HomeMy WebLinkAboutDocumentation_Regular_Tab 02_08/11/2016 ii
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To: Michael R Couzzo, Jr., Village Manager
,
From: Merlene Reid, HR Director ' t
��, ��
Date: July 1 i, 2016
Re: Caii A Doctor Plus (Teladoe) Service Agreements
HR met with the Te(adoc representative and negotiated a renewai of the 7/1t2016
agreement at the current rate af $4.50 per person, despite above average utiiiza#ion
rates which automatically results in an increase. In 2015 far examp{e, Teladoc's
book of 12 mif{ian members had an overalf 4.5°fo utilization rate and through April
201 fi Tequesta is running at 78.79%. Additionally, we were abte to keep the rate
until 9130/2016 by requesting 2 contracts to synchronize with the fiscal year as
foltows:
1. Jufy 1 to September 30, 2016 (budgeted: $i ,350)
2. 4ctober 1, 2d16 to Septemb�r 30, 2017 (budgeted: $5,320)
The agreement� are attached for your appraval.
C�tl A [�e��+e�
CAORPLUS CUSTOMER SERVIGE AGREEMENT
(Group Services)
Effective Date: 07lU1J16
Willage of Tequesta
RE: Seruice Agreement between Providence Finar�cial Group, LLC ("Gompany" ar "CADRPIus"), a Nttlechigan iirrtited
liability company, exctusive ReseOer vf the �ADRPIus Telehealth Program (also referred tv as "Gatt A Doctar
Pius" and "CADRPIus" and "CAQR+"), PO Box 361, Canton, CT QBO'i9; and Vll�ge af Tequesta ("Customer") at
345 Tequesta Drive, Tequesta, FL 33469-U273.
Dear ltiltage of Tequesta,
Ca!( a DocFOr Pius is pieased ta pro�ide your group with our telemedic{ne services pursuant to the t�rms and
candit"rons af this let�er {"Letter") and the foltowing exhibits and schedutes (callectively the "Agreement"�:
Ex i i Terrns and Conditians
Schedule 1: Descriptlon of Servicea
Sche+dule 2: Pricing
While it is import�nk to have an Agreement, having a relatianship with our customers is our higt�est priari�y_
CApF2Plus is cammitted ta customer service and satisfaction.
Pleas� acknowledge your acceptance af the terms and conditions of this Agreement by signing this Letter in the
space provided belouv and returning a signed cqpy of this Agreement to us, Thank yau and we took farwaetl t� providing
you with our telemedicine services.
Providence Financi�l Group, LLC
By:
Lcauis DaniQls, �EO
Acknowledged and Agreed t by Customer:
� fjl `�." g ___ _ ,� � °'��
Print name o C stom�r
a � �zo .
Print name ai Atst ized Custo e re a �
s. �' a ' �.+i:�L� �
PriM title nf Autt�rized Cua eptative
�^"°"�..,� � ---- � -- _ ..,. __..w,. `°'`a,
Signature
.
.��'S � v�
Gustnmer address����,� D �� �� �s�
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EXH{BiT A
TERM3 AND CONdITtt�N3
1. E S. During the Term (as deffned below) and on a nan-�xclusive �sis, GADRPIus will provide Cus#�ner vvith
the Teladac te�emedicine servfees set forth on the attaahad Schedule t( "�rvices ") for use by Custome�'s rnamt�e�'s,
including th�ir legal dependents (c�llectively, "�" as mare speci�icaqy deflned on the attached Schec�ie 2l.
2. DU'fiES OF TFEE PARTIES.
A. puties of CADRPIus. GADRPIus shaN (i) deliver and suppa�t the Servic�s; r} manage and securely m�intai� a
d�tabase of Memb�rr profil� infarmatian provid�d by Customer, and (il) provida Cust�mer with utili��n repnrts,
CADRRIus may discontinue any Service without liability at any time; provided, however, CADRPIus wiq use
r�a�r,nabae efforts to noafy Custamer and Members �r advancs of any such discon�nuation.
B. Duti�s �f C�astomer. Custome� shaA {i) promote the use uf the Servic�s to Member�� (ii) $ubmit to Connpany or it�
designated TPA enr411meM ansi elig�itity informat3on fir�m Members; (ie) provide updated enrolMent arx! eligibiiry
information to Company or its des�t�ated TPA on a manihly bas�; (iv) prompity disfiibute any Member
iden�fication an4 passward info�rnation which may be provided by Company or Telacfoc to enable ead� Member
to adivate hisrher accourrt �nd use the Services; (v� bIN and colledall payments from M�nbers, ff applir„�ble; and
tvi) tim�y make all paymeMs ta Company.
3. Pfj�CING E#MD RPIYMENT Customer gl�� pay Company ar its des�nated TPk� (ij a p�r Eligible Mernb�er, per mortth
fee ( Fee'} as set forth on the attached 8chedule �, and (li) any oth�r fees as indicated on fhe aqached
�dul�?, Before any �c�s will be delir�ered to Customer by Gomp�ny, Customer shal! pay Camp�y a� its
de.s�nated 'tPA the first PEPM payrnent and any s�roliment fees as outGned un ch d 1 for all msmbers ar�cluded
in Compamr's Member Census Fle. Rfter Services are delivered, Gompany ar its designated TPA w�l irnoioe
Custaner on the basis incticatec! an Schedule 2, and all payments wiU � due upon r�ecsipt of invoipe. Any payment
rrbt t�ecei�ed by Campany or its designat$d TPA on or before ihe due date shali bear interest cammenang 15 days
aRer the due date uritil paid � futf at the lesser of one and one half percent {1 h96) per month flr the maximum r�te
aEfawed b�t appilcable law. Any invoice 28 days � arrears wili result M suspens�n og the ��rvit;es. Compan�
reserves 4he right m chartge the PEFM Fee and other fee pricing for any tuture Effective Reriod upon providin� vuritten
noUce la C�tGm� at least sixty (BO} days priar to the expiratian af tha then-current Effective Period. Customer is
solely respons�bie for billing and coNectin� aq manies due, if a�y, fr�nm Members In a�nn�dion w[th the SerWces. Ail
amour�ts sha11 be pay$ble hy Cusfar�r to Canpany or its designa�ed �PA withaut right of setof�, deductian ar
demand. Payment must be made either by ACH Vansac�an ar by �rta�ing a�per check to th� foilowing address:
CADR+
Attn: Acp�ts�ts Iteceivuble ,
PU Rox 361 ' . _ , .
(:unton, C.`I' 0601 �}
&. TERM AIdD TERMINATION. Tl71S Agneement shall be effe� undl the thr� month �iversary oP th� Eff�tiv� Date
af this +�greement: The th� month periad of this flgr�ernent {or such shorter or langer p�riod af �fiectiveness as
mutualy agreed ta by Camparry and Custom$r) Is refe��ed to �s an `Effective Perlod° and callectively ar of the
Effective Periods of this Agreement are rsferred to as the `Term " Eilher pariy may Eerminate this Agreem�nt at any
time by praviding ihe other party at lea� ninQt� (90) days prior written r�otice. Comparry may (mmadiateiy terminate
this Agreernent upon wr�tten �6ce ta �ustam�r if Cusfiomer (ij f�ils tfl make any payment to Company or its
designated 1'PA when.due and such failure aontinues for a peeiod of fiReen (15} days faEk,wing written notice af such
€ailure by Company to Gustomar, or (p) breaches any provisi� of this Agr�err�ent.
5. QWPfERSHIP_ All rrtaterials, Induding a!I copyrights, trademarhs, Iqgo� and Q�r id�n#ifying marks (c4�lectively
" at rials") provided by Company to fxomate andfor provide infonnaUon about the Services ar� and shaN remaln the
exclusive property of Company. All Materials are proprletary and may not be rgpraduced, duplicated oc dtsseminated
for arry purpose other than to promote andlcx Infomti C�stomer and Msmbets at�out the Services, CAIjRPlus.com,
Teladac_aam, �IyLlfeValues_com and any ather Web site�(sJ made avallable by Company for pror�tian andtflr use �ri
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1he Services (coilectively, the bsite"), are and shall remain the exclusive property of Company and Tetadoc.
