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1st Amendment #TBMAR 25-26 05/20/2026
GVS COURTq° o: A Kevin Madok, CPA - �o ........ � Clerk of the Circuit Court& Comptroller Monroe County, Florida �z cooN DATE: May 21, 2026 TO: Cathy Crane, Director Community Services Lourdes Francis Sr. Administrator of Transportation & Fiscal Services FROM: Brynn Morey, Deputy Clerk SUBJECT: May 20, 2026 BOCC Meeting The following items have been executed and added to the record: Q1 Ratification of Amendment #001 to Contract#AA2659 between the Alliance for Aging, Inc. and Monroe County Board of County Commissioners to increase funding from $706,269.92 to $916,269.92, sourced from Older Americans Act funding, with a required County match of ten percent (10%) for the contract period of 01/01/2026 - 12/31/2026. This ratification authorizes the earliest possible effective date of Amendment#001 to facilitate funding and reimbursement. Q3 Ratification of Amendment No. 1 to the Agreement between Tranquility Bay Adult Day Care of Marathon, Corp., and Monroe County Board of County Commissioners (Monroe County Community Services) to exercise the first (1 st) of four (4) renewals commencing on 07/01/2026 through 06/30/2027, and to incorporate certain state-mandated language; funding is through apportioned Title IIIE funding pursuant to the Older American Act and the corresponding grant agreement/amendment (OAA Contract#AA2659 and Amendment#001). 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 AGREEMENT BE MONROE COUNTY,FL and TRANQUILITY BAY ADULT DAY CARE OF MARATHON,CORP. for In Facility Respite and Adult Day Care Services This Amendment No. I to the agreement between MONROE COUNTY, FLORIDA, and TRANQUILITY BAY ADULT DAY CARE OF MARATHON, CORP., for In Facility Respite and Adult Day Care Services dated July 1, 2025, ("Original Agreement"), is made this 20th day of —May -1 2026 by and between Monroe County, Florida, acting through the Director of Community Services Department and ratified by Monroe County Board of County Commissioners (the "County"), and Tranquility Bay Adult Day Care of Marathon, Corp. (the "Tranquility Bay Marathon") both of whom agree as follows: W I T N E S S E T H: WHEREAS, Monroe County and Tranquility Bay Marathon entered into the Original Agreement for a period of time starting on July 1, 2025 and ending at I 1:59prn on June 30, 2026„ with the option to renew for four (4) one (I)-year renewals under the same terms and conditions; and WHEREAS, the parties desire to amend the agreement by adding two new terms and conditions as further set forth herein, and exercise the first (I") of four (4) renewals under those amended terms and conditions; and WHEREAS, the first provision that the parties desire to add to the agreement is the requirement to comply with Chapters 39 and 415, Fla. Stat., regarding mandatory reporting obligations for suspected abuse, neglect, or exploitation of a child, aged person, or person with disabilities; and WHEREAS, the second provision that the parties desire to add to the agreement is the requirement to comply with Section 287.139, Fla. Stat.,relating to prohibited use of County funds for diversity,equity, and inclusion activities as same is defined in Section 125.595, Fla. Stat.; and WHEREAS, the parties through this amendment will exercise the first (I") of four (4) renewals with the new terms and conditions becoming effective immediately upon mutual signing of this amendment, and the new renewal term commencing on July 1,2026 and extending through June 30,2027. NOW,THEREFORE,based on the promises and covenants herein contained,and mutual consideration deemed sufficient,the parties agree as follows: 1. The recitations referred to above are true and correct, and are hereby adopted and incorporated as if set forth in full.The parties seek to describe changes in the existing agreement in Page 1 of 3 following ways: 1) words in strike through type are deletions From existing text, 2) words in underline type are additions to existing text,and 3)asterisks(***)indicate existing text not shown, 2. The parties desire to amend the Original Agreement, specifically to add Section 43, "Florida Abuse Hotline,"to read as follows: 43)Florida Abuse Hotline Contractor must immediately report any knowledge or,reasonable suspicion of abuse, neglect, or exploitation of a child, aged person, or disabled adult to the Florida Abuse Hotline on the statewide toll-free telephone number (1-800-96-ABUSE or 1-800-962-2873),as-required by Chapters 39 and 415,Fla. Stat., as may be amended. 3. The parties desire to amend the Original Agreement, specifically to add Section 44,"Prohibited Activities regarding Diversity,Equity,and Inclusion,"to read as follows: 44) Prohibited Activities regarding Diversity, Equity,and Inclusion Effective January 1, 2027, in accordance with Section 287.139, Fla. Stat., as a condition precedent to any award of a contract or grant by the County,the Contractor must certif L and by signinp, this Agreement hereby certifies, that the Contractor does not and will not use county funds to require its employees,contractors,volunteers,vendors,or agents to ascribe to,study,or be instructed using materials relating to diversity, equity, and inclusion as defined in Section 125.5950),Fla. Stat., as may be amended from time to time. 4. The parties hereby exercise the first (I")of four(4)renewals.The renewal term will commence as of July 1, 2026 and extend through June 30,2027. 