HomeMy WebLinkAboutItem F02 F2
� BOARD OF COUNTY COMMISSIONERS
COUNTY of MONROE � ���� �A �����'�����
Mayor James K. Scholl,District 3
The Florida Keys Mayor Pro Tem Michelle Lincoln,District 2
y Craig Cates,District 1
1 David Rice,District 4
MIN
Holly Merrill Raschein,District 5
Board of County Commissioners Meeting
November 12, 2025
Agenda Item Number: F2
2023-4619
BULK ITEM: Yes DEPARTMENT: Budget and Finance
TIME APPROXIMATE: STAFF CONTACT: John Quinn
N/A
AGENDA ITEM WORDING:
Approval of a contract beginning Oct. 1, 2025 (retroactively) between Monroe County Board of County
Commissioners and the State of Florida Department of Health for operation of the Monroe County
Health Department with a County share of$1,5 84,443 for County FY2025-2026.
ITEM BACKGROUND:
This is the annual agreement between Monroe County and the Florida Department of Health (DOH) that
has continued for 20+years. The County pays for additional services, over and above the State
contribution of$3,892,558. Three (3) primary services are performed by the DOH to serve Monroe
County residents:
1. "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 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.
2. "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.
3. "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.
PREVIOUS RELEVANT BOCC ACTION:
N/A
INSURANCE REQUIRED:
No
CONTRACT/AGREEMENT CHANGES:
The contract reflects a year-over-year funding reduction of$178,232 resulting from County fiscal year
2026 budget constraints.
STAFF RECOMMENDATION: Approval.
DOCUMENTATION:
FY25-26 Core Contract btwn DOH and BOCC_Lgl Appd 10.22.2025_Partially Executed.pdf
FINANCIAL IMPACT:
Cost to County: $1,584,443
Source of Funds: Countywide Ad Valorem Property Taxes
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 2025=2026
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, 2025 (retroactively effective). 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,
2025 (retroactively effective), through September 30, 2025, 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 II hereof, to maintain the following
three levels of service pursuant to section 154.01(2), Florida Statutes, as defined below:
a. "Environmental health services" are those services that are organized and operated to
protect the health of the general public by monitoring and regulating activities in the
environment that may contribute to the occurrence or transmission of disease. Environmental
health services shall be supported by available federal, state, and local funds and shall include
1
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 II of
Attachment li hereof. This funding will be used as shown in Part I of Attachment 11.
L 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 II is an amount not to exceed $ 3,892,558 (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 $1,584,443 (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 li 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 Vilest, 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 6.k., below. Books, records, and documents must be
adequate to allow the CHD to comply with the following reporting requirements:
i. The revenue and expenditure requirements in the Florida Accounting
Information Resource System; and
Y. 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
/it. 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 by an independent certified
public accountant on the financial records of the CHD, and the results made available to the
parties within 180 days after the close of the CHD fiscal year. This audit will follow requirements
contained in OMB Circular A-133, as revised, and may be in conjunction with audits performed
by the County government. If audit exceptions are found, 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.
1. 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 DE385L1 Contract Management Variance Report and the DE580L1
Analysis of Fund Equities Report; and
IL Awritten explanation to the County of service variances reflected in the year-
end DE385L1 report if the variance exceeds or falls below 25 percent of the
planned expenditure amount for the contract year. However, if the amount
of the service-specific variance between actual and planned expenditures
does not exceed three percent of the total planned expenditures for the level
of service in which the type of service is included, a variance explanation is
not required. A copy of the written explanation shall be sent to the States
Office of Budget and Revenue Management.
p. The dates for the submission of quarterly reports to the County shall be as follows unless
the generation and distribution of reports are delayed due to circumstances beyond the CHD's
control:
i. March 1, 2025, for the reporting period of October 1, 2025, through
December 31, 2025; and
U. June 1, 2026, for the reporting period of October 1, 2025, through
March 31, 2026; and
W. September 1, 2026, for the reporting period of October 1, 2025
through June 30, 2026; and
iv. December 1, 2025, for the reporting period of October 1, 2025
through September 30, 2025.
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 CHD 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.
Term"nafion at Will. This contract may be,terminatedei h it party W'thout cause upon
no less � calendar s' notice in writing to, the other party unless a lesser time iis
rnutually agreed u1pon in writing by both parties,
b. Termination Because of Lack of Funds, In the evert 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 y, either party for a, ma,tierial
breach, of are 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 c nstrued to be a, modification of the terms of this contract.
91. MISCELLANEOUS. The parties further agree-,
. Avai1ab,iIi!y,,,,of,FurNids, If this contract, any renewal hereof, or any terra, performance,, r
payment hereunder, n beyond the CHID fiscal year beginnings , it IN * agreed
that the performance and payment under this contract are contingent, upon are annual
appropriation by the Legislature, under section 28 . 5 2,, Florida Statutes.
