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FY2006 10/19/2005 Clerk liThe Circul COUll Danny L. Kolhage OIDce (305) 295-3130Fax (305) 295-3663 Memorandum To: Monroe County Health Department Isabel C. DeSantis, Deputy Clerk ~ Thursday, November 03, 2005 From: Date: At the Regular BOCC meeting of October 19, 2005, the Board approved the following: Annual Core Contract between BOCC and the Department of Health, Monroe County Health Department for the following services provided in Monroe County: Immunization, Sexually Transmitted diseases, AIDS, TB, Communicable Disease surveillance, Hepatitis & Liver failure prevention, Public Health preparedness, Vital Statistics, Chronic disease prevention, WIC, Family Planning, Healthy Start, Child Health, School Health, Adult Health, Dental Health, Environmental Health, Coastal Beach Monitoring, Food Hygiene, Body Art, Lead Monitoring, Storage Tank Compliance, Pools and Bathing places, individual Sewage, Biomedical Waste, Tanning facility, Water Pollution, Air Pollution. . Enclosed please find three (3) duplicate originals of the above document executed by Monroe County for your handling. Please be sure that the sets marked Monroe County Clerk's Office Original and Monroe County Finance Deoartment's Orillinal are returned to this office as quickly as possible. Should you have any questions, please do not hesitate to contact this office. Copies: Finance County Attorney File ./ ~ .-- - . "-01 Cca:l1y Clm's om~ Orli~ 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 2005-2006 This agreement ("Agreement") 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, 2005. RECITALS A. Pursuant to Chapter 154, F.S., 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 "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 County Health Departments created throughout Florida. It is necessary for the parties hereto to enter into this Agreement in order to assure 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 are hereby acknowledged, the parties hereto agree as follows: 1. RECITALS. The parties mutually agree that the forgoing recitals are true and correct and incorporated herein by reference. 2. TERM. The parties mutually agree that this Agreement shall be effective from October 1, 2005, through September 30, 2006, or until a written agreement replacing this Agreement is entered into between the parties, whichever is later, unless this Agreement is otherwise terminated pursuant to the termination provisions set forth in paragraph a, below. 3. SERVICES MAINTAINED BY THE CHD. The parties mutually agree that the CHD shall provide those services as set forth on Part III of Attachment II hereof, in order 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 which are organized and operated to protect the health of the general public by monitoring and regulating activities in the environment which 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, occupational health. b. "Communicable disease control services" are those services which protect the health of the general public through the detection, control, and eradication of diseases which 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 are set forth in Part II of Attachment II hereof. This funding will be used as shown in Part I of Attachment II. 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 II, Part II is an amount not to exceed $ 4,193,494.00 (State General Revenue, 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, other cash or local contributions) as provided in Attachment II, Part II is an amount not to exceed $600,000.00 (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 current year or from surplus trust funds) in any service category. Unless requested otherwise, any surplus at the end of the term of this Agreement in the County Health Department Trust Fund that is attributed to the CHD shall be carried forward to the next contract period. 2 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 Agreement 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/decrease, the CHD will revise the Attachment II and send a copy of the revised pages to the County and the Department of Health, Bureau of Budget Management. If the County initiates the increase/decrease, the County shall notify the CHD. The CHD will then revise the Attachment II and send a copy of the revised pages to the Department of Health, Bureau of Budget Management. e. The name and address of the official payee to who payments shall be made is: County Health Department Trust Fund Monroe County 1100 Simonton Street Post Office Box 6193 Key West, FL 33041-6193 5. CHD DIRECTOR/ADMINISTRATOR. Both parties agree the director/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 Deputy State Health Officer. The director/administrator shall be selected by the State with the concurrence of the County. The director/administrator of the CHD shall insure that non-categorical sources of funding are used to fulfill public health priorities in the community and the Long Range Program Plan. A report detailing the status of public health as measured by outcome measures and similar indicators will be sent by the CHD director/administrator to the parties no later than October 1 of each year (This is the standard quality assurance "County Health Profile" report located on the Office of Planning, Evaluation & Data Analysis Intranet site). 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 set forth in subparagraph b., below. All CHD employees shall be State or State-contract personnel subject to State personnel rules and procedures. Employees will report time in the Client Information System/Health Management Component 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 Department of Health purchasing contract has been implemented for those goods or services. In such cases, the CHD director/administrator must sign a justification therefore, and all county-purchasing procedures must be followed in their entirety, and such 3 compliance shall be documented. Such justification and compliance documentation shall be maintained by the CHD in accordance with the terms of this Agreement. State procedures must be followed for all leases on facilities not enumerated in Attachment IV. c. The CHD shall maintain books, records and documents in accordance with those promulgated by the Generally Accepted Accounting Principles (GAAP) and Governmental Accounting Standards Board (GASB), and the requirements of federal or state law. These records shall be maintained as required by the Department of Health 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 are subject to the confidentiality provisions of paragraph 6.i., 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 System Information Resource (FLAIR). 