FY2024 12/13/2023 Kevin Madok, CPA
% Clerk of the Circuit Court& Comptroller—Monroe County, Florida
DATE: December 18. 2023
TO: Roman Gastesi
County Administrator
Undsey Ballard,Aide
to die County Administrator
FROM: Pamela G. I lanco-k, .C.
SUBJECT: December 13' BOCC Meeting
Attached is an electronic copy of'the following item,executed on behalf of Monroe
County, for your handling
C2.5 Contract between Monroe County Board of County Commissioners and the State
of'Florida, Department of'I lealdi for operation of die Monroe County Health Department
contract year 2023-2021. Changes/additions to Fee Schedule (attached). We are 1) increasing Vital
Statistics fees 2) Adding Civil Surgeon Refugee Health Physicals 3) Adding School Health
Physicals,l) Adding Occupational Physicals.
Once die state has signed die document, please return a fully executed copy to this office
for the record. Should you have any questions please feel free to contact me at (305) 292-3.5.50.
The fully executed document has been added to the record, 02/29/2024.pgh
cc: County Attorney
Finance
File
KEY WEST MARATHON PLANTATION KEY
500 Whitehead Street 3117 Overseas Highway 88770 Overseas Highway
Key West,Florida 33040 Marathon, Florida 33050 Plantation Key, Florida 33070
Ron DeSarntis
Mission: Governor
To protect,promote&improve the health
of all people in Florida through integrated 01" Joseph Aapto, MD, PhD
state, county&community efforts. ��
State Surgeon General
HEALTH
Vision:To be the Healthiest State in the Nation
INTEROFFICE MEMORANDUM
DATE:
TO: Ty Gentle, Director
Office of Budget and Revenue Management
FROM: Carla Fry, PhD, M N, RN
Administrator/Health Officer
Monroe County Health (Department
SUBJECT: Core Contract Certification for 2023-2024
INFORMATION L
❑ I certify that no changes have been made to the Core Contract document or attachments
by the County Health Department.
x I certify that the following changes have been made to the Core Contract document or
attachments by the Monroe County Health Department(requires Deputy General Counsel
review and signature below):
Page Paragraph Docurnent hang a
8 Added "...,,Attachment VI three pages), and Addendum I two � es
Page Section Attachment Changes
Attachment VI and Addendum I added at the end of all other attachments
x i certify that Attachment IV is complete and lists all facilities currently utilized by the Monroe
County Health Department.
Signature ministr or(Dir, or) Gate
November 8, 2023
Signature (Deputy General Counsel) Date
Florida Department of Health
in Monroe County
1100 Simonton street^Key West,Florida 33040 Accredited Health Department
PHONE:305/293-7500-FAX 305/809-5629 Im Public.Health Accreditation Board
FloriclaHealth.gov
CONTRACT BETWEEN
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
AND
STATE OF FLORIDA DEPARTMENT OF HEALTH
FOR OPERATION OF THE
MONROE COUNTY HEALTH'DEPARTMENT
CONTRACT YEAR 2023-2024
This contract is made and entered into between the State of Florida, Department of Health
("State"), and the Monroe County Board of County Commissioners ("County"), through their
undersigned authorities, effective October 1, 2023. State and County are jointly referred to as
the "parties".
RECITALS
A. Pursuant to Chapter 154, Florida Statutes, the intent of the legislature is to
promote, protect, maintain, and improve the health and safety of all citizens and visitors of this
state through a system of coordinated county health department services."
B. County Health Departments were created throughout Florida to satisfy this
legislative intent through the "promotion of the public's health, the control and eradication of
preventable diseases, and the provision of primary health care for special populations."
C. Monroe County Health Department ("CHD") is one of the created County Health
Departments.
D. It is necessary for the parties hereto to enter into this contract to ensure
coordination between the State and the County in the operation of the CHD.
NOW, THEREFORE, in consideration of the mutual promises set forth herein, the
sufficiency of which is hereby acknowledged, the parties hereto agree as follows:
1. RECITALS, The parties mutually agree that the foregoing recitals are true and correct
and incorporated herein by reference.
2. TERM. The parties mutually agree that this contract shall be effective from October 1,
2023, through September 30, 2024, or until a written contract replacing this contract is entered
into between the parties, whichever is later, unless this contract is otherwise terminated
according to the termination provisions outlined in paragraph 8. below.
3. SERVICES MAINTAINED BY THE CHD. The parties mutually agree that the CHD shall
provide those services as outlined in Part III of Attachment 11 hereof, to maintain the following
three levels of service pursuant to section 154.01(2), Florida Statutes, as defined below:
a. "Environmental health services" are those services that are organized and operated to
protect the health of the general public by monitoring and regulating activities in the
environment that may contribute to the occurrence or transmission of disease. Environmental
health services shall be supported by available federal, state, and local funds and shall include
1
those services mandated on a state or federal level. Examples of environmental health
services include but are not limited to, food hygiene, safe drinking water supply, sewage, and
solid waste disposal, swimming pools, group care facilities, migrant labor camps, toxic material
control, radiological health, and occupational health.
b. "Communicable disease control services" are those services that protect the health of
the general public through the detection, control, and eradication of diseases that are
transmitted primarily by human beings. Communicable disease services shall be supported by
available federal, state, and local funds and shall include those services mandated on a state
or federal level. Such services include, but are not limited to, epidemiology, sexually
transmissible disease detection and control, HIV/AIDS, immunization, tuberculosis control, and
maintenance of vital statistics.
c. "Primary care services" are acute care and preventive services that are made available
to well and sick persons who are unable to obtain such services due to lack of income or other
barriers beyond their control. These services are provided to benefit individuals, improve the
collective health of the public, and prevent and control the spread of disease. Primary, health
care services are provided at home, in group settings, or in clinics. These services shall be
supported by available federal, state, and local funds and shall include services mandated on
a state or federal level. Examples of primary health care services include but are not limited to
first contact acute care services; chronic disease detection and treatment; maternal and child
health services; family planning; nutrition; school health; supplemental food assistance for
women, infants, and children; home health; and dental services.
4. FUNDING. The parties further agree that funding for the CHD will be handled as follows:
a. The funding to be provided by the parties and any other sources is outlined in Part 11 of
Attachment 11 hereof. This funding will be used as shown in Part I of Attachment 11.
i. The State's appropriated responsibility (direct contribution excluding any state fees,
Medicaid contributions, or any other funds not listed on the Schedule C) as provided in
Attachment 11, Part 11 is an amount not to exceed$4,586,353.00 (State General
Revenue, State Funds, Other State Funds and Federal Funds listed on the Schedule C).
The State's obligation to pay under this contract is contingent upon an annual
appropriation by the Legislature.
ii. The County's appropriated responsibility (direct contribution excluding any fees,
othercash,or local contributions)as provided in Attachment 11, Part 11 is an amount
not to exceed $1,608,237.00 (amount listed under the "Board of County
Commissioners Annual Appropriations section of the revenue attachment).
b. Overall expenditures will not exceed available funding or budget authority, whichever is
less, (either the current year or from surplus trust funds) in any service category. Unless
requested otherwise, any surplus at the end of the term of this contract in the County Health
Department Trust Fund that is attributed to the CHD shall be carried forward to the next contract
period.
