Item C07
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: 12/16/09
Division: Social Services
Bulk Item: Yes l No
Department: Transportation
Staff Contact Person: Sheryl Graham x451 0
AGENDA ITEM WORDING: Approval of Amendment #2 to the agreement between the Monroe
County Community Transportation Coordinator/Guidance Clinic of the Middle Keys and Monroe
County Board of County Commissioners for contract period of 01/01/2009 through 12/31/2009.
ITEM BACKGROUND: This agreement is funded by Medicaid allocated by the State of Florida
Commission for the Transportation Disadvantaged to the County's CTC to pay Monroe County Transit
for providing Medicaid trips.
PREVIOUS RELEVANT BOCC ACTION: Original agreement approved 09/19/2007; Amendment
#1 approved 01/2812009 (see attached)
CONTRACT/AGREEMENT CHANGES: N/A
STAFF RECOMMENDATIONS: Approval
TOTAL COST:
$0
BUDGETED: Yes N/ A No
COST TO COUNTY: $0
No Cash Match is required.
SOURCE OF FUNDS: Medicaid
REVENUE PRODUCING: Yes -1L No
Year $70,000 Max
AMOUNT PER MONTH $5K-7K
II/' . iih/, , A J ~ t.,g;"oU/
County Auff OMV""urchasmg _ Risk Management J!:! y
Included V
APPROVED BY:
DOCUMENTATION:
Not Required_
DISPOSITION:
AGENDA ITEM #
Revised 8/06
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACT SUMMARY
Contract with: CTC
Contract #AA-929
Effective Date: 01/01/2009
Expiration Date: 12/31/2009
Contract Purpose/Description: The Agreement with the State of Florida Commission for the Transportation
DisadvantagedlCTC will allow Monroe County Transit payment for the transit services rendered to Monroe
County's Medicaid population for their medical trips.
Contract Manager: Sheryl Graham L7 I ~
(Name) ~
4510
(Ext.)
Social Services/Stop I
(Department/Stop #)
For BOCC meeting on 12/16/2009
Agenda Deadline:
12/01/2009
CONTRACT COSTS
Total DollarValue of Contract: $0
Budgeted? Yes X No
Grant: $0
County Match: $0
Account Codes:
Current Year Portion: $ 0
N/A
Estimated Ongoing Costs: $ 0
(Not included in dollar value above)
/yr
ADDITIONAL COSTS
For:
(eg. Maintenance, utilities, janitorial, salaries, etc)
CONTRACT REVIEW
Division Director
Date In
IMO l'
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l\ \V~\O~
Changes
Needed
YesD No~
Risk Managemen:,
t:t j \)~ rp
O~B.lPurch~ing
Yes 0
No 0/
Noi
Date Out
Yes 0
County Attorney
Yes 0
No)d'
Comments:
OMB Form Revised 2127/01 MCP #2
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STATE QF FLORIDA
COMMISSION FOR THE TRANSPORTATION DISADVANTAGED
MEDICAID NON.;.fMERGENCY TRANSPORTATION (NET) PROGRAM
SUBCONTRACTED TRANSPORTATION PROVIDER AGREEMENT
AMENDMENT NO 1
This agreement, entered into on January 1, 2008, by and between the Guidance Clinic of the
Middle Keys. hereinafter called .Coordinator" and Monroe County Board of County Commissioners,
hereinafter called .Subcontracted Transportation Provider".
WITNESSETH:
WHEREAS, the Coordinator and the Subcontracted Transportation Provider heretofore on
July 1, 2007, entered into an Agreement, hereinafter called the Original Agreement;
WHEREAS, the Coordinator desires foparticipate in all eligible items of development for this
project as outfined in the attached amended Exhibit B.
WHEREAS, this amendment is necessitated by the amendment of the contract between the
Coordinator, and the Commission for Transportation Disadvantaged.
NOW, THEREFORE, THIS INDENTURE WITNESSETH; that for and in consideration of the mutual
benefits to flow from each to the other, the parties hereto agree that the above described Agreement is to
" be amended as follows:
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1.
Purpose of Agreement The purpose of the agreement is not changed.
2. Accomplishment of the Agreement: The accomplishment of the agreement is not
changed.
3. Expiration of Agreement: Paragraph 2, TERM of said agreement is amended to be
December 31,2008,
Amount: The reimbursement amount for this amendment has not changed, The Provider
shall be paid up to a maximum amount of $70.000. The Provider shall submit monthly
trip data ina fonnatacceptable to .the Coordinator. The Provider will be paid, after the
Coordinator has received payment from the Commission in the amount of $3,00 per mile
with a 5 mile minimum, $2.00 per mife for preauthorlZed out-of-County trips and $3.00 flat
rate::perc1lei1twmolitfoact fofMedfCaKf eJlgltifeli'fps'.- -,
5. Exhibit B of said Agreement is replaced by Amended Exhibit B and is attached
hereto and made a part hereof.
4,
exCEPT as hereby modified, amended, or changed, aJJ other terms of the Agreement dated
January 1, 2007, shall remain in full force and effect. This amendment cannot be executed unless all
previOus amendments to this Agreement have been fully executed.