6. NON-OISCLOSURE. Corrtpany and Custa�ner both agree, exoept as �herwfse set focth in this Agreement and
unless otherwise reyuired hy law w compelMsd by a court of competent jurisdiction, not to disclose the tenns and/vr
conditions of this Agreement or any information provided to the other party with respect to this Agreement or the
Services to a third party, without the p�ior written consent of the oth� pa�ty_
7. REPRESENTATIONS ANQ WARRANTIES.
A. Cornpany represe�s and warrants to Customer that Company and Teladac wili abide by and comply with the
Health tnsurance PortabiUty and Acoountability Act of 1996 with respect to any personal medica! information
provided to Company or Teladoc by Custwner a�d/or a Member.
B. Cusbomer adcnowledges, understands, and agrees that {i) the phy$icians providing services in connection with
the Serv�es will not treat severe and/ar emergency conditions as part c�f the Services and may reco�nend that
Members visit their primary care physiCians, specialist� ar local faciliry if deemsd appropriate, in the sole and
absolute discxet�n of such physicians; and (ii) when a Member providen prior arritten permiss�, physiciens
providing services in wnnection wiih the Services will facilitate cor�finuity of care.
C. Each party represents and warrants to the other party that (i) it has the full rigM, power, and authority to enter into
and to perform this Agreement; (G) the execution, delivery, and parformance of this Agreement have been duly
authorized by all �cessary co�ate adion; and (iiij this Agreement constitutes a valid and binding obligation of
such party, enforceabls against it in accordance with its terrns, subject to app�cable bankruptcy, ir�solvency,
reorgan'ization, moratorium, anti other laws affecting the rights af creditors generally.
D. DISCLp►IMER OF WARRANTIES. COMPANY DOES NOT WARRAIVT THE UNIN7ERRUPTEQ OR ERROR-
FREE OPERAi'ION OR PROVISION OF THE SERVICES. ALL INF�RMASION, MATERtALS, ANQ SERVICES
ARE PROV{DED TC1 CUSTOMER AND1dR ANY M�MBER °AS IS." EXCEPT AS SPEGIFICALLY SET F{JRTH
IN THIS AGREEMENT, COMPANY HEREBY DISCLAIMS ALL REPRESENTATIDNS AND WARRANTIES,
EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITEQ T0. WARRANTfES OF MERCHANTABILITY,
FITNESS F�R A PARTICULAR PURPOSE AND NOHf-INFRiNGEMEN7. COMPANY MAKES NO
REPRESENTATt�NS OR WARRANTIES WITH RESPECT TQ THE SATISFACTION QF GOVERNMENT
REGULATlpNS REQUIRING DISCLOSURE OF INFORMATION ON PRESCRIPTION DRl1G PRpDUCTS, OR
ANY TREATMENT, ACTION OR APPLICATION OR PREPARATION OF MEDICAT{ON BASED QN
INFQRMATION OFFERED OR PRLIVIDED THROUGH THE SERVICES.
8. �.IMITATI�N OF IJABILITY. NEiTHER PARTY WILL BE LIABLE TO THE dTHER PARTY OR ANY THiRD PARTY
FOR ANY OF THE FOLLOWING ARISING OUT OF THIS AGREEMEPIT AND/OR THE SERVICES: ANY SPECIAL,
INQIRECT, INCIDENTAL, PUNITIVE, OR CONSEQUENTIAL DAMAGES, WHETHER BASEO UPON BREACH OF
WARRANTY, BREACH OF CONTRACT, NEGUGENCE, STRfCT TORT OR ANY OTHER LEGAL THEORY, AND
WHEfHER t�R NOT P�DV{5ED OF THE POSS1BlLITY OF 3UCH DAMAGES. CUST�IIER ACKNOWLEQGES ANd
AGREES THAT COMPANY'S AGGREGATE LIABILITY TD CUSTOMER FOR ANY DAMAGES, LOS3ES, FEES,
GHARGES, EXPENSES AND/OR LIABILITIES ARISING OUT OF OR IN CONNECTION WffH THIS AGREEMENT
AND/OR THE SERVICES SHAL.L N�T EXCEED THE FEES PAID BY CUSTOMER PURSUANT TO THIS
AGREEMENT FOR THE ONE (1} MONTH PER10D PRIOR TO THE FIRST OCCURRENCE OF THE APPLICABLE
DAMAGES, LdSSES, FEES, CHARGES, EXPENSES, ANDIUR LIABILITIES.
9. INDE(uINIFlCATIOM. Each party (esch, the `Indemnfirin� Partv°) agre�s to defend, indemnify and hold harmless ihe
other party and the other party's owners, oif'ic�rs, directors, employees, cantractors, represent�tiv�, ager�s, and
affiliated e�tities {c;ollectively, the "Indemnified Parties") from and against any third party claims �each, a"Claim"}
arising ou# af or in connection with any breach of this Agreemerrt by the l�demnified Party inckading, without limit�tion,
a breach of any representation, warraMy, covenarit, or obl'igation under this Agreement. The Indemnified Party shali
promptly notiFy the Indemniiying Party in u�iting of any Cfafm and shatl reasonably cooperate with the Indemnifying
Party in the defen� of such Claim. Nothing corrtained in this /�greement sha{I be �nstrued as waiving Customer's
sovereign immunity beyond the waiver provisions af Sec. 768.28, Florida Statutes. Customer's responsibihty to
indemnify CAORPIus shall be {irnited to the amauMs set forth in Sec. 76828, Florida Statutes, induding Um�ss on the
award of attomey's fees. Nothing contained fn this Agreement shall t�e cor�trued as Customer's consent to be sued.
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10. GENERAL TEt�. Thi� Agreement is #I�a �nfir� �gre�m�nt between Company anci Customer �nd supersgde� �ny
prior understandings or written or oral agreemer�ts betu�en �ampany and Customer with respeat ta the subje�t
mafker of �is Agreement No w�ive� of a�inea�t5 of arty pro�sion af this Agreement by any pa�t}r shall be constnied as
a waiver of a subsepuent breach of the same oc any other provision of this Agreemerrt. Customer's obsgaE[on to pay
for any Sentices recehred by Company or Teladoc and each of the provisions of Sections 5 througt� 12 shap survive
#fie expiration or eadier tsrmi�adon of this A�reemer►t The invaNdity ofi any pravision of this Agre�n�nt shap not aifed
the enfa�c�ability cf the remahirx� ,�reement �r any other provlsion of d� {�neement_ AR exh�its and schedules fo
this Agreement are true, t�rr�ct, and are here6y incorporated itrto by refereiroe and made a part vf tfi�is Agreernerrt.
TNs Agreement shall be binding upon, irnxe to the bene8t of, and t� enfame�able by Company and Customer and
their successcxs and assigr�. This Agseement shaU no� be construed to give any pe�ssan ather than Camparry and the
Customer any I�al or equiCable righ�, remecfy or daim under a� wid� respect to �i� Agre�nent. This Agraement may
only �e amends� ar changed pursuant ta a written dacumerrt duty executed 6y tsoth Company and Cusfiomer. This
Agreemerrt will not +�ate a joirrt ve�.ve, parinership or otl�r formal b�iness relationahip of $ntityr of any kind� or an
otaligeiian tn form any suc� relationahlp cr er�fity. Each party wil ect as en independerrt enttty and not �, �n �ent of
the oth�r �arty far any purpo�e, and r�either an'll have the autharity ta bind the other.
11. NOTI�ES. All natices and other communic�tions required pu�suant 10 this Agreement shal4 be writte� at�ci sh�ll he
rlelivered by hand-deiivery or by nationally recognized ovem�ht delivery service (such as �edEx, UPS, DHL or USPS
Express MaA). AAN such notloes �nd other communicaUons shall be ac�iressed to the parties at tl1e addresses set forth
in the Letter +or to suc� other address as a pa�ty may designa#e by notice c�mplyi�g with the terms of this Secti�n.
Each such notice shaN be deemed deliv�ered (i� on the date deli�►ered if by hand-delivery; or (ii) � She date deliv�red
or ths dat,e delivary is refused by the recipient, iF by nationally recognized ovemight delivery service,
12. DlSPUTE RESOLUTI�N. Etccept as oihen�se specffically set forth in lhis Agreement, the partles hereby agree t�
r�sol�e any and a!1 cQntraversies, claima ancUor dlsputes arising ouf of this AgreemenE {each, a"D' ute"} salety
pursua�t to the terms of this Sectiw�.
A. Manac�ment Res I� ubon. AII Disputes shall flrst be referr� tv the pacU�s' authcxized r�prc�s�ntativ�s fs�r
discussivn and �esolution of the Dispute ("Manaaement Resolution"j which representatives are the Ir�clivtduals
vrrho hawe executed this Agreement �n �hali of the(r party.