5. This Amendment No. I will become effective immediately upon the later of the two signing dates between: the Director of Community Services Department (vested with authority to sign pursuant to BOCC Resolution Nos.233-2025 and 064-2015)and the Contractor's signing date. The Board of County Commissioners may ratify this amendment, and such effective date, at a following Commission meeting. 6. This agreement constitutes the entire understanding between the parties regarding this Amendment No. I to the agreement, 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 00 A RV CERTIFICATE OF LIABILITY INSURANCE DATE M ODN /2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate,holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate Moldier In Ileu of such endorsements), PRODUCER CONTACT Fabian Rodriguez Domino Insurance Inc PHONE (954)289.3500 AAX N 131155 sw 134 St suite 110 M RIt. . tabiant§dominOins.com INSURERS AFFORDING COVER AGE NAIC0 Miami FL 33186 INSURER A: Ategrity Specialty Insurance Company(1627) 1627 INSURED [RER B: Tranquility Bay Adult Day Care RER C: 11524 Overseas hwy RER D gEE2 RER E:. MARATHON FL 33050 RERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS POLICY NUMBER. COMMERCIAL GENERAL LtASILITY ',.EACH OCCURRENCE: S 1,000,000 CLAIMS-MADE ®OCCUR PREMISES(Ea occurrence) S 1^00,000 MED EXP one person '',.$ 5,000 A X 01-C-PK-P20147831-0 07/26/2025 07/26/2026 PERSONAL&AOV INJURY $ 1,000,000 GEW`L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 'S 2,000,000 JECT ❑... 'LOC PRODUCTS-COMP/OPAGG X POL'.ICY F PRO- S 2.000.000 OTHER S AUTOMOBILE LIABILITY COMBINED SINGLE 1 I $ Ire accWent ,,. ANY AUTO BODILY INJURY(Per person) S _-- TOWNED SCHEDULED AUBODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY ALTOS ONLY Per accent S UMBRELLA LIAS !OCCUR EACH OCCURRENCE S EXCESS LJAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS S WORKERS COMPENSATION'.. TA TE OTH- AND EMPLOYERS'LIABILITY .•. ... .— YIN OFFICE IMEMBROPARTNERdEXECUTI4'E (� E.L.EACH ACCIDENT S OFFICERAAEMBEREXCLUDED? 1 y NIA (Mandatory in MINI) E L DISEASE-EA EMPLOYEE $ M yyeess,",e,T,e under _... DESCRIPTIOW OF OPERATIDNS bebw E L.DISEASE-POLICY LIMIT S Errors Or Omissions 110°,000 01-C-PK-P20147831-0 07/26/2025 07/26120261 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached it more space is required) Certificate Holders 30 Days Notice Of cancellation GL and PL Only- Auto & APPROVEDBY RISK MANAGEMENT 8Y �r.-so rLa2 WC separate COI DATE 9.1015 WAIVER NIA YES CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE, WILL BE DELIVERED IN MONROE COUNTY SOCC ACCORDANCE WITH THE POLICY PROVISIONS, 11DO SIMON'TON STREET AUTHORIZED REPRESENTATIVE KEY WEST,FL33040 01988-2015 ACORD CORPORATION, All rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD ------------------ Scanned with CannScanner-! CERTIFICATE OF LIABILITY INSURANCE FTE(MM/DD/YYYY) 09/05/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME:Progressive Commercial Lines Customer and A ent Servicing Sebanda Insurance PHONE FAX 6401 BIRD RD,MIAMI,FL 33155 A/C No Ext:1-800-444-4487 A/C No): E-MAIL ro ressivecommercial email. ro ressive.com ADDRESS:P 9 @ P 9 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Progressive Express Insurance Company 10193 INSURED INSURER B: TRANQUILITY BAY ADULT DAY CARE OF MARATHON,CORP 11524 Overseas Hwy,unit 3 INSURER C: Marathon,FL 33050 INSURER D: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 171349655483511808DO90525T201145 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE1-1 OCCUR PREMISES(ERENTED rrence) $ MED EXP(Any one person) PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- PRODUCTS-COMP/OP AGG $ POLICY JECT LOC OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY Perperson) $100 000 A OWNED SCHEDULED AUTOS ONLY X AUTOS Y N 860928331 07/30/2025 07/30/2026 BODILY INJURY(Per accident) $300 000 HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $50,000 UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION YIN H- AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ yes,describe under D E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below See ACORD 101 for additional coverage details. $ A Y N 860928331 07/30/2025 07/30/2026 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is regi APPROVED BY RISK MANAGEMENT Auto Only.GL,WC,PL on separate COI BY�PSP..9� DATE 09.10.25 WAIVER N/A X YES CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MONROE COUNTY BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 SIMONTON STREET KEY WEST,FL 33040 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: ACC>R EP ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Sebanda Insurance TRANQUILITY BAY ADULT DAY CARE OF MARATHON,CORP POLICY NUMBER 11524 Overseas Hwy,unit 3 Marathon,FL 33050 860928331 CARRIER NAIC CODE Progressive Express Insurance Company 10193 EFFECTIVE DATE:07/30/2025 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Additional Coverages Insurance coverage(s) Limits .5e................. ro.. c.t.io.......................................................................................................................................................................... Personal Injury Protection $10,000 w/$0 Ded-Named Insured Only Description of Location/Vehicles/Special Items Scheduled autos only ............................................................................................................................................................................................................ 