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c. Either party may establish service fees as allowed by law to fund activities of the CHD.
Where applicable, such fees shall be automatically adjusted to at least the Medicaid fee
schedule.
d. Either party may increase or decrease funding of this contract during the term hereof by
notifying the other party in writing of the amount and purpose for the change in funding. If the
State initiates the increase or decrease, the CHD will revise Attachment 11 and send a copy of
the revised pages to the County and the State's Office of Budget and Revenue Management.
If the County initiates the increase or decrease, the County shall notify the CHD in writing. The
CHD will then revise Attachment 11 and send a copy of the revised pages to the State's Office
of Budget and Revenue Management.
e. The name and address of the official payee to whom payments shall be made is:
County Health Department Trust Fund
Monroe County Health Department
1100 Simonton Street
Key West, FL 33040
5. CHD DIRECTOR or ADMINISTRATOR. Both parties agree the director or administrator
of the CHD shall be a State employee or under contract with the State and will be under the
day-to-day direction of the State's Deputy Secretary for County Health Systems. The director
or administrator shall be selected by the State with the concurrence of the County. The director
or administrator of the CHD shall ensure that non-categorical sources of funding are used to
fulfill public health priorities in the community and the Long-Range Program Plan.
6. ADMINISTRATIVE POLICIES AND PROCEDURES. The parties hereto agree that the
following standards should apply in the operation of the CHD:
a. The CHD and its personnel shall follow all State policies and procedures, except to the
extent permitted for the use of County purchasing procedures as outlined in subparagraph b.,
below. All CHD employees shall be State or State-contract personnel subject to State
personnel laws, rules, and procedures. Employees will report time in the Health Management
System compatible format by program component as specified by the State.
b. The CHD shall comply with all applicable provisions of federal and state laws and
regulations relating to its operation with the exception that the use of County purchasing
procedures shall be allowed when it will result in a better price or service and no statewide
purchasing contract has been implemented for those goods or services. In such cases, the
CHD director or administrator must sign a justification, therefore, and all County purchasing
procedures must be followed in their entirety, and such compliance shall be documented. Such
justification and compliance documentation shall be maintained by the CHD following the terms
of this contract. State procedures must be followed for all leases on facilities not enumerated
in Attachment IV.
c. The CHD shall maintain books, records, and documents following the Generally
Accepted Accounting Principles, as promulgated by the Governmental Accounting Standards
Board, and the requirements of federal or state law. These records shall be maintained as
3
required by the State's Policies and Procedures for Records Management and shall be open
for inspection at any time by the parties and the public, except for those records that are not
otherwise subject to disclosure as provided by law which is subject to the confidentiality
provisions of paragraphs 6.i. and 6A., below. Books, records, and documents must be
adequate to allow the CHD to comply with the following reporting requirements:
i. The revenue and expenditure requirements in the Florida Accounting
Information Resource System; and
ii. The client registration and services reporting requirements of the minimum
data set as specified in the most current version of the Client Information
System/Health Management Component Pamphlet; and
iii. Financial procedures specified in the State's Accounting Procedures
Manuals, Accounting memoranda, and Comptroller's memoranda; and
iv, The CHD is responsible for assuring that all contracts with service providers
include provisions that all subcontracted services be reported to the CHD in
a manner consistent with the client registration and service reporting
requirements of the minimum data set as specified in the Client Information
System/Health Management Component Pamphlet.
d. All funds for the CHD shall be deposited in the County Health Department Trust Fund
maintained by the state treasurer. These funds shall be accounted for separately from funds
deposited for other CHDs and shall be used only for public health purposes in Monroe County.
e. That any surplus or deficit funds, including fees or accrued interest, remaining in the
County Health Department Trust Fund account at the end of the contract year shall be credited
or debited to the State or County, as appropriate, based on the funds contributed by each and
the expenditures incurred by each. Expenditures will be charged to the program accounts by
State and County based on the ratio of planned expenditures in this contract and funding from
all sources is credited to the program accounts by State and County. The equity share of any
surplus or deficit funds accruing to the State and County is determined each month and at the
contract year-end. Surplus funds may be applied toward the funding requirements of each
party in the following year. However, in each such case, all surplus funds, including fees and
accrued interest, shall remain in the trust fund until accounted for in a manner that clearly
illustrates the amount which has been credited to each party. The planned use of surplus funds
shall be reflected in Attachment 11, Part I of this contract, with special capital projects explained
in Attachment V.
f. There shall be no transfer of funds between the three levels of services without a contract
amendment unless the CHD director or administrator determines that an emergency exists
wherein a time delay would endanger the public's health and the State's Deputy Secretary for
County Health Systems have approved the transfer. The State's Deputy Secretary for County
Health Systems shall forward written evidence of this approval to the CHD within 30 days after
an emergency transfer.
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g. The CHD may execute subcontracts for services necessary to enable the CHD to carry
out the programs specified in this contract. Any such subcontract shall include all
aforementioned audit and record-keeping requirements.
h. At the request of either party, an audit may be 'conducted
conducted by an independent certified
public accountant on the financial records of the CHD, and the results made available to the
parties within 180 days after the close of the CHD fiscal year. This audit will follow requirements
contained in OMB Circular A-1 33, as revised, and may be in conjunction with audits performed
by the County government. If audit exceptions are found, then the director or administrator of
the CHD will prepare a corrective action plan and a copy of that plan and monthly status reports
will be furnished to the contract managers for the parties.
L The CHD shall not use or disclose any information concerning a recipient of services
except as allowed by federal or state law or policy.
j. The CHD shall retain all client records, financial records, supporting documents,
statistical records, and any other documents (including electronic storage media) pertinent to
this contract for five years after termination of this contract. If an audit has been initiated and
audit findings have not been resolved at the end of five years, the records shall be retained
until the resolution of the audit findings.
k. The CHD shall maintain the confidentiality of all data, files, and records that are
confidential under the law or are otherwise exempted from disclosure as a public record under
Florida law. The CHD shall implement procedures to ensure the protection and confidentiality
of all such records and shall comply with sections 384.29, 381.004, 392.65, and 456.057,
Florida Statutes, and all other state and federal laws regarding confidentiality. All confidentiality
procedures implemented by the CHD shall be consistent with the State's Information Security
Policies, Protocols, and Procedures. The CHD shall further adhere to any amendments to the
State's security requirements and shall comply with any applicable professional standards of
practice concerning client confidentiality.