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; iii. Financial procedures specified in the Department of Health's Accounting Procedures Manuals, Accounting memoranda, and Comptroller's memoranda; 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/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/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 the core contract and funding from all sources is credited to the program accounts by state and county. The equity share of any surplus/deficit funds accruing to the state and county is determined each month and at contract year-end. Surplus funds may be applied toward the funding requirements of each participating governmental entity 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 which clearly illustrates the amount 4 which has been credited to each participating governmental entity. The planned use of surplus funds shall be reflected in Attachment II, 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/administrator determines that an emergency exists wherein a time delay would endanger the public's health and the Deputy State Health Officer has approved the transfer. The Deputy State Health Officer shall forward written evidence of this approval to the CHD within 30 days after an emergency transfer. g. The CHD may execute subcontracts for services necessary to enable the CHD to carry out the programs specified in this Agreement. 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 CPA 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 OMS Circular A-133 and may be in conjunction with audits performed by county government. If audit exceptions are found, then the director/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. i. 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 Agreement for a period of five (5) years after termination of this Agreement. If an audit has been initiated and audit findings have not been resolved at the end of five (5) years, the records shall be retained until resolution of the audit findings. k. The CHD shall maintain 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 Department of Health Information Security Policies, Protocols, and Procedures, dated September 1997, as amended, the terms of which are incorporated herein by reference. The CHD shall further adhere to any amendments to the State's security requirements and shall comply with any applicable professional standards of practice with respect to 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, except as otherwise permitted for some purchases using county procedures pursuant to paragraph 6.b. hereof. 5 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 of his/her right to a fair hearing to the final governing authority of the agency. Specific references to existing laws, rules or program manuals are included in Attachment I of this Agreement. n. The CHD shall comply with the provisions contained in the Civil Rights Certificate, hereby incorporated into this contract as Attachment III. o. The CHD shall submit quarterly reports to the county that shall include at least the following: i. The DE385L 1 Contract Management Variance Report and the DE580L 1 Analysis of Fund Equities Report; ii. A written explanation to the county of service variances reflected in the DE385L 1 report if the variance exceeds or falls below 25 percent of the planned expenditure amount. 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 Department of Health, Bureau of Budget Management. 6 p. The dates for the submission of quarterly reports to the county shall be as follows unless the generation and distribution of reports is delayed due to circumstances beyond the CHD's control: i. March 1, 2006 for the report period October 1, 2005 through December 31, 2005; ii. June 1, 2006 for the report period October 1, 2005 through March 31, 2006; iii. September 1, 2006 for the report period October 1, 2005 through June 30, 2006; and iv. December 1, 2006 for the report period October 1, 2005 through September 30, 2006. 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 assure adequate fire and casualty insurance coverage for County- owned CHD offices and buildings and for 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 assure 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 Agreement may be terminated by either party without cause upon no less than one-hundred eighty (180) calendar days notice in writing to the other party unless a lesser time is mutually agreed upon in writing by both parties. Said notice shall be delivered by certified mail, return receipt requested, or in person to the other party's contract manager with proof of delivery. b. Termination Because of Lack of Funds. In the event funds to finance this Agreement become unavailable, either party may terminate this Agreement upon no less than twenty-four (24) hours notice. Said notice shall be delivered by certified mail, return receipt requested, or in person to the other party's contract manager with proof of delivery. c. Termination for Breach. This Agreement may be terminated by one party, upon no less than thirty (30) days notice, because of the other party's failure to perform an 7 obligation hereunder. Said notice shall be delivered by certified mail, return receipt requested, or in person to the other party's contract manager with proof of delivery. Waiver of breach of any provisions of this Agreement 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 Agreement. 9. MISCELLANEOUS. The parties further agree: a. Availabilitv of Funds. If this Agreement, any renewal hereof, or any term, performance or payment hereunder, extends beyond the fiscal year beginning July 1, 2006, it is agreed that the performance and payment under this Agreement are contingent upon an annual appropriation by the legislature, in accordance with section 287.0582, Florida Statutes. b. Contract Manaaers. The name and address of the contract managers for the parties under this Agreement are as follows: F or the State~ Luis Diaz 1 '\?