04/21/2004
.~
AMEND~NTTOAGREE~NT
(Non-Profit Organization Lease of Office Space at the Ruth Ivins Center in Marathon, and the Department of Health
Clinic in Tavernier.)
TIllS Amendment is made and entered into this 21st day of April 2004, between the COUNTY
OF MONROE and PLANNED PARENTHOOD OF GREATER MIAMI AND THE FLORIDA
KEYS, INC., in order to amend the agreement dated June 14, 2000, as amended on October 18,
2000, as renewed on June 20, 2001, May 15, 2002, and March 19, 2003 (copies of which are
incorporated hereto by reference) as follows:
1. Revise the agreement to reflect the termination of services at the Department of Health
Clinic in Tavernier, thereby decreasing the fee for monthly utility consumption and
upkeep costs from $200.00 per month to $100.00 per month keeping only the office space
at the Ruth Ivins Center in Marathon. Effective March 16, 2004.
2. In all other respects, the original agreement between the parties dated June 14, 2000,
amended October 18,2000, as renewed on June 20, 2001, May 19, 2002, and March 19,
2003, remains in full force and effect.
IN WITNESS WHEREOF, the parties have hereunto set their hands and seal, the day and year
first written above.
(Seal)
Attest: DANNY L. KOLHAGE, CLERK
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
~J~
. eputy Clerk
BY~
David P. Rice, Mayor Pro Tem
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Witness
~~~~
PLANNED PARENTIfOOD OF GREATER
MIAMI AND THE FLORIDA KEYS, me.
~~~~
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Chair
Vice-Chair
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Secretarv
;f'.!n D. S!".-h:.ll
Treasurer
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Board ofT,uslees
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March 16,2004
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Board of County Commissioners
County of Monroe
3583 S. Roosevelt Boulevard
Key West, Florida 33040
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Dear Commissioners:
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Pre,idenl! CEO
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I regret to inform you that we will not be providing family planning
services in Tavernier, effective immediately. We deeply regret this move,
but a number of things have occasioned this decision.
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G..ne,al Counsel
\tedical Director
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Beginning in May of2001, we requested consideration to move into new
space at the old Mariner's Hospital when renovations were completed. As
recently as January 14, 2004, we were told there was no space for us. As
board and staff looked at the eventual closing of the Tavernier site in June
of this year, we reviewed the issues that we've had in providing services in
Tavernier.
Jean D. Sh"han Famih. Plaming Clinic
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'olth "iam. F.rnil_ Planning Clinic
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Let me say first that without your generosity, we could not have provided
services at all. The cost to us for renting a suitable facility would have
been prohibitive.
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Sou th Beach Farnil_ Planning Clinic
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Secondly, 35% of services provided have been to patients at 150% of the
poverty level or below; therefore below our costs, or free.
"endon Famil_ PLanning Clinic
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Thirdly, there is a shortage of advanced registered nurse practitioners
available in the Florida Keys and to provide services in Tavernier we have
had to contract with a practitioner who lives in Key West, and pay
mileage.
South D.de F.rnil_ Planning Clinic
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LIdia B. Slo~.. Fornil_ Plonnins Clinic
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All of this means we have not been able to break even, and with the
anticipated closing in June, the board, staff and I decided we could no
longer sustain these losses.
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Sl~lrr "nore Familv Planning Clinic
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Board of County Commissioners
Monroe County
Page 2.
We will continue to provide services in Marathon and will make every
effort to accommodate patients coming from Tavernier, but a down-turn in
the economic climate in the United States has increased the demands for
free services and decreased donor contributions to fill in the gap.
We have had a wonderful experience and I am grateful to all of you for
your willingness to work with us. I am available to talk to you about this
and, as always, am willing to come to a .Commission meeting.
It is with real sorrow that we-make this move.
Sincerely,
~
D. Joan Sampieri
President/CEO
Cc: Anna Velasquez, Director of Patient Services
Karen Beal, Director of Public Affairs
Bill Spear, Facilities Manager
John Pascucci, Rural Health Network
A11D.Mymik, Contract Facilities Manager