HomeMy WebLinkAboutDocumentation_Regular_Tab 03_11/13/2014 VILLAGE CLERK'S OFFICE
AGENDA ITEM TRANSMITTAL FORM
Meeting Date: Meeting Type: Regular Ordinance #:
November 3, 2014
Consent Agenda: Yes Resolution #:
Originating Department: Manager
' � ' • • • • : - � � -�•
1. Per Village Ordinance w� �re presenting the following agreements, proposals, commitments and
memorandum of understanding to Council:
� , . •.
Account #: Various Amount of this item: Various
Current Budgeted Amount Available: Amount Remaining after item:
Budget Transfer Required: No Appropriate Fund Balance: No
'' • ' •' .• • •- • � � .�- �.
1. Per Village Ordinance we are presenting the following agreements, proposals, commitments and
memorandum of understanding to Council:
. Betty Laur and the Village of Tequesta Contractual Agreement increasing her fee by 2% resulting in an
hourly pay of $36.39.
a. ComLog 1 year Warranty Service Agreement Contract —$2,889.00
b. Gehring Group Business Associates Agreement -$0
c. Gehring Group Confidentiality Agreement -$0
d. MCCI, LLC and the Village of Tequesta Legislative Management Software 3 Year Agreement -
$16,000.20
e. Miracle Recreation Equipment Company Contract to replace non-warranty equipment -$3,552.46
f. Miracle Recreation Equipment Company Contract to replace warranty equipment -$0
g. REP Services Inc. Proposal to purchase recreation equipment -$1,481.22
. -� . .
Department Head
Finance Director or Representative
Reviewed for Financial Sufficiency ❑
No Financial Impact ❑
Attorney: (for legal sufficiency)
Village Manager: �� � �-��-� ����� „���,�
Submit for Council Discussion: ❑ � � � �
Approve Item: �`
Deny Item: �
• • - . . .. • -• •- . .-
•- • .• - . • -• . . • . • .
Form Amended: 3/14/14
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�/ �j ��� MEMORANDUM
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f k Cc :�'�`�� Village of Tequesta
Clerk's Office
TO: Mr. Michael Couzzo, Village Manager
FROM: Lori McWilliams, Village Clerk
DATE: October 10, 2014
SUBJECT: Betty Laur — Fee Increase FY 2014/2015
The 2014/2015 FY budget included a line item 001,120.531.304 for the Recording
Secretary Services of Betty Laur, aka Business Services Connection, Inc., allows for a
2% increase for Ms. Laur. Her current fee is $35.679 per hour and with the 2% fee
increase would be $36.39. Betty has not received an increase since FY 2009/2010.
Ms. Laur provides a service to the Village by acting as Recording Secretary, provides
transcription services and serves as the Historian. Betty has been loyal and dedicated
to the Village for many years. For these reasons, I request your approval to increase
Ms. Laur's fee until such time as I reorganize the office.
Approved:
Michael Couzzo, Village Manager
AGREEMENT
� ,.
TNIS AGREEMENt, made and entered into this ��� day of �-�€=� %���', 2014, by and between the
Village of Tequesta, a municipal corporation in Palm 8each County, Florida, hereinafter referred to as
"Village" and Betty Laur, LLC, hereinafter referred to as `°Contractor",
WITNESSETH:
WHEREAS, Cantractor is an independent contractor providing services in the field of Recording
Secretary Services ("Contractor Services") and,
VVHEREAS, the Village desires to utilize the s�rvices af the Contractor to perform the work and
functions of a Recording Secretary subject to the provisions hereinafter set forth.
NOW Therefore, know all men by these presents that the Village does hereby aceept the offer of
Contractor to perform the work, duties, and functions of a Recording Secretary upon the fellowing terms
and conditions, to wit:
1. Contractor shall perForm such Contractual Services as requested by the Village from time to
time. These services shall include such duties of a Recording Secretary as directed fram time to time by
the Village Manager or his designee of th� Village. Such duties shall include transcribing of minutes,
typing of minutes accardirag to acceptable formats util6zing a personal camputer and printer, and other
duties as �lirected by the Village Clerk. These services may be done at 260 Riverside Drive, Palm Beach
Gardens, Florida or at the Village Fiall, 345 �equesta Drive, Tequesta, Florida.
2. Contractor shall exercise professional judgment and discretion in providfng services.
3. Contractor shall perform the duties assigr�ed to her with supervision and control by the Village
and the duties and work performed must be appraved as to the resufts thereof by the Village.
4. Contractor recognizes and agrees that as an independent contractor, no benefits shall be paid to
her while performing duties assigned to her by the Village under the Workers' Compensation Laws of
the State of Florida or otherwise, and further recograezes and agrees that she shail not be eligible for
retirement benefits, group insurance, or any of the other "fringe" benefits afForded to employees of the
Village of Tequesta. Contractor further recognizes and agrees that it shall be her sole responsibility to
pay any FICA taxes (Social Security) which she may be required to pay, ao�d Contractor shall be solely
responsible for the payment of any estimated incorne taxes which may be required to be paid by
Contractor and that the Village shall not withhold any portion of the Contraetor's compensation for that
purpose.
5. Contractar and the Village agree that Contractor shail be compensated for the hours devoted by
Contractor for her services at the rate of $ P�a ='�' per hour to be billed by Contractor to the Village by
invoice.
6. This Agreement may be terminated at any time by either party upon one week's written notice
to be served on the Village Manager`s Office, 345 Tequesta Drive, Tequesta, Florida 33469, and on
Contractor at 260 F?iverside Dr9ve, P�Im Beach Gardens, Florida 3341D.
There are no other agreements or understandings between the parties except as set forth in this
Agreement, and both parties agree on behalf of themselves, their successors, heirs, administrators, and
assigns to be bound hereby.
IN WITNESS WHEREOF, the parties have executed this Agreement o� the day and year first
above vvritten.
VILLAGE OF TEQUESTA
. . .. . s �_. P
Michael R. Couazo,lr.
Village Manager
BETTY ILAUR, LLC
; �;
`� , _-�._ ���,
--�--� �..� .,
Betty La u r '
Owner
ADDII�TDUM
Pablic Rec�ds: In accordance with Sec. 119.0701, Florida Sta.tuutes, the Contractor must
keep and maintain this Agreement and any other records associated therewith and that aze
associated with the performance of the work described. in the Scope of Services. Upon request,
the Contractor must provide the public with access to such records in accordance with access and
cost requirements of Chapter 119, Florida Statutes. Further, the Contractor shall ensure that any
exempt or confidential records associated with this Agreement or associated with the
performance of the work described in the Scope of Services aze not disclosed except as
authorized by law. Finally, the Contractor shall retain the records described in this pazagraph
throughout the performance of the work described in the Scope of Services, and at the conclusion
of said work, transfer to the Village, at no cost to the Village, all such records in the possession
of the Contractor and destroy any duplicates thereof. Records that are stored electronically must
be transferred to tt�e Village in a format that is compatible with the Village's information
technology systems.
�
117 boulevard Brunswick
Pointe-Claire. Ouebec H9R 5N2
ComLoq Service Aqreement Contract
Silver Packaqe
Ref # DLS2410/24 - P6896
You will receive:
■ 24/7 technical support including troubleshooting, installation, and configuration assistance
■ Four-hour phone response
■ Remote diagnostic technical assistance
■ Toll-free call-in number
■ Software upgrades
• Material replacement of parts within 2 business days, once a Return Material Authorization (RMA) number has
been issued
The Silver Service Agreement is based on a yearly fee,
outlined below and/or in a separate purchase order.
Service Aqreement Contract
Extended Warranty: 13 Year (12 Months)
Term Begins: November 1, 2014
Term Ends: October 31, 2Q15
Package: SILVER Purchase Order No:
Price: $2,889.00 USD P.O. No. not Applicable** �.;� '�
Agreed and Signed Upon By: Agreed and Signed Upon By:
CVDS Inc. Tequesta Police Department, FL (USA)
, _.
. ,°-.�.�'`.�_.�..�-� .
Representative: Michel LaRue, CPA, CA Representative:
Title: Controller Title:
Date: � �.->�"`� ,=� _ �� ti�>� �> Date: �. „ � .
** If Purchase Order No. is not applicable, please fill up the Billing Information form and send back to us.
T: 514.426.7879
F 514.426.3511
WWW.C'u��dS.00111
117 boulevard Brunswick
Pointe-Claire, Duebec H9R 5N2
ComLoq Warrantv Aqreement
1-Year Warrantv A_qreement:
This warranty does not cover:
• Damage due to abuse, misuse, neglect or customer's modifications;
• Improper wiring, repairing, alteration, installation, or maintenance performed by an
unauthorized third-party;
• Theft, vandalism, fire, water or peril;
• Moving, relocation or alteration of equipment for which prior written approval has not
been given by CVDS Inc.
• Servicing not authorized by CVDS Inc.;
• Usage not in accordance with product instructions;
• Problems caused by use of parts and components not supplied by CVDS Inc.
Any non-warranty repairs will be charged at current CVDS rates.
CVDS Inc. makes no warranty with respect to products which have had their manufacturing serial
numbers removed or altered.
If CVDS Inc. elects the replacement option, the parts will be the same or a later version which
performs substantially the same function as the one being replaced. CVDS Inc. will make the final
determination as to the existence and cause of any defect.
In repairing or replacing any product, part of product, or software medium under this warranty,
CVDS Inc. may use new, remanufactured, reconditioned, refurbished, or functionally equivalent
products or parts.
The foregoing warranty is in lieu of all other warranties or conditions expressed or implied
including, but not limited to, the implied warranties or conditions of inerchantability and fitness for
particular purpose and those arising by a statute or from any other source.
T: 514.426.7879
F: 514.426.3511
WWW.C���dS.COfTI
117 boulevard 8runswick
Pointe-Ciaire. �uebec H9R 5N2
Customer Billing Information
Date:
Company Name:
Tax ID:
B�llirg ;ddr�ss:
City:
State/Prov.: �
Zip/Postal Code:
Country:
Contact Name (for billing):
Telephone:
Fax:
Email:
Return this form with the ComLog Service Agreement Certificate to:
CVDS Inc., Attention of Melissa
FAX: 514-426-3511
?: 514.426.7879
F: 514.426.3511
WWW.CUCIS.CORI
�
�
117 boulevard Brunswick
Pointe-Ciaire. �uebec H9R 5N2
October 14, 2014
Ms. Cheryl Foley
Tequesta Police Department
357 Tequesta Drive
Tequesta, FL 33469 USA
Reference: Warrantv Service Packaqe Quote for ComLoa Recorder - DLS2410/24 P6896
Dear Ms. Cheryl Foley:
We would like to inform you that the 12th Year - Silver Package warranty service coverage for the ComLog
Recorder that is being used at the Tequesta Police Department will expire on October 31, 2014.
Enclosed is the ComLog Service Agreement Contract for the renewal of your warranty service coverage for the
ComLog Recorder. In order for the renewal to take into effect, please send back a signed copy of the contract
by fax, email or by mail addressed to my attention, as well as a copy of your Purchase Order. If a Purchase
Order is not availabie, please return a completed copy of the Billing Information form with the Agreement for
appropriate billing to occur. Upon receipt of the signed service contract and/or purchase order, an invoice will be
prepared and mailed to you.
Below is our quoted price for this category. The price is on an annual basis and in US dollars.