I. The CHD shall abide by all State policies and procedures, which by this reference are
incorporated herein as standards to be followed by the CHD.
m. The CHD shall establish a system through which applicants for services and current
clients may present grievances over denial, modification, or termination of services. The CHD
will advise applicants of the right to appeal a denial or exclusion from services, of failure to take
account of a client's choice of service, and right to a fair hearing to the final governing authority
of the CHD. Specific references to existing laws, rules, or program manuals are included in
Attachment I of this contract.
n. The CHD shall comply with the provisions contained in the Civil Rights Compliance and
Non-Discrimination Certificate, hereby incorporated into this contract as Attachment Ill.
o. The CHD shall submit quarterly reports to the County that shall include at least the
following:
5
i. The DE3851_1 Contract Management Variance Report and the DE580LI
Analysis of Fund Equities Report; and
ii. A written explanation to the County of service variances reflected in the year-
end DE385L1 report if the variance exceeds or falls below 25 percent of the
planned expenditure amount for the contract year. However, if the amount
of the service-specific variance between actual and planned expenditures
does not exceed three percent of the total planned expenditures for the level
of service in which the type of service is included, a variance explanation is
not required. A copy of the written explanation shall be sent to the State's
Office of Budget and Revenue Management.
p. The dates for the submission of quarterly reports to the County shall be as follows unless
the generation and distribution of reports are delayed due to circumstances beyond the CHD's
control:
i. March 1, 2024, for the reporting period of October 1, 2023, through
December 31, 2023; and
ii. June 1, 2024, for the reporting period of October 1, 2023, through
March 31, 2024; and
iii. September 1, 2024, for the reporting period of October 1, 2023
through June 30, 2024; and
iv. December 1, 2024, for the reporting period of October 1, 2023
through September 30, 2024.
7. FACILITIES AND EQUIPMENT. The parties mutually agree that:
a. CHD facilities shall be provided as specified in Attachment IV to this contract and the
County shall own the facilities used by the CHID unless otherwise provided in Attachment IV.
b. The County shall ensure adequate fire and casualty insurance coverage for County-
owned CHD offices and buildings and all furnishings and equipment in CHD offices through
either a self-insurance program or insurance purchased by the County.
c. All vehicles will be transferred to the ownership of the County and registered as County
vehicles. The County shall ensure insurance coverage for these vehicles is available through
either a self-insurance program or insurance purchased by the County. All vehicles will be
used solely for CHD operations. Vehicles purchased through the County Health Department
Trust Fund shall be sold at fair market value when they are no longer needed by the CHD and
the proceeds returned to the County Health Department Trust Fund.
8. TERMINATION.
a. Termination at Will. This contract may be terminated by either party without cause upon
no less than 180 calendar days' notice in writing to !the other party unless a lesser time is
mutually agreed upon in writing by both parties.
b. Termination Because of Lack of Funds. In the event funds to finance this contract
become unavailable, either party may terminate this contract upon no less than 24 hours'
notice.
c. Termination for Breach. This contract may be terminated by either party for a material
breach of an obligation hereunder, upon no less than 30 days' notice. Waiver of a breach of
any provisions of this contract shall not be deemed to be a waiver of any other breach and shall
not be construed to be a modification of the terms of this contract.
9. MISCELLANEOUS. The parties further agree:
a. Availability of Funds. If this contract, any renewal hereof, or any term, performance, or
payment hereunder, extends beyond the CHID fiscal year beginning July 1, 2024, it is agreed
that the performance and payment under this contract are contingent upon an annual
appropriation by the Legislature, under section 287.0582, Florida Statutes.
b. Contract Managers. The name and addresses of the contract managers for the parties
under this contract are as follows:
For the State: For the County:
Carla A Fry PhD, MSN, RN Roman Gastesi
Name Name
County Health Dept Administrator County Administrator
Title Title
1100 Simonton Street 1100 Simonton Street
Key West,Fl. 33040 Key West, Fl. 33040
Address Address
Carla.Fry(d).flhealth.gov gastesi-roman(cDmonroecounty-fl.gov
Email Address Email Address
305-676-3835 305-292-4441
Telephone Telephone
If different contract managers are designated after the execution of this contract, the name,
address, email address, and telephone number of the new representative shall be furnished in
writing to the other parties and attached to the originals of this contract.
c. Captions. The captions and headings contained in this contract are for the convenience
of the parties only and do not in any way modify, amplify, or give additional notice of the
provisions hereof.
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d. N-9tippa: Any notices provided under this contract must be delivered by certified mail,
return receipt requested, in person with proof of delivery, or by email to the email address of
the respective party identified in Section 9.b., above,
In WITNESS THEREOF, the parties hereto have caused this eight page contract, with its
attachments as referenced, including Attachment I (two pages), Attachment 11 (seven pages),
Attachment III (one page), Attachment IV (one page), Attachment V (one page), Attachment
VI (three pages), and Addendum I (two pages) to be executed by their undersigned officials as
duly authorized effective the 1st day of October 2023,
BOARD OF COUNTY COMMISSIONERS STATE OF FLORIDA
FOR MONROE COUNTY DEPARTMENT OF HEALTH
SIGNED BY: SIGNED BY:
Holly Merrill Raschein
NAME: Josgph�LLada
yor TITLE: Mate-qumeon.Gen.eral
Cmbcy 1.3.20213......
TO, KEVIN MADOK, CLERK
SIGNED
SIGNED BY:
Pamela Hancock
NAME-' NAME: Ca af PhpW4NRN
TITLE: As Depury,Clerk, 'TITLE: CHD Administrator
DATE: Decernber 13, 202 3 DATE: 2
r
Approved as to form and legal suffibency:
Mor iroeCotintyAttorriey'sC)ffuce '12-5-2023
I-tj %A?
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ATTACHMENT I
MONROE COUNTY HEALTH DEPARTMENT
PROGRAM SPECIFIC REPORTING REQUIREMENTS AND PROGRAMS REQUIRING
COMPLIANCE WITH THE PROVISIONS OF SPECIFIC MANUALS
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Some health services must comply with specific program and reporting requirements in addition m the Personal Health
Coding Pamphlet(DVP50-2V . Environmental Health Coding Pamphlet 50-21)and FLAIR requirements because cf
federal or state law,regulation nrrule. Ka county health department is funded tn provide one o[these services,hmust
comply with the special reporting requirements for that service. The services and the reporting requirements are listed
below:
Service Requirement
1, Sexually Transmitted Disease Program Requirements eu specified inF.A.C.O4D-3. F.8.381 and F.G,384.
2. Dental Health Periodic financial and programmatic reports sospecified by the
program office.
3. Special Supplemental Nutrition Service documentation and monthly financial reports ae specified in
Program for Women, Infants and DHK015O-24°and all federal,state and county requirements detailed
Children(including the WIC in program manuals and published procedures.
Breoo#eeding Peer Counseling
Program)
4. Healthy Start/Improved Pregnancy Requirements oo specified in the 2OO7 Healthy Start Standards and
Outcome Guidelines and aa specified hy the Healthy Start Coalitions in
contract with each county health department.