. Contract, n ors. the narne and addresses of the contract managers for the parties
under,this contract are as follows".
For the tote.- For, h rt :
Dr. Carla A F Christine Hurley
Name Name
CHD Administrator County,Administrator
Title Title
County of MonroeCounty ofMonroe
1100 Simonton Street 1100 Simonton Street
Address Address
P r La,.,_F:�r (�tf h�ea�It 0 .c
L-kjrley-,Chirisfin� ,, � ' .
Email Address E,m it Address
(30,5),_676-3835 (3051).29,2-4441
TeIepho,n,e Telephone
If different contract rnianagers are designated after the exec tiolr of this contract, the name,,
address, email addreSs, and telephone number of the, new representative shall be furnishedin
ritir other rtie and attach rinl contract.
c. Captions. The captions nd 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 the
provisions hereof.
d. Notices. Any notices provided under this contract must be delivered by certified mail,
return receipt requested, in person with proof of delivery, or by email to the email address of
the respective party identified in Section 9.b., above.
In WITNESS THEREOF, the parties hereto have caused this 8 page contract, plus its
attachments as referenced, including Attachment 1 (2 pages), Attachment II — Part 1 (1 page),
Attachment 11 — Part 11 (3 pages), Attachment 11 — Part Ill (2 pages), Attachment III (1 page),
Attachment IV (1 page), Attachment V (1 page), Addendum 1 (2 pages), and Schedule C —
County Health Department by Appropriation Category (3 pages), to be executed by their
undersigned officials as duly authorized to be retroactively effective as of the 1st day of
October, 2025.
BOARD OF COUNTY COMMISSIONERS STATE OF FLORIDA
FOR MONROE COUNTY DEPARTMENT OF HEALTH
SIGNED BY: SIGNED BY:
NAME: James K. Scholl NAME: Joseph A. Ladapo, M.D., Ph.D.
TITLE: flavor TITLE: State Surgeon General
DATE: DATE:
ATTESTED TO:
SIGNED BY: SIGNED BY:
NAME: NAME: Dr. Carla A. FEy
TITLE: TITLE: CHD Administrator
DATE: DATE: VC) /-Z:7. Zo 7,5
Approved as to legal form &sufficiency:
' 11,11a11y signed by Eve M.Lewis
Eve M. L_ewls oast:2025A.11011:45s3-04'W
Assistant County Attorney
8
ATTACHMENT
MIONROE COUNTY HEALTH DEPARTMENT
PROGRAM SPECIFIC REPORTING REQUIREMENTS AND PROGRAMS REQUIRING
COMPLIANCE WITH THE PROVISIONS OF SPECIFIC MANUALS
Some health services must comply with specific program and reporting requirements in addition to the Personal Health
Coding Pamphlet(DHP 50-20),Environmental Health Coding Pamphlet(DHP 50-21)and FLAIR requirements because of
federal or state law,regulation or rule. if a county health department is funded to provide one of these services,it must
comply with the special reporting requirements for that service. The services and the reporting requirements are listed
below;
Service Reuuirement
1. Sexually Transmitted Disease Requirements as specified in F.A.C.6413-3,F.S.381 and F.S.384.
Program
2. Dental Health Periodic financial and programmatic reports as specified by the
program office.
3. Special Supplemental Nutrition Service documentation and monthly financial reports as specified in
Program for women,Infants and DHM 150-24*and all federal,state and county requirements
Children(including the WIC detailed in program manuals and published procedures.
Breastfeeding Peer Counseling
Program)
4. Healthy Start/Improved Pregnancy Requirements as specified in the 2007 Healthy Start Standards and
Outcome Guidelines and as specified by the Healthy Start Coalitions in
contract with each county health department.
5. Family Planning Requirements as specified in Public Law 91-572,42 U.S.C.300,et
seq.,42 CFR part 59,subpart A,45 CFR parts 74&92,2 CFR 215
(OMB Circular A-110)OMB Circular A-1029 F.S.381.0051, F.A.C.
64F-7,F.A.C.64F-16,and F.A.C.6417-19. Requirements and
Guidance as specified in the Program Requirements for Title X
Funded Family Planning Projects(Title X Requirements)(2014)and
the Providing Quality Family Planning Services(QFP):
Recommendations of CDC and the U.S.Office of Population Affairs
published on the Office of Population Affairs website.
Programmatic annual reports as specified by the program office as
specified in the annual programmatic Scope of work for Family
Planning and Maternal Child Health Services,including the Family
Planning Annual Report(FPAR),and other minimum guidelines as
specified by the Policy Web Technical Assistance Guidelines.