~ b Name iJ For the County: Thomas J. Willi Name Director of Administrative Services Title County Administrator Title Post Office Box 6193 Gato Building, 1100 Simonton St. Key West, FI 33041-6193 Address Gato Building, 1100 Simonton St Key West, Fl 33040 Address 305293-7539 Telephone 305 292-4441 Telephone If different contract managers are designated after execution of this Agreement, the name, address and telephone number of the new representative shall be furnished in writing to the other parties and attached to originals of this Agreement. c. Captions. The captions and headings contained in this Agreement are for the convenience of the parties only and do not in any way modify, amplify, or give additional notice of the provisions hereof. 8 ,..;Jr~F7"'~ '"!l\.r,....-.."...,. ,~" ""-., :1!'. "'-"'-""" .! "'"\ ,.~- In WITNESS THEREOF, the parties hereto have caused this 48 page agreement to be executed by their undersigned officials as duly authorized effective the 1st day of October, 2005. BOARD OF COUNTY COMMISSIONERS STATE OF FLORIDA FOR MONROE COUNTY DEPARTMENT OF HEALTH SIGNED BY: 4;; >n. I /ut~ SIGNED BY: ~9' ~ ~ P^ NAME: Dixie Spehar NAMEtM. Ronv Francois. M.D.. M.S.P.H. PhD TITLE: County Mavor TITLE: Secretary DA:r~'!'~ to'/ii. ()5 DATE: II. U. D'; :<"'_._'_:_-,;.~<r::)::".:", /iT'FES~itq;~DANNY L. KOLHAGE, Clerk r! SIGNl:~!t~:;t;);;~tf.l_ ~~ SIGNED BY: !"tD \"':' '-:. .:~ 1:: _,j -,', ,I \'.N~g: T;Sc6k/ ,()e.....s'.....fis NAME: Susana Ma M.D. M.P.H '-"<"r "_ .--.. -,-_. /<,'>_.... TITt~il)'~';;;"fJl C/ c.r)::. TITLE: CHD Director/Administrator f ./ DATE: /o.t9.o.s- DATE: UZA N. A. HUTTON ASSISTA'n~,J-ATTORNEY Date Ij tJ 9 ATTACHMENT I MONROE 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 Reauirement 1. Sexually Transmitted Disease Program Requirements as specified in FAC 640-3, F.S. 381 and F.S. 384 and the CHD Guidebook. 2. Dental Health Monthly reporting on DH Form 1008*. 3. Special Supplemental Nutrition Program for Women, Infants and Children. Service documentation and monthly financial reports as specified in OHM 150-24* and all federal, state and county requirements detailed in program manuals and published procedures. 4. Healthy Start! Improved Pregnancy Outcome Requirements as specified in the Healthy Start Standards and Guidelines 1998 and as specified by the Health Start Coalitions in contract with each county health department. 5. Family Planning Periodic financial and programmatic reports as specified by the program office and in the CHD Guidebook, Internal Operating Policy FAMPLAN 14* 6. Immunization Periodic reports as specified by the department regarding the surveillance/investigation of reportable vaccine preventable diseases, vaccine usage accountability, the assessment of various immunization levels and forms reporting adverse events following immunization and Immunization Module quarterly quality audits and duplicate data reports. 7. Chronic Disease Program Requirements as specified in the Community Intervention Program (CIP) and the CHD Guidebook. 8. Environmental Health Requirements as specified in DHP 50-4* and 50-21* 9. HIV/AIDS Program Requirements as specified in Florida Statue 384.25 and 640-3.016 and 3017 FAC. and the CHD Guidebook. Case reporting on CDC Forms 50.42B (Adult! Adolescent) and 50.42A (Pediatric). Socio-demographic data on persons tested for HIV in CHD clinics should be reported on Lab Request Form 1628 or Post-Test Counseling Form 1633. These reports are to be sent to the Headquarters HIV/AIDS office within 5 days of the initial post-test counseling appointment or within 90 days of the missed post-test counseling appointment. 10 ATTACHMENT I (Continued) 10. School Health Services HRSM 150-25*, including the requirement for an annual plan as a condition for funding. *or the subsequent replacement if adopted during the contract period. II ;;; If) uJ o ~ ce o Z ? 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'0 C '" '" c-i '" E ~ o ~ 9 (\l ;; I- a; -0 z Working Copy ATTACHMENT IL MONROE COUNTY HEALTH DEPARTMENT Part IL Sources of Coutributions to County Health Department October I, 2005 to September 30, 2006 Stale CHD County Total CHD Trust Fuod CHD Trust Fuod Other (cash) Trust Fund (cash) Contribution Total I. GENERAL REVENUE - STATE 015050 ALG/CESSPOOL IDENTIFICATION AND ELIMINATION 128,707 0 128,707 0 128,707 015050 ALG/CONTR TO CHDS 1,749,107 0 1,749,107 0 1,749,107 015050 ALG/CONTR TO CHDS-AIDS PATIENT CARE 384,663 0 384,663 0 384,663 015050 ALG/CONTR TOCHDS-AIDS PREV & SURV & FIELD STAFF 105,802 0 105,802 0 105,802 015050 ALG/CONTR TO CHDS-MIGRANT LABOR CAMP SANITATION 0 0 0 0 0 015050 ALG/CONTR TO CHDS-DENT AL PROGRAM 20,000 0 20,000 0 20,000 015050 ALG/CONTR TO CHDS-IMMUNIZA TION OUTREACH TEAMS 7,414 0 7,414 0 7,414 015050 ALG/CONTR TO CHDS-INDOOR AIR ASSIST PROG 0 0 0 0 0 015050 ALG/CONTR, TO CHDS-MCH HEALTH - FIELD STAFF COST 0 0 0 0 0 015050 ALG/CONTR TO CHDS-SOVEREIGN IMMUNITY 0 0 0 0 0 015050 ALG/CONTRIBUTION TO CHDS-PRIMARY CARE 17,256 0 17,256 0 17,256 015050 ALGIFAMIL Y PLANNING 62,578 0 62,578 0 62,578 015050 ALG/IPO - OUTREACH SOCIAL WORKERS CAT, 050707 0 0 0 0 0 015050 ALG/IPO HEALTHY START 0 0 0 0 0 015050 ALG/IPO HEALTHY START/IPO CAT 050707 0 0 0 0 0 015050 ALG/IPO-INF ANT MORTALITY PROJECT CAT, 050707 0 0 0 0 0 015050 ALGIMCH HEALTHY START/IPO CAT 050870 0 0 0 0 0 015050 ALGIMCH-INF ANT MORTALITY PROJECT CAT, 050870 0 0 0 0 0 015050 ALG/MCH-OUTREACH SOCIAL WORKERS CAT 050870 0 0 0 0 0 015050 ALG/PRIMAR Y CARE 223,310 0 223,310 0 223,310 015050 ALG/SCHOOL HEAL THIS UPPLEMENT AL 41,665 0 41,665 0 41,665 015050 CHD SUPPORT SERVICES 0 0 0 0 0 015050 COMMUNITY INTERVENTION PROGRAM 0 0 0 0 0 015050 COMMUNITY TB PROGRAM 38,963 0 38,963 0 38,963 015050 CONTR TO CHDS - DUVAL TEEN PREGNANCY PREVENTION 0 0 0 0 0 015050 ENHANCED DENTAL SERVICES 0 0 0 0 0 015050 FL HEPATITIS & LIVER FAILURE PREVENTION/CONTROL 0 0 0 0 0 015050 HEALTH PROMOTION & EDUCATION INITIATIVES 58,823 0 58,823 0 58,823 015050 HEAL THY BEACHES MONITORING 29,262 0 29,262 0 29,262 015050 HEALTHY START - DATA COLLECTION PROJECT STAFF 0 0 0 0 0 015050 LA LIGA CONTRA EL CANCER 0 0 0 0 0 015050 MEDlV AN PROJECT 0 0 0 0 0 015050 METRO ORLANDO URBAN LEAGUE TEENAGE PREG PREV 0 0 0 0 0 015050 RED LEGISLATION - GAP GRANT (CAT 050310) 0 0 0 0 0 015050 SPECIAL NEEDS SHELTER PROGRAM 0 0 0 0 0 015050 STD GENERAL REVENUE 21,016 0 21,016 0 21,016 015050 VOLUNTEER SCHOOL HEALTH NURSE GRANT 0 0 0 0 0 GENERAL REVENUE TOTAL 2,888566 0 2,888566 0 2,888,566 2. NON GENERAL REVENUE - STATE 015010 ALG/CONTR TO CHDS-REBASfNG TOBACCO TF 21,864 0 21,864 0 21,864 015010 BASIC SCHOOL HEALTH - TOBACCO TF 40,839 0 40,839 0 40,839 015010 CHD SUPPORT SERVICES 0 0 0 0 0 015010 FL HEPATITIS & LIVER FAILURE PREVENTION/CONTROL 150,000 0 150,000 0 150,000 015010 FULL SERVICE SCHOOLS - TOBACCO TF 61,720 0 '61,720 0 61,720 015010 ONSITE SEW AGE