5. Family Planning Requirements ao specified in Public Law 31-572.42U.S.C.3OO.at
ooq..42tFR part 58.subpart A.45CFR parts 74&g2.2CFR215
(OMB Circular A-11O)OMB Circular/+1O2. F.8.381.U851. F.&C.
64F-7. F.A.C.6417-16.and F.A.C.64F-13. Requirements and
Guidance ao specified in the Program Requirements for Title X
Funded Family Planning Projects(Title XRequinomenta)(2O14)and
the Providing Quality Family Planning Services(QFP):
Recommendations of CDC and the U.S.Office of Population Affairs
published un the Office o[Population Affairs webmite. wmQmmmeVc
annual reports ua specified by the program office ao specified inthe
annual programmatic Scope nf Work for Family Planning and
Maternal Child Health Services,including the Family Planning
Annual Report(FpAR}.and other minimum guidelines oospecified
by the Policy Web Technical Assistance Guidelines.
6. Immunization Periodic reports aa specified hy the department pertaining 0o
immunization levels in kindergarten and/or seventh grade pursuant
to instructions containedin8ho|mmunizeionGuide|ineo-F|u,ida
Schools,Childcare Facilities and Family Daycare Homes(DHForm
150-815)and Rule G4D-3.U48. F.A.C, |n addition, periodic reports ao
specified by the department pertaining hothe
surveillance/investigation of reportable vaccine-preventable
diseases,adverse events,vaccine accountability,and assessment of
immunization
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ATTACHMENT|(Comtinmed)
levels ae documented in Florida SHOTS and supported by CH0
Guidebook policies and technical assistance guidance.
7. Environmental Health Requirements en specified in Environmental Health Programs
Manuai150~t and DMP5U-21°
8. HIV/AIDS Program Requirements eo specified inF.G.384.25ond F.A.C.O*D-3.U3Oand
04D-3.O31.Case reporting should beun Adult HIV/AIDS Confidential
Case Report CDC Form DH2138 and Pediatric HIV/AIDS
Confidential Case Report CDC Form DM2140.
Requirements ao specified inF,A.C.8xO- and 84D- . F.S.381and
F.R.384. 8oci*demogmphin and risk data on persons tested for
HIV inCHD clinics should bo reported on Lab Request OMForm
1G28in accordance with the Forms Instruction Guide. Requirements
for the H|WA|CS Patient Care programs are found in the Patient
Care Contract Administrative Guidelines.
g. School Health Services Requirements os specified in the Florida School Health
Administrative Guidelines(May 2O12) Requirements oo specified in
F.G.381.0058.F.S.381DO57. FS.4O2.3O2G and F.A%.64F-6.
10. Tuberculosis Tuberculosis Program Requirements ae specified inF.&C.64D-
and F.G.392.
11. General Communicable Disease Carry out surveillance for reportable communicable and other acute
Cnnun| diseases,detect outbreaks,respond m individual cases u*reportable
diseases,investigate outbreaks,and carry out communication and
quality assurance functions,an specified inF.&C.G4D- . E8.381.
F.G.884 and the CHD Epidemiology Guide\n Surveillance and
Investigations.
12, Refugee Health Program Programmatic and financial requirements am specified bythe
program office.
.or the subsequent replacement if adopted during the contract period.
AnachmemJ'Page oofo
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ATTACHMENT H
MONROE COUNTY HEALTH DEPARTMENT
Part H,Sources of Contributions to County Health Department
October 1,2023 to September 30,.2024
State CHD County Total CHD
Trust Fund CHD Trust Fund Other
(cash) Trust Fund (cash) Contribution Total
I.GENERAL REVENUE-STATE
0150-10 All)S I'li1,A'F:N'[ION A St'ItV}:ILL:AN( I: GENEILAL RLA ENVIF, 73,552 0 3,552 0 73.552
015010 ('HD-TB C'OMNII1NITY PROGRAM 50.067 0 50,067 0 50,067
0150-10 DISEASECONTROLPRO(: A-MGR 16.755 0 167515 0 16.755
015010 DENTAL Sllls('IAL INITIATIVE PROJL:("TS 6.934 0 6,934 0 (M)34
0150,10 I:PIDENHOLOGY SI'lW[NLLANCI':GENERAL M'ENI.IIE 79,035 0 79,035 0 79,035
0150-10 FAMILY PLANNING GENEILI,RIWENI'-E 79,727 0 79.727 0 79,727
01 5040 HI)PA'I'PI'IS.AND I IVER I':AIIA RE PREVI+;N RON&CONTROI, 72,000 0 72,000 0 72,000
01.5040 I'R1M_ARY CARL PROGI�tAM 199,742 0 199,712 0 199,7,12
015040 RACIAL:ÐNIC DISPARITIES-CHI)EXPENSES 52.000 0 52,000 0 52,000
015040 SCHOOL HEALTH SERVICES 96.223 0 96.223 0 96,223
015050 CHI-)GENERAL REVENUE NON CsA'1TEGOR:ICM, 1,632.396 0 1,632396 0 1,632 396
GENERAL REVENUE TOTAL 2.358.131 0 2,358.181 0 2.358.131
2.NON GENERAL REVENUE-STATE
015010 ENVIRONMENTAL WOMEDI('AL WASTE PROGRAM 3,514 0 3,511 0 3,5I4
015010 167.832 0 IG7 832 0 167,832
NON GENERAL REVENUE TOTAL 17 1,346 0 17 L346 0 17 L346
3.FEDERAL FUNDS-STATE