6. Immunization Periodic reports as specified by the department pertaining to
immunization levels in kindergarten and/or seventh grade pursuant
to instructions contained in the Immunization Guidelines-Florida
Schools,Childcare Facilities and Family Daycare Homes(DH Form
150-615)and Rule 64D-3.046, F.A.C. In addition,periodic reports
as specified by the department pertaining to the
surveillance/investigation of reportable vaccine-preventable
diseases,adverse events,vaccine accountability,and assessment
of immunization
Attachment 1-Page I of 2
ATTACHMENT I(Continued)
levels as documented in Florida SHOTS and supported by CHD
Guidebook policies and technical assistance guidance.
7. Environmental Health Requirements as specified in Environmental Health Programs
Manual 150-4*and DHP 50-21*
8. HIV/AIDS Program Requirements as specified in F.S.384.25 and F.A.C.64D-3.030
and 64D-3.031.Case reporting should be on Adult HIVIAIDS
Confidential Case Report CDC Form DH2139 and Pediatric
HIV/AIDS Confidential Case Report CDC Form DH2140.
Requirements as specified in F.A.C.64D-2 and 64D-3,F.S.381 and
F.S.384. Socio-demographic and risk data on persons tested for
HIV in CHD clinics should be reported on Lab Request DH Form
1628 in accordance with the Forms Instruction Guide.
Requirements for the HIVIAIDS Patient Care programs are found in
the Patient Care Contract Administrative Guidelines.
9. School Health Services Requirements as specified in the Florida School Health
Administrative Guidelines(May 2012). Requirements as specified
in F.S.381.0056,F.S.381.0057,F.S.402.3026 and F.A.C.64F-6.
10. Tuberculosis Tuberculosis Program Requirements as specified in F.A.C.6413-3
and F.S.392.
11. General Communicable Disease Carry out surveillance for reportable communicable and other acute
Control diseases,detect outbreaks,respond to individual cases of
reportable diseases,investigate outbreaks,and carry out
communication and quality assurance functions,as specified in
F.A.C.6413-3,F.S.381,F.S.384 and the CHD Epidemiology Guide
to Surveillance and Investigations.
12. Refugee Health Program Programmatic and financial requirements as specified by the
program office.
*or the subsequent replacement if adopted during the contract period.
10
Attachment I-Page 2 of 2
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r r/irr,,, //� /�„/ rr v
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i
a ',;' ',�'.,.
,
, r
1 rlTd wl ",
a GENERAL REVENUE_STATE,
011,550,40 A_'1'1 S 1 RI'1 a 1M.1,riO & 11" 1,11 1,ANC1* rE," E'RA,I,,R-"7ENt...'IE W�„`l 555"
'd M 13 "H M•"q' G RA Nill 37,521,
4' a*°"" p, x F'�*
DISEASE CONT1101,41 1 1' 1;ltl\,N ("I'll 16,755 16,75,5 16,7 5
:'.5, :' l Y N"m,AL SPECIAL INI'llATINTE PROJECTS 11 11 -, 10 1„lime ' 6,082
01 5 0 l:0 lEl"ATIT S,AND IIVER "AILURE 1 REVE 1T O1 &CON' 'T11,014 71,326 0 71,3213 7 1,3211',
0150,10 SWIM 11 (.n`1 L1« NS V'OIJ("' E ,1 ROGIIAll 10,21111 o 10,200 11 10,200
2.NON GENERAL REVENUE-STATE