B. Arbftrrat�n. I( Manag�nnent Resokrtlon fails to re�lve t1�e Dispute, then the Dispute shatl be resvlved by tinal,
binding arbitratior� (" tra on") admintster� by the Americen Arbitration Associaiion ("� j under ihe P�4A's
Canmercial Arbntration Rules. In ihe event of any ArE�itratian, action to compel Arbitration, action to e�fvrce an
Arhitration award or actic,n to seek InjuncNve rsllef pursuant ta ihis Agreem�x►t, the prer►a�tng par#y in such
ptvc�ding shall be ent�tled to an awvarci of thelr reasonable atUomeys' fees and costs for each sueh pr�eeding.
including the Arbilration trial and far all lev�ls of apqeal.
C. Gav�min� Law: Venus: Jurlsdiction. This Agreement shal! be governed by, arad consi�ued In ac+oordance wtth,
ttt� laws of tne State of Michigan (wlthout gi�ing sffed to pr{nci�es of con�ats af laws). Fcx any �ction to oompel
Arbitr�fan, erdorr� an Arl�tra�an award or �ee1c injunctive r�ief pursuant ta �Is A�esm�nt. #he p��ie$ t��by
expr�ssly consent to the (i) Wenue af Qakland CQUnty, MiGhigan USA, and each party hereby exprQSSly w�lves
any oby�ctian to such v�enus #►ased uqon forum r�on-r:onveniens or oU�erwis�; and (u} juris��tion of the state
andlor fe�ral caurts in andlor for Qaklend Counry, Michig�, USA.
D. In�►nctive Rellef; Cumufative Remedies. Each party ackno+Medges and agrses that a viola�on or lxeach of any of
the ownership or non-disc{osure prov�n of this Agresment c�ould cause irre�rable harm to the nan
p�r#Y far wnich man�ary damag�� m�y be dlfflcutt to ascerta�n ar an lnadequate remedy. 'i`h�t�f�re, each partY
will have the rigM, in additian to its �her rights and rernedtes, to seek and obtain inJuncli� reti�f for any violatfan
of the ownership or rx�n-disdosure pro�isicros of tF�is Agreemerri, and each partyr hereby express{y waives any
�jection, ln any �uGh eqult,�b4e actiQn, that the a�ther party may hav� an ade��ate rernedy at taw. The rfghts ar�d
�emedies set farth fn tfils Agteernent are cumulative and aorrcurrent and rr�y be pur�ued s�parately, successively
ar Goge�her_
13. 4ffics of the Insaector General: Pursuant to Article XII of the Palrn �each County Charter, ths Office of thQ
Inspector Gen�ral has jurisdiction ta (nvestiga6e munlclpal matters, review and audit mun�ipal ccmtracts and other
transactions, and make r�ports and rec�mmendadons to municipal gaveming bodfes based an such audits reviews ar
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�vestigatior�s. AI! parties doMg twsiness with the Village of Tequesta sheil fuily caoperate with the irsspector general in
the ex�rcise af the inspector general'$ furrc�ions, authority and power. The insp�tor gene�'al has the powe� ta t8ke sworn
statements, require the production of records and to audit, monitor, invesEigate and inspect the activities of th+e Village of
Tequesta. as weli as contra�tors and {obbyists af ihe Village of Tequesta in order to deie�t, deter, prevent and eradit;ate
fraud, waste, m'�smanagement, misoonduct and abuses.
Public Records: ln accordance with Sec.119.Q7�1, �torida Stat�+l��s, CADRPIus m�t kBQp and maint�in khis Agre�ment
and any other recflrds assoctated therewlth and that are associated writh ihe pertotmance of the wark descrihed in �e
Sc�ope of 5erwi�s. Upon request, CADRPIus must pravide the public with aoc�ss to such reoords in accardanee with
acesss and cost requirernents of Chapter 119, Ffalda Statutes. Furiher, CADRPIus shall ensur+e that any exem� or
confide��al records associated wiU� this Agre�nent or assnciabed with the performance of the wark described in the
Sc�npe of Services are nat disclaaed exaept as authorized by law. Finally, CAbRPtus shall retain �he reaQrcMs describsd in
this paragraph throughout the perfi�rmanc� of the work described in ihe Scope of 5eroices, ae�d at the canclusion of said
work and upan request, tra�fsr ta the Cus#�mer, at no aost to the Cus�vme�, all such �ecarr�s in the possession of
CADRPIus and destroy any dupllcatea thereof. Records that are stared electronioet{y must be Vansferr� to the
Customer in a farmat that is compatible wid� ih� Custome�'s i�rmatton technology systems.
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scHeuu�e�
DESCRIPTION OF SERVIGES
CADR�Ius:
I. CADRPIus provides an exciusive bundled service c�nprom�ed of iwo leading services, TELADOG and
WELLCARD HEALTH
II. Im�lementation- CADRPIus services c�n be impfemented within 3Q days of rec$ipt of eiigibiltty data.
a. Member Elisiiibllitv Flle: CADRPIus vr its designated TPA to provide eligibility flle template detaiiing the
infamatlon required from Customer to enroll Mernbers in CADRPIus:
• IVame 1 Address 1 Phone 1 Email ! D�B / C�nder / Company
III. fdlme - CAURPIus or its designated TPA will provide the foAowing.
1. A wetCOme ema� sent ta the email address provided ou#lining the steps to aCtiaate the member's
ac�unt and ac�ess services.
2. Mambership Card with integrated Color tri-fold brochure mailsd to facility where member vworks_
3_ Totl-free numbers and website login iniomnatlon.
IV. Utilizatian Marketina Awareness Proaram OnlinelOffline- CADRPIus wiA provide Custamer wit� market�g
materials in digital format ta use as needed with communicatians with e{igible persons about the CADRPius
benefits.
a. Customer agrees ta o�nmunicate about CADRPIus benefits rninimum quarterly.
1. Create joint MarketinglAwareness Team and agree on s�hedule of communication tfl eligible
persons.
2. Rollout Intemal Awareness Program incorporating CADRPius Seroices
a. Informatian on its intran�, newsletters, email and othe� communication methods.
3. Digital examples of, posters, payro� stuffers, Employee PPT,1&2 page brochutes, leiters, etc.
4. Flash Demo with Gnk
5. CADRPIus to work with Customer ta �velop empioyee testnnonial to use in internai communications
6. Content can be put on the insurance card provided 6y your current plan
b. l�dditional oiHine marketing initlatives and pieces can be ava�ab{e and customized at additionai cost
i. Branding and custamizing brochures, magnates, key chains, etc.
TELADQC:
V. Teladoc provides a network of licsnsed �ysiaans and specialists accessible via telaphone, video or mobiie
phone appiication.
VI. Coveraqe far Memhers. includin� leaal denendents.
VI1. Membership Cards with unique identificatian number for each Member.
VIII. Phvsiaan Consultations - Avadable 24 hours per day, 7 days per week, and 365 days per y�ear.
b. 8Y PHONE Members acxess bo a spedal Mem6er only toll-free number.
i. Prrorify: Usualty avithin 9 hour. Re�{uires receipt of a campleted Atledical Assessment and History
Questlortnaire to create a physidanlpatlertit relationship and for medicatioh to be ordered.
ii. Bv Annointmen[: available by next day. Requires receipt o# a campleted M�fical Asssssmerrt
and Wistory Questia�naire to c�eate a physiciaNpatient relationship and ordering metlications.
c. QNLINE
i. y1�eo: Sacure videa cartsutt�tion with a physician ihraugh our secure video canferencing system_
IX. Prescriation Proaram - Onry Members who have accuratety and fully �mpleted the Medical Assessm�t and
Hlstory Quesklonnalre and established a phys(cianlpatlent relationshlp are eliglble to receive m�tions. NO
cantrolled medications are ava�lab� through Te�dac.
X. Member Services Toll Free Suvnort: Members have access to Member only toll-free support, 24/7.
XI. Phvsician Resqanse Times;
a. 7�fe-Consult Bv A000intment — Within appraximabely 24 hours.
. b. Tele-Consuft Prioritv —W ithin approximately 10 minutes, but no later than urithin 1 haur.
Xfi. Svstem Availabilitv - Comrneraally reasonab(e efforts to make the Service.s avaifable in fu� at all tRnes.
