1st Amendment 01/15/2025 GVS COURTq c
o: A Kevin Madok, CPA
-
�o ........ � Clerk of the Circuit Court& Comptroller Monroe County, Florida
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DATE: February 27, 2025
TO: Cheri Tamborski
Emergency Services
Mayor Bruce Halle
Fire & Ambulance District 1 Board of Governors
FROM: Liz Yongue, Deputy Clerk
SUBJECT: January 15, 2025 BOCC Meeting
The following item has been executed and added to the record:
C2/H1 1st Amendment to the Agreement with Antonio Gandia, M.D., for Medical
Director services to extend the term of the Agreement through September 30, 2025.
Should you have any questions, please feel free to contact me at(305) 292-3550.
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
AMENDMENT NO.I
to the Amended and Restated Contract between
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS,
THE BOARD OF GOVERNORS OF FIRE AND AMBULANCE DISTRICT 1,AND
ANTONIO GANDIA,M.D.
To Serve As Medical Director for Monroe County Fire Rescue
This Amendment No. 1, made and entered into thisl5th day of January , 2025, to the
Amended and Restated Contract between Monroe County, Florida, and A_nton_ioGa'ndia, M.D. to
serve as Medical Director for Monroe County Fire Rescue, dated August 9, 2024 ("Original
Agreement"), by and between the Monroe County Board of County Commissioners,the Board of
Governors of Fire and Ambulance District I of Monroe County, Florida, hereinafter collectively
referred to as the "County," and Antonio Gandia, M.D., hereinafter referred to as "Contractor."
WITNE SSE TH:
WHEREAS, on August 9, 2024, the parties entered into the Original Agreement for
Contractor to serve as the Medical Director for Monroe County Fire Rescue; and
WHEREAS, the parties desire and mutually agree to amend the Original Agreement,
through this Amendment No. 1, to extend the term of the agreement; and
WHEREAS, the parties hereby agree to extend the term pursuant to Section 1, "Term," of
the Original Agreement, with the first renewal term commencing on February 9, 2025 and ending at
11:59pm on September 30, 2025; and
WHEREAS, the parties believe such extension will allow Monroe County Fire Rescue
sufficient time to complete the competitive solicitation process for such medical director services on
a longer-term basis, as is in the best interests of Monroe County, Florida.
NOW, THEREFORE, based on the mutual promises and covenants herein contained, and
in exchange for good and sufficient consideration, the parties agree as follows:
1. The recitations referred to above are true and correct, and are hereby adopted and
incorporated herein as if set forth in full.
2. Pursuant to Section 1, "Term," of the Original Agreement, the agreement is hereby
renewed with the first renewal term starting on February 9, 2025 and ending at 11:59pm on
September 30, 2025.
3. This agreement constitutes the entire understanding between the Contractor and the
County regarding this Amendment No. 1, and all other terms and conditions of the Original
Agreement, not inconsistent herewith, shall remain in full force and effect, and are incorporated
herein.
[Signatures to follow]
Page 1 of 2
: .IN.WITNESS.W EREO:F,. the pa i_es, hereto have.executed this Aniendrnent No.* 1*to
• • the Amended and Restated Contract between Monroe County,.Florida. and Antonio:Ganndia;M.-D. . ' • : '
: : • : • •. : : s•tO:serve as Medical.Director for Monroe County.Fire Rescue,on'Ole day and year;first above written.: : : ' • '
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• BOARD OF GOVERNORS OF FIRE AND AMBULANCE-DISTRICT 1 ._ .F M NR' E: : ' : .
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Approved as to'legal form&sufficient
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Eve M.-Levis,Assistant County Attorney • • • :
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Page 2:of'2
Antonio Gandia, M.D.
1080 S.W. 42ndAvenue
Deerfield Beach, FIL 33442
August 12, 2024
To whom it may concern,
As an independent contractor, I am not required to carry Worker's Compensation
insurance pursuant to the Florida Statutes (less than 4 employees).
I also do not carry any commercial vehicles and do not carry general liability insurance.
Please contact me if you have any questions.
Sincerely,
ArYtOTItIrl"-119 n`@ M.D.
yr ,
2019 patltlan
MONROE COUNTY, FLORIDA
REQUEST FOR WAIVER OF INSURANCE REQUIREMENT
It is requested that the insurance requirements,as specified in the County's Schedule of Insurance
Requirements,be waived or modified on the following contract.