1115010 ENV IR(')N,NIEN'.'Al, IONIED[ SAL' 'l"E 1:11,0GIRA 43,962 3,962 0 31,962
1,115010 m BA("'(1. m '1', J[" ` 1 ,,1O1 (J'N rry I 1"1'ERVE 'TIO CS 1,617,8132 0 >I 67, ,.�2 1(3 7, 32
l;1t;70,100 WIC B11 COUNSELING'PRO 1,t12,6',1 a 0 10 ,63 7 0 1.1:1 ,611 7
0070,loo 1`",\s,,rmr I,1'1�1'A(7 1 m''Al''El ,1IJAL1'I -O "1"O'l I G 1®1,1'513 5 1,4,535 i.1„53
1107000 P',,T1 LIC 11L, 11 INFRASTRUCTURE&WORKFORCE;ICENTR .L 1 1 8,(3 11 0 12 1,611.11 0 128,694
1.107000 1NF "r 10W1� L1'1"Y 11,511 1,1,5 11 0 11,541
0,07000 I tl..NIU tZ "1°1' N "F[ I,,A; 4('11,61`12 0 40,632 0 40,6932
007000 1 1,F 11'1' 0 11,31 t 9 1 1 r,, 19,
t.111,.p7000 BASE E 11IONAL PREPAREDNESS '"A AB1L TY 1 1 12,1 8 S 1 12d11 S 8 12,988,
00700,1() A 1,1)S P R EX 1"Yr 1, 1 N 96,7 1„1 0 6,d 1,1 0 96,714
w
01,510,75 .g1..1OOL 1-1E, ,101 1 SERVICES 1 Id"39 0 12 81`111 1:1 1 ,_l,i39
1015075 IlEF 1G'EE,1~EAI,,TH SCREENI .1 1, E�I 1 URSEMENT l�mil ]("IE 116,842 0 1("1.8 412 C1 16,842
_.FEES ASSESSED BY STATE OR FEDERAL RULES-STATE
0(,')1111211 I 1 M TE ME ENVI1 O IE a'L E 1('14,i„5 35 166,535, 1��1 1111��a�M1
01,111 11' O N l T'E'S E dµ�(l Eli,A)I S1,1:10 S L P RM I'y FEES
E,,m„m 5 1 6,501 6,501
2 m tl chmient-11-P rt-11-Pegs 1 of3
N l'A L,1�`E E S 1.900 0� 1,900
(),01,092 CHID S'J'A'l'EWID+4'ENV I 1"j, 0
'FE 5180 580
00 1206 ON SfTE SEMNGE DISPOSAL 1"El"011"I �ES 580 0
0,01206 SAN ITA"mON C E141"IF,'R."'A"I"ES,W0,01)INS Il E(111710N) 2�370 0 2�370 0 2,370
00 1,206 I"U'1311AR"'ll SWENINIIING,10OL PEIIINIT'I" tiwrRANSFER 111991, 0 11,9,9 1, 0 VI 19911
1'1� 'SALONS 75 0 75
001,206 REGAIULAXI'10N OF BODY PlIRCIN(l 75 0
001206 l'ANNING FA(,'1fXriil�l,.,s, 15 0 1.5 0 15
0,01206 TX I Vro IxROGRAIM ti 1�11A f,"I'l 11111 862 0 862 0 862
"[R)INI &RV PARK FEES 2,100
001206 M 0 B I'Llio E 2,1,00 0 0 2,,,100
FEES ASSESSED,BY STATE OR,FEI)ERAL RULES TOTAL 192,929 0, 192,929 10 19,2�92(9
5.OTHER CASH CONTRIBUTIONS-STATE:
031.0105 ("IENER.A.1-4 CLINIC RABJI�',S St!"'Ill''VIC1.10S&DRUG J.LJRCFL%.Sb,S 9,906 0 9,��,)106 0 9,906
120,85(3) '120,,856
090,001 DR.,\W DOWN FR(')',jkl,1"U131,1C lll-`,,i\[AJl LJNI,r 120.8,56, 0 0
OTHER,CASH CONTRIBUTIONTOTAL 1.30,762 O� 130,762 0 13f).762
6.MEDICAID-STATEICOUNTY:
t 13,014
00,10,57 (,,HD(,'LIN[C 0 13,011 1�:3,10 1,1
0101148, CHL),(,,`,%INlC 1"E'ES 0 :5 7,�,1::5),0 57,�1-510, 0 57,A50
MEDICAID TOTAL 0 70,464 70,,,t64 0 70,464
7.ALLOCABLE'REVE'NUE-STATE:
001009 CHD CLINIC FEES 250 0 250 0 250
0 180 00 C 1,11)('!I..,LN 1,C F E'1!��,S 1,522 0 '1,5,22 0 1,522
AL�LOCABLE,REVENUE TOTAL 1-772 1�772 0 1,,7 72
8.OTHER STATE,CONTRIBUTIONS NOT INCHI),TRUST FUND-STATE
ADAP 01 0 0 473,208, 41773,,208
PIlARM,ACY'DRL,7G I"'R(11")G RAM ol 0 0 9.254 9,,2
WIC PROGRANI 0 0 0 1,5 6;'3,,16 9, 1,563,169
Buffli','AU(),I,;',P U B L K.71-1 EAL"I'll 1,AI3013A'J70RIEs 0 0 0 1,5791 1,579
I Nil'N1 U N 1,ZATI 0 N S 0 0 0 864,004 864.0,04
OTHER STATE CONTRIBUTIONS TOTA14 0 0 0 2,911 2 1,�l 2,911,214
9.DIRECT LOCAL CONTRIBUTION'S-B,,C,CrrAX DISTRICT