RESEARCH FUND 0 0 0 0 0 015010 PACE EH 0 0 0 0 0 015010 SUPER ACT PROGRAM ADM TF 0 0 0 0 0 13 Working Copy ATTACHMENT IL MONROE COUNTY HEALTH DEPARTMENT Part II. Sources of CoJitriblltioll$ to COUllty Health Departmellt October I, 200S to September 30, 2006 State CHD COUDty Total CHD Tnit Fuod CHD Trust Fauci OtIler (casb) Trust Fund (casb) Contribution Total 2. NON GENERAL REVENUE - STATE 015010 SUPPLEMENTAUCOMPREHENSIVE SCHOOL HEALTH. TOB TF 0 0 0 0 0 015010 VARICELLA IMMUNIZATION REQUIREMENT TOBACCO TF 3,968 0 3,968 0 3,968 015020 ALG/CONTR. TO CHDS-BIOMEDlCAL W ASTE/DEP ADM TF 2,282 0 2,282 0 2,282 015020 ALG/CONTR. TO CHDS.SAFE DRINKING WATER PRG/DEP ADM 0 0 0 0 0 015020 FOOD AND WATERBORNE DISEASE PROGRAM ADM TF/DACS 0 0 0 0 0 NON GENERAL REVENUE TOTAL 280,673 0 280,673 0 280,673 3. FEDERAL FUNDS - State 007000 AIDS PREVENTION 179,354 0 179,354 0 179,354 007000 AIDS SEROPREV ALENCE 0 0 0 0 0 007000 AIDS SURVEILLANCE 0 0 0 0 0 007000 BIOTERR SURVEILLANCE & EPIDEMIOLOGY 0 0 0 0 0 007000 BIOTERRORISM HOSPITAL PREPAREDNESS 0 0 0 0 0 007000 BIOTERRORISM NETWORK COMMUNICATIONS 0 0 0 0 0 007000 BIOTERRORISM PLANNING & READINESS 85,802 0 85,802 0 85,802 007000 CHD SUPPORT SERVICES 0 0 0 0 0 007000 CHILDHOOD LEAD POISONING PREVENTION 0 0 0 0 0 007000 COASTAL BEACH MONITORING PROGRAM 26,500 0 26,500 0 26,500 007000 COMP COMMUNITY CARDlO - PHBG 2004-2005 0 0 0 0 0 007000 COMPREHENSIVE CARDIOVASCULAR PROGRAM 0 0 0 0 0 007000 FGTF/AIDS MORBIDITY 0 0 0 0 0 007000 FGTF/BREAST & CERVICAL CANCER-ADMIN/CASE MAN 0 0 0 0 0 007000 FGTF/FAMILY PLANNING TITLE X SPECIAL INITIATIVES 0 0 0 0 0 007000 FGTF/FAMIL Y PLANNING-TITLE X 78,280 0 78,280 0 78,280 007000 FGTFIIMMUNIZATION ACTION PLAN 11,714 0 11,714 0 11,714 007000 FGTF/WIC ADMINISTRATION 226,231 0 226,231 0 226,23 I 007000 HEALTH PROGRAM FOR REFUGEES 0 0 0 0 0 007000 HOUSING OPPORTUNITIES FOR PEOPLE WITH AIDS (HOPWA) 0 0 0 0 0 007000 IMMUNIZATION SUPPLEMENTAL 3,720 0 3,720 0 3,720 007000 IMMUNIZATION-WIC LINKAGES 0 0 0 0 0 007000 MCH BGTF-GADSDEN SCHOOL CLINIC 0 0 0 0 0 007000 MCH BGTF-HEALTHY START IPO 0 0 0 0 0 007000 MCH BGTF.INFANT MORTALITY PROJECT 0 0 0 0 0 007000 MCH BGTF.MCH/CHILD HEALTH 11,446 0 11,446 0 11,446 007000 MCH BGTF-MCH/DENT AL PROJECTS 0 0 0 0 0 007000 MCH BGTF.OUTREACH SOCIAL WORKERS 0 0 0 0 0 007000 PHP.CITIES RESPONSE INITIATIVE 2004-2005 0 0 0 0 0 007000 REDUCING BURDEN OF ARTHRITIS & RHEUMATIC CONDTNS 0 0 0 0 0 007000 REFUGEE HEALTH TB TARGETED TESTING 0 0 0 0 0 007000 RISK COMMUNICATIONS 0 0 0 0 0 007000 RYAN WHITE 0 0 0 0 0 007000 RYAN WHITE - EMERGING COMMUNITIES 0 0 0 0 0 007000 RYAN WHITE-AIDS DRUG ASSIST PROG.ADMIN 22,443 0 22,443 0 22,443 007000 RYAN WHITE-CONSORTIA 266,118 0 266,118 0 266,118 007000 STATE PROGRAMS TO PREVENT OBESITY 2003-04 0 0 0 0 0 007000 STD FEDERAL GRANT - CSPS 0 0 0 0 0 007000 STD PROGRAM. PHYSICIAN TRAINING CENTER 0 0 0 0 0 007000 STD PROGRAM - SYPHILIS ELIMINATION (SE) 0 0 0 0 0 14 Working Copy ATTACHMENT IL MONROE COUNTY HEALTH DEPARTMENT Part IL Sources of Contributions to County Health Department October I, 2005 to Septembl'l" 30, 2006 Stale CIID COWl!)' Total CIID Trust Fuad CIID Trust Fund Other (eash) Trust Fund (ea.b) Contribution Total 3. FEDERAL FUNDS - State 007000 STD PROGRAM INFERTILITY PREVENTION PROJECT (lPP) 0 0 0 0 0 007000 STD PROGRAM-INFERTILITY PREVENTION PROJECT (lPP) 0 0 0 0 0 007000 STRATEGIC NATIONAL STOCKPILE 20,000 0 20,000 0 20,000 007000 TRAINING AND EDUCATION 0 0 0 0 0 007000 TUBERCULOSIS CONTROL - FEDERAL GRANT 0 0 0 0 0 007000 WIC BREASTFEEDING PEER COUNSELING PROG FFY 2004 0 0 0 0 0 007000 WIC INFRASTRUCTURE GRANT 2005-2006 0 0 0 0 0 015009 MEDiPASS W AIVER-HL THY STRT CLIENT SERVICES 0 0 0 0 0 015009 MEDiPASS WAIVER-SOBRA 0 0 0 0 0 015009 SCHOOL HEALTH-SUPPLEMENT-TANF 11,581 0 11,581 0 11,581 015075 CHD SUPPORT SERVICES 0 0 0 0 0 015075 TITLEXXVSCHOOL HEAL TH/SUPPLEMENTAL 81,066 0 81,066 0 81,066 015075 REFUGEE SCREENING REIMBURSEMENT 0 0 0 0 0 FEDERAL FUNDS TOTAL 1,024,255 0 1,024,255 0 1,024,255 4. FEES ASSESSED BY STATE OR FEDERAL RULES - STATE 001020 MIGRANT HOUSING PERMIT 0 0 0 0 0 001020 MOBILE HOME AND PARKS 18,000 0 18,000 0 18,000 001020 FOOD HYGIENE PERMIT 13,000 0 13,000 0 13,000 001020 BIOHAZARD WASTE PERMIT 4,600 0 4,600 0 4,600 001020 SWIMMING POOLS 46,000 0 46,000 0 46,000 001020 PRIVATE WATER CONSTR PERMIT 0 0 0 0 0 001020 PUBLIC WATER ANNUAL OPER PERMIT 0 0 0 0 0 001020 PUBLIC WATER CONSTR PERMIT 0 0 0 0 0 001020 NON-SDWA SYSTEM PERMIT 0 0 0 0 0 001020 SAFE DRINKING WATER 0 0 0 0 0 001021 TANNING FACILITIES 900 0 900 0 900 001021 BODY PIERCING 800 0 800 0 800 001092 NON SOW A LAB SAMPLE 0 0 0 0 0 001092 OSDS VARIANCE FEE 2,600 0 2,600 0 2,600 001092 ENVIRONMENTAL HEALTH FEES 342,000 0 342,000 0 342,000 001092 OSDS REPAIR PERMIT 0 0 0 0 0 001092 OSDS PERMIT FEE 0 0 0 0 0 001092 1& M ZONED OPERATING PERMIT 0 0 0 0 0 001092 AEROBIC OPERATING PERMIT 0 0 0 0 0 001092 SEPTIC TANK SITE EV ALUA TION 0 0 0 0 0 001170 LAB FEE CHEMICAL ANALYSIS 0 0 0 0 0 001170 NONPOT ABLE WATER ANALYSIS 0 0 0 0 0 001170 WATER ANALYSIS-POTABLE 0 0 0 0 0 010304 MQA INSPECTION FEE 0 0 0 0 0 010403 FEES-COPY OF PUBLIC DOC 0 0 0 0 0 FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 427,900 0 427,900 0 427,900 5. OTHER CASH CONTRIBUTIONS - STATE 010304 STATIONARY POLLUTANT STORAGE TANKS 113,288 0 113,288 0 113,288 090001 0 0 0 0 0 OTHER CASH CONTRIBUTIONS TOTAL 113,288 0 113,288 0 113,288 /'.5 Working Copy ATTACHMENT IL MONROE COUNTY HEALTH Of;PARTMENT Part n. Sources of Contributions to County Healtb DepartJnent Oetqber I, 2005 to Septelllber 30, ZOO6 StattCBD COllaty Total CBD TI'1lSl Fo.d CUD Trust Faad Otbtr (t.sh) Trust Food (cash) CODtributiOD Total 6. MEDICAID - ST A TE/COUNTY 001080 CHD INCMMEDlCAID-NURSING 6.744 9,664 16,408 0 16,408 001080 CHD INCMMEDlCAID-STD 0 0 0 0 0 001080 MEDICAID AIDS 54,252 77,748 132,000 0 132,000 001080 MEDICAID HMO RATE 0 0 0 0 0 001080 CHD INCM:MEDlCAID MATERNITY 0 0 0 0 0 001080 CHD INCM:MEDlCAID COMPo CHILD 28,395 40,693 69,088 0 69,088 001080 CHD INCM:MEDlCAID COMPo ADULT 293 420 713 0 713 001080 MEDICAID-LAB 0 0 0 0 0 001080 CHD INCM:MEDlCAID-PHARMACY 0 0 0 0 0 001080 MEDlCAID-TB 0 0 0 0 0 001 080 MEDICAID-ADMINISTRATION VACCINE 0 0 0 0 0 001080 MEDICAID-CASE MANAGEMENT 0 0 0 0 0 001080 CHD INCM:MEDlCAID-OTHER 4,814 6,899 11,713 0 11,713 001080 CHD INCM:MEDlCAID-CHILD HEALTH CHECKUP 563 807 1,370 0 1,370 001080 CHD INCM:MEDlCAID-DENTAL 0 0 0 0 0 001083 CHD INCM:MEDlCAID-FP 1,311 11.796 13,107 0 13,107 001208 MEDlPASS $3.00 ADM. FEE 1,028 1,473 2,500 0 2,500 MEDICAID TOTAL 97,399 149,500 