XIII. Reoarts - Access to utili�tion �ports of the Members for Gustomer's review- minimum quarterly
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SCHEDULE2
PRICING
MEMBE S:'
QI Fuil-Time Empdoyees � Legal Dependents up to five (5) H Part Time Employess
TQtaE Membe�s Cavered:144
Enroilment Date: a7t01/16
PLAN SUBSCRIBEO:
B1 WMOLE GRUUP
RECURRING PEPM FEES:
� WH�LE GROUP - Membes t Deps�ler►ts $4.50 PEQM
ONE-TIME FULFILLMENT FEES:
0 Etectronic Fu1Filiment (Car�flrmation & Welcome Emails) 0 Included 0 Custamer
0 Hard Mailer to House Welcame Brochuce 1,75 PM � 1ncluded ❑ Customer
BILLING CYCLE:
C�1 Monthiy ❑ Quarterly 0 Annually
Member �AQRPIus R aistration Fees Paid bv:
� Member ❑ Customer � Waived
DeQendent CA9RPIus Reaistrati n Fees P�id bv:
❑ Member 0 Customer � Waived
�gnsulkation anci TeleRhaiic Fees:
By Appainfinent $�.00 Paid by: H Included ❑ M�nber � Customer
Priority $ OQ.UO Paid by: 0 Includ� ❑ Mem�er � Custorner
Vide4 Consutf $�.UO P�id by: 0 Included O Member O Customer
Onllne Resources $ 00.00 Paid by: 0 Included ❑ Member ❑ Customer
' The term 'AAem r' m�ns each employee of Cusbomer. or. In the case of a uade assxlation. ra�sEared mem4ers ot s�h �aaatian, inckiding up to
five (5) legal dependents of each emptoyeelmember. Only employeeshnembers, and � theK legel dependents, ar� snduded in the c�mt of Members
for ca{cu�ting tl►e PEPRA Fes.
7
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 ar 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.
No Text
Vi�lage of Tequesta
P�S & Rec�a�ian en�
Date: 7/18116
To: Michael Couzzo, Village Manager
Cc: Lori McWilliams, Village Clerk
From: Greg Corbitt, Director of Parks & Recreation
RE: Florida Technical Consultants
I respectfully present the following memorandum to the Village Manager.
-_ `-`�3o�ida Technical Consultants provided FRDAP Grant Support Services in support
--��e Village of Tequesta providing a Signed Sealed As-Built of improvements at
_ - ; �c�titution Park.
- ==��____; - =_ =
� � _ = 'da Technical Consultants (Engineer) provided:
-- _-__ _ - Rz ;F _--
- --�_ =- 1. Collect existing plans and information
2. Perform site visit
3. Modify site plan with as-built information/ Sign and Seal as-built drawing
This item was necessary for the close-out packet for reimbursement of the $50,000.
The cost for their work was $1,500. This item was for by the FRDAP Grant
Account, which was in the existing budget.
p ., ^ _ + ,
Flnrida 1"echnicaf Cc��asu{tants
� � � �tU2 West Atlantic Ave., Suite (�9
� aelray Beach, F� 33444
�
�'� jbarton rC�i fitechir�c.car�1
�i �k�?8'{:�N A, i [k.lL.11l4P;
�Q�i{P,: ��3+�-�� �
�
sco�� c�F s�RVic�s �u�,� a, �o�s
Village af Tequesta Grant Suppart Canstitution Park
Fiorida Technicai Consultants {FTC) is pieased to provide this scope for Grant Support 8ervices in suppork af
the VfAage of Tequesla (VIL�AGE) providing a Signed Sealed As-Built of improvements a! Gonstitution Park.
SCQPE fJF SERVIGES
Flarida Technieal Consultants (ENGIIV�ER} wili:
• ColC�ct existing plans and infarma#ian
• Perform site visit
• Modify site plan with as-built inforrrratian i Sign and Seal as-built drawing
ASSUiYIPTIC�P15
o The Viiiage will provide ali necessary inFormalion or� th� project details, activities and costs.
G�l.i�lERIiBLE�
Florida Technical �onsult�nts wiN provide the foltowing deliverabl�s:
6 Si�ned and Sea{ed AS-�uilkt
* 8igned and S�aled Certificatian
EEVGlNEERII�G FEES and 3�C4�Et}Ui,E
The seruices wil! be performed for a lump sum fee oi $1,5Q0. The proj�ct wilt �nvoice upon submitta! af #Y�e
documents. The schedule for the project will be within 15 days of authorization to prviceed. If you approve
the amount and schedule, pt�ase authnrize this agreement by signing below, if you have any questions
please call me at 95�-914848� ar email jba�ton@fltechinc.com
Respectfully
"�.
'�b
� . �, .
James Barto P .
�� � '� � �� _—__"�
Florida Tech ic I Consultan4s
�
Authorizat(on to proceecf
,� ' 1`�' ° ,�
Greg Corbitt, CPRP .�..�.�.�..�'.�__.� Dat� �� -
�ireckor of Parks & Recreati�n Dept.
Viliage t�i �°equesta
Page 1 of 1 6I812t116
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 conf'idential 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 sha11 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 destxoy any duplicates thereof. Records that are stored electronically must
be transfened to the Village in a format that is compatible with the Village's information
technology systems.
VILLAGE OF TEQUESTA
MEMORANDUM � yr; Viliage Clerk's Office
TO: Viilage Manager Couzzo
FR�M: Lori McWilliams, Village Clerk
DATE: June 9, 2016
SUBJECT: Nixle / Everbridge Emergency Notification System Renewal
fn 2014, I received quotes from seven companies to impiement an emergency
notification system all-in-one approach. We have received this year's renewal quote
which is $1465 less than the previous year. 1 recommend we remain with Nixle (who
has recently merged with Everbridge) as our residents have become accus#amed to this
program and software, it is user friendly and has served the Village well.
Per the Manager (in 2014), the cost of the software is split between General and
Utilities.
9/3/16 — 9/1/17 COST - $4,635
ACCOUNTS:
• 001-175-541.300 - $2317.50
• 401-241-541. 300 - $2317.50
� x �
�
�.M.�c ����brid e .
g Everbrid�e acquirecl Nixle in 2014
QUOTATION
Quote Number: 00023424
Confidential
I of 2
Prepared Lori McWilliams Quotation Date: June 2, 2016
for: Village of Tequesta Quote Expiration Date: September 2, 2016
345 Tequesta Drive Rep: Rose Scott
Tequesta, FL 33469 9783826179
(561) 768-0443 rose.scott@everbridgemail.com
I mcwillia ms@teq uesta. org
Contract Summary Information
Contract Period: 1 Year
Contract Start Date: September 3, 2016
Contract End Date: September 2, 2017
Population Size up to: 5,875
ANNUAL SUBSCRIPTION
Service Fee Type Qty Unit Price Total Price
Nixle 360 Recurring 1 $4,635.00 $4,635.00
500 N. Brand Blvd, Suite 1000
Glcndale, CA 91203 USA
Tel: 888.366.49ll
F�ix: 818.484.2299
www.cvcrbridge.com
-� � ' ��'raix�e
�� ����b��� e . ����
� Everbr�d�e ncqu�reti hfix n 201�
QUUTATI0�1
(���otc: Nu�nhvr: OOU�3d24
Confldenital
� UI Z
Pricing Summary:
Year C7no Fees': $4,G35A0
One-lime Implem�ntation and Sel Up Fees: SD.00
Tvtal Yaar Dne Fees: 54,B35.Q0
�. Additk5n21 rales apply Fnr bil inRemaFianal r.�ll5.
2. TNis c)ue�ta and U�� �e�rviQ;e(�;) �,rr,vic60d are sut��c! to U►e Everbridye, Inc. -Nixle Sdulions serrice agneement entered into by
and 1�r..twser.n �verF�ri�ig� a,nrS th� c4Font itSenil�ted .aht�ve (4he "Seroiee 1lgfecmerat")�
3. SUbj�:r,t to sal�!�: t�axhs wvhere �ppOicaMe.
4. Excep! i;r e.uirer�n.y clr�sirraation, Ih2 Supplemsnl�l rlotes below, i( any, Supplir�d in this quole are tn► in(nrmAtional pU�pases and
not inl�nde�3 tr� 11u�1 Ie��Ny binding or averr�de the 12ng�a�e of th� Se3►vlce Rgrcrernenl.
�'Year 4]ne Fp� ate lhe �ota1 of the first year snnu2) subs�riptian fR9s and any ane-tima ter.s, i.e„ Prof�ssianal 5etvic,�as_�
Supplem�ntal Nates.