Description 13th Year
(12 Months)
Term Begins November 1, 2014
Term Ends October 31, 2015
SILVER $2,889.00
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ii yvu iCyiili@ auC�iiiGiiBi Ifii�iiiiaiiGT, Nic83c C.aii iii2 ai �,� i4�� -r2�J-i v� .� E�Ei�SiOii 22� , Of wi��BC. ^lc .,j� ^ c-^;c'll, ut
mlarue a�cvds com .
We want to take this opportunity to thank you for your confidence in our products and we are looking forward to
your continuous support.
Very truty yours,
. � ;,�> .:,_,� .
_ _ � .__.
��.___-- � � _ - . �ATE �a -�%� INV.t�zrrc�iy - /� Lf9y
�--�� � . C ; f � �cs�',e �- '- .� . ����
' -s� �..� � - . i 7 �
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Michel LaRue, CPA, CA � � �—�
� 0����-�
Controller � ' `"� � , BtM NT NEAD / '� DATE
_. hNANCE�QP
T: 514.426.7879
F: 514.426.3511
www.cvds.com
Fo�, ����� � (�e��c��e �ff ����a�� ����a�� �� �e��a�u�E ��
Q2ev. December 2C�) ��' ��'B�'�� ������ ��� �9��������� onB nro. 7sas��szi
oeparomerrtofU� T�easury ���n referen� are to Uea Intemal Revenue Code. � Sae saparate ir�trucdoras.
Imemal Re�ernre Seroice � Give tluts form Oo the withhoWirog a ent or ger. Qo not se� 4o the IRS.
Do rrot �e �fris fartn for. It�tead. use Fom1:
� A U.S. citlzen or other U.S, person, including a residerrcalien individual . . . . . . . . . . . . . . . . . . . . W-9
a A person claiming an exemption from U.S. withholding on income effecd�ely connec�d vuith the conduc[
of a trade or business in tha United 5tates. . . . . . . . . , . . . . . . . . . . . . . . . . W-�CI
� A foreign partnership, a foreign simple Vust or a foreign grar�r trust (see instrucflons for exceptions). ...... W-�CI or W-�MY
o A fureign govemment iritemational organaaqon, fareign ceriUal bank of issue, foreign tax-exempt organtzation,
fomrgn private fotmdadon, or govemment of a U.S. possesslon that receive� eff�ctivel� connected income or that is
claiming the appiicabilfty of section�s)115(2) 50'I (cl �2 � or 1443�j �ee insUVCbons) .. ....... W-�CI or W-ffXP
i16o�: These erqides should use Form W-�EIU ff U�ey are claiming tr�aty berrefits or are provlding the f+orrri or+ly �
clalm U�ey a�e a faretgn person exempt fram backup wJU�holding.
� A person acting as an intermediary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W-�MY
PtoOe: See irtstructions foraddiBonal exceptirons.
° Bdenti�ecatiow o� �n�ficial �ner �5ee instrucvons.
1 Name of f�ividual or organizaUon that fs the beneficlal owner 2 Cour►try of incorporation or organization
CVDS, IPIC. Canada
3 Typ2 of 6eneficial OWn2r ❑ Indlvldual � CorporaUon ❑ Dfsregardad emity ❑ Partrieiship ❑ Simple fist
❑ Granbr Vust ❑ Complex trust ❑ Estate ❑ Govemment ❑���� orgarrizatfon
❑ Centrel bank of issue ❑ Tax-exemot oraerrization ❑ Prtvate foundatlon
4 Permanent residence address (sveet apt or sui� no., or rural route� � no4 ese a P.O. bou or in-care-af address.
9�87 �runswick Boufevard
C'�ty or tnwn, statE or province. Include posbl code where appropria�. CounUy (do rrot abbreviate)
Pointe-Claire, Quebec H9R 5N2 Canada
S N�fiing address �f diff�rerit from above)
City or mwn, state or province. Include post code where appropriatie. Country (do rrot abbreviate)
6 U.S. t ideritification num6er, if req�ored (see instructions} 7 Foreign Tax ide�ng num@er, if arry �piional)
98-Q406037 ❑ SSN ot ITIN � EIN
8 Reference number(s) (see iristructlons)
° � CB�im �f Taac Trea� �Snefi�s @f applicable)
9 I cev8�y that �Poeck �il s3�@ aPP�Yk
Canada ��in the meaning of the incame tax treaty beuueen the Unroed 5ta�s and that country.
a� The benefiaal owmer is a resident of ....... .......
b� If required, the U.S. bxpayer identiflcation number is statied on Iine 6(see instructions�.
c� l'fie heneficial owner is not an individual, derives the item (or items) of income for which die treaty benefi� are clalmed, and, if
applicable, mee� the requirements of Uie tr�aty provislon dealing witf� limitation on benefl�s (see ir�sVUCtionsy
d❑ The heneficial owner is not en individual, is claiming treaty benefi� far dividends recefved from a foreign corporaUon or Irri�erest from a
U.S, trade or business of a foreign corporation, and meets qualified residerR staws (see insvucUons�
e❑ The berreflcial owner is releted tn the person obligated tio pay the income w+lthin the meaning of section 267�) or 707ro1 and will file
Fortn �33 if the amount subject to withholding received during a calendar year exceeds, in the aggregate, $SOC�OOU
10 Special aa�s and cora�9ltiorss @fapplicable—see insauctlonsk The beneficial owmer is claiming the provisions of Article ...�:���.._.of Ule
0 . business incoine profif
treaty iderrtified on iine � above to clafm a_______________°k rate ofvvitliholding on (�pecify,type ofincomek________.___._________..__..__ .
CVDS Inc. is a Canad9an resldent that is nof
Explain the reasons the beneficial owmer meets the Uerms of the treaty article: •---•---------•---........-•------------------------------•-•-•
engaged in a US trade or business through a permanent establishment [n the US, and that it's US business income
•-•• •-----------------------••-••---• •----••------------..__._..... • •• • ••-----------•----------•........--•-----------------------...-•-•• •---•-
is not subject to Uni4ed States federal income taxation.
° I�otion�9 �an�a�a& �a�trac�
91 ❑ I have provrided orwrfll provide a s�temerrtthatidenUfies d�ose notional principal conUacts from which the income Is noteffectively
connected wRh the conduct of a tr�ade or business in the United Sta�s. I a ree tn u date this statemerrt as uired.
° � '�P$@�B��m�9
U�er penaitles of perjury, I de�lare 2�at I have examined the informadnn on this fortn and to Ihe bestof my knowledge arM bellef it is true. cartect and complete. I
fur�her certify umier penalties of pe�]ury tliaC
o I am tlre beneflcial owner �r am authorized m sign for the beneficial owner) af all the income ID whlch UNS fortn rela�s.
m The ber�flcial owmer is not a U.S. person.
o The Irnome Uo v�ich Shis firm relates is rrot effectivaly connecUetl vuttli the corMuct of a Uatle or bu5irress In the UNmd States or Is effectively corn�ect�! but is
not suhJect bo mx under an irtcome tax treatp, �d
o Far 6roker Var�sactlons or barter exchanges, tne beneHcial ov�mer Is an exempt fnreign person as deflned in tlie insvuctlons.
Furthemtore. 1 auCmrize this fortn to be pmvided tn any witlihotdl agent tliat has control, recefpt ar cuswdy of the income of whtch I am tlie beneflcial owmer or
ece
any withholdv�g ageM that can disbu� or matce paymen6 af :��n iich I am the beneflclal owmer.
� -- �. .`• � --� �O/�/ �—
S6ga� � �. _._...._-•-- ° --• =- -�---� ---- ----------------------••----• ---------------------- .-..._�,...��.�'�f��-
Signaurre of berteflclat oua�er (or Indivldual authorizetl ID sign for beneficial owmery �ate Q4W4�DD-Y Capadty in w iv c h act
Foa' �dpennr�rk 98educftiaa l6c2 9Not1Ce, see S�p�ral�e usstratcYloris. Cat No. 250472 Form ����7 �2ev. i 2 2on0)
ADDENDUM
Pablic Recor+ds: In accordance with Sec. 119.0701, Florida St.atutes, the Contractor must
keep and maintain this Agreement and any other records associated therewith and thax are
associated with the performance of the work described in the Scope of Services. Upon request,
the Contractor must provide the public with access to such records in accordance with access and
cost requirements of Cha.pter 119, Florida Statutes. Further, the Contractor shall ensure that any
exempt or confidential records associated with this Agreement or associated with the
performance of the work described in the Scope of Services are not disclosed except as
authorized by law. Finally, the Contractor shall retai.n the records described in this pazagraph
throughout the performance of the work described in the Scope of Services, and at the conclusion
of said work, transfer to the Village, at no cost to the Village, all such records in the possession
of the Contractor and destroy any duplicates thereo£ Records tha.t aze stored electronically must
be transferred to tl�e Village in a forma.t that is compatible with the Village's information
technology systems.
BusnvESS Assoc�'['E A��En�rrr
This Business Associate Agreement (the "Agreement'� by and between the Village of Tequesta,
("Client"), and The Gehring Crroup, Ina ("Gehring Group") is made and entered into effective
August 15, 2014.
RECTTALS
WHEREAS, Client is a"covered entit�' as those terms aze defined in 45 C.F.R §
160.103; and
WHEREAS, Gehring Group provides consulting services to Client; and
�VI�REAS, as a result of such functions, Client has identified Gehring Group as a
"business associate," as defined in 45 C.F.R § 160.103, of Client for purposes of the priva.cy and
security requirements under the Health Insurance Portability and Accounta.bility Act of 1996,
(HIl'AA) as amended by the Health Information Technology for Economic and Clinical Health
Act (HITECI� and the regulations issued thereunder; and
WHEREAS, Gehring Group acknowledges that it is a business associate, as defined in 45
C.F.R. § 160.103, of Client that may create, use, or disclose Protected Health Information or
Electronic Protected Health Information on behalf of Client; and
WHEREAS, Client desires to obtain written assurances that Gehring Group will
safeguard Protected Health Information or Electronic Protected Health Information created or
received by or on behalf of Clien�
NOW, THEREFORE, the parties agree as follows:
1. DEFnviTTONs
1.1 "Breach" shall have the meaning set forth in 45 C.F.R. § 164.402.
1.2 "Data Aggregation" sha.11 have the meaning as the term "data aggregation" in 45 C.F. R
§ 164.501.
1.3 "Designated Record Set" sha11 mean a group of health-related records about an Individual
as provided in 45 C.F.R § 164.501.
1.4 "Electronic Health Record" shall mean an electronic record of health-related information
with respect to an Individual that is created, gathered, managed and consulted by
authorized healthcare clinicians and staff.
1.5 "Electronic Protected Health Information" or "Electronic PHI" means information that
Gehring Group or its agent, including a subcontractor, creates, receives, maintains or
transmits from or on behalf of Client that comes within pa.ragraphs 1(i) or 1(ii) of the
definition of "protected health information" at 45 C.F.R § 160.103.
Page 1 of 8
17535410v.1
1.6 "Genetic Information" sha.11 have the meaning assigned to such term in 45 C.F.R
§ 160.103.
1.7 "HIPAA" shall meaa the health information privacy provisions under the Health
Insurance Portability and Accountability Act of 1996, and regulations issued thereunder
at 45 C.F.R Parts 160 and 164, as amended by HITECH.