007000 AIDS DRt'(;ASSIS LANCE PROGRAM ADMIN IIIQ 62.952 0 62,952 0 62,952
007000 WIC BREAST FEEDING:;PEHR CO['NSELING I'H2OG 103,651 0 103,651 0 I0,3.651
007000 COASTAL[BEACH Ibm,lT,R MONITORING 20,532 0 20,532 0 20,532
007000 COMPRLHENSIVE(Y)1I1-Kt NITY CARDIO-PIIBG 35.000 0 35,000 0 35,000
007000 STRENG 1'HENING S'['D PLLWEN'1'ION AND CON'CROL. 25,000 0 25,000 0 25,000
007000 ELC COW1D ENHANCED DL'rEC'TION EXPANSION GRANT 12,106 0 12.IM 0 12,100'
007000 HLC COWID HAI/AR 39,560 0 39,5G0 0 39J560
007000 ElYCOVID N['RSIN(,HOXIE<C FACILITY STRIKE't'EAM 39.560 0 39 560 0 39,560
007000 HI,C COWID OTHE'R&LONG TERM CARE FAC STRIKE PEAiNI 39.560 0 39,560 0 39,560
00,000 FAMILY PLANNING TITLE X-(;RANT 53.690 0 1.690 0 53,690
007000 HE""A'I-I D[SPARIIIES GRANT(:OVII)-19 63,892 0 6:1,892 0 63.892
007000 Pl'BLIC 1-11,1 H IN111ASTRI V'rt'II$&AA'OI Kl'OR(P;/( LN'1'Rr1L 1 12K 196 0 128.196 0 12K 196
00,000 HC)['SING()PPORT['NITIES FOR PERSONS WITH AIDS 736.384 0 736,38-1 0 736 3N1
007000 INFANT MORTALITY 6 131 0 6 134 0 6 134
007000 I\I AI[NII,:A`I'IONA("PION PLAN 61.372 0 6L372 0 61,1372
007000 tilA'1'ERN.A1,MORTAl,1`PY 6,431 0 fl,4:3=1 0 (i 134
007000 MCH SPl^1('[AL PRO.IEC'1'PRAMS 12,985 0 12,985 0 12.985
007000 BASE CO1111t'NI'['I'P1Z[;P.AIyI;DNESS CAPABILITY 91.010 0 91.01.0 0 91.010
007000 AIDS PREVENTION 1.1.8,227 0 118,227 0 118,227
007000 RYAN WI[1'1 E T[TLE 11 CARE GRANT 1.49.587 0 119.587 0 119.587
007000 'I'll CONTROL PROJI+Y'T 4,771 0 1,771 0 1.771
007000 WIC PRO(;RA1[ADM IN]S'I'RATION 510,230 0 510,230 0 5M230
015075 SCHOOL HEALTH SERVICES 123.839 0 123839 0 12.3.839
015075 Rl,,'HA11 L HEALTH S('REHNING IiP:IIIB[1RSGAIE+'N'[':AUV[IN 67,686 0 67,6M 0 611,686
Attach ment_il_Part_II-Page 1 of 4
ATTACHMENT 1T
MONROE COUNTY HEALTH DEPARTMENT
Part ll,Sources of Contributions to CountyHealth Department
October 1,2023 to September 0,2024
State CAD County Total CHD
Trust Fund CHD Trust Fund Other
(cash) Trust Fund (cash) Contribution Total
015075 RLPL CxEh;II F.AL'1'II S('R;[;I;NING R[,I1[I3['FtSP,AIH;N'C SIsRV1:CiES 8.47,888 0 817,888 0 847.888
018005 RYAN WIEI'1'E`I'I'1'Ll;l[AI)AI'DRL`(l ItP:1A'CI?S 17,876 0 17,876 0 17,876
FEDERAL FUNDS TOTAL 3,378 422 0 3,378.122 ) 3.378 122
4.FEES ASSESSED BY STATE OR FEDERAL RULES STATE
001020 CHI)STATMIDF,EWIRONXIENTM,FEES 172,686,686 0 172.686 0 172,686
001092 ON SI'['E SEWAGE I)ISPOSAL PEWVH I FEES 19,086 0 19,086 0 19.086
001092 CHI)STATEWIDI:EWI O;`MEN'I'M,FEES 6.200 0 6,200 0 6,200
001200' SANITATION'CERTIFICATES(FOOL)INSJ1E(,,n0N) 2,138 0 2,138 0 2 138
001206 SEPTIC'IANK RESEARCH S1'RCI-IARGE 55 0 55 0 55
001203 P(T131,IGSWI.vIMIN(,POOL PLRNITI l'EES-10%H(1TRANSFER 12,189 0 12,1.89 f) 12.189
001206 REGULATION OF BODY PIERCING S.W)NS 90 0 90 0 90
001206 TA'I"CO PROGR,"I ENVIRONMENTM,HEALTH 950 0 950 0 9 5O
001206 MORILE,,H01IE&RV PARK FEES 2.046 0 2.046 0 2.016
FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 215 140 0 215.440 O 215,440
5.OTHER CASH CONTRIBUTIONS-STATE:
031.005 11,198 0 1 1.198 0 11.198
090001 DIiAW DOWN FROM PI'I31,I('HEALTH 1'NI'I' 0 0 0 0 O
OTHER CASH CONTRIBUTION TOTAL 1 1,498 0 1 1.498
6.MEDICAID-STATE/COUNTY:
00105, CHD CLINIC FEES 0 13.378 13..378 0 13,378
0011-18 CHI)CLINIC FF,I:S 0 68.381 68,381 0 68,381
001118 160 160 0 160
MEDICAID TOTAL 0 82.219 82.219 82,219
7.ALLOCABLE REVENUE-STATE:
001009 CJ-H)('LINI('1'HES 100 0 100 0 1.00
01.8000 RYAN WHI'l'E'I'I'1'1,13II.Al)AP I)fi['(,[',Ef3r1'I'ES 26,815 0 26,815 0 26,815
018000 CHI)CLItiI( FE M 2,591 0 2,591 0 2.591
ALLOCABLE REVENUE TOTAL 29.506 0 29.506 O 29,506
8.OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND-STATE
AI)AP 0 0 0 80 7 694 807 69-1
PH.IRIIACY I)RI G PROGRAM 0 0 0 12,281 12,281
WI("PROGRANI 0 0 0 1,381.008 1381,008
14['ItE�l'l)l'PC'til,Ft`HI II,TH LABORATORIES 0 0 0 8.023 8,02:1
FII,MI'NIIATIONS 0 0 0 11391-18 1 1391-18
OTHER STATE CONTRIBUTIONS TOTAL 0 0 0 3 318 151 3.3 I8 151
9.DIRECT LOCAL CONTRIBUTIONS-BCC/TAX DISTRICT
00800:a (31I1)I,(.)(`AI,REVI,Nt'k',&I;NPIa:Ni)I'CI`1115 0 1073,677 1073.677 0 1073.679
00800;r I\ISl1NI'/,.1't'ION(".11]I'. I(:N.ltl)Nitt>I;t'(71"N'1'1I3()('(' 0 3-1.560 531,560 0 531.560
DIRECT COUNTY CONTRIBUTIONS TOTAL 0 1,608.237 1.608.237 0 1 608,237
Attachment-II-Part-II-Page 2 of 4
ATTACHMENT II
MONROE COUNTY HEALTH DEPARTMENT
Part II,Sources of Contributions to County Health Department
October 1,2023 to September 30,2024
State CHD County Total CHD
Trust Fund CHD Trust Fund Other
(cash) Trust Fund (cash) Contribution Total