00,S005 C11-111)1.40(74M..,REVEN'UE&EX11,7NDITI;ffl!`,,S 1,J5�8",I"I"t 1'3 1,5,84,44 13 0 1,518",1,4 el,'3
008005 INIONROE"COUNrl"Y 1300-71 0 5,57o'35,6 5,5,7,,t'i 4")(3 0 5,57,3156
DIRECT COUNTY CONTRIBUTIONS TOTAL 0 2,14,1,799 2,1,4 1,1799 0 �2,,141,,799
10.FEES AUTHORIZED BY COUNTY ORDINANCE OR,RESOLUTION COUNTY
001025 C111)C1,1NIC FEES 0 5010 5010 0 �500
0.),10,77 CHD('J,JNl('.,, FEl%S 0 33,453 3�`3.4 5�3 0 �3,3,45�31
00,10,77 GENER,Al,.,(,.,L,,INICR.i.,\,BIESSEli,�ll(,.""ES&1)1�tt,',*(��.,"t, T: I'mo 1.3(0, 0 l,,300
166,8`00
010,10,94 CI-11)LOCAL E,N'VIR0N'.%4ENl,'rA,L,FEE.,,',-,,,, 0 166,8100 0
00111,1101 (""ER11FIED 1tPl'C:Olfl)S 0 601,0100 60,00o 0 60,000
FEES AUTHORIZED BY COUNTY'TOT2U-4 0 262.053 211(12,0,5�'3 0 262.053
13 Attachnient-11-Part-1 I-Paige 2 of 3
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1L OTIfER CASHAVD LOCAL GONIMM71ONS COUNTY
0(l)11("Y')(
4�;") ("'11ANIC Ff!*ll'*oS 10 7 0,7 T3 70,173 70,47,3
0,1("'),,�2 9 (31"4NEIZAll",CllJNIC IL,,NBIES,S�,E,RVI(Illd.1,�"4'LS&f)R'(:G VURCIfil\SES, 0 2,1001 2,100,
00,1029 MtAM 34013 I�EVI,NJJE AND,EX PENS KIN'(11 2 16 2941,016 294,0116
00,10,190, (1171-1-1)(','J,,lNJC FEES 2 f),,1716 2 9,716, 0 2 9,7161
0 0 7()1 R,Y,A,N'Wfl,'I'],'E'1'1'1"'[.,E 11f DIRECT],'()CIM 364).:146" 36C),34(i), 360,3�16
To C I'l f), 2()9,l 2 6 2(9�,126
00,70,10 111 DME(l 20 9,�4 26,
84,105
0105(110, C1,11)SA1,14E Of SEJWIlCE`,S LN Oft O(J"T'SIDE Ol'o"Sl',,,VI*I'll"o G()VI is 4"10 151 84,105, 0
0 110010 F1,04til"M B11EAST CANCE11 7,,;5,0 0 7,500 7,5()0,
01,1001, CHI)1-JEA1,T11Y srV1,11"COM,1TION CON11MI'll" 0 264.000, 264,000 0 2,61,000
11"I'lkil I lP.ASS'\VA1VF4J?,-COA fAI'll 1'' N 1`0 CIJID 0 96,000, 96,000, 0 961,0olo
0 11,001 11 E"'ALT f,I Y STAl t
0901002 DR-AW ll)(")WN IlftoM 1)U,131,11('1,',"1f�,l,,,\lA"H UNVI" 0 -10,809 -10,,809 01 -1,o"sol 9,
OTHER CASH"AND,l.,0CAL CONTR[BUTIONS TOTA1114 1,406,,5713 4 0(3).,5 7 3 O� 1,,106,573
1,2.ALLMABLE,REVENUE-COUNW
12510
010 10 09 c 1-11),c I"I N I c v E,['!,I s 0 2,50 250
011,8000 (1'1'-'f,ll,)CJ.,lNlCF'EES 0 l,'522, 'I�522 1,5 221
COUNTY ALLOCABLE RBVENUETOTAL 01 1-7 79 1,772 01 1-7 72
13.BU11114DINGS,-COUNTY
ANNIJAI,f�ENl'f'.\,f,,EQ(.AVAl,EN*l',v,,,\lXE 0 597,f)05 5)9 7,6 0 5
01"IfEll(Spelcif'Y) 0 0 0 01
t" I I I'll,1,E s 0 0 8,"11.�3,(3)9 83.369
0 O� 0 75,223 75,,,223
MAIN'TI;,.NANCE 0 115,56 6 11.5,566
INS[j RA N("!E 0 oi
01,11 F]",R(S p ec i(y) 01 0 0 0
()T H E,R,(Sp e c i fly) 0 0 0
B'U,ILDINGS TOTAL 8 7 L,76�'lll 8,7'1.763
14.OTHER COUNTY CONTRIBUTIONS NOT 1,N'CRD TRUST FUND-COUNTY
[�,,`Q'U'l F`M EA N I"VV Eff I C L li�`Pt YRCIJASI�"-S 10
0 0 0 ol
V E,1-11("L,1�',�MA I NT'I N A N Cl E 0 0 0
oyriliER C013'N"117-Y COIN"I'lilini,rION(STIEC11,1y) 0 0 ol
0"ll"fiEt (.(,.),L,JN,ry CONT)"HBUTION(SPI CWY) 0 0 0 0 01
OTHER,COUNTY CONTRIBUTIONS TOTAL 0 0 ol 0
GRAND TOTAL C,H',D,',P,ROG',RA,M' 5,1:183,12'3 �'1,8,82,661, 1.),1365,984 ".`�1,782.977 1'13,1 i1l:8,961
'14 Attachment-111-Part-11-Page 3 of'3
..................