1.8 "HITECH" shall mean the Hea1th Information Technology for Economic and Clinical
Health Act and the regulations issued thereunder.
1.9 "Individual" sha.11 mean a person who is the subject to the Protected Health Information
of the Client, and shall include a person who qualifies as the Individual's personal
representative in accordance with 45 C.F.R. § 164.502(g).
1.10 "Limited Daxa. Set" shall ha.ve the meaning assigned to such term in 45 C.F.R
§ 164.514(e)(2).
1.11 "Protected Health Information" or "PHI" shall ha.ve the same meaning as the term
"protected hea.lth information" in 45 C.F.R. § 160.103, limited to the information created
or received by Gehring Group from or on behalf of Client Genetic Information sha.11 be
considered PHI.
1.12 "Required by La.w" shall mean a mandate contained in an applicable state, federal, or
local law that compels Client (or business associates acting on beha,lf of Client) to make a
use or disclosure of PHI that is enforceable in a court of law.
1.13 "Security Incident" means the attempted or successful unauthorized access, use,
disclosure, modification, or destruction of information or interference with system
operations in an information system, as defined at 45 C.F.R. § 164.304. However,
certain low risk attempts to breach network security, such as the incidents listed below,
shall not constitute a Security Incident under this Agreement, provided they do not
penetrate the perimeter, do not result in an actual brea.ch of security and remain within the
normal incident level:
• pings on the firewall;
• port scans;
• attempts to log on to a system or enter a data.base with an invalid password
or username;
• denial-of-service attacks that do not result in a server being taken off-line;
and
• malware such as worms or viruses.
1.14 "Subcontractor" sha.11 have the meaning as the term in 45 C.F.R § 160.103.
Page 2 of 8
17535410v.1
1.15 "Unsecured Protected Health Information" or "Unsecured PHI" shall have the meaning
assigned to such term in 45 C.F.R. § 164.402 and guidance issued thereunder.
2. OBLIGATIONS OF THE PARTIES
2.1 Gehring Group shall safeguard all PHI and Electronic PHI created or received by
Gehring Group on behalf of Client in accordance with HIPAA. Gehring Group shall
implement administrative, physical and technical safeguards that prevent use or
disclosure of the Electronic Protected Health Informaxion other than as pernutted by the
Security Rules. Specifically, Gehring Group agrees to implement policies and
pmcedures in accordance with 45 C.F.R. § 164.316 that:
i. Prevent, detect, contain and correct security violations in accordance with the
administrative safeguards set forth in 45 C.F.R § 164.308;
ii. Limit physical access to electronic information systems and the facility or
facilities in which they are housed, while ensuring that properly authorized access
is allowed in accordance with the physical safeguards set forth in 45 C.F.R
§ 164.310; and
iii. Allow access to electronic informaxion systems that maintain Electronic PHI to
only those persons or software programs that have been granted access rigb.ts in
accordance with the technical safeguards set forth in 45 C.F.R § 164.312.
2.2 Gehring Group shall not use or disclose PHI or Electronic PHI except as pernutted or
required by Article 3 of this Agreement or as Required by Law. Gehring Group shall
notify Client of a11 requests for the disclosure of PHI and Electronic PHI from a law
enforcement or government official, or pursuant to a subpoena, court or administrative
order, or other legal request as soon as possible prior to making the requested disclosure.
Gehring Group shall provide to Client all PHI and Electronic PHI necessary to respond
to these requests as soon as possible, but no later than ten (10) business days following its
receipt of a written request from Clien�
2.3 Client shall provide to Gehring Group, and Gehring Group shall request from Client,
disclose to its affiliaxes, subsidiaries, agents and subcontra.ctors or other third parties, only
a Limited Data. Set or, if necessary or otherwise permitted by HHS regulations, the
minunum PHI or Electronic PHI necessary to perform or fulfill a specific function
required or permitted under the Agreement. "Minimum necessary" shall be interpreted in
accordance with HITECH, and in any event shall not include any direct identifiers of
individuals such as names, street addresses, phone numbers or social security numbers,
except for a unique identifier assigned by Client as necessary for the strategic analysis.
2.4 Gehring Group shall comply with all granted restrictions on the use and/or disclosure of
PHI, pursuant to 45 C.F.R § 164.522(a), upon written notice from Client; provided,
however, that Client shall not grant any restriction that affects Gehring Group's use or
disclosure of PHI without first consulting with Gehring Group.
Page 3 of 8
17535410v.1
2.5 Gehring Group sha11 comply with all granted requests for confidential communica.tion of
PHI, pursuant to 45 C.F.R. § 164.522(b), upon written notice from Clien�
2.6 Gehring Group shall report to Client any use or disclosure of PHI not pemtitted by this
Agreement of which Gehring Group becomes awaze within fifteen (15) business da.ys of
its becoming awaze, and will take such corrective action necessasy, or as reasonably
directed by Client, in order to prevent and minimize damage to any Individual and to
prevent any further such occurrences.
2.7 Following the discovery of a Breach of Unsecured PHI, Gehring Crroup shall notify the
Client without unreasona.ble delay and in no case no later than fifteen (15) days after
discovery of the Breach. The notifica.tion shall include the identification of ea,ch
Individual whose Unsecured PHI has been or is reasonably believed by Gebring Group to
have heen accessed, acquired, used or disclosed during the Bre,ach. Gehring Group shall
provide the Client with any other available information that the Client requires to notify
affected individuals under the Privacy Rule.
2.8 Gehring Crroup shall make reasona.ble efforts to mitigate, to the extent practicable or as
rea.sonably directed by Client, any ha,rmful effect that is lrnown to Gehring Group
resulting from a breach of this Agreement or HIPAA that is directly caused by Gehring
Group.
2.9 Gehring Group shall report to Client any Security Incident within five (5) business da.ys
of when it becomes aware of such Security Incident. Gehring Group sha.11 mitigate to the
extent practicable or as reasonably directed by Client any harmful effect that is known to
Gehring Group of a Security Incident by Gehring Group.
2.10 Gehring Group shall take rea.sonable steps to ensure that any Subcontra.ctor performing
services for Client agrees in writing to the sazne restrictions and conditions that apply to
Gehring Group with regard to its creation, use, and disclosure of PHI and Electronic PHI
in accordance with 45 C.F.R §§ 164.308(b)(2), 164.502(e)(1)(ii) and 164.504(e)(5).
Gehring Group shall, upon written request from Client, provide a list of any
Subcontractors with whom Gehring Group has contracted to perform services for Client.
Gehring Group shall advise Client if any Subcontractor breaches its agreement with
Gehring Group with respect to the disclosure or use of PHI or Electronic PHI. If
Gehring Group lmows of a pattern of activity or practice of its Subcontractor that
constitutes a material breach or violaxion of the Subcontractor's duties and obligations
under its agreement with the Subcontractor ("Subcontractor Material Breach'�, Gehring
Group sha11 cure the breach or provide a reasona.ble period for Subcontractor to cure the
Subcontractor Material Breach; provided, however, that if Gehring Group cannot, or
Subcontractor does not, cure the Subcontractor Material Breach within such period,
Gehring Group sha.11 terminate the agreement with Subcontractor, if feasible, at the end of
such period.
2.11 Gehring Group shall, upon written request from Client, provide to Client a copy of any
PHI or Electronic PHI in a Designated Record Se� as defined in 45 C.F.R § 164.501,
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17535410v.1
created or maintained by Gehring Group, and not also maintained by Client, within thirly
(30) days of receipt of the request.
2.12 Gehring Crroup shall, upon written request from Client, make any amendment to PHI in a
Designated Record Set maintained by Gehring Group within thirty (30) days of receipt of
the request unless Gehring Group can establish to Client's satisfaction that the PHI at
issue is accurate and complete.
2.13 If an Individual's PHI is held in an Electronic Health Record, Gehring Group shall
provide requested copies in electronic format to the individual or to an entity or person
designated by the Individua.l, provided such designation is clearly and conspicuously
made by the Individual or Client.
2.14 Gehring Group sha.11 make its internal practices, written policies and procedures, books,
records, and other documents relating to the use and disclosure of PHI and/or Electronic
PHI created or maintained by Gehring Group on behalf of Client available to the
Secretary of the Departrnent of Health and Human Services, or his or her designee, for
purposes of the Secretary determining Client's compliance with HIPAA.
2.15 Gehring Group shall make available the information required to provide an accounting of
disclosures made on and after the Effective Date, as necessary for Client to comply with
45 C.F.R § 164.528, within twenty (20) business days of receipt of the reques�t. Gehring
Crroup shall provide one such accounting within a twelve month period without charge,
but may make a reasonable charge for any additional such accountings within the same
twelve month period.
2.16 Gehring Group shall maintain all records, other than those records that are also
maintained by Client, for six (6) years from the date created or last in effect, whichever is
later, as necessary for Client to comply with 45 C.F.R § 164.530(j)(2).
3. PE�n UsES oF Pffi
3.1 Gehring Group may use and disclose PHI and Electronic PHI as necessary to provide
services to Client, subject to Section 2.3 of this Agreement and consistent with the
requirements of HIPAA.
3.2 Gehring Group may use and disclose PHI and Electronic PHI as necessary for the proper
management and administra.tion of Gehring Group or to carry out Gehring Group's legal
responsibilities, subject to Section 2.4 of this Agreement and consistent with the
requirements of HIl'AA; provided, however, that Gehring Group may disclose the PHI
and Electronic PHI for such purposes only if:
i. the disclosure is Required by La.w, or
ii. Gehring Group obta.ins reasonable assurances that the party to whom the PHI or
Electronic PHI is disclosed (a) will protect the confidentiality of the PHI and
Electronic PHI, (b) will not further disclose the PHI or Electronic PHI except as
Required by La.w or for the purposes for which it was disclosed to the other party,
Page 5 of 8
17535410v.1
and (c) will report any improper use or disclosure of the PHI and/or Electronic
PHI to Gehring Group.
33 Except as otherwise limited in this Agreement, and to the extent provided for under this
Agreement, Gehring Group may use PHI and Electronic PHI to provide Data
Aggregation services to Client, as permitted by 42 C.F.R § 164.504(e)(2)(i)(B).
4. TERMINATION OF AGREEMENT
4.1 Except as described in Section 4.3, this Agreement shall continue in effect so long as
Gehring Group provides service to Client involving maintaining, using or disclosing PHI
or Electronic PHI, or otherwise retains a copy of PHI or Electronic PHI provided to
Gehring Group by Client.
4.2 Client may terminate this Agreement at any time if Client discovers that Gehring Group
has materia.11y breached any provision of this Agreement.
43 If Gehring Group becomes aware of a pattern of activity or practice of the Client that
constitutes a material breach or violation of the Client's duties and obligaxions under the
Agreement, Gehring Crroup shall take reasonable steps and provide a period of thirty (30)
calendar days for the Client to cure the material breach or violation. If the Client does
not cure the material breach or violation within such 30-day period, Gehring Group sha.11
terminate the Agreement, if feasible, at the end of such 30-day period.