�-
ContractorNendot /10 Fr'"7 I
Project or S eMce:
Cotttr ewNetndor
Address&Phone N:
Genwal Scope of Work: �' r
Rid for Waiver or � r'?
Modification:
Policies Waiver or
Modification will apply to:
Signature of Contractor/Vendor.
Date: Approved Not Approved
Risk Management Signature:
Date: 9/5/2024 Vehicular Liabilit and Workers Comp are waived.
County Administrator appeal:
Approved: Not Approved
Date:
Board of County Commissioners appeal.:
Approved Not Approved:
Meeting Date:
Adininistrative lnstiwtion 7500.7
104
CERTIFICATE OF COVERAGE
Certificate Holder Administrator Issue Date 1/27/25
Monroe County Board of County Commissioners Florida League of Cities,Inc.
1111 12th Street Suite 408 Department of Insurance Services
P.O.Box 538135
Key West, FL 33040 Orlando,Florida 32853-8135
COVERAGES
THIS IS TO CERTIFY THAT THE AGREEMENT BELOW HAS BEEN ISSUED TO THE DESIGNATED MEMBER FOR THE COVERAGE PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY
CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE COVERAGE AFFORDED BY THE AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH AGREEMENT
COVERAGE PROVIDED BY: FLORIDA MUNICIPAL INSURANCE TRUST
AGREEMENT NUMBER: FMIT 0386 COVERAGE PERIOD: FROM 10/1/24 COVERAGE PERIOD: TO 10/1/25 12:01 AM STANDARD TIME
TYPE OF COVERAGE-LIABILITY TYPE OF COVERAGE-PROPERTY
General Liability ❑ Buildings ❑ Miscellaneous
❑X Comprehensive General Liability,Bodily Injury,Property Damage, ❑ Basic Form ❑ Inland Marine
Personal Injury and Advertising Injury Special❑ S l F ❑ Electronic Data Processing
❑X Errors and Omissions Liability ❑ Personal Property ❑ Bond
❑X Employment Practices Liability ❑ Basic Form
❑X Employee Benefits Program Administration Liability ❑ Special Form
❑X Medical Attendants'/Medical Directors'Malpractice Liability ❑ Agreed Amount
❑X Broad Form Property Damage ❑ Deductible N/A
❑ Law Enforcement Liability ❑ Coinsurance N/A
® Underground,Explosion&Collapse Hazard ❑ Blanket
Limits of Liability ❑ Specific
*Combined Single Limit ❑ Replacement Cost
Deductible N/A ❑ Actual Cash Value
Automobile Liability Limits of Liability on File with Administrator
❑X All owned Autos(Private Passenger) TYPE OF COVERAGE-WORKERS'COMPENSATION
❑X All owned Autos(Other than Private Passenger)
® Statutory Workers'Compensation
❑X Hired Autos
® Employers Liability $1,000,000 Each Accident
❑X Non-Owned Autos $1,000,000 By Disease
$1,000,000 Aggregate By Disease
Limits of Liability ❑
Deductible N/A
*Combined Single Limit
❑ $500,000 Self Insured Retention
Deductible N/A
Automobile/Equipment-Deductible
® Physical Damage Per Schedule-Comprehensive-Auto Per Schedule-Collision-Auto NA-Miscellaneous Equipment
Other
The limit of liability is$5,000,000(combined single limit)bodily injury and/or property damage each occurrence in excess of a self-insured retention of$200,000.
This limit is solely for any liability resulting from entry of a claims bill pursuant to Section 768.28(5)Florida Statutes or liability/settlement for which no claims bill has
been fled or liability imposed pursuant to Federal Law or actions outside the State of Florida.
Description of Operations/Locations/Vehicles/Special Items
RE:Evidence of Insurance.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY
THE AGREEMENT ABOVE.
Designated Member Cancellations
Monroe County Board of County Commissioners SHOULD ANY PART OF THE ABOVE DESCRIBED AGREEMENT BE CANCELED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 45 DAYS WRITTEN NOTICE TO THE
1111 12th Street Suite 408 CERTIFICATE HOLDER NAMED ABOVE,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO
OBLIGATION OR LIABILITY OF ANY KIND UPON THE PROGRAM,ITS AGENTS OR REPRESENTATIVES.
Key West FL 33040
AUTHORIZED REPRESENTATIVE
FMIT-CERT(10/2011)