A. COMMUNICABLE DIS�EASE CONTROL:
ININIUNIZATION (101,) 6�,66 2,285 t-256.. 270,818 2 3 2,14,1 270,818 2 3:5 9 8 1 5A853 958,908 1,0.)9,76 1,
SE,XUW,1.1,Y TRANS,�11)IS. (1021), 1.88 ri(�; 121 9 1,109, 78,()98 91,109 79.389 16,84 3 '3122,,862 339.705
11RI/AIDS 1-1ZEVENTION (03AO 2A0 0 17 7 2�,0 6,3 6 1,7 7�2, 72,063, 62,79.3 '268.578 H 3 268,691
IIIVIAI.DS',�;(,IRVEII,I,.,,,:\,NCE (03A,2) ()A(), 0 0 0 0
HIVIAIDS (03AV3) 7�94 236 S(318 473,717 406,068 473,717 412,780 921.803 844,479 1,76,61.282
ADM? (0,3A,0, L22 .35,907 301�780 0 7 t3 I�289 1 8 2;-) 58 1,3,3,,883
1'U1,3E,1W1,J-0SlS (104) i�25 110 576 1 .37,831 44,133 38,455 1(;4,,'33 5) 213 1614,5,552
COINEM,DIS.St.111V. (106) 1-137 0 1,5 22 5 2'16 4 6,4 7 4 54,216 4:7,2�4 1. 2 02,1.4 7 0 202,1�47
- 30 -
HEIA"1111S (10,9) ().64 6-1 (3 1 24,277 20,810 24,277 21,153, 90,487 90,J3 17
P'RE'pi\,REDNE'SS AND RESPONSE' (11611 2�34 5 81,835 7(1),14 9 8 1,is 11��5 71,309 305�128 305.128
REFUGI,!,E H EA I'M I (1,1,8) 0.22 7)�( 11,134: 1(),30 7 8,8315 10,307 8�982 3,8,,4 21 10 38,.Vil
V I T'A I�R 1(70 R D S 1811), 1'.37 1,619 15 4,'39 3 �-4,768 46,946 5,14.768, 47.721 0 204,203 -04,203
COMMUNICABLE DISLASE SUBTOTAL 2-0.29 "1"106 0,9 5 9 1,213,150, 1,03!4.907 1,2 1�3.1510, 1 0 5 7,0 9,3 2j 92,4 24: 2,330,876 4,523,300
B. PRINLkRY CARE'
C111,10NIC DISEASE PREAVEN"TION PRO (210) 76 2,973 4 74 `32,059 27,481, 3 2.0 5 9- 7.934 IM5313 0 119.533
WIC (21"i'l) 61.217' 1,965 1�5,,2 3 3 185�8178 15!-1,334 1,8�7),8-9 8 161,970 6,93,060 0 693,060
(33.070 54.0;63 63,0701 5�i�.s�),;7,7 2,31,5,16 0 0 2,3 5.1,60
TOBACCO USE lNTF.'RVFXJ`I0N (212), 1237 0 0
WI1('13 R EASI`FE ElA,NI (21W2), i.f,)'5 1�617 37-121, 132,077 37,,12 1 132,60,9 139,528 0 139,528
FA,MlT,Y PIANNING (22:i) 5.67 9176 '421,4102 230,0 16 19 17,1 2��30.0 1,6, 200.428 4 81.K16 it 19,7 93 857A329
I'Alt"ROV E'l)PRE(-3'NANC)"01,FMOM,E, (2250 ()�1-�3 01 7,424 6,364 7,424 6",4 7 0 27,676, 6 27,682
IiE'Ai.;rHY s,r,At?T PRENATAL, (2,27) 2.6t) 511, 1.998 79,680 68,1301, 79,6*180 ('59,,'12 9 0 297,090 297,090
CO3\N1PRF,',I1ENSl'VE C!"I.I I'D 1-1 Kiu,:n-i (229) OM 0 10 151 '129 151 1 1�3 1 562 5612
(2130 1-87 11,4 1-628 "181 8`4 it 4 1,868 148.84,3 12,559 0 1.S2,11.3 182,1,13
SCH001.,HEAA1,11i (234) 15 0 317,98�6 7 6,�7 19 65,763 76,719 015,S50 286,051 286M,51
MkiPitEMENISIVE Al LJ IX 1:1 KA[,A," H (237) "1�.21 248 5"1,9 148J104 1261,954 1,18,10-1 129.052 459,571 9,2.64,3 552.214
CO,\A�NI'LINI'T"Y'I-IE,Al,�"rV]'DF.V11*1-,0I),N1ENT (2.18) 1,117 6�,7 9,(,,) 1,"16.�4 2 8 125,517 1,16,428 1217,591 5,38,4(A 7,500 545,964
DEN11"Al,HEIA]"I'll, (2,10) 0'.0 1 0 0 30,169 25,86)1 30,169 26,288 11,2,4 8 7 0 112,487
PRIMARY CARE SUBTOTAL 32,15 T 1,1,7 3,18Ji67 1 0 81151.9(i2 930,8181, 1,085,962 946,268 3,049,36(1, 999,707 1,049,07'
C. ENVIRONMENTAL HEALTH
Water a�nd Onsite Slow�age Programs
c,1oS,rA1,,IWAC'11'LNION11TORIM"T' ('347) 0.50 5 1,�`3 513 15,522 1,3.'305 15,5212 13�,525 57,874: 0 57.874
1,11MTEI)USE WATER SYS1`EMS (357), 0.00 0 01 0 0 0
PIA111,11"WATER SYSTEM (358') 0.00 0 0 01 0 0
FIRINATEWATER,SYSTEM (359), (100 0 0 0 01 0