4.4 Upon the expiration of Client's relationship with Gehring Group, and contingent upon the
payment of all outstanding fees, Gehring Group sha,ll return PHI and Electronic PHI to
Client or Client's designated agent upon Client's request. If return of all PHI and
Electronic PHI is not fea.sible, the provisions of this Agreement shall continue to apply to
Gehring Group until such time as all PHI and Electronic PHI is either returned to Client
or destroyed pursuant to Gehring Group's document retention policy, provided that
Gehring Group shall limit further use of PHI and Electronic PHI only to those piuposes
that make the destruction or return of the PHI and Electronic PHI infeasible. Following
the expiration of the relationship, Gehring Group agrees not to disclose PHI and
Electronic PHI except to Client or as Required by Law.
5. NolzcEs
Whenever, under this Agreement, Gehring Group is required to give notice to Client, such notice
shall be sent via First Class Mail to:
Me�ene Reid
345 Tequesta Drive
Tequesta, FL 33469
Attention: Privacy Officer
Whenever, under this Agreement, Client is required to give notice to Gehring Group, such notice
shall he sent via First Class Ma.il to:
Page 6 of 8
17535410v.1
Katherine Bellantoni, Privacy Officer
Gehring Group, Inc.
11505 Fairchild Gazdens Ave.
Suite 202
Palm Bea.ch Gardens, FL 33410
6• INDEMNIFICATION
Gehring Group agrees to indemnify Client, and any employees, directors, officers of Client
(collectively "Client Indemnitees"), against all a.ctual and direct losses resulting from or in
connection with any breach of this Agreement by Gehring Group, or its pa,r�►ers, employees or
other members of its worl�orce. Actual and direct losses sha.11 include, but sha.11 not be limited
to, judgments, liabilities, fines, penalties, costs, and expenses (including reasona.ble attomeys'
fees) which are imposed upon or incurred by Client Indemnitees by reason of any suit, claim,
action, investigation, or demand by any Individual, government entity, or third pazty. This
obligaxion to indemnify sha11 survive the termination of this Agreement.
Client agrces to indemnify Gehring Group and any employees, directors, officers of Gehring
Group (collectively "Gehring Group Indemnitees") against all actual aad direct losses resulting
from or in connection with any breach of this Agreement by Client, or any violation of HIPAA
resulting from any improper use or disclosure of PHI and Electronic PHI pursuant to Client's
direction. Actual and direct losses shall include, but shall not be limited to, judgments,
liabilities, fines, penalties, costs, and expenses (including reasonable attorneys' fees) which are
imposed upon or incurred by Gehring Group Indemnitees by reason of any suit, claun, action,
investigation, or demand by any Individual, government entity, or third party. This obligation to
indemnify shall survive the termination of this Agreement. Notwithstanding anything contained
in this Agreement to the contrary, the limit of Client's indemnifica.tion shall not exceed the
maximum amounts as stated in Sec. 768.28, Florida. Statutes, including limits on attorney's fees.
Nothing conta,ined in this Agreement shall be consirued as Client's waiver of sovereign
immunity beyond the maximum waiver limits in Sec. 768.28, Florida. Statutes. Nothing
contained in this Agreement shall be construed as Client's consent to be sued.
7. AMEivn�rrr
The parties agree to negotiate in good faith any amendments necessary to conform this
Agreement to changes in applicable law. Gehring Group further agrees to promptly attempt to
a.mend its agreements with its subcontractors and agents to conform to the terms of this
Agreement In the event Gehring Group is unable to amend this Agreement or its agreements
with its subcontractors in a way that is sufficient to satisfy the requirements under HIE'AA, Client
may terminate this Agreement in accordance with Section 4 upon thirty (30) days written notice.
8. TERMS OF AGREEMENT GpVERN
Any ambiguity in this Agreement sha.11 be resolved in a way that permits compliance with
HIPAA. In the event of a conflict between the terms of this Agreement and any other contract or
agreement between Client and Gehring Group, this Agreement shall govern.
Page7of8
17535410v.1
9. REGULATORY REFERENCES
A reference in this Agreement to a section in the Privacy Rules or Security Rules means the
section as in effect or as amended, and for which compliance is required.
* * *
IN WITNESS HEREOF, the parties have executed this Agreement by their respective duly
authorized officers or representatives.
VILLAGE OF TEQUESTA GEHRING GROUP, INC.
By: By:
Michael Couzzo, Jr.
Title: Village Manager Title:
Date: 10/7/2014 Date:
Page 8 of 8
17535410v.1
ADDII�TDUM
Pablic Reca�ids: In accordance with Sec. 119.0701, Florida Szatutes, the Contractor must
keep and maintain this Agreement and any other records associated therewith and that aze
associated with the performance of the work described in the Scope of Services. Upon request,
the Contractor must provide the public with access to such records in accordance with access and
cost requirements of Chapter 119, Florida Statutes. Further, the Contractor shall ensure that any
exempt or confidential records associaxed with this Agreement or associated with the
performance of the work described in the Scope of Services aze not disclosed except as
authorized by law. Finally, the Contractor shall retai.n the records described in this paragraph
throughout the performance of the work described in the Scope of Services, and at the conclusion
of said work, transfer to the Village, at no cost to the Village, all such records in the possession
of the Contractor and destroy any duplica.tes thereo£ Records that are stored electronically must
be transferred to tt�e Village in a formax that is compatible with the Village's information
technology systems. '
CONFIDENTIALITY AGREEMENT
TffiS CONFIDENTIALITY AGREEMENT (this "Agreement'� is made and entered
into as of August 15, 2014 (the "Effective Date") by and between the Village of Tequesta
("Client"), The Gehring Group, Inc. ("Gehring Group"), and Benefits Workshop ("Service
Provider'�. Client, Gehring Group, and Service Provider are referred to individually as a"Party"
and collectively as the "Parties" herein.
W�REAS, Client is a Covered Entity under HIPAA (as defined below);
WHEREAS, effective March 12, 2009 Client entered into a Consulting Agreement with
Gehring Group (the "Gehring Group Agreement") pursuant to which the Client has engaged
Gehring Group to provide or a.mange for the provision of certain consulting services (the
"Gehring Group Services") to the Client;
WHEREAS, Client has entered into business associate agreements with ea.ch Service
Provider a.nd Gehring Group pursuant to which the Parties have agreed to comply with the
requirements of the Health Insurance Portability and Accountability Act of 1996, Pub. L. No.
104-191 (the "Act"), the privacy standards adopted by the U.S. Department of Health and
Human Services ("HHS") as they may be amended from time to time, 45 C.F.R parts 160 and
164, subparts A and E(the "Privacy Rule"), the security standards adopted by HHS as they may
be amended from time to time, 45 C.F.R parts 160, 162, and 164, subpart C(the "Security
Rule"), and the privacy provisions (Subtitle D) of the Health Information Technology for
Economic and Clinical Health Act, Division A, Title XIII of Pub. L. 111-5, and its implementing
regulations (the "HITECH Act") (collectively referred to herein as "HIl'AA'�, in providing the
Service Provider Services and the Gehring Group Services to the Client;
W�REAS, Client has requested that Gehring Group provide information directly to
Service Provider, which may include individually identifiable health information, as that term is
defined by HIl'AA;
WHEREAS, the Parties agree to comply with the applicable requirements of HII'AA,
and will appropriately safeguard a11 protected health information ("PHI") or electronic protected
health information ("electronic PHI") that is transferred, created, received or accessed pursuant
to this Agreement; and
WHEREAS, the Parties desire to enter into this Agreement in order to (i) protect the
privacy and provide for the security of PHI and electronic PHI transfen�ed, received, accessed,
used or maintained pursuant to this Agreement, and (ii) satisfy certain requirements imposed on
the Parties by HIPAA.
NOW, THEREFORE, in consideration of the mutual benefits of complying with laws
and regulations stated above, the Client, Gehring Group, and Service Provider agree as follows:
1
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ARTICLE I
DEFINITIONS
1.1 "Minimum Necessarv" means the minimum amount of PHI necessary to
accomplish the intended purpose of the use, disclosure, or re,quest or the amount of PHI
described and defined by HHS from time to time as the "minimum necessary, " and in any event
shall not include any direct identifiers of individua.ls such as names, street addresses, phone
numbers or social security number, except for a unique identifier assigned by Client as necessary
for the strategic analysis.
1.2 Other terms. All other terms not specifically defined in this Agreement shall
ha.ve the meanings attributed to them under HIl'AA.
ARTICLE II
PRIVACY OF PROTECTED HEALTH INFORMATION
2.1 Permitted Uses & Disclosares.
(a) Except as otherwise limited by this Agreement, Service Provider may
access, use or disclose PHI on behalf of, or to provide the Service Provider Services to Client
pursuant to the Service Provider Agreement, if such use or disclosure of PHI would not violate
HIPAA or the terms of this Agreement. Service Provider may use PHI for the proper
management and administration of Service Provider's business or to provide da.ta. aggregaxion
services relating to the health care operations of the Client.
(b) Notwithstanding the foregoing, Service Provider shall not disclose PHI
unless: (i) required by law; or (ii) Service Provider obtains written assurance from the person to
whom the PHI is disclosed that it will be kept confidential and used or further disclosed only as
required by law or for the purpose for which it was disclosed to the person, a.nd the person agrees
to notify Service Provider of any instances of which it is aware in which the confidentiality of
the information has been breached as required under 45 C.F.R. 164.504(e)(4). If Service
Provider discloses PHI to a subcontractor or agent, Service Provider shall comply with Section
2.3 of this Agreement.
2.2 Safeeaards for the Protection of PHI. Gehring Group and Service Provider
shall implement and maintain the administrative, physical and technical safeguards required by
HIl'AA to protect the confidentiality, integrity and availability of electronic PHI and to ensure
that PHI disclosed by and between Service Provider and Gehring Group is not used or disclosed
by either Party, or by any of its subcontra.ctors, affiliates, or associates, except as provided in this
Agreement
23 ReoortinE of Unauthorized Uses or Disclosnres and Unauthorized Attemnts
to Use or Disclose
(a) Service Provider shall notify Client and Gehring Group in writing, within
ten (10) business da.ys, of any use or disclosure of PHI of which Service Provider becomes aware
2
i �6�o6rz�.z
that is not provided for or permitted by this Agreement or under HIl'AA. Service Provider shall
be responsible for all reasonable costs of notification associated with a breach or impernussible
disclosure.
(b) Service Provider agrees to report to Client and Gehring Group the
aggregate number of unsuccessful, una.uthorized attempts to access, use, disclose, modify or
destroy electronic versions of any of PHI or interfere with systems operations in an Information
System conta.ining PHI, of which Service Provider becomes aware, provided that: (a) sucb
reports will be provided only as frequently as the Parties mutually agree, but no more than once
per month; and, (b) if the definition of "Security Incident" is amended under the Security Rule to
remove the requirement for reporting "unsuccessful" attempts to use, disclose, modify or destroy
electronic PHI, this Section 2.3 shall no longer apply as of the effective date of such amendment
(c) Service Provider shall notify Client and Gehring Group of a Breach of
unsecured PHI within ten (10) business days a.fter discovery of such a Breach in accorda.nce with
45 CFR 164.410. The notice required by this Section 2.3(c) shall include, to the extent possible,
the identification of each individual whose unsecured protected health information has been, or is
reasona.bly believed by Service Provider to have been, accessed, acquired, used, or disclosed
during the breach. Such notice sha.11 also include, any of the following information, if available:
(i) A brief description of what happened, including the da.te of the
breach and the date of the discovery of the brea.ch, if known;
(ii) A description of the types of unsecured protected health
infornia.tion that were involved in the breach; and
(iii) A brief description of what the breaching Pazty is doing to
investigate the breach, to mitigate harm to individuals, and to protect against any
further brea.ches.
