, salary.for the Medical Examiner in the amount of$23,833.33 per month or the amount approved in the annual budget, whichever is greater: salaries for employees.in the amount of up to$20,000.00 per month-or the amount approved in the annual budget, whichever is-greater: 401 k or similar employer-sponsored type retirement plan payments not to CL exceed.the IRS appro_ ved amounts and only with appropriate documentation such as. "pay stubs or 401 K statements", and funds for locum tenens covering_doctors in the amount of$1,500.00 per day at 2.33 days per month or the amount approved in the annual budget, whichever is greater. The total of reimbursement payments to the Medical Examiner N T- for the fiscal year in the aggregate including'the advance shall not exceed T- N the total amount approved by the Board of County Commissioners for the budget of the Medical Examiner for FY 2017. Any portion of the Budgeted Amount that is not actually used by the Medical Examiner shall be retained by the.County at the end of the fiscal year, encumbered for the office, and added to the budget request for the next fiscal year. 3. This Amendment shall be effective retroactively as of October 1, 2019. N a� 4. All other remaining provisions.in the Agreement not inconsistent herewith remain in full force,and effect. -m II NESS WHEREOF,.the parties hereto have executed this Amendmenteas of tht 77 � t above written. r. c_ F:- §61 F--f p KEVIN ADOK, CLERK BOARD OF COUNTY i COMMISSIONERS OF MONRO_E COUNTY FLO y: Deputy Clerk y X_ By: v' MONROE COUNTY ATTORNEY'S OFFICE yor --b APPROVED AS TO FORM Digitally signed by Cynthia L Hall 'DN:c CynthiaLHall,-Many ��• Counry gGCornr ounty-hall- cynthiae�manroecounry-Ogov, cvU5'.� Date:2019.11.2312 W A8-05'D°' Packet Pg. 2462 N.3.d MICHAEL R. STECKBAUER, M.D., M+ M FORENS S P.A. By: Michael R.'Steckbauer, Pre"si E CL E 0 CN CN E E CN E 4 Packet Pg. 2463 • N.3.d DATE(MMIDDNYYY) -a►�`aR� CERTIFICATE OF LIABILITY INSURANCE 12/17/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NUTMEG INS AGENCY INC/PHS PHONE (888)925-3137 FAX (888)443-6112 (A1C,No,Ext): 76210775 (A/C,No): The Hartford Business Service Center 3600 Wiseman Blvd E-MAIL San Antonio,TX 78251 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Twin City Fire Insurance Company 29459 MICHAEL R.STECKBAUER,MD,M&M FORENSICS,P.A. INSURERS: Hartford Casualty Insurance Company 29424 2850 SW 154TH AVE- INSURER C: DAVIE FL 33331-2601 INSURER D: INSURER E: E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: �9 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS 0 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $300,000 CLAIMS-MADE1XIOCCUR• DAMAGE TO RENTED $300,000 PREMISES(Ea occurrence) LU X General Liability MED EXP(Any one person) $10,000 A X 76 SBU IW6366 07/01/2019 07/01/2020 PERSONAL&ADV INJURY $300,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $600,000 JECT I LOC PRODUCTS-COMP/OP AGG $600,000 POLICY El OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $300,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) A ALL OWNED SCHEDULED X 76 SBU IW6366 07/01/2019 07101/2020 BODILY INJURY(Per accident) AUTOS AUTOS HIRED NON-OWNED PROPERTY DAMAGE X AUTOS X AUTOS (Per accident) E UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB A R E a MII CLAIMS- AGGREGATE N MADE D v NX DED RETENTION$ IVER ,,.,,' WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ANY YIN E.L.EACH ACCIDENT $100,000 B PROPRIETOR/PARTNER/EXECUTIVE NIA 76 WEG AA4UV7 07/01/2019 07/01/2020 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $100,000 (Mandatary in NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS below A EMPLOYMENT PRACTICES 76 SBU IW6366 07/01/2019 07/01/2020 Each Claim Limit $10,000 LIABILITY Aggregate Limit $10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Those usual to the Insured's Operations.Certificate holder is an additional insured per the Business Liability Coverage Form SS0008 and the Hired Auto and Non Owned Auto Endorsement SSO438,attached to this policy. CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 56639 OVERSEAS HWY BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED MARATHON FL 33050-5601 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Packet Pg. 2464 N.3.d NORCAL MUTUAL® Certificate of Insurance Certificate Holder: insured's Name and Address: Producer: Monroe County BOCC Michael Steckbauer, MD Arthur 1 Gallagher Risk Management 56639 Overseas Hwy 56639 Overseas Hwy Services Houston Marathon,FL 33050 Marathon,FL 33331 8511 South Sam Houston Parkway E Suite 200 Houston,TX 77075 Policy Number: 726831N Effective Date: 7/1/2019 Expiration Date: 7/1/2020 Insured Type:El Named Insured ❑ Insured ❑ Locum Tenens Coverage A Type: ❑ Shared Limits ❑x Separate Limits Specialty:Forensic Medicine Important:This certificate certifies that the policy shown above has been issued and includes coverage for the Insured shown for the period indicated,subject to the policy's provisions and the required payment of premium. It is not an insurance policy and is issued for informational purposes only. It confers no rights upon the certificate holder and does not create a contract between M NORCAL Mutual Insurance Company(NORCAL Mutual)and the certificate holder,nor does it amend,extend,or alter the policy's coverage. Notwithstanding any requirement or provision of any contract or other document with respect to which this certificate may be issued or may pertain,the insurance afforded by the policy is subject to the provisions of the policy. O The Insured is responsible for informing certificate recipients of any policy changes,including declination of issuance or cancellation before the expiration date.An Insured's failure to provide such notice imposes no obligation or liability of any kind upon NORCAL Mutual,its agents or representatives. Coverages and Limits of Coverage Provided Coverage A:Medical Professional Limits of Coverage: CN Liability Insurance-Claims Made CN Retroactive Date: 07/01/2017 $500,000 Each Claim limit " $1,500,000 Aggregate Limit Per Policy Period Coverage B:Administrative Defense Limits of Coverage: E Insurance-Claims Made Retroactive Date: 07/01/2017 $50,000 Each Administrative Proceeding or Employment-Related Civil Action Limit E $50,000 Aggregate Limit Per Endorsement Period Coverage C:Information and Network Limits of Coverage: CN Security Insurance-Claims Made Retroactive Date: 07/01/2017 $100,000 Each Claim, Regulatory Privacy Proceeding,or Loss Limit E $100,000 Aggregate Limit Per Endorsement Period By: NORCAL Mutual Insurance Company Date Issued: December 23,2019 T.Scott Diener Kara Baysinger �yPR�VE BSI E�TIWA NIA HCPCOI-001 Page 1 of 1 12/01/2014 575 MARKET STREET,SUITE 1000,SAN FRANCISCO,CA 94105 T 844ANORCAL NORCALMUTUAL.COM Packet Pg. 2465