246,899 0 246,899 7. ALLOCABLE REVENUE - STATE 018000 REFUNDS, SALARY 0 0 0 0 0 018000 REFUNDS, OTHER PERSONAL SERVICES 0 0 0 0 0 018000 REFUNDS, EXPENSES 0 0 0 0 0 018000 REFUNDS, OPERATING CAP IT AL OUTLAY 0 0 0 0 0 018000 REFUNDS, SPECIAL CATEGORY 0 0 0 0 0 018000 REFUNDS, OTHER 0 0 0 0 0 018000 OMS REFUNDS BY JOURNAL TRANSFER-65900 0 0 0 0 0 018000 REFUNDS, CERTIFIED FORWARD 0 0 0 0 0 037000 PRIOR YEAR WARRANT 0 0 0 0 0 038000 12 MONTH OLD WARRANT 0 0 0 0 0 ALLOCABLE REVENUE TOTAL 0 0 0 0 0 8. OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND - STATE STATE PHARMACY SERVICES 0 0 0 74,224 74,224 STATE LABORATORY SERVICES 0 0 0 86,413 86,413 STATE TB SERVICES 0 0 0 0 0 STATE IMMUNIZATION SERVICES 0 0 0 128,954 128,954 STATE STD SERVICES 0 0 0 0 0 STATE CONSTRUCTION/RENOVATION 0 0 0 0 0 WIC FOOD 0 0 0 663,292 663,292 OTHER (SPECIFY) 0 0 0 0 0 OTHER (SPECIFY) 0 0 0 0 0 OTHER (SPECIFY) 0 0 0 0 0 OTHER (SPECIFY) 0 0 0 0 0 OTHER STATE CONTRIBUTIONS TOTAL 0 0 0 952,883 952,883 9. DIRECT COUNTY CONTRIBUTIONS - COUNTY J(g Working Copy ATTACHMENT n. MONROE COUNTY HEALTH DEPARTMENT Part D. SollJ'ces of Contributions to Conaty Uealtla Department October I, Z005 to September 36, ZOO6 State CUD County Total CUD Trust Fuod CUD TruSlFlUld Other (casb) Trust Fund (casb) Contribution Total 9. DIRECT COUNTY CONTRIBUTIONS - COUNTY 008030 GRANTS-COUNTY TAX DIRECT 0 524,459 524,459 0 524,459 008034 GRANTS CNTY COMMSN OTHER 0 75,541 75,541 0 75,541 BOARD OF COUNTY COMMISSIONERS TOTAL 0 600,000 600,000 0 600,000 10. FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION - COUNTY 001060 VITAL STATISTICS FEES OTHER 0 600 600 0 600 001077 RABIES VACCINE 0 0 0 0 0 001077 CHILD CAR SEAT PROG 0 0 0 0 0 00 I 077 PRIMARY CARE FEES 0 0 0 0 0 001077 COMMUNICABLE DISEASE FEES 0 58,000 58,000 0 58,000 001094 ENVIRONMENTAL HEALTH FEES 0 0 0 0 0 001094 ADULT ENTER. PERMIT FEES 0 0 0 0 0 001114 NEW BIRTH CERTIFICATES 0 13,300 13,300 0 13,300 001115 DEATH CERTIFICATES 0 57,000 57,000 0 57,000 001117 VITAL ST A TS-ADM. FEE 50 CENTS 0 0 0 0 0 FEES AUTHORIZED BY COUNTY TOTAL 0 128,900 128,900 0 128,900 I I. OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY 001009 DEBIT MEMO-BAD CHECKS 0 0 0 0 0 001009 RECOVERY -BAD CHECKS 0 0 0 0 0 001009 RECOVERY OF COLLECTION OF AGENCY PLACEMENTS 0 0 0 0 0 001009 RETURNED CHECK FEE 0 0 0 0 0 001029 THIRD PARTY REIMBURSEMENT 0 0 0 0 0 001029 HEALTH MAINTENANCE ORGAN. (HMO) 0 0 0 0 0 001077 RYAN WHITE LOCAL REVENUES 0 0 0 0 0 001077 RYAN WHITE TITLE 11 0 0 0 0 0 001090 MEDICARE 0 45,354 45,354 0 45,354 005040 INTEREST EARNED 0 0 0 0 0 005041 INTEREST EARNED-STATE INVESTMENT ACCOUNT 0 20,000 20,000 0 20,000 007010 U.s. GRANTS DIRECT 0 0 0 0 0 010300 SALE OF GOODS AND SERVICES 0 0 0 0 0 010301 EXP WITNESS FEE CONSUL TNT CHARGES 0 0 0 0 0 010403 FEES-COPIES OF DOCUMENTS 0 0 0 0 0 010405 SALE OF PHARMACEUTICALS 0 0 0 0 0 010409 SALE OF GOODS OUTSIDE STATE GOVERNMENT 0 0 0 0 0 010500 SALES OF SERVICES OUTSIDE STATE GOVERNMNENT 0 0 0 0 0 011000 RAPID AIDS TESTING - JAIL INMATES 2003 0 0 0 0 0 011001 HEALTHY START COALITION CONTRIBUTIONS 0 326,764 326,764 0 326,764 011007 CASH DONATIONS PRIVATE 0 0 0 0 0 012020 FINES AND FORFEITURES 0 0 0 0 0 012021 RETURN CHECK CHARGE 0 0 0 0 0 028020 INSURANCE RECOVERIES-OTHER 0 0 0 0 0 090002 0 0 0 0 0 011000 RAPID AIDS TESTING 0 0 0 0 0 011000 GRANT-DIRECT 0 724,892 724,892 0 724,892 011000 GRANT-DIRECT 0 0 0 0 0 011000 GRANT-DIRECT 0 0 0 0 0 ,7 Working Copy ATTACHMENT II. MONROE COUNTY HEALTH DEPARTMENT Part n. Sources of Contributions to County Healtll Depamnent October 1. 2005 to Sept....ber 30, 2llO6 StateCHD Cou.ly Total CHD Trost FDDd CHD T....tF.... 0tIIer (cub) Trust Fund (cub) ContributioD Total I I. OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY 011000 GRANT-DIRECT 0 0 0 0 0 011000 GRANT -DIRECT 0 0 0 0 0 011000 GRANT -DIRECT 0 0 0 0 0 011000 GRANT-DIRECT 0 0 0 0 0 011000 GRANT-DIRECT 0 0 0 0 0 010408 COPY FEES 1NTRNINTER AGENCY 0 0 0 0 0 OTHER CASH AND LOCAL CONTRIBUTIONS TOT AI. 0 1,117,010 1,117,010 0 1,117,010 12. ALLOCABLE REVENUE - COUNTY 018000 REFUNDS, SALARY 0 0 0 0 0 018000 REFUNDS, OTHER PERSONAL SERYICES 0 0 0 0 0 018000 REFUNDS, EXPENSES 0 0 0 0 0 018000 REFUNDS, OPERATING CAPITAL OUTLAY 0 0 0 0 0 018000 REFUNDS, SPECIAL CATEGORY 0 0 0 0 0 018000 REFUNDS, OTHER 0 0 0 0 0 018000 DMS REFUNDS BY JOURNAL TRANSFER-65900 0 0 0 0 0 018000 REFUNDS, CERTIFIED FORWARD 0 0 0 0 0 037000 PRIOR YEAR WARRANT 0 0 0 0 0 038000 12 MONTH OLD WARRANT 0 0 0 0 0 COUNTY ALLOCABLE REVENUE TOTAL 0 0 0 0 0 13. BUILDINGS - COUNTY ANNU AL RENTAL EQU IV ALENT V ALUE-GA TO/RICrr A VERNIER 0 0 0 261,720 261,720 MAINTENANCE-GATO/EH MARATHON, TAVERNIER, RUTH IVINS 0 0 0 45,560 45,560 UTILITlES-GATO BUILDING-$15,232/MO *12* 30.5% 0 0 0 55,749 55,749 OTHER (SPECIFY) 0 0 0 0 0 OTHER (SPECIFY) 0 0 0 0 0 OTHER (SPECIFY) 0 0 0 0 0 OTHER (SPECIFY) 0 0 0 0 0 BUILDINGS TOTAL 0 0 0 363,029 363,029 14. OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND - COUNTY OTHER COUNTY CONTRIBUTION OF SOME UNKNOW ORIGIN 0 0 0 0 0 OTHER COUNTY CONTRIBUTION (SPECIFY) 0 0 0 0 0 OTHER COUNTY CONTRIBUTION (SPECIFY) 0 0 0 0 0 OTHER COUNTY CONTRIBUTION (SPECIFY) 0 0 0 0 0 OTHER COUNTY CONTRIBUTION (SPECIFY) 0 0 0 0 0 OTHER COUNTY CONTRIBUTIONS TOTAL 0 0 0 0 0 GRAND TOTAL CHD PROGRAM 4,832,081 1,995,410 6,827,491 1,315,912 8,143,403 rl6 Working Copying ATTACHMENT II. MONROE COUNTY HEALTH DEPARTMENT Part Ill. Planned Staffing, Clients, Services, And Expenditures By Program Service Area Within Each Level or Service October I, 200s to September 30, 2006 Quarterly Expeaditure Pla. m', Clients 1st 2nd lrd 4th Grand (0.00) Units Services (Whole dollan only) County State Total A. COMMUNICABLE DISEASE CONTROL: IMMUNIZATION (101) 3.75 3,500 7,500 85,000 65,000 65,000 45,000 0 260,000 260,000 STD (102) 2.00 210 1,500 33,250 33,250 33,250 33,250 0 133,000 133,000 ALD.S. (103) 18.00 425 10,000 516,250 516,250 516,250 516,250 824,892 1,240,108 2,065,000 TB CONTROL SERVICES (104) 1.00 65 850 24,950 24,950 24,950 24,950 0 99,800 99,800 COMM. DISEASE SURV. (106) 0.50 0 1,600 12,875 12,875 12,875 12,875 0 51,500 51,500 HEPATITIS PREVENTION (109) 2.00 475 2,700 43,800 43,800 43,800 43,800 0 175,200 175,200 PUBLIC HEALTH PREP AND RESP (116) 2.00 0 0 54,900 82,353 82,353 54,900 100,518 173,988 274,506 VITAL STATISTICS (180) 125 0 0 17,550 17,550 17,550 17,550 70,200 0 70,200 COMMUNICABLE DISEASE SUBTOTAL 30.50 4,675 24,150 788,575 796,028 796,028 748,575 995,610 2,133,596 3,129,206 B. PRIMARY CARE: CHRONIC DISEASE SERVICES (210) 1.00 900 950 18,382 