2.4 Use of Snbcontractors
(a) Service Provider shall not delegate the performance of any Services
without the prior written consent of Gehring Group and Client.
(b) To the extent tha.t Service Provider uses one or more subcontra.ctors or
agents to perform its obligations under the Service Provider Agreement, and such subcontractors
or agents receive or have access to PHI, Service Provider agrees to obta.in written Service
Providers that any such subcontractor or agent agrees to the same restricrions and conditions thax
apply to Service Provider with respect to such PHI, including the requirement that subcont�actors
and agents agree to implement reasona.ble and appropriate safeguards to protect electronic PHI
that is disclosed to subcontractors and agents by Subcontractor. Service Provider will disclose to
any such subcontractor no more than a limited data set or the Minimum Necessaiy, as applicable,
pursuant to HIl'AA requirements.
(c) If, pursuant to future regulations promulgated by HHS, subcontractors of
business associates are deemed to be business associates, Service Provider will (i) ensure its
subcontractors comply with all of the provisions of HIl'AA applicable to business associates; and
3
� �b�o�n�.z
(ii) require any agent or contra.ctor with whom it shazes PHI to sign a business associate
subcontract that complies with HIl'AA; provided, however, tha.t Service Provider shall not enter
into such subcontract without prior written consent of Gehring Group.
2.5 Anthorized Acce�ss to PHI. To the extent that Service Provider mainta.ins PHI in
a Designated Record Set, Service Provider shall pmvide Gehring Group with access to such PHI
no later than five (5) business days after receipt of such written request by Gehring Group
pursuant to 45 CFR 164.524.
2.6 Amendment to Pffi. To the extent that Service Provider maintains PHI in a
Designated Record Set, Service Provider shall amend such PHI in accordance with Gehring
Group's written request no later than five (5) business days after receipt of such request by
Gehring Group pursuant to 45 CFR 164.526.
2.7 Acconntin� of Disclosare�s of Pffi. Service Provider shall keep records of a11
disclosures of PHI made by Service Provider (the "Disclosure Accounting") on an ongoing basis
to the extent required by HIPAA and for the geriod of time for which, under HIPAA, a Covered
Entity must mainta.in a record of such disclosures, except for disclosures:
(a) To carry out Treatment, Payment, or Health Care Operations, as provided
in 45 CFR 164.502; provided, however, that, Service Provider shall, to the
extent required by the HITECH Act and the accompanying regulations,
keep a record of disclosures to carry out Treatment, Payment, or Health
Caze Operations made via an electronic health record for a period of at
least three (3) years; or
(b) As otherwise excluded, as described at 45 C.F.R 164.528(i)-(ix).
Service Provider shall provide the Disclosure Accounting to Client a.nd Gehring Group
(or to an Individua.l, if so directed by Client and Gehring Group, as applicable) (i) no later than
five (5) business days after receipt of written request for such Disclosure Accounting by Client
and Gehring Group pursuant to 45 CFR 164.528, or (ii) in accorda.nce with HIPAA.
2.8 Oblieations of Client. '
(a) Client shall notify Gehring Crroup and Service Provider of any restriction
on the use or disclosure of PHI to which Client has agreed in accordance
with the releva.nt provisions of HIl'AA, to the extent that such restriction
may affect Gehring Group's use or disclosure of PHI to Service Provider.
(b) Client shall notify Geluing Group and Service Provider of any changes in,
or revocation of, permission by an individual to use or disclose such
individua.l's PHI to the extent tha.t such change may affect Gehring
Group's use or disclosure of PHI to Service Provider.
2.9 AdditionalObli�ations.
(a) Electronic Copies of PHI. As applicable, Service Provider will (i)
4
»6�o6�z�.z
cooperate with Client and Gehring Cnoup to provide an Individua.l with an electronic copy of
such individual's PHI if the PHI is maintained by Service Provider in an electronic health record
and the individual requests an electronic copy of his or her PHI, and (ii) comply with, and
cooperate with Client and Gehring Group to facilita.te Client's and Gehring Group's compliance
with its obligations rega.rding electronic health records pursuant to Section 13405(e)(1) of the
HITECH Act and any regulations HHS may promulgate thereunder.
(b) Non-Disclosure for Out-of-Pocket Services. As applicable, Service
Provider will (i) abide by any directive from Client and Gehring Group not to disclose PHI in
connection with an item or service for which an individual has paid out-of-pocket, in full, and (ii)
cooperaxe with Client and Gehring Group to facilitate Client's and Gehring Group's compliance
with its obliga.tions not to disclose certain PHI in accorda.nce with Section 13405(a) of the
HITECH Act and any regulations HHS may promulgate thereunder.
(c) Prohibition on Sale of PHI. Service Provider will not sell PHI or receive
any direct or indirect remuneration in exchange for PHI, except as expressly pernutted by this
Agreement and the Service Provider Agreement.
(d) Prohibition on Marketins. Service Provider will not transmit, to any
individua,l for whom Service Provider has PHI, any communication about a product or service
that encourages the recipient of the communication to purchase or use that product or service
unless permitted to do so under the HTTECH Act.
ARTICLE III
MISCELLANEOUS
3.1 Annlicabilitv. This Agreement shall be applicable to PHI received by Service
Provider from Gehring Group or created or received by Service Provider from Client on behalf
of Gehring Group.
3.2 Amendments. The Parties acknowledge that state and federal laws relating to
data, security and privacy are ra.pidly evolving and that amendment of this Agreement may be
required to provide for procedures to ensure compliance with such developments. The Parties
specifically agree to ta.ke such action as is necessary to implement the standards and
requirements of HIPAA and other applicable laws relating to the security or confidentiality of
PHI.
3.3 No Third Partv Beneficiari�. Nothing express or implied in this Agreement is
intended to confer, nor shall anything herein confer, upon any person other than Client, Gehring
Group, Service Provider and their respective successors or assigns, any rights, remedies,
obligations or liabilities whatsoever.
3.4 Conflicts. The terms and conditions of this Agreement will override and control
any conflicting term or condition of any other agreements that may be in place between the
Parties; provided, however, that the Business Associaxe Agreements between Client and Service
Provider and Client and Gehring Group shall supersede this Agreement with respect to the
5
17670672v.2
relationships between such parties. All non-conflicting terms and conditions of this Agreement
and any other agreement between the Parties remain in full force and effect
3.5 Construction. This Agreement shall be construed as broadly as necessary to
implement and comply with HIl'AA. ° Any ambiguity in this Agreement shall be resolved in
favor of a meaning that complies with HHIPAA.
3.6 Audit Ri�hts. Service Provider sha11 make its practices, books and records
related to PHI available to HHS for the purpose of determining Service Provider's compliance
with this Agreement and HIPAA. In the event it is determined that Service Provider is in
violation of HIl'AA, or this Agreement, Service Provider will take rea.sonable steps to cure such
violation or breach, in accordance with HIPAA.
3.7 Snbaoenas. Each Pazty will provide written notice to the other Parties of any
subpoena or other legal process seeking PHI received from or created on behalf of Gehring
Group or the written notice shall be provided within 48 hours of receipt of a subpoena. or other
legal process.
3.8 Notices. All notices required to be given to any Party under this Agreement will
be in writing and sent by traceable carrier to each Party's address indicated below, or such other
address as a Party may indicate by at least ten (10) days' prior written notice to the other Parties.
Notices will be effective upon receipt.
Village of T�nesta
345 Tequesta Drive
Tequesta, FL 33469
Attention: Privacy Officer , Merlene Reid
The Gehring Gronp, Inc.
11505 Fairchild Gardens Ave., Suite 202
Palm Bea.ch Gazdens, FL 33410
Attention: Privacy Officer, Katherine Bella.ntoni
Benefrts Workshop
Attention: Privacy Officer
3.9 Term. The term of this Agreement shall commence as of the EfFective Date of
this Agreement and sha.11 continue in effect until terminated in accorda.nce with Section 3.10.
3.10 Termination
(a) This Agreement shall termina.te upon the earlier to occur of (i)
termination of the Gehring Group Agreement or (ii) receipt by any Party of the Party's notice to
terminate in the event of an uncured breach of a material term of this Agreement where the
6
17670672v.2
breach is not cured to the reasonable satisfaction of the non-breaching Part(ies) after thirty (30)
days written notice of such brea.ch.
(b) Upon termination of this Agreement for any reason, Service Provider
shall, if feasible, return or destroy all PHI and electronic PHI or any copies thereof received. from
Gehring Group that Service Provider or its agents or subcontractors still ma.intain in any form. If
return or destruction is infeasible, Service Provider or its agents or subcontra.ctors shall continue
to extend the protections of this Agreement to such information, and 1'vnit fiu�thher use of such
PHI to those purposes that make the return or destruction of such PHI infeasible.
3.11 Indemnification
(a) Service Provider will indemnify and hold harmless Gehring Group and the
Client and a.ny of their affiliaxes, officers, directors, employees, subcontractors, agents, or other
members of its worl�orce, from and against any claim, cause of action, liability, da.mage, fine,
penalty, cost or expense arising out of or in connection with any non-permitted use or disclosure
of PHI, electronic PHI or other breach of this Agreement by Service Provider or any
subconLractor, agent, person or entity of Service Provider that provides the Service Provider
Services. Notwithstanding any provision of the Service Provider Agreement to the contrary,
Service Provider's responsibility for indemnification arising out of or in connection with this
Agreement will be governed solely by this Section 3.11 and no provision set forth in the Service
Provider Agreement, including indemnification provisions thereunder or any terms that define,
restrict or limit the types or amounts of damages, costs or expenses, will in any way restrict or
limit Service Provider's indemnification liability hereunder.
3.12 Governin� Law. This Agreement shall be governed by and interpreted in
accorda.nce with the laws of Florida.. Jurisdiction and venue for any dispute relating to this
Agreement shall rest exclusively with the state courts of Florida and the federa.l courts of the
Southern District of Florida, as applicable.
[Signatures on following page]
i �6�obrz�.z
7
IN WITNESS WHEREOF, the Parties have entered into this Agreement to be effective
as of the Effective Date.