Annual conlracts aro su6jer.t io priatiq increases. If ycw wnuld like lo lock in priang, please ask abaut a rreulti-ye�r r,ontracl.
y Au�oi+� 11►y.�verbridq�: To aacept this quWe, 81gI1, dete and �eturn:
---
7 1l +f, __—�..,� ._..._
. .. .�ir � ...M`I`1..✓ d�. � } e�fY / "' �� I � f + V � �� � �' � ~ �
__.. .__. . ........ -_��. �.... � � .,., ......�_ ____.... ..._, _��.
SlgnBtUPe Qate Aulhar�z�d Slghature �t
� �. �-�Ik-�-� Il. . ��Y ��'1t�'���'t.�_4 �,o�.t..��-� I"1 ��(,���� r -
rink Nat�e Tf4ie Print Narni Titt� �
C6ent Addrpss for LegaM NaRICe (if differenl tram 8illing Addresg�:
Atln: ___ - - .�
50� h', T3r.ind l�bd, 5uitc 1[�OU
Glcnr3ale, C;:1 912D3 USA
Tel: b8t3.3b6-491 l
F:us: ft18.484.2299
wwtiv.c�erbrid�c.com
`,.... _�._,�. �-
y Village of Tequesta Date: 8/26/2014
9
� Purchase Order Requisition Date Purchase Order is Req'd: 8/28/2014
e (Not a Purchase Order) Department: Villa e Clerk
a
i
� `2evisetl November i4, 2091 Req. #:
�Quotes Received: 3 (See Attached) Recommended Vendor: Vendor #:
� Vendors Hids Nixie �� ����P�-�
d � „�..� �, . -
�Uizfe } �$6, 700 �; Address: 594 Noward Street #200
,
�Eve'roridge ` �5,�00 City: San Franc+so
N
�Regroup �6,000 State & Zip: CA 94105-3026
Comments:
ri reseached 7 com anies that rovide an all-in-one a roach foe emer enc notification saftware. From those 7, ! narrowed the
0
Ir�eld down to 4 and requested ciemos, of which 3 a reed. While ail 3 com anies a pear to be leaders +n their field, onl Nixle is
�able to meet a!t of our needs includin the abili to obtain and maintain databases of Iand line numbers includin DNC tist a�d un-
f
q listed #s. The oYher companies we would have to provide the #'s and update them yearly. Nixle handles al9 4his foe us.
`s
Manuf./ Available Balance
Item Description Part# Clt . Unit Price Total Cost Account # (Finance Use Onl )
i� ,M /{nn 1
�NOtification Software - Gerwral 1 33,050 � 3,050.00 W�� Il�" V 1�� � I
{Notification Software - Utilties 1� 3,050.00 $ 3,050.00 Q y Qw' I . � �
k
$ -
�
1 $
B
1 $ -
s $ -
� $ -
t
i � -
�
� � -
�
w Total: $ 6,100.00
�
; Fi�ancelAdministrative Use Only:
� ihe Department Directors / Designee's siynature below certifies fhat (1) this purchase order requisifion is complete and in compGance with the Village's
p purchasing Polrcies and Procedures and (2) all procurement requirements have been satisfied.
? ��
�f1%.�-�' ° '(�C,�-� � ��L�p,� ��-r(
�,Departmen� Director! Designee Signature: ��- Date:
�Tne Finance Department signatu�e below certifies that (1) this reqursition has been approved by an authonzed Department Director / Designee, (2) that the
�comect account numbers have been used antl (3) there is adequate fundiog in the accounts listed.
S
�Firtance Si nature: ' Date: j�
� ' '/ %
�Viliage Mana er Ap rovai: � r' .__._._..__._._ _ Daie: .' `?�/,s�y / r_,s'
Viilage Council Approval: Resolution #: Date:
F°^^ �"9 Request for Taxpayer anr. �om, w u,e
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to 9vWd baokup wRMaldirp. For ItcdNldt�s, thh b yow �aoW as
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i
�
. i
�
a
_. lli`if '�1\'�.('l}711; .,,. , ,. . .. . _
..,.....:;�.t��r�i . ..
� �- � �'�'� Ouo(o Number: �
] 09-1li: I
� � Quo[e Date: S�Auo-1 .'
' � u ) ` :f�:zge cf �eq�es,a FL —
Y1 q ExPiretion Da[e: S.SeP 7�I
1 �'^• Paymen� Te�ms: 4et 3U1
� AC,ENCY FOC: Lori hicWilliams Nlxfe POC: Angel C. McAnh;,:'
I �' ' '� _.__.....�.� �:%. ;'��
� One •Time Pee: 51,000.00
«�v� � ' '
f,' � Numtrer etAgoncles Purchase Price Annuai or biWti Year Renewal !
F
��llni�mltetl Tme SMS 64essag�mg x '
�.U�li Ema�l Noiif�.c�tions �
� 1 limited Vfeb �otif�r.itinns i
Ur,imited 'emer�ency Voicv �
.iut�maleC Puih.Neris [o lNeb
al NCM�aR: �nteg'ation .
� a�.�s tme��ni o� .: $5,100 (1 year)
�-� "1A,535 (3 year, 5% ot;
�� Ke�v.ord Pubi�c Groups ,�4 i� �t` - ;� g�p,950 (5 year, 10% o`� ;
oog!e automai�on iniegrahen � One (i) Aoen y ��$ y w�eYr� � Upfront PaymeM �
�.� Prra;e Gro�PS ' $ '`:.1 — �
�ezri f OR
.�n aveGroupS e nd;Rep lyTo c'� 1 � �� 4 YeariyPayfnent,
� :�eu fteF;ort ry Tnol ^f � . . � � IP�oesevekd} �
:cy 2 v�2Y' TIPWATCH � � �. . 1
..:_h1c Satety In,eqraacn S � �
PIEASE SIGN, SCAN & EN7AIL THE E%ECUTED ORDEF TO angel.m�artix:. .. ���.'�;-..:.; ..
-- /�
' NAME: rl l� �i�aPi� (_�LC.� �V ._.___— _—._
TITIE I''`�'1�, �.,,, i. I.
Y.0 C i
SIGNATURE �, - , _ - .
� OATE: � i ^ . � \\
(� .. - ' l_(
_ . . _ .... .. . . . . . _. . .. _. . .. . _. .
ADDENDI3M
Public Recads: In accordance with Sec_ 119.07Q1, Florida Sianetes, the Contractor must
keep and maintain this Agteement and any other records associated therewith and that are
- ---
-
associated with the perfonmance of tfie woik descritied iri the o 5ervices� pon request� -- -
the Contractor must provide the public with access to such records in accordance with access and
cost requitements of Chapter 119, Florida Statutes. Fuither, the Contractor shall ensure that any
exempt ar 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 shail 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 desaoy any duplicates thereof. Records that aze stored electronically must
be mansferred to the Village in a format that is compatible with the Village's informatian
teckmology systems.
__ . _ _
�icWilliara��, �+�ri
�'re►n: Diana Popescu (Diana.Popescu@ES,r�rbndge.comj
Senf: Tuesday, August 26, 2014 11:15 AM
1 cs; McWiliiams, Lori
Subject: RE: Everbridge Webex
Hi ori,
I gave you an informal a.uo�p of $S,C�J0.3(k as that is our lowest price, and would cover your population. Again, I am
so: that we didn't come out victorious in this bid. I know that cost is a huge factor in determining these outcomes.
Might { ask you, is Nixel providing you with uniimited emergency and non-emergency phone, emaii and 7RUE SMS
t":ting, notifications? Also if I might ask, what price did they come in at? I can send you a formai guote if you like--- just
.et me know,
-1�anks,
�,�:na
t rr�m: McWilliams, Lori [mailto:lmcwiiliams@tequesta.org)
3en2: Tuesday, August 26, 2014 7:42 AM
��s: Diana Popescu
5ubject: RE: Everbridge Webex
�iana,
I just finished speaking with you on the phone, and going back through our emails, I don't see where you actually
provided us with a quote. Can you please email me a quote?
!:ankyou,
LGi
='s��ra: Diana Po�escu [i�� ��_��:?��� = __—(��]
:���ta�: Tuesday, August 19, 2014 2:10 PM
�"�s�: MCWilliams, Lori
�rabject: RE: Everbridge Webex
So Nixel and Everbridge (EB) use to have a partnership, v. here the leveraged our technology. I one point we were
considering buying them, but really felt like they had nothing worth acquiring, in the end- we were able to do everything
thzy could, and more!!! Just for clarification, have you gotten any pricing from the other vendors? Although we are
cempetitively priced, ho+�v do t�✓� stack up, in r�gards :o cr,si, a�ainsi ih2 com �e'citioi�? is cosi tne r1��1 I�rea!<er for �; ou?