18,382 18,382 18,382 0 73,528 73,528 TOBACCO PREVENTION (212) 0.00 0 0 0 0 0 0 0 0 0 HOME HEALTH (215) 0.00 0 0 0 0 0 0 0 0 0 W.LC (221) 5.25 1,700 10,300 73,500 73,500 73,500 73,500 0 294,000 294,000 F AMIL Y PLANNING (223) 4.25 1,100 6,400 95,882 95,882 95,882 95,882 0 383,528 383,528 IMPROVED PREGNANCV OUTCOME (225) 0.00 0 0 0 0 0 0 0 0 0 HEALTHV START PRENATAL (227) 3.50 400 10,800 61,250 61,250 61,250 61,250 245,000 0 245,000 COMPREHENSIVE CHILD HEALTH (229) 0.50 140 360 15,000 15,000 15,000 15,000 0 60,000 60,000 HEAL THV START INFANT (231) 3.25 295 8,100 51,200 51,200 51,200 51,200 204,800 0 204,800 SCHOOL HEALTH (234) 7.85 0 84,800 102,918 102,918 102,918 102,918 35,000 376,672 411,672 COMPREHENSIVE ADULT HEALTH (237) 2.50 900 3,900 61,500 61,500 61,500 61,500 0 246,000 246,000 DENTAL HEALTH (240) 0.00 0 0 5,000 5,000 5,000 5,000 0 20,000 20,000 PRIMARY CARE SUBTOTAL 28.10 5,435 125,610 484,632 484,632 484,632 484,632 484,800 1,453,728 1,938,528 C, ENVIRONMENTAL HEALTH: Water and Onsite Sewage Programs COASTAL BEACH MONITORING (347) 0.75 650 670 20,000 20,000 20,000 20,000 20,000 60,000 80,000 LIMITED USE PUBLIC WATER SYSTEMS (357) 0.00 0 0 0 0 0 0 0 0 0 PUBLIC WATER SYSTEM (358) 0.00 0 0 0 0 0 0 0 0 0 PRIVATE WATER SYSTEM (359) 0.00 0 0 0 0 0 0 0 0 0 INDIVIDUAL SEWAGE DlSP. (361) 12.00 3,300 9,000 176,250 176,250 176,250 176,250 0 705,000 705,000 Group Total 1275 3,950 9,670 196,250 196,250 196,250 196,250 20,000 765,000 785,000 Facility Programs FOOD HYGIENE (348) 1.00 55 240 7,500 7,500 7,500 7,500 0 30,000 30,000 BODV ART (349) 0.50 4 10 2,625 2,625 2,625 2,625 0 10,500 10,500 GROUP CARE FACILITY (351) 0.25 65 110 2,800 2,800 2,800 2,800 11,200 0 11,200 MIGRANT LABOR CAMP (352) 0.00 0 0 0 0 0 0 0 0 0 HOUSING,PUBLlC BLDG SAFETV,SANITATION (35B)00 0 0 0 0 0 0 0 0 0 MOBILE HOME AND PARKS SERVICES (354) 0.45 65 200 7,000 7,000 7,000 7,000 0 28,000 28,000 SWIMMING POOLS/BATHING (360) 2.00 398 980 30,500 30,500 30,500 30,500 61,000 61,000 122,000 BIOMEDICAL WASTE SERVICES (364) 0.20 49 55 4,125 4,125 4,125 4,125 11,000 5,500 16,500 TANNING FACILlTV SERVICES (369) 000 0 0 0 0 0 0 0 0 0 I , Workillg Copyillg ATTACHMENT IL MONROE COUNTY HEALTH DEPARTMENT Part IlL Planned Staffing, CIi.nts, S.rvi.... And Expenditures By Program S.rvice Area Witbin Eacb Lev.1 Of Service Octob.r 1,2005 to Sept.mb.r 30, 2006 Qua......1y E......cIil.... Plan FfE'. Clionb ht 2JId 3rd 4tb Grand (0.00) Units Services (WIIo.. doUan 0DIy) COUDty State Total C. ENVIRONMENTAL HEALTH: Group Total 440 636 1,595 54,550 54,550 54,550 54,550 83,200 135,000 218,200 Groundwater Contamination STORAGE TANK COMPLIANCE (355) 2.00 340 695 55,822 55,822 55,822 55,822 I 10,000 113,288 223,288 SUPER ACT SERVICE (356) 0.00 0 0 0 0 0 0 0 0 0 Group Total 2.00 340 695 55,822 55,822 55,822 55,822 110,000 113,288 223,288 Community Hygiene OCCUPATIONAL HEALTH (344) 0.00 0 0 0 0 0 0 0 0 0 CONSUMER PRODUCT SAFETY (345) 000 0 0 0 0 0 0 0 0 0 INJURY PREVENTION (346) 0.00 0 0 0 0 0 0 0 0 0 LEAD MONITORING SERVICES (350) 0.00 0 0 0 0 0 0 0 0 0 PUBLIC SEW AGE (362) 000 0 0 0 0 0 0 0 0 0 SOLID WASTE DISPOSAL (363) 000 0 0 0 0 0 0 0 0 0 SANITARY NUISANCE (365) 0.15 39 125 3,075 3,075 3,075 3,075 12,300 0 12,300 RABIES SURVEILLANCE/CONTROL SERVICES (36(\])00 0 0 0 0 0 0 0 0 0 ARBOVIRUS SURVEILLANCE (367) 0.00 0 0 0 0 II 0 0 0 0 RODENT/ARTHROPOD CONTROL (368) 0.00 0 0 0 0 0 0 0 0 0 WATER POLLUTION (370) 0.00 0 0 0 0 0 0 0 0 0 AIR POLLUTION (371) 0.00 0 0 825 825 825 825 0 3,300 3,300 RADIOLOGICAL HEALTH (372) 000 0 0 0 0 0 0 0 0 0 TOXIC SUBSTANCES (373) 0.75 160 150 9,875 9,875 9,875 9,875 39,500 0 39,500 Group Total 0.90 199 275 13,775 13,775 13,775 13,775 51,800 3,300 55,100 ENVIRONMENTAL HEALTH SUBTOTAL 20.05 5,125 12,235 320,397 320,397 320,397 320,397 265,000 1,016,588 1,281,588 D. SPECIAL CONTRACTS: SPECIAL CONTRACTS (599) 0.00 0 0 0 0 0 0 0 0 0 SPECIAL CONTRACTS SUBTOTAL 000 0 0 0 0 0 0 0 0 0 TOTAL CONTRACT 78.65 15,235 161,995 1,593,604 1,601,057 1,601,057 1,553,604 1,745,410 4,603,912 6,349,322 zo ATTACHMENT III MONROE COUNTY HEALTH DEPARTMENT CIVIL RIGHTS CERTIFICATE The applicant provides this assurance in consideration of and for the purpose of obtaining federal grants, loans, contracts (except contracts of insurance or guaranty), property, discounts, or other federal financial assistance to programs or activities receiving or benefiting from federal financial assistance. The provider 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. The applicant assures that it will comply with: 1. Title VI of the Civil Rights Act of 1964, as amended, 42 U.SC., 2000 Et seq., which prohibits discrimination on the basis of race, color or national origin in programs and activities receiving or benefiting from federal financial assistance. 2. Section 504 of the Rehabilitation Act of 1973, as amended, 29 U.S.C. 794, which prohibits discrimination on the basis of handicap in programs and activities receiving or benefiting from federal financial assistance. 3. Title IX of the Education Amendments of 1972, as amended, 20 U.S.C. 1681 et seq., which prohibits discrimination on the basis of sex in education programs and activities receiving or benefiting from federal financial assistance. 4. The Age Discrimination Act of 1975, as amended, 42 U.S.C. 6101 et seq., which prohibits discrimination on the basis of age in programs or activities receiving or benefiting from federal financial assistance. 5. 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. 6. All regulations, guidelines and standards lawfully adopted under the above statutes. The applicant agrees that compliance with this assurance constitutes a condition of continued receipt of or benefit from federal financial assistance, and that it is binding upon the applicant, its successors, transferees, and assignees for the period during which such assistance is provided. The applicant further assures that all contracts, subcontractors, subgrantees or others with whom it arranges to provide services or benefits to participants or employees in connection with any of its programs and activities are not discriminating against those participants or employees in connection with any of its programs and activities are not discriminating against those participants or employees in violation of the above statutes, regulations, guidelines, and standards. In the event of failure to comply, the applicant understands that the grantor may, at its discretion, seek a court order requiring compliance with the terms of this assurance or seek other appropriate judicial or