Village of Tequesta:
By:
Its: Villaqe Manaqer
Narrie: Michael Couzzo Jr_
The Gehring Group, Inc.:
B y :
Its:
Name:
Benefits Workshop:
By:
Name:
Its:
8
17670672v.2
ADDENDUM
Pablic Record� In accordance with Sec. 119.0701, Florida Stcztutes, the Contractor must
keep and maintain this Agreement and any other records associated therewith and that are
associated with the performance of the work described in the Scope of Services. Upon request,
the Contractor must provide the public with access to such records in accordance with access and
cost requirements of Chapter 119, Florida Statutes. Further, the Contractor shall ensure that any
exempt or confidential records associaxed with this Agreement or associated with the
performance of the work described in the Scope of Services are not disclosed except as
authorized by law. Finally, the Contractor shall retain the records described in this paragraph
throughout the performance of the work described in the Scope of Services, and at the conclusion
of said work, transfer to the Village, at no cost to the Village, all such records in the possession
of the Contractor and destroy any duplicates thereo£ Records thax aze stored electronically must
be transferred to tkie Village in a format that is compatible with the Village's informa.tion
technology systems. �
E���pr�aent ����������
�
� � �� i� � � ��ote 1lTs��e�'� 231�0250
� � -�- �aa��e ��tet 10/08/20 i4
:; . �,;-._ Custo��r P�aun�er 3346B07
5���� �e�r��e�tati�✓� '�er�s ng �aie: Vet 30
Co�ie br�tiv� �aast��ea° i,3asse l. Parlcs ��2ec
��a�rp8a�g I�I�i�nor�s �est ?1+Iay
?/Ii� �ec�eatio� �qui�r,l��t ��s. �+��g��� �����a �'�epaac�
87c� � �1Iw;� 5� !�g����s:�3�a��� ��aigr �a�ea
liTo�aett,l�d�fl �570� ��s� �� ��'��
�'hone: �'�54) 52fl-�52.� Fax: �95�) �'73-1964
�� I2er�aHtta��� �i� ���aea ��a�sn ��➢es �epr�seflata4�w��o
P��,p�r��l �Iillage a�'�'equesta
���'° 399 �eabrook �'.aad
�equesta, �'L 334b9
��cati��a, v iilage of �e�uesta Not �;1�arranty
gcorbitt@tequesta.arg 3�� Seabrook Raad
'�'e uesta, � 33�69
�'�3��aa�aa� �3��-���� �������u��n E��an��eaa� �a��►��n;� �1
��dana��a���e ��b�� �aa�a�Q��an ��ean���• ��nvc�g�, �, ��6'��-�004
���r�a��a/ �reg Carbitt (5og) j75-{�47 ��"��H��/ ��'�g "���bite (501� 575-6247
�s��na��anag &�se&aai�a°;�
�au�rtrasse �o�nd�ct:
�an���nty �Z���a 1�Tn�mb�� �le�c�-ep�ion I'r9c� �E�c� �a��e� '�'���fl
15 lfl�&4+75 1/� x t�o�� �0.3Q $4.50
5 104506 3!3 x 1 1/�?" �eit �2,00 $10.00
� 98�171� aTertical Zung ��/ pla�P $138.00 �690.00
5 �3o519P i.hait� for �Nerticai �'.ung $5.00 $25.��
1 i 1520$B�J �IJi��A1VT��� �.5 �� 1�.�����3L �AN l�pii�.?i-�J� �IaI1o1� $1S.fl0 �18.00
'� 1 �J2d8�I� HdJ�d'�'�� ���i°�i 4.5 r��?2����. �,t1�1'���J��-�J� ���iT� $13.00 $Jb.00
1 �39902�� ��IC �'�TC� �'��' $29.00 $29.00
S ��8204 ��,�Tfi ����' ��.�V�S �Jl��1L'� �FC�� �'�I�i�ALE'�'�U�� $9.�5 ;�Q�.2�
�qu�prx�ent T�fi�➢: $559.75
F�°efgh�: ��g2.71
Installatiora: $2,�0�,00
SaabTc�ta�o $3,552.46
'Tax; �0.00
�rand Total: $3,952.46
ii�?�t��e
�'rices do �a�t i�clud� any Anaieria�s �� s��vic€�s other tll�au� fliste�d.
Rep #: 23 Order #: 231402�� Page 1 of 3 Rev D 052313
This Quote shall not become a binding contract until signed and delivered by Uoth Custorner and iVIiracle iZec�eation Equipment �Company ("NIiracle").
Sales Representative is not authorized to si�n this Quo[e on behalf of A�Iiracle or Customer, and signed �uotes cannot be accepted fram Sales
�epresentative. 'q'o submit this offer, please sign below and for�vard a campizce si;ned copy oi this �uote directly to "Ivliracie Sales Adininistratioi3" via
fax (�ia7) 23�-3�51 or ernail: orders@miraclerec.cam. Upon accepiance, �iIiracle tivill a•eturn a fully-signed copy of the �uote to Custonner (with copy to
Sales 12epreseniative) via fax or email.
'I'HIS QUOTE IS LIMI'Y'ED'T� �1I�ID GO'�T�,i21�1ED BY'3'HE �ERitiIS C��1TA�1B� I�EREII'�1. iVIiracle objects co any other terms proposed by
Customer, in writinb os othenNise, as mate�al al[erations, and ail such proposed terms sha:l be void. �ustomer authorizes �✓Ii�acle to ship the Equipment
and agrees to pay iYiiracle the total amount speciiied. Shipping ierms are �'GB the place oi shipment via common camer designated by Zliracle. �ayment
terms are Net-30 days fram 9nvoice 3ate with approved credit and all charges are due and payabte in fu11 at 84�•5 Solution Center, Chicago, IL b067'7-8004,
unless notified otherwise by NIiracle in tivriting. Customer agrees to pay all additional senrice charges fos past due invoices. �,ustomer must provide
proper tax exemption certificates to iYIiracle, and shall promptly pay and discharge all other��ise applicable taxes, license fees, levies and other impositions
on the Equipment at its own expense. Purchase orders and payments should be made to ihe order of AiIiracle Recreation Equipmerat Company.
�uote Numbert 23140258 �teoi� �3atee i0/08/2014 E��i�s�enY T�tafl: $859.75 Grand Total: $3,552.46
CUST�MER HEREBY SUBVIITS ITS flFFER'I'� �URCHASE Tf3E EQUUI?PIVIEI�TT 1��C�RDING T� THE'I`5'RTvIS STATED liV TH�S tzUOTE AND
SiJ�JECT TO FIl�IAL APPROVAi., BY iVII�CLE.
- � .z,
� � ' �i7 .,.a_.�-.r . �"`!.PlL'.�=��� yL•o` �r�r'�r•c' ✓C t t , ,.�_� . :�� �' � ,.
f Z
�ubmitt�d By P�i�tE� Name and Tit1e Date
THE F(3REG�ING QUOTE AND OFFER .�1RE HEREBY AP�R4��JED ,<1i�1D ACCEPTED 3� lUIY12A�CLE �ECREAT'ION EQUIPMENT COMPANY.
�y:
Ilates
ADDITIONAL'TERN[5 _CONDdTI()PdS d3F SAY,�
1. iJse & Maultenance. Customer agrees to regularly inspect and maintain the Equipment, and to provide, irvspect and maintain appropriate safety
surfacing under and around the Equipment, in accordance with NSiracle's product literatu:e and ihe mosi current Consumer P*oduct Safety Commission
Handbook for Public Pla jground Safeh,r.
2. Default, Reinedies & Delinquenc;� Charges. Customer's £ailure .o pay any invoice when due, or its failure Yo otherwise comply Nith the terms of this
Quote, shall constitute a default under ali unsatisfied invoices ("Event oi Defasilt"). Upon an Event of Default AQiracle shali have all remedies available to it
at law or equity, including, without limitation, all remedies afforde� a securec�. creditor a�lder the lin_form Commercial_ Code. Customer agrees to assist and
cooperate yvith I�liracle to accomplish its filing and enforcement of nechanic's or oti�er Iaens with respect to the Equipment or its location or its repossession
ai fihe Equipment, and Customer expressly wai��es all rights to possess the Equipment after an Event oi Default. All :emedaes are cumulative and not
alternarive, and no exercise by M'vacle o; a remedy will prohibit or �vaive the er,es•cise of any otl�er remedy. Customer shall pay all reasonable attorneys'
fees plus any costs of coliection incurred by Nliracle in enforcing its rights hereuncier. SLbject to any limiYations under law, Customez shall pay to Nfiracle as
liquidated damages, and not as a penalty, an amount equal to 1.5% per !nonth of any payment that is delinquent ?n such month an� is not received by
Mia•acle within ten (10) days after the date on which due.
Rep #: 23 Order #: 23140253 Page 2 of 3 Rev D 052313
3. Limitation of Warrenty/ Indemnity. MQtACLE MAKES NO EQUII'MENT WARRANfIESS EXCEPT FOR THOSE STANDARD WARRANTIFS
LSSiJEL)`WITH THE EQUII'A�NT, WHICH ARE INCORPORATED HII2IDV BY Tf3IS REFERIIVCE. 1VIIRACLE SPECIFICALLY DISCLAIMS ANY
° IMI'LIED WARRANTY OF 1VIIItQiANfABIL1TY OR FITNFSS FOR A PARTICULAR PURPOSE AND ANY LIABILITY FOR INCIDENTAL OR
CONSEQUENTTAL DAMAGES. CUSTOMER AGREFS TO DEFEND, IlVDENINIPY AND SAVE NIIRACLE HARMLESS FROM ALL CLAIIvIS OF ANY
KIIVD FOR DAMAGES OF ANY IQND ARISING OUT OF CUSfOMEK'S ALTERATION OF'THE EQUIPNI�TTT,115 FAILURE TO MAINTAIlV THE
EQLTII'Iv�]T, ITS FAILURE TO PROPERLY SUPERVISE EQTJIPNIENT USE, OR ITS FAII.URE TO PROVIDE AND MAINTAIN APPROPRIATE TYPES
AND DEPfHS OF SAFETY SURFACIlVG BENEATH AND AROUND TII� EQUIl'MENf IN ACCORDANCE WT1T3 MIRACLE'S INSfALLATION AND
OWNER'S MANUALS AND THE MOST CURRENT CONSUMER PRODUCP SAFEIY COMNIISSIOAT HANDBOOK FOR PUBLIC PLAYGROUND SAFEIY.
4. Restrictions. Until all amou� due hereunder are paid in fi�ll, Customer shall not (i) permit the Equipment to be levied upon or attached under azry
legal prac�s: (ri) transfer title to the Equipment ar atry of Customer's rights therein; or (iii) remove or pera►it the remwal of the Equipment to azry l�ation
not epecified in this Quote.
5. Purchese Money Security Intaegt Customer hereby grants, pledges and asffigns to Mtracle, and Miracle h�eby reserve9 a purchase money s�urity
inberest in, the Equipment ia order to secure the payment and peifora�ance in full of all of Customds obligations hereunder. Customer agrees that Miracle
may fIIe one or more financing stabements, in order to aIlow it to perfect, acquire and maf�►tam a sugerior security iater�t in the Eqnipment
6. Choice of Law and Jurisdiction. All a�eements behween Cus6omer and Miracle ekiall be inYerpreted, and flie parhies' obHgations shall be governed,
by the laws of the State of Missouri without reference to itv choice of law provisiona. Customer hereby wn�nts to the pe�sonal jurisdiction of the state and
federal courts lorated in the dty and county of St Louis, Miseouri.
7. Tifle; Riek of Loes; Insurance. Miracle Retains full Htle to all Equipment until full paya►ent is received by Miracle. Customer assum� all risk of loss
or destruction of or damage to the Equipment by reason of thgft, fire, water, or any other cause, and the occuaence � any such casualty shall not relieve the
Customer from its obligaHone hereunder and under atry imroicea Until all amounta due here�mder aze p'aid in full, Customer shall insure the Equipment
against all such loeses and cesualttes.
8. Waiver; Imalidity. Miracle may waive a deEault hernunder, or under azry imoice or other agreemetrt between Customer and ARiracle, or cure such a
default at Custamer's expense, but ahall have no obHgation to do either. No waiver ahall be deemed to have taken place unless it is in writing, signed by
Miracle. Any one waiver ehall �rot consiitute a waiver of other defaulta or the same l�d of default at another time, or a forfeiture of any ri�ffi pravided to
Nliracle hereunder or under any imoice. The invalidity of any portion of this Quote shall not affect the force and effect of the remeining valid portions hereof.