10.FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION•COUNTY
001025 CHI)CLINIC 1^EES 0 489 189 0 189
001093 CUL)CIANIC FEES 0 49 49 0 49
001099 ('HI)CLINIC FEES 0 36,746 .36.776 0 36.776
001094 ('}11)LOC.1L I3NVIRONYIIs'N CAI,Fl?I'sS 0 1 18,901 118,901 0 148,901
001110 0 64.188 64.188 0 61,188
FEES AUTHORIZED BY COUNTY TOTAL 0 250.703 250,703 0 250.703
11.OTHER CASH AND LOCAL CONTRIBUTIONS-COUNTY
001029 CHD CLINIC FEES 0 10'T.819 107.819 0 107.819
001029 GENERAL CIANIC RABIES Sh:RVICES&DRUG PURC ILASES 0 1,369 1,364) 0 1,369
001029 Cl`RANT 310Y RL1 LNUE AND ESPLNSE TRACKING 0 60,000 60.000 0 60,000
001.090 CHD CLINK"FEES 0 61,836 61,836 0 61 836
005000 ('HI)CLINIC FEES 0 20 20 0 20
007010 RYAN W111TE TITLE III-DIRECT TO('HI) 0 10R921 109,921 0 109.921
007010 RYAN W111TE TITLE III-DIRECT TO('HD 0 238.210 238,210 0 238.210
010500 ( HI)SALE OF SEItV10ES IN OR OUTSIDE OF STATE W)V'C ) 92,G57 9`>,657 0 92,657
011001 CHD HEALTHY START COALITION CONTRACT 0 360"000 360.000 0 360.000
090002 DRAW DOWN FR01I PUBIAC HEALTH UNIT 0 -59G.168 -596,168 0 -596.168
OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL 0 735,661 735.664 0 735.664
12.ALLOCABLE REVENUE-COUNTY
001009 C111)CLINIC FEES 0 100 100 0 100
01.8000 RYAN WHITE TI11E 11 ADAP DRUG REBATES 0 26,815 26"815 0 26.815
01.8000 CHD CLINIC FEES 0 2,591 2,591 0 2.591
COUNTY ALLOCABLE REVENUE TOTAL 0 39.506 29.506 0 29,506
13.BUILDINGS-COUNTY
ANNUAL BENTAI, 0 0 0 597,605 597,(i05
O'PHER(Spec)fy) 0 0 0 0 0
t 'I'ILITIRS 0 0 0 83,369 83,369
IWIL TAM;MAINTENANCE'I ENANCE' 0 0 0 7 5,223 75.223
CROUNI)S Bal 1 ENAN('I% 0 0 0 115.566 115,566
INSURANCE 0 0 0 0 0
OTHER(Specify) 0 0 0 0 O
O'IHEIi(Specify) 0 0 0 0 0
BUILDINGS TOTAL 0 0 0 871,76,3 871,763
14.OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND COUNTY
E01'IP0 ENT/YEf11CLEI'I-RCHASES 0 0 0 0 0
VEHICLE INSURANCIE 0 0 0 0 0
1"I;F{U'J.1: 11aIN I I NA?(CIS 0 0 0 0 0
OITIERCOUNTY-CONTRI fit'TION(SPECIFY) 0 0 0 0 0
)THER COt'NTY CONTRIBUTION(Sill,,}C'.IFY) 0 0 0 0 0
OTHER COUNTY CONTRIBUTIONS TOTAL 0 0 0 0 0
Attach ment_il_Part_II-Page 3 of 4
ATTACHMENT 111
MONROE COUNTY HEALTH DEPARTMENT
Part 11,Sources of Contributions to County Health Department
October 1,2023 to September 30,2024
State Crw County Total CHD
Trust Find CHD Trust Fund Other
(cash) Trust Fund (cash) Contribution Total
GRAND TOTAL CHD PROGRAM 6,167,643 2,706,329 8873.972 4,22Q217 13,094,189
Attachment_II_Part_II-Page 4 of 4
ATTACHMENT H
MONROE COUNTY HEALTH DEPARTMENT
Part III,Planned Staffing.Clients,Services and Expenditures By Program Service Area Within Each bevel of Service
October 1,2023 to September 30,2024
Quarterly Expenditure Plan'
FTWs Clients Services/ 1st 2nd 3rd 4th Grand
(0.00) Units Visits (Whole dollars only) State County Total
A. COMMUNICABLE DISEASE CONTROL:
FVMUNIZATION (101) 9.94 1,296 (3,',31(3 326,121 279,807 326,121 284 CM 532,981 684,101 1.217,082
SEXUALLY TEANS.DIS. (102) 2.08 82 171 69,129 59,257 69,129 60235 98,T5,1 158,996 257.750
RIV/AIDSPREVENTION (03AI) 2.11 0 1.10 73.185 (32,731 73,185 (33,771 272,870 i 272,875
HIV/AIDS Sl RVEILLANCE (WA2) 0.00 0 0 0 0 0 0 0 0 0
111V/AIDS PATIENT CARE (0313) 11.08 2M 1J372 153.816 389,009 153.816 395 139 913,519 7-18,531 1,(392,080
ADAP (03A0 0.98 0 0 22,792 1.9538 22.792 19,861 81,981 2 81,983
T(IBERCULOSIS (101) 1.30 1.6 117 11.3,18 35 I43 41,348 36,029 1.54,141 27 151,168
(Y)1ID1.MS SL'RV. (106) 1.26 0 3,152 127,117 1.09,217 127r117 111,0G3 175,1911 0 175,19 1
I11+11PATITIS (109) 1.9.1 388 427 36,062 30.91.2 36,062 31,121 131,-156 4 131 160
PREPAREDNESS ANI)PES110NSE. (116) 1.12 0 0 14.519 ;N 161 11.519 .38,792 165,991 0 165,991
RLFI'GEFIIF.MAII (1.1.8) 3,83 991 3,497 115,122 98,682 115,122 100,312 1292:11 1 129,238
\1TALRECORDS (180) 1.12 1519 L05.1 24,964 21399 21.964 21.750 93,071 93,077
COMMUNICABLE DISEASE SUBTOTAL 39.76 7,608 198119 334.805 1,MA 189 L„33.4,805 ] 163,099 3,292,151 1,684,747 1976,898
B. PRIMARY CARE:
('11RONIC DISEASE PIWXh,NTI0N PRO (210) 0.82 1,111. 9:5 28.368 21.31.7 28,368 21,717 105,710 0 105,770
WIC (21WI) 6.97 2,606 1 I.337 11-59,060 136 3-15 159,060 138,600 593,0(i5 593,0(i5
TOI3A000 L'SE INTERVENTION (212) 2,25 0 0 58.:i711 0,20({ 58,:570 7)1.O31 218,380 218,380
WIC BREAS FEEDING1'EERCO NSELING (21W2) 1.80 1,088 33,995 291-11 33,995 29623 126,751 0 126,751
FAVMILYPI,ANNINO (223) 1.18 1,115 2,347 1--17,246 126,219 147,246 128,305 112,611 136105 51 ON'
IMPROVED PREMNANCYOI`TCOX[E (225) 0.01 0 0 7,178 6153 7,178 6,253 26,7(i2 0 26,7(32
HEALTHY START PRENATAL, (227) 2.-17 139 1_821 62,515 53 611 62,545 )1,500 0 233.201 233,20-1