ONS11T SEWA(IETREA"I'MENT&DISPOSiMA ('011) 1,5�2, 2,5 3 1,27 4 5,010 38.58.3 "1 5�,()10 39�,1221 6.50,11, 16 L 323 167.824,
Group Total 2.02 766 640, 6(0:32 51,868 60,5,32 52,746 64,375 16 1.�3 2,'i 225,698
Facifity Programs,
T.,\71`00 10,A('1 1,1TY SEIRVICES (3411) 0.631 281�.) 59, 1,7,3 4 0 14,872 17,349 1511,18 10,000 54,688 64,688
- 8,9 It")�3 21,200 17,108 38,3(8
F()(A)IIYGjIliNE' (348) 0.4 1 127 155 IM74 8,801, 10,271-1
15 Allachment-11-Part-111-Page I of 2
.............
...........
V,A
..........
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tV
13,1482 14,182
'BODY I IFMCING FACILMIES SFAWICES (349) 0,1��j 42 (1) 3,804 3,2130 3,804 3,314 70,0
(HIOU'll MIZE,FACIL117Y (351.) 0,4 2 12 1 10 23 1 10,851 9,3011 1,0,851 9,45,,1 0 40,4'57 40,457
MU"iRANT JA13011 CAMP (352) 0 01 0 1-)
,1 0 1,469 1-1169
HOUSIM-1&PUB,BL.DC;, (3513) 01'()I X8 39,1
MOBILE FIUME ANI)PAf?,K (,35.0 0.42 25�5 I i�l 19 10,689 9-1,63 10,68191 9,31.5 19.01"),01 20,.8516 139,856
POOLS/BA'miING IIACES, (360) 1.47 54,5 928 39,627 1311"13,9(i8i 39,627 1:114,530 76,1(57 71,585 147.752
11 i-selt
BIONIEDICIAL,WASTF�,S EIWKIIE�,S, (364) 0.32 172 1316 8,25�9 7AW) 8,259 7.196 14,9612 J). 1 2 30�794
TANNIMIA SERVICES (309) 0.01 0 0 21,5 184 215 187 1 51 666 $01
Group,Total, 3�83 1,G 31 1,6 58 101,462 86,973 101,462 88"410 14 2,164 236,14,'13 378,307
Groundwater,Contamination
STORACFETANK CUNIPLIANCI".SEHVICES, (355) 0.00 0 0 0 01 0 0, 0 0
SUPERACTSE,RVICES (,356) 0.00 0 0 0 0 0
Group'Total 00) 01 0 0
Community Hygiene
COMMUNITY Ei"MR.HEAL,rH (345) 10.00 0 0 0 0 0 0
INJURY PREVENTION (,346) 0.010 01 �3,�3 10 �3,861 3,316.�4 0 14,396
SERVII('ES (T1,30) 0,00 0 0 0 0
PUBLICSEMA(IIE (362), 0.00 0 0 01
SOLID WASTE�DISPOSAL SEF?,VI(JIE (3613), 0.00 0 0 0 0 0 0 0
SANI"I'A10'NUISAN(T (.'�165) 0.10 5 130 3''1 sm) 2',742? 3,199 2.788 '11,928 11,928
RA 111,E,S S U H V E 11.LA N C[,,j' (366) ().()1, 1 5011 429 501 4;36 1,867 1,867
AR13011VIRES SURVE,1L, (367), 0,00 0 0
110DENTWITHIZOI)OD CONT1101., (368) 0,00 0 0 0 0' 0 0 0 0
WATEIZ P01JIIIJ,j,ri0N (370) 0.03 21 661, 56(i 661 575 10 2.�16'03, 2�4'63
IND00,11 AIR, (,'371') 0".()1 0 2 15 1,84 2 15) 187 Sol 801
RAD[0 1140 Gj I CA 1,1"1 E�'A LTH (372) 0,00 0 01 0 0 0 0 0
TOXIC SUBS11"ANC"FS (373) 1,4 2 966 '966 �3,6,892 31,623 36,892 32,146 437,553 1 13 7,5 5,N�
Group'Total 1,.57 971 1,018 45,329 3 8,8"')4 15,329 39,496 1-1,396 154,612 169,0108
ENVIRONMENTAL HEALT H SUBTOTAL 7',4 2, :11,368 3'�"M.") 207�3211 177,715 207,323 180,652 220,935 552,078 7 7,`3.0 1,1,
D. NON-OPERATIONAL COSTS:
NON-OPElIZATIONAL COST S (5 99) 0.00 0 a 0 0 0 0
(3919) 0.00 0 5,")2 4 4.735 5.5 2 4 4.815 20,598 20,598
,NIEDICA.11)BUYKX(',K 0,511) 0,00 0 0, 0 0 01 0
NON-OPERATIONAI,COSTS SUBTOTAL 0.00 0 0 5,524 M35 5,524 4,S 1-5, 20,598 M598
TOTAL CONTRACT 166.86 1.11,8911 36�2,942 2,511�959 2,1,,15"3,2,3 8� 2j-11,959 2,188�828 5,483,323 �3.882,6161 (9,365,981
5
16 Attachment-11-Part-111-Page 2 of 2
ATTACHMENT III
TRAINING 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 period),if so requested by the Department.