administrative relief, to include assistance being terminated and further assistance being denied. ZI ATTACHMENT IV FACILITIES UTILIZED BY THE COUNTY HEALTH DEPARTMENT Facility Description Location Owned By GATO BUILDING ADMINISTRATION NURSING ENVIRONMENTAL HEALTH 1100 SIMONTON ST KEY WEST, FL 33040 COUNTY HEALTH CARE CENTER 1200 KENNEDY DRIVE KEY WEST, FL 33040 LEASE ROOSEVELT SANDS CENTER 105 OLIVIA STREET KEY WEST, FL 33040 LEASE RUTH IVINS CENTER FOR PUBLIC HEALTH 3333 OVERSEAS HIGHWAY MARATHON, FL 33050 COUNTY ENVIRONMENTAL HEALTH MONROE CHD 13367 OVERSEAS HIGHWAY MARATHON, FL 33050 LEASE MONROE COUNTY HEALTH DEPARTMENT 148 GEORGIA AVENUE TAVERNIER, FL 33070 COUNTY VENETIAN PLAZA ISLAMORADA ENVIRONMENTAL HEALTH 85960 OVERSEAS HIGHWAY LEASE 1.2. ATTACHMENT V MONROE COUNTY HEALTH DEPARTMENT SPECIAL PROJECTS SAVINGS PLAN IDENTIFY THE AMOUNT OF CASH THAT IS ANTICIPATED TO BE SET ASIDE ANNUALLY FOR THE PROJECT. CONTRACT YEAR STATE COUNTY TOTAL 2003-2004 $ $ $ 2004-2005 $ $ $ 2005-2006 $ $ $ 2006-2007 $ $ $ 2007-2008 $ $ $ PROJECT TOTAL $ $ $ SPECIAL PROJECT CONSTRUCTION/RENOVATION PLAN PROJECT NAME: LOCA TIONI ADDRESS: PROJECT TYPE: NEW BUILDING RENOVATION NEW ADDITION ROOFING PLANNING STUDY OTHER SQUARE FOOTAGE: PROJECT SUMMARY: Describe scope of work in reasonable detail. ESTIMATED PROJECT INFORMATION: START DATE (initial expendilure of funds) : COMPLETION DATE: DESIGN FEES: $ CONSTRUCTION COSTS: $ FURNITURE/EQUIPMENT $ TOTAL PROJECT COST: $ COST PER SQ FOOT: $ #DIV/O! Special Capital Projects are new contruction or renovation projects and new furniture or equipment associated with these projects and mobile health vans. 23 ATTACHMENT VI Primary Care "Primary Care" as conceptualized for the county health departments and for the use of categorical Primary Care funds (revenue object code 015011) is defined as: "Health care services for the prevention or treatment of acute or chronic medical conditions or minor injuries of individuals which is provided in a clinic setting and may include family planning and maternity care." Indicate below the county health department programs that will be supported at least in part with categorical Primary Care funds this contract year: -A- Comprehensive Child Health (229/29) -A- Comprehensive Adult Health (237/37) Family Planning (223/23) Maternal Health/lPO (225/25) -A- Laboratory (242/42) .lL. Pharmacy (241/93) Other Medical Treatment Program (please identify) Describe the target population to be served with categorical Primary Care funds. Primarily the population we serve is the under insured and the non-insured population. Does the health department intend to contract with other providers for the delivery of primary health care services using categorical (015011) Primary Care funds? If so, please identify the provider(s), describe the services to be delivered, and list the anticipated contractual amount by provider. In addition, contract providers are required to provide data on patients served and the services provided so that the patients may be registered and the service data entered into HCMS. No. ),4 FLORIDA DEPARTMENT OF John O. Agwunobi, M.D., M.B.A. Secretary Jeb Bush Governor HEALT Date: June 28, 2005 To: Sal Zapulla, Momoe County Office of Management and Budget Jim Roberts, Momoe County Administrator From: Luis Diaz Director Administrative Services Monroe County Health Department Subject: 2005-2006 Budget Request In our continuing effort to provide for health needs of the population of Monroe County, we at Momoe County Health Department are requesting the following funding for the 2005-2006 fiscal year. County Tax Revenue Small Ouantities Waste Generator Contract $524,459.49 $75,540.51 $600,000.00 The % in the tax revenue represents an effort to maintain and improve Momoe County Health Department's Environmental Health Program. The % for the Small Quantities Waste Generator Contract is consistent with the consumer price index. Thank you for considering our request for the funding of these important public health activities and it is our hope that they will be viewed favorably and as important to the well being of the citizens of Momoe County. MONROE COUNTY HEALTH DEPARTMENT Gato Building 1100 Simonton Street P.O. Box 6193 Key West, Florida 33041-6193 (305) 293-7500 . FAX (305) 292-6872 25 County Health Department ALACHUA CHD BAKER CHD BAY CHD BRADFORD CHD BREVARD CHD BROWARD CHD CALHOUN CHD CHARLOTTE CHD CITRUS CHD CLAY CHD COLLIER CHD COLUMBIA CHD DADE CHD DESOTO CHD DIXIE CHD DUVAL CHD ESCAMBIA CHD FLAGLER CHD FRANKLIN CHD GADSDEN CHD GILCHRIST CHD GLADES CHD GULF CHD HAMILTON CHD HARDEE CHD HENDRY CHD HERNANDO CHD HIGHLANDS CHD HILLSBOROUGH CHD HOLMES CHD INDIAN RIVER CHD JACKSON CHD JEFFERSON CHD LAFAYETTE CHD LAKE CHD LEE CHD LEON CHD LEVY CHD LIBERTY CHD MADISON CHD MANATEE CHD MARION CHD MARTIN CHD MONROE CHD NASSAU CHD OKALOOSA CHD OKEECHOBEE CHD ORANGE CHD OSCEOLA CHD PALM BEACH CHD PASCO CHD PINELLAS CHD POLK CHD PUTNAM CHD ST JOHNS CHD ST LUCIE CHD SANTA ROSA CHD SARASOTA CHD SEMINOLE CHD SUMTER CHD SUWANNEE CHD TAYLOR CHD UNION CHD VOLUSIA CHD WAKULLA CHD WALTON CHD WASHINGTON CHD Florida Vaccines For Children fVFC) Proaram Vaccine Shioments 7/1/03-6/21/04 7/1/04-6/30/05 Vaccine Value Vaccine Value $242,765 $221,397 $32,002 $38,858 $266,725 $306,655 $34,049 $36,517 $380,276 $370,916 $828,067 $827,395 $17,788 $25,064 $184,187 $167,188 $105,534 $98,087 $136,794 $156,651 $387,821 $438,967 $27,826 $31,635 $1,399,275 $1,290,036 $67,807 $51,937 $55,106 $49,609 $980,777 $1,082,113 $627,130 $697,775 $94,539 $18,194 $21,743 $16,104 $110,307 $94,034 $45,363 $55,237 $19,363 $26,803 $29,324 $24,211 $31,858 $30,668 $77,560 $71,313 $106,379 $83,568 $151,948 $176,420 $81,668 $90,243 $1,121,411 $1,226,472 $34,610 $30,740 $254,502 $260,527 $45,964 $43,450 $19,773 $23,568 $11,577 $15,420 $232,012 $161,959 $574,557 $729,865 $112,426 $114,203 $37,394 $44,777 $15,846 $22,105 $36,761 $30,054 $230,738 $226,826 $467,445 $515,040 $172,159 $164,875 $148,759 $128,954 $26,019 $19,937 $368,736 $447,484 $34,647 $22,162 $922,129 $1,015,065 $436,245 $578,813 $1,221,336 $1,274,057 $277,864 $342,421 $604,094 $666,229 $604,321 $596,368 $71,827 $68,410 $204,455 $182,081 $149,881 $191,491 $179,857 $186,436 $473,402 $670,467 $371,819 $452,049 $101,329 $107,709 $60,119 $64,293 $20,200 $19,124 $26,585 $23,867 $478,428 $428,112 $18,413 $15,129 $94,136 $77,384 $29,142 $43,616 $16,834,899 $17,809,134 Source: Florida Vaccines For Children (VFC) Program Vacman Data _ Shipments 7/1104-6130/05 H:\jmm\vfc-intlaudrtorI0405\chd0704.QS05.xls .H '" o o N ~ ~ >. 