Frorn: McWilliams, Lori mailto:ImctailliamsC�tec�ue��a_,qi.�;)
Senf: Tuesday, August 19, 2014 10:06 AM
70: Diana Popescu
Subject: RE: Everbridge Webex
Uk<,�; -- ;oi�;g To !<eep tr�2i3i �oing...
�'r�CUmII�IC�ST9J L&DYE
From: Beverly Guerra (beveriy@regroup.comj
Sent: Friday, August 22, 2014 10:04 AM
To: McWilliams, Lori
SubjeeY: Regroup for mass messaging
IIi I,ori.
Thank you for your time this week it was a pleasure speaking to you. I apolobize for getting back to you this
iate but we had to make sure we could provide you with all the features you were looking for. As per our
coiiversation, please find further information about Regroup.
k�,%ith our Group Messagin� and Emergeucy Alert system users have the ability to opt-in and opt-out, you can
seiid an email, text, voice alert, and post on social media such as Facebook and Twitter with the click of a
button. We provide unlimited niessaging and groups making our system ideal for day to day communications,
as �vell.
rr�<�ir�r� for �01�6/2015 is a8,000 which nnetudes tiae faliowing fea�ues:
� Database Directory
f Ueo Targeting
� Website integration and embed
� Unlimited Administrators
a Unlimited messaging, groups and users
�� Scheduled messaging
,. 'I'wo way texting
� FIotline number available 24/7 365 days a year
� Ability to send messages via email, text, websites, sacial media and voice alerts
U �omplimentaty xnd unlimited SMPP texting ( text to text messaging without clelays tluough carriers)
Q 1lniimited customer and technical Support
� Unlimited training
a Emergency alert templates
� Templates for brochures and posters advertising messaging from Regroup for campus
W Unlimited Data and Opi In/ Opt out Groups
�e�ditional features
� �ESktop Alert Integration
� Digital Signage Integration
� f'ublic Announcement lntegration
� Indoor and Outdoor Speakers Integration
� ,�i-1 Texting
In addition you can look at this video on how easy it is to post a message
i��tU�lh�1��w youtube.comh�atch?v=CBZ,I,XYfvBIY&feahue=ulcp . If you have any questions please fee! free to
c�Il me at my direct line 917.791 _�046 or visit our website at http•//helu regroti�com/home#ovetview for
custonlcr support.
���rgency Notificati�n �oftwrare Corn�arisor�
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Need a compact a eoach — all-in-one a roach
Land line Yes Yes Yes
Cell hone Yes Yes Yes _
Text Message Yes — True SMS Yes — True SMS Yes — SMTP
• S lits u over 140
Email Yes Yes Yes
Website Yes via a widget Yes via a third party software that we'd have to get Yes
• Work with Webmaster to set up as an RSF
Feed to inte rate
Social Media Yes Yes via a third party software that we'd have to get Yes
� • S nchronizes automatically with a lo in
i Mobile app No — not at this moment. Mobile app Yes No
will be available in a couple months. Residents can upioad photos and send to us via app
i
Post to digital signage Yes via a gateway Yes via a gateway • Integrated via RS feed xml api (needs to
know w hat di qital display we use)
Obtain and maintain Yes No Not at this time
databases of land line o ESL data • Viilage would have to contact ali the cell and • They wil! look into the various databases
numbers without user . #'s for all landiines for hard line carriers and obtain the FEMA 9-1-1 available and try to obtain prior to
interaction � businesses and homes information and Everbridge will upioad into the implementation as part of the package
• Obtains DNC lists and unlisted geo maps
#'s • Will not include DNC and unlisted #'s
. Can obtain 100% of all #'s
Allows photos / videos Yes Photos only • Yes
. Ima e, doc and df Ima es, docs, df, video
_ _ Yes Yes Yes
T xt to s eech
e
Allow users to prioritize how Yes Yes No
they wish to receive info (1 Voice Component breaks down human • Requires human confirmation or program • Users notate how they wish to receive
— text, 2 cell call, 3` email, success, voicemail, etc. moves on to the next contact method provided. information (cell, landline, text) and the
etc.) If no human confirmation, message communication is sent to all avenues at
automaticall resends, once
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ADDITIONAL COMMENTS / COMMUNICATlO S
Nixle and Everbridge at one time had a partnership, in which they no longer hold.
Our Voice Component allows you to Would have to look into severai data bases in arder
call out, if they don't answer how to get the numbers / have done for other customers
many times do you want us to try, / They are currently looking into this / does not
how many minutes between know if the DNC and unlisted numbers would be
intervals and "rf you want us to leave included
a voice message. The diagram
shows you that informat+on in real Can post email messages by "Emailing In" or text
time. messages by "texting in". I don't have to do it from
a computar.
Our Voice Component also breaks
down human success, voicemail, etc Can call and have them post if necessary.
(see document)
For our Text and Email our stats wiN
show how many text and email it
went out to, if it was forwarded
and unsubscribed.
I
Please note we are the ONLY
notification system that provides a
link if yaur message is more 140
characters. The system will
automaticalfy tum your message
into a hyperlink to expose the full
message. Along with attachment
�
(photo, documents, etc) capabilities.
IPAWS/FEMA certified IPAWS/FEMA certified IPAWS / FEMA Certified
Exclusive Partners:
. Exclusive NLETS Hosting
Partnershi : Federall -
I
owned and maintained Data
Cerrter, providing unmatched
data security & system
integrity)
• Exclusive Google
Partnership: (for unmatched
notification reach, ieveraging
Google Application Users
out-of-box—no need to opt-
in}
• Exclusive Shared Database,
"System-of-Systems"
hierarchy cor�figuration
• Exctusive Hyper-Local
Integration with public satety
agencies
• Exclusive Partnership with
NCMEC (National Center for
Missing and Exploited
Children)
.� PURCNASF' ORDER
V1LU4GE OF TEQUESTA
" �'��t.l���! 345 Tequesta Drive . � • P.o. Hunna�
Teques�a, Florida 33�169-0273
. (561} 788-0700 Fax (56�) 768-0699 o9roa�2pia- oe�28izoia 00003tl� �
YENDQR 00594
NO.:
��- •
NIXLE LLC � VILLAGE CLERK
PQ BOX 288i VILLAGE OF TEQUESTA
WESTFIELD, NJ 07090 345 TEQUESTA DR1VE
TEIQIJESTA, FL 33469
SI-1�P VIA: ORDER�.D BY: LORt MCW1LtlAfNS
�.O.B.: P.O. TYPE: Regular
TERMS:
ACCT. PIO.:
DESCRlPTtQN: EMEi2GENCY NOTIFICATfON SOF"IWAR
FL STATE SALES TAX EXEMP. CERT. # 85•80'15833{l79C-7
� �' � � • • �
1.000 Notiflcation 5oftware - General 3,Q50.0000 3,050.aD
1.000 Notification Software - Utilitias 3,050.0000 3,050.00
TOTAL: $ 6;100.00
001-000-15'3.109 Prepaid E�snditures NotffEcation SaRarare 3,054.00
401-Q00-155.t01 Prepaid E�endltures Nof'rfication Sof[ware 3,U50.Q0
PURCHASE ORDER NUMBER MUST APPEAR APPROVED
ON ALL INVOICES, PACKAGES, AiVD BY
SHIPPIWG DOCUMENTS.
DELIVERIES WILL BE ACCEPTED MONDAY �
7HRU FRIDAY 8:30 AM - 4:00 PNI ze igna ure
�
, '
F Vili�e af Tequesta Date: 812612014
�� ' P�rchass Ortter Requisition Date Purch� Onder is Req'd: 8/'1&2014
r
{Not a Furohase arder} Oepattment: VA e G�erk
'�tev�ecedNoven►bert�l zett R . �
Quo#es Recefved: 3 (See Attsched) Recommended Ven�r. ``-.. Vendor �:. � Sq'�
Vendor� 8tt� Nbde "_ t ���
�
ixie $61E}Q . Address: 594 Howatd Street �200
Everbri e $6 �o C+t�►: San Francisc
R ro �8,�0 5t8te & : CA 84105-3fl26
�omCrients:
i ressached 7 ca nles that rovide ar� aii.�n�ne a h ior em c notiflcat�ion saflware. �rom tha�►e 7! narmw�l �e
fietd downt to A� and re �d demo� of whtch S . While �{t 3 cons niaa r to bs i�dets in iheir i�eid an NUde i�
aDie to meet aN of aur needs inclu�dln the ab� ta obtain and meir�tain databases af tand I!� riwmbers includin DNC Iist and an-
ltsted #�. The ot�ter com Mes uv� would hsve to ��ide �e #'s a�! update them . Nix[a hant� �1 th� isor tts.