2. The CHD assures that it will comply with the Omnibus Budget Reconciliation Act of 1981,P.L.97-359
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 CHD hereby agrees that it will comply with Title VI of the
Civil Rights Act of 1964(42 U.S.C.2000d et seq.);Title IX of the Education Amendments of 1972(20
U.S.C.1681 et seq.);Section 504 of the Rehabilitation Act of 1973(29 U.S.C.794);the Age
Discrimination Act of 1975(42 U.S.C.6101 et seq.);Title 11 and Title III of the Americans with Disabilities
Act(ADA)of 1990,as amended by the ADA Amendment Act of 2008(42 U.S.C. 12131-12189)and as
implemented by Department of Justice regulations at 28 CFR Parts 35 and 36; Executive Order 13166,
Improving Access to Services for Persons with Limited English Proficiency„(August 11,2000);all
provisions required by the implementing regulations of the U.S.Department of Agriculture(7 CFR Part
15 et seq.);and FNS directives and guidelines to the effect that no person shall,on the ground of race,
color,national origin,age,sex,or disability,be excluded from participation in,be denied the benefits of,
or otherwise be subjected to discrimination under any program or activity for which the agency receives
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. If 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 to use Federal property or interest in such property or the furnishing of services without
consideration or at a nominal consideration, or at a consideration that is reduced for the purpose of
assisting the recipient,or in recognition of the public interest to be served by such sale,lease,or
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 or persons whose
signatures appear below are authorized to sign this assurance on the behalf of the CHD.
4. Confidentiality of Data, Files,and Records:The CHD agrees to restrict the use and disclosure
of confidential USDA,Women,Infant,and Children(WIC)applicant and participant information as specified
in 7 CFR§246.26(d)(1)(i)in accordance with 7 CFR§246.26(d)(1)(ii),as applicable.
17 Attachment III-Page 1 of 1
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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
2024-2025* $ 0 $ 0 $ 0
2025-2026** $ 0 $ 0 $ 0
2026-2027*** $ 0 $ 0 $ 0
2027-2028*** $ 0 $ 0 $ 0
PROJECT TOTAL $ 0 $ 0 $ 0
SPECIAL PROJECTS CONSTRUCTIONIRENOVATION 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
FURNITUREIEQUIPMENT: $ 0
TOTAL PROJECT COST: $ 0
COST PER SQ FOOT: $ 0
19 Attachment V-Page 1 of 1
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 2025=2026
This addendum is incorporated into the agreement 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, 2025 (retroactively effective).
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:
1. Vehicle Maintenance
The State is responsible for the cost of maintenance and repairs of vehicles used
for CHD operations. Most of the repairs are handled by the county garage and
invoiced to the CHD. New or replacement parts will be billed as a direct pass-
through of costs. Labor will be billed at the County's shop labor rate (cost/hour) in
effect at the time of service.
2. Vehicle Fuel
The State is responsible for the cost of fuel whenever the County fuel pumps are
used. County will issue invoice(s)for same to the CHD.
3. 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.
County will issue invoice(s) for same to the CHD.
4. Building Insurance
The County owns the facilities where the CHD conducts business. The County,
in turn, carries the building insurance and charges back the CHD for their share
of the costs. The facilities are listed in Attachment IV.
5. County Courier Costs
To the extent that the County operates a courier service to make deliveries
between county facilities, the State will be charged a reasonable fee for the use
of these services. County will issue invoice(s)for same to the CHD.
Pagel of 2
20
PROPERTY PURCHASED BY THE CHID
Per F.S. 274.11, title to all property purchased by the 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 591-73 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 that holds data), in which case it should be recorded too. (The dollar value was
raised from $1,000 to $5,000 in 2020.)
Page 2 of 2
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