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"" '" '" '" '" () () () () " " w u: ~ '" '" :I: :I: :I: :I: r r :I: 0 ~ -' ~ om ~R >-"'7 ~~ .- '" 5l'll 0::(1) 2~ 2005-2006 Pharmacy Allocation I COUNTY FAMILY PLANNING INSULIN ALL OTHERS 2005-2006 2005-2006 2005-2006 TOTAL Beginning Allocation Allocation Allocation Allocation ALLOCATION ALACHUA I 102,476 9,457 137,991 249,924 BAKER 2 11,751 4,118 13,256 29,125 BAY 3 42,795 17,192 139,091 199,078 BRADFORD 4 21,680 4,750 27,346 53,776 BREVARD 5 186,595 94,193 285,806 566,594 BROW ARD 6 273,346 40,320 597,702 911,368 CALHOUN 7 12,237 1,655 10,085 23,977 CHARLOTTE 8 28,925 3,455 19,877 52,257 CITRUS 9 82,512 12,129 173,619 268,260 CLAY 10 80,110 10,232 37,325 127,667 COLLIER 11 16,529 26,887 144,179 187,595 COLUMBIA 12 21,353 8,718 15,423 45,493 DADE 13 110,237 75,239 771,481 956,957 DESOTO 14 15,657 2,559 19,460 37,676 DIXIE 15 21,121 7,975 13,479 42,576 DUVAL 16 241,868 80,110 304,231 626,209 ESCAMBIA 17 55,102 37,707 112,393 205,202 FLAGLER 18 15,586 519 18,299 34,404 FRANKLIN 19 16,412 6,276 6,544 29,232 GADSDEN 20 50,331 17,678 44,129 112,139 GILCHRIST 21 15,485 3,355 14,517 33,356 GLADES 22 5,791 5,411 1,481 12,684 GULF 23 17,575 13,572 2,358 33,505 HAMILTON 24 18,387 7,041 1,551 26,978 HARDEE 25 34,900 17,294 15,549 67,743 HENDRY 26 69,820 21,006 24,320 115,146 HERNANDO 27 49,484 3,420 5,708 58,611 HIGHLANDS 28 38,465 14,895 48,562 101,922 HILLSBOROUGH 29 203,169 32,657 375,042 610,868 HOLMES 30 24,506 4,005 20,976 49,487 INDIAN RIVER 31 78,807 40,837 46,326 165,970 JACKSON 32 35,235 5,102 43,411 83,747 JEFFERSON 33 13,420 6,649 1,923 21,993 LAFAYETTE 34 4,868 3,648 16,860 25,376 LAKE 35 91,063 28,938 108,207 228,209 LEE 36 149,992 70,582 236,696 457,270 LEON 37 119,690 22,371 113,830 255,891 LEVY 38 41,162 16,400 24,082 81,643 LIBERTY 39 4,903 1,792 1,742 8,436 MADISON 40 25,343 10,341 11,091 46,775 MANATEE 41 64,314 34,354 175,299 273,967 MARION 42 106,907 56,410 140,523 303,840 MARTIN 43 52,532 13,458 48,531 114,520 MONROE 44 33,613 4,924 35,687 74,224 NASSAU 45 25,430 2,123 14,693 42,246 OKALOOSA 46 71,300 7,040 66,150 144,490 OKEECHOBEE 47 25,000 16,549 18,191 59,739 ORANGE 48 73,957 17,455 390,091 481,503 OSCEOLA 49 113,171 12,121 44,097 169,389 In Kind Allocation to CHD's 7-11-05 28 2005-2006 Pharmacy Allocation I COUNTY FAMIL Y PLANNING INSULIN ALL OTHERS 2005-2006 2005-2006 2005-2006 TOTAL Beginning Allocation Allocation Allocation Allocation ALLOCA nON PALM BEACH 50 342,031 126,928 535,072 1,004,031 PASCO 51 124,897 35,699 60,544 221,140 PINELLAS 52 250,782 83,830 627,477 962,090 POLK 53 156,011 110,269 255,860 522,140 PUTNAM 54 30,960 27,743 17,738 76,442 SANTA ROSA 57 44,754 2,622 26,513 73,889 SARASOTA 58 51,280 6,800 94,113 152,193 SEMINOLE 59 28,472 15,812 39,642 83,926 ST JOHNS 55 57,968 30,647 218,024 306,639 ST LUCIE 56 45,626 12,074 77,788 135,488 SUMTER 60 35,725 4,728 8,097 48,550 SUWANNEE 61 23,010 17,314 16,532 56,857 TAYLOR 62 18,900 6,175 20,043 45,118 UNION 63 10,549 2,184 10,879 23,613 VOLUSIA 64 132,367 23,569 182,631 338,567 W AKULLA 65 17,114 2,089 7,540 26,743 WALTON 66 25,015 3,082 4,377 32,474 WASHINGTON 67 12,595 11,577 17,075 41,247 F AMIL Y HEALTH ( LAK 97 - 0 PLANNED PARENTHOO: Ll 35,569 35,569 PHARMACY L7 196,841 2,436,885 2,633,726 REPACK L9 23,560 74,263 97,823 STATE TOTAL 4,678,939 1,478,061 9,670,305 $15,827,304 In Kind Allocation to CHD's 7-11-05 21 INKIND CONTRIBUTIONS, SPECIAL PROJECT, AND STATE FEE SCHEDULE FOR PREPARATION OF 200S - 06 DOH COUNTY HEALTH DEPARTMENT CONTRACTS WIC PROGRAM County Apr-05 Closeout Participation Percent Statewide Total Participation Total In-Kind Food Contribution of $ 238411530 Alachua 4,388 1.177% $ 2,806,678 Baker 815 0.219% $ 521,295 Bay 4,831 1.296% $ 3,090,032 Bradford 710 0.190% $ 454,134 BREVARD 7,463 2.002% $ 4,773,527 BROWARD 24,699 6.626% $ 15,798,116 Calhoun 643 0.173% $ 411,279 CHARLOTTE 2,012 0.540% $ 1,286,927 CITRUS 2,049 0.550% $ 1,310,593 CLAY 2,565 0.688% $ 1,640,640 COLLIER 8,181 2.195'% $ 5,232,778 Columbia 1,570 0.421% $ 1,004,212 DADEJUM 65,358 17.535llA $ 41,804,657 DESOTO 1,385 0.372% $ 885,882 Dixie 378 0.101% $ 241,779 DUVAL 16,917 4.539% $ 10,820,548 ESCAMBIA 7,394 1.984% $ 4,729,393 Flagler 1,057 0.284% $ 676,084 Franklin 251 0.067% $ 160,546 GADSDEN 2,258 0.606% $ 1,444,275 Gilchrist 441 0.118% $ 282,075 Glades 61 0.016% $ 39,017 Gulf 274 0.074% $ 175,257 Hamilton 369 0.099% $ 236,022 Hardee 1,684 0.452% $ 1,077,130 Hendry 2,528 0.678% $ 1,616,974 HERNANDO 3,238 0.869% $ 2,071,108 HIGHLANDS 2,555 0.685% $ 1,634,244 HILLSBOROUGH 25,078 6.728% $ 16,040,534 Holmes 769 0.206% $ 491,872 INDIAN RIVER 2,233 0.599% $ 1,428,284 Jackson 1,658 0.445% $ 1,060,499 Jefferson 416 0.112% $ 266,084 Lafayette 205 0.055% $ 131,123 LAKE 4,408 1.183% $ 2,819,470 Lee 9,478 2.543% $ 6,062,373 Leon 4,426 1.187% $ 2,830,983 Levy 949 0.255% $ 607,005 Liberty 74 0.020% $ 47,332 Madison 725 0.195% $ 463,729 MANATEE 6,835 1.834% $ 4,371,842 MARION 7,965 2.137% $ 5,094,619 MARTIN 2,645 0.710% $ 1,691,810 MONROE 1,037 0.278% $ 663,292 Nassau 1,256 0.337%. $ 803,370 OKALOOSA 4,615 1.238% $ 2,951,873 OKEECHOBEE 1,605 0.431% $ 1,026,599 ORANGE 24,867 6.671% $ 15,905,573 OSCEOLA 8,315 2.231% $ 5,318,488 PALM BEACH 21,544 5.780% $ 13,780,096 PASCO 8,410 2.256% $ 5,379,252 PINELLAS 14,580 3.912% $ 9,325,743 Polk 17,152 4.602% $ 10,970,860 PUTNAM 2,499 0.670% $ 1,598,425 SANTA ROSA 2,197 0.589% $ 1,405,258 SARASOTA 3,888 1.043% $ 2,486,865 SEMINOLE 5,859 1.572% $ 3,747,567 ST. JOHNS 2,077 0.557% $ 1,328,503 ST. LUCIE 6.124 1.643% $ 3,917,068 Sumter 1,157 0.310% $ 740.047 Suwannee 1,178 0,316% $ 753,479 Taylor 683 0.183% $ 436,864 Union 221 0.059% $ 141,357 Volusia 7,628 2.046% $ 4,879,065 Wakulla 429 0.115% $ 274,399 Walton 962 0.258% $ 615,320 WashinQton 515 0.138% $ 329,407 STATE TOTAL 372,736 100.00% $ 238,411,530 7-12-0530 ~ \ ~ : o ~ o .0 Co CO 0 0 o 0 0 0 CI 0 gggggg g~gggg 8 '8 ~ l;g ~ ~~~~~~ ~g~g~ o o i ~\~\~\ ~~~~~~ \OJ g '" ~ ~ ..... N ('.I..... N g$~~~~ ~ ~ ~ ~ ~ ~ ~~~C1~N ~ 6 ~ ~ N ~ o 5 ... 9 '\- ... "I l'; g g g g g g ~~~~~~ '" '6 s~g&8~ ;; u> " % ~ ~ u> ';i u o 0 0 0 .:> 0 ~ <:> ~ 0 0 ~ gggggg o <:I 0 0 0 0 ~ ~ <g ~ o u o <0 0 <0 0 'g N~~%~:::: ~ ;; 0 0 D '0 .0 0 .0 0 .0 0 ~ ~ ::,L ~ ~ ~ o JJ) 0 Ul D (/) o u> (:) (;> 0 <::1 <tl ..... <0 ".... <tl '" <"" 010 ~~~~ ~ ~ .! ~ g ~ ~ '" ~ ~ gggggg g ~ ~ ~ ~ .0 ~ \ III ~ .... ~ ':. ",<e.", Ul~c ~.n~ ~g;: l-'",!2 %~~ ~~Ul %>-~ O..lt ~~Ul ~1Il\l: Ul~Ul ~ 1:: \ o " 6 1< " " " ~ " '" 6 !;' u> u> ... 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