041F'IdE]4I NSIVI3:CI11Lll IIEAL'I'H (229) 0.00 0 U 0 0 0 U 0 0 0
IIEAI;III� S'I'AItT(1HI1,17 (231) 2-17 510 ?135 58..-1.10 50 091 58,110 50,922 0 217,896 217,896
SC110OL HEALTH (230 2.26 0 189,621 60,213 51.610 60,2-13 52195 22 1,621 0 221,621
O1IPREI(LNSIVE ADl'[;1'Fl ..1l;fl] (237) 3.38 289 875 8.1,722 72,623 81722 73.823 218.57:3 97,317 3 15 890
COMM UNITS I1E,AL991 DEVELOPMENT (238) 1.:31 0 881 1,51,205 1:12,181 151.205 1343(i9 57-1,963 0 571.963
DENTALHEALTII (210) (H)1 0 0 16.117 11098 16.117 11 332 61,:321 U 61,321
PRIMARY CARE SUBTOTAL 30.96 6,100 213,2W 871.019 7-16631 871,019 758,973 25(;2.823 684822 3,21761
C. ENVIRONMENTAL HEALTH:
Water and Onsite Sewage Programs
COSTAL BEACH',I0N1'F0lflNG (3,17) 0A1 117 117 6,357 5.460 6,357 i.510 23,704 0 23.701
LIMITED USE N'BIM'WATE''k SYSTEMS (357) 0.00 0 q 0 U 0 0 0 0 0
I'1'13LIC F\1 FI3 SS-STEM (3.58) 0.00 0 0 0 0 0 0 0 0
PRIVATE WATER SS STEM 059) 0.00 0 0 0 0 0 O 0 Q 0
ONSITE SL\VAGETRLATMENTKDISPOSAL (:Wl) 1,3-1 123 108 33,701 28,891 M,70-1 29,369 18,918 76.750 125668
Group Total 1,-18 510 225 10,061 313-11. -10,061 31,909 72,622 76,750 119,372
Facility Programs
TATTOO FACILITY SERVICES (:!11) C)_20 198 126 5,107 1,378 5,107 1 151 19,0 14 0 19,043
Attachment_II_Part_III-Page 1 of 2
ATTACHMENT II
MONROE COUNTY HKALTH DEPARTMENT
Part HI,Planned Staffing.Clients,Services and Expenditures By Program Service Area Within Each Level of Service
October 1,2023 to September 30,2024
Quarterly Expenditure Plan
FTE's Clients Services/ 1st 21nd 3rd 4th Grand
(0.00) Units Visits (Whole dollars only) State County 'Dotal
FOOD HYGIENE (348) 0.5.5 145 263 12,599 10,800 12,599 10,978 29,786 17,190 46.976
BODY PIERCING FACILITIES SERVICES (349) 0.03 4 5 998 855 998 869 3,120 600 3,720
GROUP CARE FACILITY (351) 0.011 18 25 1.254 1,075 1,254 1,091 3,131 1,543 1.67-1
MIGRANT LABOR,CAMP (352) 0.00 0 0 0 0 0 0 0 0
HOUSING&PUB.BLDG. (353) WX) 0 0 0 0 0 0 0 0
\40BILE HOME AND PARK (1351) 0.-10 234 334 12,090 10,363 12.090 10 YN 22,7li3 22.331 45,077
POOLS/BATHING PLACES (360) 2,12 671 1,751. 53,965 46,258 33,965 <17,022 121.952 79,258 201,210
BIOMEDICAL WASTE SERVICES (364) 0.27 226 21.8 6,914 5,926 6,914 6,024 1.5,512 10,266 25,778
CANNING FACILITY SERVICES (.369) 0,02 0 0 696 597 696 607 2,596 2,596
Group Total 3.63 1,499 2.722 93.623 80,252 93,623 81,576 215,287 133,787 349.074
Groundwater Contamination
STORAGE TANK COiMPI.,IANCE SERVICES (355) 0.00 0 0 0 0 0 0 0 0
SL.IPER ACT SERVICES (356) 0.00 0 0 0 0 0 0 0 0 0
Group Total 0.00 0 0 0 0 0 0 0 0 0
Community Hygiene
COMMUNITY ENVIR.HEALTU (345) 0.04 0 ) 1,026 879 1,026 893 2,523 1,301 3,824
INJURY PREVENTION (346) 0.00 0 0 0 0 ) 0 0 0 0
LEAD NIONICORING SERVICES (350) 0.00 0 0 0 0 0 0 0 0 0
PUBLIC SEWAGE (362) 0.00 0 0 0 0 0 0 0 0 0
SOLID WASTE DISPOSAL.SERA I(l (363) 0.00 0 0 0 0 0 0 0 0 0
SANITARY NUISANCE (365) 0.O£3 7 14 953 817 9t53 832 2,381 1,171 3555
RABIESSITRVEILLANCE (366) ().()1 0 1 396 339 396 344 988 187 1,,17:5
ARBORVIRUS SURVEIL. (367) 0.00 0 0 0 0 0 0 0 0
RODENT/ARTHROPOD CONTROL (368) 0.00 0 0 0 0 0 0 0 0
WATER POLLUTION (370) 0,00 0 0 0 0 0 0 0 0 0
INDOORAIR (371) 0.00 0 0 0 0 0 0 0 0 0
RADIOLOGI('AL 11E AUPH (372) 0.00 0 0 0 0 0 0 0 O U
'CONIC SL'B'r7 ANC ES (378) 1.44 103 103 33,059 28,338 33.0159 28,805 0 123.261 123.261
Group Total 1..52 -110 418 15.-131 30,373 35 43-1 :10,871 5,892 126,223 132,115
ENVIRONMENTAL HEALTH SUBTOTAL 6.63 2.149 3,365 1.69,118 114,966 169.118 117.359 293,801 336.700 630.561.
D. NON-OPERATIONAL COSTS'
NON-OPER.ATIONAL COS'CS (599) 0.00 0 0 0 0 0 0 0 0
13NVIRON\IENTAI,HEALTH 5I RCIIARGE (399) 0.00 0 0 5,060 4.338 5,060 1,-110 18,868 0 18,868
MEDICAID M'YBACK (611) 0.00 0 0 0 0 0 0 0 0 0
NONOPERATIONAL COSTS SUBTOTAL 0.00 0 0 5.060 4,338 5,060 1.410 18.868 0 18,868
TOTAL CONTRACT 77,35 16,157 236.417 2.380,002 2,040.127 2,380.002 2073,841 6,1(37.643 2,706.329 8.87:)„972
Aftachment_II_Part_III-Page 2 of 2
ATTACHMENT III
MONROE COUNTY HEALTH DEPARTMENT
CIVIL RIGHTS COMPLIANCE AND NON-DISCRIMINATION CERTIFICATE
1 The CHD agrees to complete the Civil Rights Compliance Questionnaire,DH Forms 946 A and B(or the subsequent
replacement if adopted during the contract pehod). ifso requested by the Department.
2. The CHD assures that it will comply with the Omnibus Budget Reconciliation Act of 1981,P.L.97-35.which prohibits
discrimination on the basis of sex and religion in programs and activities receiving or benefiting from federal financial
assistance.