{y��. j Availa6te Balant�
item Descxi on F'ar� Q. Unit Prloe Tatal Coat Aa�t # f-i»ance Use On
oti�flc�a8on Software - Gerteral 1 53,050 3,050.40 (�!° �����. r �
NoNflcaHon Softww�re - Utilties 9$ 3,050.aa $ 3,�50.OtI "'Q�' [ .�
$ -
$ _ �p��' �
� - Oo 7
$ _ �-a �.�
� -
� -
$ -
rot�: � s,�oa.on
Flr�ncefAd�minlstraiive Use Oniv
nte C1�Oartmenr Olr�r.tor�s r vestgnae^s s�ffiure beiaw c�erl�s that (t) th;s purca�ase order �ru�fon fa c�n�leRe ar,a ln co�temce w�, t1�s v��
Pu►nh8s�ing Pbilctes and Pracedu►as and f2I aH procuremertt rttquh�aratents have besn ssBat�eaC
��-� ��,� 1 �-1
be ent Director / Clesi ee ' nabure. ��'"� ��
The Ftnam� Depe�Mrent sigr►adue b�aw aeR�e thet ft) thls ►equislfton has bear► ap�oroved by an a�rfhor(aad D�Oevtrnent D�cr/Desipnee. {?� fhet fl�s
cW+�ct axount numbers have be9n used and (3) there � usleWn�Bng �n the a�r►ts listed.
Finance 3i nature: f Date: � /
VN4a a Mana et s�� ag�: �� �/.
Vil1 e Cour�ci{ rovaL Resolution �: ��
,�
VILLAGE OF TEQUESTA
�'' � Community Development Department
To: Mayor and Village Councii -
Cc: Mr. Michael Couzzo, Village Manager
From: Nilsa Zacarias, AICP, Community Development Director ��7�
Date: 7.20.16 �'�
Ref.: Nutting Environmental of Florida, Inc (NEF) Contract
The Village of Tequesta contracted Nutting Environmental of Florida, Inc {NEF) to assist with the
environmental review regarding the Key Estates Tequesta Senior Housing development
application. The subject facility will be located at 4546 and & 4534 County Line Road.
Since the Village is aware of the environmental issues related to the site due to its previous use
as Rood Landscaping Company, NEF will provide environmental technical review service
throughout the development approval process, please see enclosed contract ($1,600.00J.
1
� Environmental PropertyAtsessments
� Contamination Assessments
� Remediatlon
� Monitoring Wells
��`� • IAQ / Mold Evaluation
�..r:,---•—'- �.,-
. �
, , ;�
NUTTINO ENVIRONMENTAL
OF FLORIDA� INQ.
Yau� Prc�ccc k Glur Ccmm;s
July 1, 2016
Village of Tequesta
345 Tequesta Dri�e
Tequesta, FL 33469
Attn: Ms. Nilsa Zacerias Phone: (561) 768-0457 Emaii: NZacarias@tequesta.org
Re: Proposal for Environmental Consulting Services
Former Rood Outdaor Environment Faciliry
4546 Couniy Line Road
Tequesta, Palm Beach Caunty, Florida
FDEP Facility ID #: 50-8623103
Dear Ms. Zaca�ias:
NU7TING ENVIRQNMENTAL OF FLORIDA INC. (NEF) is pleased to present ihls propo5al for environmental consultlng servlcea
to review existing contamination assessment infurmation for the above referenced property, assist the client with review of
additional contamination assessment documentation for the proposed site redevefoprnent and attend a meeting with the
client and other Involved parlies.
The scope of work of this investigation will include a review of available coniaminatlan assessment Informatian for the
subject site (in Palm Beach County ERM records, FDEP records andJor records provided by the client) as well as
proposed site development plans and associated meetingslcorrespondence.
The services will be provided on a"time and materials" basis, at ihe foilowing rates:
Environmental Consulting Services:
. Review of information et ERM and FDEP and provided by the clienl, attendance of maeting and
letter preparation by Project Manager.
Estimated 16 hour(s) @ $1001hour $ 1,600.00"
RAdditional project managemenk time will be bllled as needed at the unit rate listed above.
For the purpose of this project, the entity listed below will be known as the client. The client alone along with entities
identified in this proposal may use and rely upon this report. The client is expected ta provide NEF with existing
envlronmental data and other inFormaiion related to the subJect property, such as recent skeiches of survey to assfst us in
report preparation.
The Scope of Work and Fe� Amount listed above and the General Terms and Conditions, consisting af one attachment,
represent the enflre agreemeni between the client and NEF with respect to the praject. It should be noted that NEF will
not be able to initiate ihe proiect until the required information is received, thus resultinq in corresponding delays to the
P�oposal for: Village of Tequesta Page 1 of 3 July 1, 2016
1310 Neptune prive • Boynton Beach, Florida 33426 • 561-732-72Q0
Broward 954-782-7200 • St.Lucie 772-408-tU50 • Miami-Dade 305-557-3083 • Fax 561-737-9975
Toll free: t�877-NUTTING (688•846A) • www.neEcc • info�anef.cc
praject deli�ery due date. If this satisfactorily meets your needs, please sign and return the same to NEF, along with the
deposil specified in the General Terms and Conditions and this will serve as our authorization to proceed,
We appreciate this oppo�tunity to work with you. By signing below, the parties hereto specificaity acknowledge that NEF's
separately published "General 7erms and Conditions" are incorporated herein by reference. Should fhe Ciient wish to
impose other conditions and requirements beyond those contained in this proposal such as in a separate contract, we
reserve the option to modify contract language, fee amounts, to remove our posal from consideration or other
measures as may be indicated.
d,(,
Sincerely, Date Accepted , 2416
NUITING ENVIRONMENTAI OF FLORIDA, INC. —"� `��'
Signature:
eY� Jan Beernink By(print): � U �
y
Title: Com an : ` Y. `�`'� �'
Vice-President a v + C
NOTE: The party listed above wi�i be considered our client and will be responsible far payment oE servi s,
Filename: viva�e of Teques�a Environmental ConsulGng Services Proposal, 7-1-16
(ianoral Tarms and Condltlons
For Ihe purpose ollhis pro�ect, Ihe addressee of lhi9 proposTl wip be Mnanrn as lhe Ciienl. The tlienl Is expeCled to furnish NEF vAlh lull vnillen �nformaiton as to the dient's
specific r�port requiremenls prior to axecuting Ihis ngreement. The dient is expected lo provide NEF wtU� existk�g environmantal datal reports and other iniormatbn reiated
to Ute sub�ect praperty, such es rece�t sketches af survey to asslst us fn report preparatlon. Speciflc Intormalbn requlred by NEF in nrder lo cammence the Phase I
Envlronmenlal Properly Assessment process is detaiied In ihe aHached Projecl inbrtnalion checkGst.
oelivery -NEF vrill exerciae appropdate measures to ensure project comple0on vrilhin the ac�reed upon time irame. Ho+veve�, NEF wUl nol be held responsble for
unavadaGiliry oi nocossory proJoct dato vriihln tho emo framo agrood upon fa tho invas[iga6on. ProJuct dclivory may be dolaycd i( tho ENTIRE sfgnod prapcsal and doposit
are n4l received in e limety manner. The ENTIRE signed quolalion shouW he retumed etonp with Ihe requke<I proieci in(prmaiion listed Cn thg ProJeG Informalipn CheckNst
above, The unsipned proposal is valid for 60 days.
Paymenl - 60%relalner required with signed agreemenl. ServIGES tivUl be binEd monlhly end/4r vpon Wmple(ioe. Direcung NEP to prcteed v�lh lhe work shail Conslifuie
accepia�oe of the lerms of NEFS proposai and these General Tertns and Condtions. Interest at the rate of 18%per annum or Ihe highest rale al�Oxabieby law �rfiiehever is
loss, will he addad lo all amaunts not pai� vrilhin 30 days after dele of in�rolco. WI attomoy feos and expenses assoaetad vAth collectlon of past duo In�+olces �vUl he paid by
Client-
Insurance - N�F m2inWina Wu�ke�s' Comp6nsat�on end ErnployprSllabiiily Insurance in confqrmance v+ith stale taw. in addilion, v�e maintaln Compre8ensive General
Liability Insurance and Aulomobile liabllity Insurance with bodi�y InJuryllmHs of 51,000,000.00 and property damege limits at $7,OOO,U00.00. A cerldiceleof Insurance wn be
supplied evidencinp such coverafle which canlains a ctause providinfl ihat fikeen deys written nolice be given priw io canceilatlon.