9. Entire Agreemenb Amendme� Binding Natvre. Thia fully�cecuted Quote, as supplemented by Change Orders and invoices containing exact
amounts of eatimab� proeided herein, constttut� the complete and exclueive agreement between the parties. A Change Order is a written inshvment signed
by the Customer and Miracle stating their agreement ae to atry amendment in the terais of thie Quote. Customer acknowledga that C�iange Orders may
regult in delays end additional costs. The parH� agree that all Chenge Orde� shall include approprlate adjustments � piice and time frames relating to azry
requesbed amendmenta Upon full exec.ution, this Quote shall be b3nding upcm end in�ne to the benefit of the parties and dieir eucceasore and assigns.
10. Counberparts; IIectronic Tranamis�on. Tl�ia Quote, et►y imroice, and any other agreement between the parties, may be executed in counterpazts,
each of which shall conaHtute an origa►aL The facBlaule or other electronic transmission of azry signed origu►al document, and retransmission of any signed
facsimile or other electronic transmission, shall be the same as the h�an9mission of an originaL At the request of either party, the parHes will confirm faceimile
or other electronically transatitted aignatures by signing an original document
Rep #: 23 Order #: Zi 140258 Page 3 of 3 Rev D 052313
ADDENDUM
Pablic Record� In accordance with Sec. 119.0701, Florida Statutes, the Contra.ctor must
keep and maintain this Agreement and any other records associated therewith and that are
associated with the performance of the work described in the Scope of Services. Upon request,
the Contractor must provide the public with access to such records in accordance with access and
cost requirements of Chapter 119, Florida Statutes. Further, the Contractor shall ensure that any
exempt or confidential records associated with this Agreement or associated with the
performance of the work described in the Scope of Services aze not disclosed except as
authorized by law. Finally, the Contractor shall retai.n the records described in this paragraph
throughout the performance of the work described in the Scope of Services, and at the conclusion
of said work, transfer to the Village, at no cost to the Village, all such records in the possession
of the Coniractor and destroy any duplicates thereof. Records that aze stor� electronically must
be transferred to t�ie Village in a fornnat that is compatible with the Village's information
technology systems.
�,�a���a���ft �;�ac����i��m
���� � �� � � � 't�aa�t� ldana��¢se 23 � 40257
��n��� ID�a�, 09/3d�/2�ll4
�Cs����ene� �Iaaaun��� 3346�07
�a�e� �12�g���sea�t��av2 ����s �f ��➢¢a Net 30
Connie �3rawr� �aas�aaraea� �C��s�e fl. �ar'_ks & �cec
��iq�ping l��et�a��la �est `�ialay
�/Iiracle �ecr�ation :�quiprnent �Co. �'r�'gdat'��rr��a �'repaid
S78 � ��uy v0 A�gss�axinna#� Slaiga ��t�o
Nionett, iul� 55708 �a�s¢ P� �ia�s�a
Phoi�e: (954) 52�-��23 Fax: (954) 473-fl964 P� R�axaetta�ce ��' ��her kH��� �S���s ���a����¢����y�jo
1��°����°�m� �Til�ag� �af '�'ec�uesta
�'`��`° 3�� ��ab� �2�ad
�'equ�s�, ��, 33469
Losa�aoa�o �Iil�age of "i'equesta ��Yarranty
gcQrbitt@t�questa.org 399 5eat�rooPc �oad
�'aym�eaat i�/iaa�a�le �t��re�8i�n �s�uepmemt �mc�►pa►a� '�'equesta, �'L 33�b9
�eaa�es�t2�aaeeo 84�5 �o�t�t�mn �e�tee, +'Clnieao�, �Y, ��6`77
�'�Y����i �reg �Corbitt (5�1) 575-6247 ��aP�a�g� �Greg ��rbitt (551) 575-62�7
l31���IL91���d➢A,� ���9 3�E°`✓
'�QDIIR$dC3: ��flIl$¢iC$:
Q�aa�a��i�� Ht��s I'�t�a��e�° Descr�ptiora ��°��� ����i 1���c� '���al
�'7 1p4473 �oits �fl.Ot� �O.�DO
7 104475 1/4 � 1 boit $0.00 $0.00
1 11201��' 'I'unnel Slide Straig�t Section $0.0� $0.00
1 %1326b Parts �Carton for squarP a�ck $�.fl0 $0.00
2 713?6'7 �'arts �artor� (1/2 ��x � pos�s) $fl.DO $�0.00
1 984351� Sq�bare �eck I�� $�3.�0 $0.00
2 984353P �/2 fi�e;c t� �- po�ts $O.a� $�.00
� 987 � 79P Sta� 5' 'I'f ��int $0.,�0 $0.00
1 983056 Parts �arto?� for Frflttt ste� 'Transfer $0.00 $�.QO
1 9901 �6 IViega �erimeter Decic $�3.fl0 $0.00
1 9901 Jb �'arts Carton for 7 i4520 $0.�0 $0.00
24 104473 3/8" �IT SET SCIZ.E`�1 T-�J $O.flO $0.00
24 11�0156 1/4-2� 4 P�R�1`dG'�'-i`�J'� $�.CO $0.00
48 1fl700fl 114" �iLA'�' �IAS��� $O.flO $0.00
�quipraaen� T���; $O.O�D
�'�°�i��.�ta $C1.00
�a�s�lflati��: $0.00
5a�b'T��a�; $0.00
�'�x; $Q.00
�xana� �a���; $0.00
�g�ecial ��lor�o
�nstallatiora i�cflad?,s iriinom pair�t toucYg up �� easily acr,essib�e areas onAy.
Rep #: 23 Order #: 23140257 �'age i of 3 Rev I) 052313
1�Totesa
Prices do not include any materials or services �th�r than listed. Installatian charges are included ��vith quoie # 23140253. flriginal V�IO
59321fl and 562098.
This C)uote shali not become a binding contract until signed and delivered by both Customer and Miracle YZecreati3n Ec�uipment Company ("iVtiracle").
Sales Representative is not authorized to sign this �Quote an behalf of Miracle or Customer, and signed �uotes canzot be accepted from Sales
Representative. �o subrnit this ot'fer, piease sib below and forward a complete signed copy of this �uote direccly to "NTiracle Sales Administration" via
fax (437) 235-3551 �r email: orders@miraclerec.com. FJpon acceptance, Miracle will return a fully-signed copy of the Quote to �ustomer (with cc�py to
Sales Representative) �iia fax or email.
'g'HI5 �LTflT'E AS I.�1�T`F'��3 �'� f1i'T� �O��BN�� B�I'g'I� aE�2NiS ��3AI'd'EiINE➢� I-IEREIAT. NY�sacle objects ta any otheg teaYns proposed by
�ustomec, in �vriting or otherwise, as �aterial alterations, and all such proposed tesms shall be void. Customes authosizes Miracle to ship the �quipraient
and agrees to pay Miracle the total amount specified. Shipping terat�s are F�B the �lace af shipmeaat via compmo� carnier desagnated 6y 1Vli�acle. �ayment
terms are Imlet-30 days from invoice date with approved cred'at aad all charges are due and paya6le in full at 8445 Saluti�n �ente�, �hicago, yL. 60677-8004,
unless notified otherwise by Miracle in wa•iting. �Custotner agsees to pay all additional service charges for past due inv�ices. Cbistomer must provide
proper tax exemption certificates to Il�iracle, asdd shail promptly pay and discharge all atherwise applicable taxes, licemse fees, levies and ather impositions
on the Equipment at its own expense. Purchase orders and payments should be made to the oi•der of 1�/diracle Recreation Equipment �ompany.
Quote Number; 2314025� ��o�e Da��e 09/30/201�G Ec�ex�panea►t �'�talo $0.00 �raaaal Tota➢: $0.00
CUSTONIER HEREBY S�JBMg�'S �'g'S OF�ER T� PIIR�HASE'THE E�LJIPiVtEIV�' ACC�RT'�IN(i 7'� �'HE'TE�'N[S S'TATEI� �iiV THIS QLT�TE AND
SUBJECT TO FIIVr�L APP1tO�IE�I., BI' I�I�2A�CLE.
_ _.., •
. __ , . , ; �
, � r.. .}-,. ''t �' w- k . ; . , d ,� ,L. ..p ,, , • �-'� • /
5ubmatt�d �3� Printecl Name and Tgtle �at�
THE FOREGOING QUO'4'E Ai'VD OFFEI2 ARE HEI2EBY APPI20VED f4ND ACCEP'T�D B�I MPI:ACLE 2ECRE.�T�p�T EQUIPMENT COMI'ANY.
Byc
Date:
ADDITIONAL TERIVIS _C011A11IDY'i'IOPIS 13F Sr:L�,
1. LJse & Maintenance. Customer agrees to regularly inspect and maintain Ehe Equipment, and 'co provide, insgect and maintain appropriate safety
sixrfacing under and around the Equipment, in accoa•dance with Mi�•acle's product literature and the most current Consumer Product 5afety Conunission
Handbook for Public Playground Safety.
2. Default, Remedies � Delinquency Charges. �ustomer's failure to pay any invoice when dae, or its failure to otheru�ise comply with the terms of this
Ouote, shall constitute a default under all unsatisfied invoices ("Event of Default"). Upon an Event of Default, Nfiracla sha�l have all remedies available to it
at law or equity, including without limitation, all remedies af#orded a secured crediYor under the iJnifoxm Commercial Code. Custome� agrees to assist and
cooperate with Miracle io accornplish its iiling and enforcement of inechanic's or other liens with respect io tlie �qui�?menfi or its location or its repossession
of fihe Equipment, and Customer expressly waaves all rights to poseess the Eqixipmeni after an Event of Defaaai_t. f#11 tex!medies are cumulative and not
alternative, and a10 exercise by NIiracle of a remedy will prohibit or rvaive the exercise of any other remedy. Custo�taer silall pay aTl reasonable attorneys'
fees plus any costs of collection incurred by 1Vrsracle in enforcing its rights hereuaades. Subject to aaqy lixn'stafions undex law, Ciasto�e� shall pay to Miraele as
liquidated damages, and not as a penal�r, an amount equal to 1.5% per month of any payment that is delinquent in such mo�ath and 'as not received by
Miracle within ten (10) days after the date on wivcfi due.
Rep #: 23 Order #: 23 7 40257 page 2 of 3 Rev D 052313
3. Lamiiation of Warranty/ Indemnity. MIItACLE MAKES NO EQUII'N1ENT WARRANT'fES EXCQ'I' FOR THOSE STANDARD WARRANTIES
�,SSUEb WITH TE� EQUII'MENT, WHICH ARE IIVCORPORATED HEREQV BY THIS REFERII�TCE. NIIRACLE SPEQFICALLY DISCLAIMS ANY
IMPLIED WARRANTY OF NNiERRCHANTABII.TIY OR FiTNFSS FOR A PARTiCULAR PURPOSE AND ANY T SA�r.rrY FOR INQDENTAL OR
CONSEQUENTIAL DAMAGES. CUSTOMER AGREES TO DEFII�iD, INDENINIFY AND SAVE MIRACLE HARMLFSS FROM ALL CL.AIIvLS OF ANY
IQND FOR DAMAGES OF ANY KIlVD ARiSIlVG OUT OF CUSTOIVIEIt'S ALTERATIOIV OF TI-� EQUIPMIN'T, TfS FAILURE TO MAIIVTAIN THE
EQUII'MENf, TfS FAILURE TO PROPERLY SUPERVISE EQUII'MENT USE, OR TfS FAILURE TO PROVIDE AND MAIN'TAIN APPROPRIATE TYPES
AND DEPTHS OF SAFEfY SURFAQNG BENEATH AND AROUND TTHE EQUII'MENT IN ACCORDANCE VVI1T�i MIItACLE'S INSTALLATION AND
OWNIIZ S MANUALS AND THE MOSf CURRENT CONSUMIIt PRODUCT SAF�fY CAMMISSION HANDBOOK FOR PUBLIC PLAYGROUND SAFE'IY.