3. Assurance of Civil Rights Compliance: The CHO hereby agrees that it will comply with Title V| of the Civil Rights
Act of 1964 (42 U.S.C. 2000d wtumqj; Title |X of the Education Amendments of 1972 (20 U.S.C. 1681 etaaqj;
Section 5O4nf the Rehabilitation Act of1S73(29U.S.C. 704);the Age Discrimination Act of1Q75 (42U.8.C. 8101
etueq.); Title || and Title ||| of the Americans with Disabilities Act (\DA) of 1990. an amended by the ADA
Amendment Act of 2008(42 U.S.C. 12131-12189)and as implemented by Department of Justice regulations at 28
CFR Podn 35 and 36; Executive Order 13166. "Improving Access to Services for Persons with Limited English
Proficiency" (August 11, 2000); all provisions required by the implementing regulations of the U.S. Department of
Agriculture (7CFR Part 15etoeq.); and FNG directives and guidelines to the effect that no person shall, onthe
ground of race,color, national origin,age,sex,or disability,be excluded from participation in,be denied the benefits
of, or otherwise be subjected to discrimination under any program or activity for which the agency receives Federal
financial assistance from FNS; and hereby gives assurance that it will immediately take measures necessary to
effectuate this agreement.
By providing this assurance, the CHD agrees to compile data, maintain records and submit records and reports
as required to permit effective enforcement of the nondiscrimination laws, and to permit Department personnel
during normal working hours to review and copy such records, books and accounts, access such facilities, and
interview such personnel as needed to ascertain compliance with the non-discrimination laws. |f there are any
violations of this assurance,the Department of Agriculture shall have the right to seek judicial enforcement of this
assurance.
This assurance is given in consideration of and for the purpose of obtaining any and all Federal financial
assistance, grants, and loans of Federal funds, reimbursable expenditures,grant or donation of Federal property
and interest in property, the detail of Federal personnel,the sale and lease of, and the permission huuse Federal
property or interest in such property or the furnishing of services without consideration or at a nominal
consideration,or at a consideration that is reduced for the purpose of assisting the recipient,or in recognition of
the public interest to be served by such sale, lease, or furnishing of services to the recipient, or any improvements
made with Federal financial assistance extended to the Program applicant by USDA. This includes any Federal
agreement, arrangement, or other contract that has as one of its purposes the provision of cash assistance for the
purchase of food, and cash assistance for purchase or rental of food service equipment or any other financial
assistance extended in reliance on the representations and agreements made in this assurance.
This assurance is binding on the CHD, its successors,transferees, and assignees as long as it receives or retains
possession of any assistance from the Department. The person ur persons whose signatures appear below are
authorized to sign this assurance on the behalf of the CHD.
4. Confidentiality of Data, Files,and Records:The CHD agrees bo restrict the use and disclosure of confidential USDA,
Women, Infant, and Children (WIC)applicant and participant information as specified in 7 CFR§246.26(d)(1)(i) in
accordance with 7CFR§24G.2G(d)(1)(ii). aaapplicable.
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ATTACHMENT V
MONROE COUNTY HEALTH DEPARTMENT
SPECIAL PROJECTS SAVINGS PLAN
CASH RESERVED OR ANTICIPATED TO BE RESERVED FOR PROJECTS
CONTRACT YEAR STATE COUNTY TOTAL
2022-2023* $ 0 $ 0 $ 0
2023-2024** $ 0 $ 0 $ 0
2024-2025*** $ 0 $ 0 $ 0
2025-2026— $ 0 $ 0 $ 0
PROJECT TOTAL $ 0 $ 0 $ 0
SPECIAL PROJECTS CONSTRUCTION/RENOVATION PLAN
PROJECT NUMBER:
PROJECT NAME:
LOCATION/ADDRESS:
PROJECT TYPE: NEW BUILDING ROOFING
RENOVATION PLANNING STUDY
NEW ADDITION OTHER
SQUARE FOOTAGE: 0
PROJECT SUMMARY: Describe scope of work in reasonable detail.
START DATE (initial expenditure of funds)
COMPLETION DATE:
DESIGN FEES: $ 0
CONSTRUCTION COSTS: $ 0
FURNITURE/EQUIPMENT: $ 0
TOTAL PROJECT COST: $ 0
COST PER SQ FOOT: $ 0
Special Capital Projects are new construction or renovation projects and new furniture or equipment associated with these projects and
mobile health vans.
*Cash balance as of 9/30/23
**Cash to be transferred to FCO account.
***Cash anticipated for future contract years.
Attachment_V-Page 1 of 1
ADDENDUM
TO CONTRACT BE,
MONROE COUNTY BOARD OF C06NTY COMMISSIONERS
AND
STATE OF FLORIDA DEPARTMENT OF HEALTH
FOR OPERATION OF THE
MONROE COUNTY HEALTH DEPARTMENT
CONTRACT YEAR 2023 —2024
This addendum is executed by the parties to provide additional clarification to the
agreement between the Monroe County Board of County Commissioners ("County") and
the State of Florida Department of Health ("State")for the operation of the Monroe County
Health Department ("CHD") for the contract year beginning October 1, 2023.
PAYMENTS MADE BY THE STATE TO THE COUNTY
In order to get a more complete picture of the financial arrangement between the two
parties, it should be noted that the State is making payments to the County for various
services. These are services rendered by the County or by a third party, and the State is
receiving benefit. The following is a list of the services handled in this manner:
• Vehicle Maintenance
The State is responsible for the cost of maintenance and repairs of vehicles used for
Health Department operations. Most of the repairs are handled by the county
garage and invoiced to the CHD.
• Vehicle Fuel
The County charges the State for fuel whenever the County pumps are used.
• Vehicle Insurance
The County carries the title, registration, and associated insurance coverage for all
vehicles. The State reimburses the County for their share of these costs.
• Building Insurance
The County owns the facilities where the CHD conducts business. The County, in
turn, carries the building insurance and charges back the Health Department for their
share of the costs. The facilities are listed in Attachment IV.
• County Courier Costs
The County operates a courier service making deliveries between county facilities.
The State is charged a reasonable fee for the use of these services.
• County Phone Lines
The State is obligated to pay the County for the use of miscellaneous telephone and
fax lines. These lines could not be transferred to the new CHD phone system at the
time of the last upgrade.
Page 1 of 2
ADDENDUM I
TO CONTRACT BETWEEN
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
AND
STATE OF FLORIDA DEPARTMENT OF HEALTH
FOR OPERATION OF THE
MONROE COUNTY HEALTH DEPARTMENT
CONTRACT YEAR 2023 —2024
PROPERTY PURCHASED BY THE CHD
Per F.S. 274.11 title to all property purchased by county health departments from any
source shall be vested in the name of the counties and must be accounted for as
otherwise provided in Chapter 274 (which requires property to be inventoried and
recorded).
Additionally, FAC 691-73 was revised in 2020, to provide that only property with a dollar
value of$5,000 or more needs to be recorded, unless the item is "attractive" (e.g, an
iPhone), in which case it should be recorded too. (The dollar value was raised from
$1,000 to $5,000 in 2020.) The county clerk has opted to keep the value at $1,000 for
property purchased by the CHD.
Page 2 of 2
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