/
I
AGREEMENT AMENDMENT DATE: January 1, 2008
ExHIBIT B
AMENDMENT # 1
METHOD OF COMPENSATION
For the satisfactory performance of the services and the submittal of Encounter Data as outlined
in Exhibit A, Scope of Services, the Subcontracted Transportation Provider payments shall be paid up to
a maximum amount of $70.000. The Provider shall submit monthly trip data in a format acceptable to the
Coordinator. The Provider will be paid, after the Coordinator has received payment from the Commission
in the amount of $3.00 per mile with a 5 mile minimum, $2.00 per mile for preauthorized out-of-County
trips and $3.00 flat rate per client per mulitload for Medicaid eligible trips. The Subcontracted
Transportation Provider shall submit invoices in a format acceptable to the Coordinator. The
Subcontracted Transportation Provider will be paid after the Coordinator has received payment from the
Commission.
1. Project Cost
The Subcontracted Transportation Provider shall request payment through submission of a properly
completed invoice to the Coordinator. Once the Coordinator has signed the invoice for approval, the
Coordinator shall submit the approved invoice to the Commission for Transportation Disadvantaged.
County: Monroe
2. Disbursement Schedule of Funds
January 1, 2008 - December 31,2008: not to exceed $70,000.00
In witness whereof, the parties hereto have caused these presents to be executed, the day and year first
above written,
Guidance Clinic of the Middle Keys, Inc.
Board of County Commissioners, Monroe County
ftJawvu) Gr4~~LhJ
SIG ATURE .
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SIGNATURE
Transportation Director
TITLE
Mayor/Chairman
TITLE
Maureen Grynewicz
PRINTED NAME
George R. Neugent
PRINTED NAME 01/28/2009
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STATE OF FLORIDA
COMMISSION FOR THE TRANSPORTATION DISADVANTAGED
MEDICAID NON-EMERGENCY TRANSPORTATION (NET) PROGRAM
SUBCONTRACTED TRANSPORTATION PROVIDER AGREEMENT
AMENDMENT NO .2.
This amendment entered into on January 1, 2009, by and between the Guidance Clinic of the
Middle Keys, hereinafter called "Coordinator" and Monroe County Board of County Commissioners,
hereinafter called "Subcontracted Transportation Provider".
WITNESSETH:
WHEREAS, the Coordinator and the Subcontracted Transportation Provider heretofore on
July 1, 2007, entered into an Agreement, hereinafter called the Original Agreement;
WHEREAS, the Coordinator desires to participate in all eligible items of development for this
project as outlined in the attached amended Exhibit B.
WHEREAS, this amendment is necessitated by the amendment of the contract between the
Coordinator, and the Commission for Transportation Disadvantaged,
NOW, THEREFORE, THIS INDENTURE WITNESSETH; that for and in consideration of the mutual
benefits to flow from each to the other, the parties hereto agree that the above described Agreement is to
be amended as follows:
1. Purpose of Agreement: The purpose of the agreement is not changed.
2. Accomplishment of the Agreement: The accomplishment of the agreement is not
changed.
3, Expiration of Agreement: Paragraph 2, TERM of said agreement is amended to be
December 31,2009.
4. Amount: The reimbursement amount for this amendment has not changed. The Provider
shall be paid up to a maximum amount of $70.000. The Provider shall submit rnonthly
trip data in a format acceptable to the Coordinator. The Provider will be paid, after the
Coordinator has received payment from the Commission in the amount of $3.00 per mile
with a 5 mile minimum, $2.00 per mile for preauthorized out-of-County trips and $3.00 flat
rate per client per mulitload for Medicaid eligible trips.
5, Exhibit B of said Agreement is replaced by Amended Exhibit B and is attached
hereto and made a part hereof.
EXCEPT as hereby modified, amended, or changed, all other terms of the Agreement dated
January 1, 2007. shall remain in full force and effect. This amendment cannot be executed unless all
previous amendments to this Agreement have been fully executed.
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AGREEMENT AMENDMENT DATE: January 1, 2009
exHIBIT B
AMENDMENT #1
METHOD OF COMPENSATION
For the satisfactory performance of the services and the submittal of Encounter Data as outlined
in Exhibit A, Scope of Services, the Subcontracted Transportation Provider payments shall be paid up to
a maximum amount of $70.000. The Provider shall submit monthly trip data in a format acceptable to the
Coordinator. The Provider will be paid, after the Coordinator has received payment from the Commission
in the amount of $3.00 per mile with a 5 mile minimum, $2.00 per mile for preauthorized out-of-County
trips and $3.00 flat rate per client per mulitload for Medicaid eligible trips~ Th.e $,ubpqntracted ',,'
Transportation Provider shall submit invoices in a format acceptable to the Coordinator. The
Subcontracted Transportation Provider will be paid after the Coordinator has received payment from the
Commission.
1. Project Cost
The Subcontracted Transportation Provider shall request payment through submission of a properly
~ted invoice to the Coordinator. Once the Coordinator has signed the invoice ior approval, the
Coordinator shall submit the approved invoice to the Commission for Transportation Disadvantaged.
County: Monroe
2. Disbursement Schedule of Funds
January 1, 2009 - December 31, 2009: not to exceed $70,000.00
In WitrieSS'whereof, the parties hereto have caused these presents to be executed, the day and year first
above written.
Guldatlt5e Clinic of the Middle Keys, Inc.
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Board of County Commissioners, Monroe County
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SIGN~ ~~U;)
Transportation Director
TITLE
SIGNATURE
MAYOR
TITLE
Maureen . Grynewicz
PRINTED NAME
SYLVIA MURPHY
PRINTED NAME
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