4. Restrictione. Until all aawuma due hereunder are paid in full, Cuatomer shall not (� Permit the FquiPm�t to be levied upon or atmched under a:ry
legal Pr��s% (ii) transfer tide to the F.sluipment or rmy of Customer's rights therein; or (iii) remwe or pennit the rearoval of the Equipment to airy location
nnt specified in this Quote
5. Purchase Mcmey S�urity Interesk Cuatomer hereby granta, pledg� and essigns to Miracle, and Miracle hereby reserves a purchese money aecurity
u►ter�t ua, the Equipatent in order to s�vre the payment and performeitce m full of all of Customef s obHgations here�mder. Customer agrees that Muacle
may f�1e one or more finaz►cing statements, in order to allow it to perfert, acquire and maintein a superior s�urity interest m the Equipment.
6. Choice of Law and Juriediction All agre�ments between Cvstomer and Miracle shall be inberpreted, and the parties' obligatione shall be governed,
by the laws of the State of Mis,awri without reference to its choice of law provisions. Customer heneby consentv to the petsonal jurisdiction of the state and
federal courts located in the dty end coutdy of St Louis, N&ssouri.
7. T'rtle; Rislc of Loss; Insurance. Miracle Retains fiill title to all Equipment unHl full payment is received by Miracle. Cuatomer aa�+ all risk of loss
or destsuchion of or damage to the EquiPment by reason of theft, fire, water, or azry other cause, and the occuaence of az►'such cesualty ahall not relieve the
Customer trom iis obligations hereunder and under arry invoices. U�rtil all amounis due hereunder are paid in full, Customer skiall insure the F.quipment
againet all such lossev end casualties.
S. Waiver, tnvalidity. Miracle may waive a default hereunder, or under any imoice or other agreement between Customer and Miracle, or cure auch a
default at Customer's expense, but shall have no obligation to do either. No waiver shall be deemed to have taken place ur►l�s it is in writing, aip►ed by
PRiracle. Any one waiver shall not constitute a waiver of other defaults or the same land of default at another time, or a forfeiture of any rights provided to
Miracle hereunder or under ax� invoice The imralidity of any porhion of this Quote shall not atfect the force and effect of the *P+*+A��;*+g valid gornons hereof.
9. Entire Agreem�� Amendmer►� Binding Nature. This fully-executed Quote, as supplement� by C1�ange Ordeis and 'mvoices con�ining exact
amounts of estimabes provided herein, conatitutes the complete and exclusive agreement between the parti�. A Change Order is a written instrument signed
lry the Customer and Miracle stating their agreement as to any amendment in �e terms of tl�is Quote. Customer aclmowledg� that Change Orders may
result in delaye and additional costs. The perN� agree that all Change Orders shell include appropriate adjuatments m price and time frames relating to any
requested amendments. Upon full execution, this Quote shall be bmding upon end inure to the benefit of the parties and their successore and assigns.
10. Counterparis: Electronic Transa►ission This Quote, azry imoice, and azty other agreement between the parhi�, a►ay be executed in cou:rterpazts.
each of which sl�ell constitute an original. The facsim�le or other electronic transmission of any signed original documa�t, and rehansaussion of azry signed
fa�le or ot�her eleclronic transmisffion, shall be the same as the han9mission of an ori�nal. At the request of eithes party, the parli� will confirm facsimile
or other electronically transmitted aignaturea bY siSning an original dorument
Rep #: 23 Order #: Zi 140257 Page 3 of 3 Rav D 052313
ADDENDUM
PubGc Records: In accordance with Sec. 119.0701, Florida Statutes, the Contractor must
keep and maintain this Agreement and any other records associated therewith and that are
associated with the performance of the work described in the Scope of Services. Upon request,
the Contractor must provide the public with access to such records in accordance with access and
cost requirements of Chapter 119, Florida Statutes. Further, the Contractor shall ensure that any
exempt or confidential records a.ssociated with this Agreement or associated with the
performance of the work described in the Scope of Services are not disclosed except as
authorized by law. Finally, the Contractor shall retain the records described in this paragraph
throughout the performance of the work described in the Scope of Services, and at the conclusion
of said work, transfer to the Village, at no cost to the Village, all such records in the possession
of the Contractor and destroy any duplicates thereof. Records that are stored electronically must
be transferred to the Village in a format that is compatible with the Village's information
technology systems.
�,� R�� ���V�����l, ���w, Page1of�
��' 2�@�as� �t�9ce ��s ��ai �oroda'acts oaat do: �I��s� �ra�at �hocks to:
� �'�;�:;r ; ;- � ,. � I . `dl,'�r �.ra.:--'S
�� � - Rep Serrices, lnc. Rep 5�rvices, inc.
6$1 Technoiagy Park, STE 1009 5"oi Technoicx�y Park, STE 1009
Lake �lary, FL 32746--%127 Lake Mary, rL 32746--7927
_ . ___... _ . _ ___ . ._ __ _ ___ ____ ___ _ _ _ _ _ ----- -- __._ __ _..._�._
�r�pcassd Village of Tequesta ��a¢p Vill�ge of Tequeska �i99 Village of Tequesia
'�a�: Parks S� RECreation Department °�a: Parks & P.ecreation Department �a�: Parks � Recreaticn Depa�tment
399 Seabrcok Roac� 399 Seabrook Road 399 Seabrook Poad
Tequesta, FL 33�69 Tequesta, FL 33469 i equesta, FL 33469
alt4e�: Greg Corbitt �t3n: Greg Corbitt Aftrs: ureg Corbitt
__ . _.__. _ .. _. . . _ ._ _ __ _ _. ---- _.
_ ___ - _
�r�ject �o: 893g ��aject Name: �lillage of Tequesta-Pole Pads �'P�jec� C�ntact: Greg Cort�itt
�ro�oosal ldo: �ggc� Q7 �'r��osa� �Vame: Village of Tequesta-swing parts Pro�ect Loca�ion: 399 Seabrook Road
Propassal �Jafie: 10/1/20'14
���g3osad �xg�ir�s: 90/39/2014 Tequesta, FL 33469
Foe C�uestemns �ontact: Carrie Numbert �� #. a07-831-9658;Q2� E-IVlaii: chumbert@repservices.com
�a9es !�aansu9tand: Kavin Furman ��a #, 561-333-4451 E-iNail: kfurman@repseivices.com Option: B Rev: 0 Input �y; CH - 10/1/2014
_ _, _ _ _ . __ __ _ . . _ _
1�endos�: Landscape Structures �'ro, arawings: 543888
�r�ic�@a4: Prepaid Ship Me�¢hod: UPS Ground �'OB: Destination
�9as� ��r3 �lo �i;q ��sc�figa4o�� �frafi� �t �¢eit �sice Net �'eice Ex"c Price
_._ _ _ __
Parts 17�4018A �} �eld S�t w/Chairas ProGuare9 Chains for E' 8 902.�0 -4.0% �J�.92 391.68
Beam Height
'176038A �-� Full 5uckef Seat uvlChains ProGuard Chains for 14 250.00 -4.0% 240.00 960.00
__. _ _� _ _ _ _ _
3' Seam Heigh#
Tatal Pfoduct: _ . _ _ _ .88 $1,351.68
Dis�c�a�nt per �he P�lan �eac� C�, Co�a�r�e� #1a-0?2�PFt: $56.32
Freight �harge: $129.54
Landscape Struetures Total: $1,481.22
_ _ _ __ _ . .____._ �� ____--�—____ . - - - - __ _-------
�enerai T'erms of Sale anc� Propmsai Surr�cnary
__. ._ ---_____ _ __ __ ..__ _. _ _ _ _. _ _ __----_ _____.
Gov't: i�let 30; Resellers: Chsck w/Order; Others: v0% do�.vn, Balance prior to ship PrOdUCt: $1, 351.68
iVote: Orders Pess than �5,000 require paymer�t �nnth order Freighfie $129.54
�roposall'otal: $1,481.22
_ _ _ __
__ __._ _-- _ _ ._ _. _ _ --- -- �
� Notes
._.�_ ___._ . . _ _ __ _ _ _ ._ __ __ _ _ _ _ _
Pricing per Palm Beach County Board of Counry Commissioners �erm Contract #10-07?_/PR. Landscape Structures "Equipment Onh/" orders receive a 4%
discount.
Clyders �r� �@aip�eatl �ratMiro aaar r�arau�a�saar��°s �ta�adard ��ad times. Ree�uests for e�e9ayed sE�ip�seag �a� resu9t in additional costs clue t�
increas�s in �r�ight, m�teraal ��st� �a� ��her �actors� �o secure the pa•ices on tha� pr�gamsa�, the of#�a� rpaaast be a�ccepted prNOr fio the exparation
d��e �aotet9,
The undersignECl Uverranfs that he/she is an authorized rspresen4ative ov the company nated and has 4he requisi�e authority to bind said campany and/or princi{�al. If
any particular billing is no4 paid when due, all outstanding baiancss, regardiess o'f �rior terms, will become immediateiy due and owing upon demand. Interest on
past due amounts �ndll be assessed a41 '/ % per rnonth or the maYimum interest rate permitted by applicable law, ���nichever is less. Should it become necessary
for either pariy to this contract 4o instituie legal action for enforcement of any provisions of this contract, ?he prevailing parfij shall be entitled to reire�bursement for all
court costs and reasonable attorne�s fees incident 4o such iegai ac#ion. The pa�ties hereto agree that proper venue r'or any iegal action in any way related to this
contract shai� be in Seminole County, FL.
Acceptsd By:
V�liage of Tequest� - " ' "
��
, � � �.� , • � � � � ° ,,�,,; �,:%„ �`��
��
Company Name Authcriz�d 3y Pnnted �lame Date �
As Its: (Title)
ADDENDUM
Public Records: In accordance with Sec. 119.0701, Florida Statutes, the Contractor must
keep and maintain this Agreement and any other records associated therewith and that are
associated with the performance of the work described in the Scope of Services. Upon request,
the Contractor must provide the public with access to such records in accordance with access and
cost requirements of Chapter 119, Florida Statutes. Further, the Contractor shall ensure that any
exempt or confidential records associated with this Agreement or associated with the
performance of the work described in the Scope of Services are not disclosed except as
authorized by law. Finally, the Contractor shall retain the records described in this paragraph
throughout the performance of the work described in the Scope of Services, and at the conclusion
of said work, transfer to the Village, at no cost to the Village, a.11 such records in the possession
of the Contractor and destroy any duplicates thereo£ Records that are stored electronically must
be transferred to the Village in a format that is compatible with the Village's information
technology systems.