2015 FORD TRANSIT 1 FBAX2CG1 FKA02992 Comprehensive $1,000 Ded Collision $1,000 Ded Additional Information Certificate holder is listed as an Additional Insured. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MONROE COUNTY, FLORIDA REQUEST FOR WAIVER OF INSURANCE REQUIREMENTS 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. Contractor/Vendor: Tranquility Bay Adult Day Care of Marathon, Corp Project or Service: Social Services In-Home Program Contractor/Vendor 11524 Overseas Hwy, Unit 3 Address&Phone#: y Marathon, FL 33050 General Scope of Work: Provide facility-based respite and adult day care services to elderly and disabled residents Reason for Waiver or Contractor claims eligibility for worker's compensation Modification: exemption. Policies Waiver or Modification will apply to: Worker's Compensation. Waiver contingent on State approval of attached application for exemption Signature of Contractor/Vendor: Date: 09/10/25 Approved Not Approved ❑ Gaelan P Jones Digitally signed by Gaelan P Jones Risk Management Signature:_ Date:2025.09.10 16:41:59-04'00' Date: County Administrator appeal: Approved: Not Approved: Date: Board of County Commissioners appeal: Approved: Not Approved: Meeting Date: NOTICE OF ELECTION TO BE EXEMPT If this application contains incomplete or inaccurate information, it may cause a delay in the issuance of your exemption. An officer electing an exemption under Chapter 440, Florida Statutes, is not entitled to benefits under this chapter. Section 1: APPLICANT INFORMATION First & Last Name: LORENA M SANTANA VALID State Driver's License Number: State: FL Florida ID Number: S535533976790 Driver's License Expiration Date: 5/19/2031 Date of Birth: 5/19/1997 Email Address: TRANQUILITYBAYADULTDAYCAREKEYM@GMAIL.COM Section 2: NON-CONSTRUCTION INDUSTRY APPLICANT(NO FEE REQUIRED) Officer of a Corporation Section 3: This section should be completed with information specific to your corporation or to the limited liability company in which you are a member. The name of the corporation or limited liability company listed on this application MUST match the name of the corporation or limited liability company as registered with the Florida Division of Corporations. Name of Corporation or LLC: TRANQUILITY BAY ADULT DAY CARE OF FEIN: 820609905 MARATHON, CORP Business Name (DBA): Phone: 7865725498 Applicant's Address of Record: 11524 OVERSEAS HIGHWAY City: MARATHON State: FL Zip 33050 County: MONROE Section 4: The corporation of which you are an officer or limited liability company of which you are a member must be registered and in ACTIVE status with the Florida Division of Corporations.Applicants applying as an officer of a corporation must be listed as an officer of the Corporation with the Florida Division of Corporations. List the document number on file with the Florida Division of Corporations. P17000018711 Section 5: THIS SECTION IS NOT APPLICABLE TO MY BUSINESS. DBPR License Number: Additional DBPR License Number: Section 6: If you have submitted an electronic payment for this application, the transaction confirmation number is listed in the following space: Confirmation Number: Application Number: E02208117 Section 7: N/A Are you affiliated with any corporation or limited liability company other than the corporation or limited liability company to which this application applies? Section 8: CONSTRUCTION INDUSTRY AND NON-CONSTRUCTION INDUSTRY LLC MEMBERS ONLY To be eligible for a construction industry exemption or a non-construction limited liability company exemption, an applicant must have the required ownership of the corporation or limited liability company. Section 9: 1 certify that any employees of the corporation or members of the limited liability company listed in Section 3 are covered by workers' compensation insurance. Please identify the workers' compensation insurance carrier that covers any non-exempt employees. Carrier Name: My business does not have any non-exempt employees; or, my business is not required to obtain workers' compensation. Section 10: FRAUD NOTICE A. Any person who, knowingly and with intent to injure, defraud, or deceive the department or any employer or employee, insurance company or any other person, files a Notice of Election to be Exempt containing any false or misleading information is guilty of a felony of the third degree. B. Attestation of applicant— By providing my name below, I attest that I have read, understand and acknowledge the foregoing notice. C. I acknowledge that this Notice of Election to be Exempt does not exceed limits for corporate officers, including any affiliated corporations as provided in Section 440.02, Florida Statutes. D. I certify I reviewed and understand the workers'compensation coverage and compliance tutorial developed by the department. First Name: Last Name: Driver's License Number OR Identification Card Number: LORENA SANTANA S535533976790 Note: The Division has 30 days to review your application to determine if it meets the eligibility requirements for the issuance of an exemption. The Division will either issue a Certificate of Election to be Exempt or notify you that your application is incomplete. The Division reviews and processes exemption applications in the order they are received. Exemption information is reflected on the Exemption Search database the day following the issuance of the exemption.