Report "ShelF llfe" - The user as identitfed this proposal conUact may rely upon Ihe report far a ma�imum period of six months from �he report date. Approaching thal Qme
certain oomponents oi the original inqutry musl bo updaled. If Ihe user idenGty has changed in lhal lime NEF shali be noli0ed and ptovided vnlh required 'user' lntarmalion
detailed 'n ihe ASTM practice. NEF's work Ls for lho excluslve use of clienl, and its propa�ly disclosed user. In no evenl shatl NEF havo any duty or obligation to any Nird
parcy.
Rlght-of•Entry- Unless olhervelsu agrsed, Ciienl wlll (urnish righl-o(-entry on the property for NEF to make 1ha plann¢d borings, surveys, andlar expioraUons. N6F wNl lako
reasonahte precautions to minlmize damage lo tha property caused hy Its equipmem and Sampling procedures, but the cosl of re9tora�on or damage whlch may reauU froro
the planned operedans ts not Irtcluded In lhe conlraded 9mounl. II C�lent deslres lo rgalore Ihe properly lo ils tormer ooncFtion, NEP vri9 eocomptish lhls end add Ihe Cosi lo
ils 5�9,
Damage to ExisNng Man-made Ohjects - h shall be the responsibiifty oi Ihe Umer or his duly aulhorized represenlaG•�e lo disclose Iha presence and acwrate locelqn ot
atl htdden a obscure maa•m3de obJects relatNe to field tests, sampling, or boring locations. i�lhen cauGoned, advised or c�iven data in wri6ng that reveal the presence or
potential presence of underground a over•ground obslructions, such os utflilies. NEF will give special instrucGons io IW Ae�d personnal. In oddiGon, CNent v�aives any claim
against WEF arising from damage to exis6ng man•made objects.
Warranty and Limltatlon oi LIa6111ty - N[F shaA podorm sorvicos tor Cllont In a professional mannur, using �hat degrao ot caro and skill crdinarily oxorasc�d by and
consfs�ant �Wlh Iha standards of compo�enl consullaNS precticing In lho same or a s�mllar tocality as �he p�oJecL In Uia event e�y paUon oi Ihe servlces falls �a compiy vith
Ihls werranly obugation and NEF Is prompUy noQlled in vttiUng prior to one yeat aftar campiellon of sucli pon;on of the services, NflF �ri0 re•perlarm such porUon ot Iha
services, or if re•pe�formanCe is impraCUcdbte, NEF �du rafund itie am0unl ol tompensation paid lo NEF (or suth poilion W lhe 6ervices. In eddpion, CliEnl tivalves any GBim
ayainst NEF artsinp (rom the (ailure vf Ihe user b oompty wilh "user oWl�a4ons` undet ASTM Practice E-1b27-05 or lhe consequences of "data gaps arising from om�tled
fnformation tFiat was puraued I� a 400d faith eHOri by NEF. Thia viarraniy is in lieu oF all olher warrdnties. No olher �narcanty, expressed or imp�led, induding warran6es of
merchaMabidpj and li6ness for a pari(cular purpose is rnade or inlended b� Ihe proposal for consultirre serAces, 6y fumishfng an ora� response of the findings mada or by any
repressntathns made iegarding the services Mduded in this agreemenl. in no event shall NEF or any oF as protssswna� employees be liable ior any special, indirecl,
inefdentai or Cmsequenbal loss or damages, induding but not Iimiled to impact and deFay Galms. The remedies set torth herein ara oxclusive ond the total liability of
consultam whoNer in conVact, toA (including nogligonco whothor solo or oorrcurcenq, or otherwiso arising out of, connoctud arilh or rosuiting from 1ho sarvices proviAad
pursuant lo this Agra�nent shall nol excood lho total taos patd by Cllent or $50,OQOAq whicheve� is greater. A1 addillonal cost, Client may oblaln a hfghor imil prior to
commenceme�x of services.
PURSUANT TO §558.0035, FIORIDA STATUTES� NEF'S INDIVIDURL EM1PlOYEE3 AN�IC�R AOENTS h1AY NOT HELD INDIVIDU�IIY LIABLE FOR NEGLtGENCE
ARI91N(3 OUT OF, CONNECTfiO NfITH, QR RE3ULTINQ FROl�1 TH61R 36RVtCES PROVIOED PURSUtWT Tp TNIS AGREEh1ENT.
Proposal for: Vlllage of Tequesta Page 2 of 3 July 1, 2016
131Q Neptune Drive • Boynton Beach,Florida 334Zb • 561-7��-7�00
Broward 954-782-7200 • St.lucfe 77�-408-1U50 • Miami-pade 305-SS7-3083 • Fax 561-737-99�5
7011 free:t-877•NUTTING (688•8464) • tivww.nef.cc • info@nef.cc
In4�oetbn - Clioe�t bp�6 b defind� IndM+nthr 8nd eews hamNa� NEF forn dl cktms. htluding ne�gsuv G�i�, suih,losae6. Pa�tOnal Injuriae. Oealh aed
properqi ti�WNy reeuldnp kom I�Pa paFouaanae � tha Propaaed wwk. whetlx� sucA clalna or damapea are cauud h p�t bp NEF. and a�r�s to reambmse f�F for
expBRS� iA oOMectEWt wHh 9M,1 Slkd1 f�Y�B Of SUi4. 1/IdUd�1G f99sonibk BtI�Om0y3 fB98. CUilit'8 OWI�8�Oi1 � htl6RY1�Y 1411fi�ad t0 S2 Il�lal p� oiGtReACB, NAddl
C�lt s�groeH bex8 8�6s60n�fie efNn�ne�d81 ro�ador�lp ta ths Wak und�AaNai by NEF, qbM kuther agna that Ubse yeiremi aaod�lons ars a ue�t d lire WoAC'a
aP�dficahone a hW doaxnMffi. � atly.
Samplfng 4r Taublg loaaaon • Vn�ess epoalially s�ed � Wo eortaery� tlre u�tl fee9 induded in U�� proposal do not intlude ooats assoaeteo vK�h �rotaesbrtal tand
swvoylnq of �►te aib ar !he aoauate horiwnld end vd6cal laatione W Eesla. Fiald taeb or borin9 boatiae dosa�bed in our repat M shoUm on aur aketdfes �e based on
specific Infair�etloR Wmished to ua bY alhero a�tos nmde in the freld by our tschnkdena. SueA d�renskx�s. daphs or alevatbons shou[d be owtsidarad as
��as nthenulee s�1eB h Ihe tepnrt. k's �fasmad � all dr�np IoraUais ere accessl6�o b ca�ret�tionxl wd� eauMOd drplln4 eqtiDmeal uN�s ol�Can�ise
specHlsdoYma e�m.
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tha ��y, tn AmBed aaordenee w1tA aopecls ot ASTM Pra�eO E-S52t and the eurrera locel strtdarc! ol Care iD� wd► �utNoe.. 1tw Iden�loeUon ot R£�Gs WA1 bB made
sotetY �n �e fnto�tlon decelopCd and uiewed Gy NEP u� ifils elu�l and �peoRlo State cE FIaWe envkaune�F �e9��lons �PD1baWe end k+wvm at Hro ilma of Uds atudy.
NEf ha3 no 1186� Mr oonaequonc� W tnfwmelion not provided a unevaAable a a�arw�se not iavkvrad � I�ar+n Erom tho nma�el souroea �uaro�7y aYamfned Oy {+�F
in s+�h trnpql�ons witMn iha Ba�ro f�amr s9owed Mr Ihts irwes9Betkx+ wdx l��a agreem�nf.
Proposal icr: VlN� � Tequesla Pa�e 3 of 3 Juty 1, 2018
1� 10 Neptune Dti�ve • BoyMot� BAath. Flvrid.� 83426 � 561 T82-T20Q
• Braward 954-782-7200 • StEutie 792-AOB-1450 • J�+lfertx-Dade 305-557-3083 • Fax 56i-737-9975
Toll free;t�877�AlUTTING (688-8464) • www.eet.cc • info�rsef.c�
_ _
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 conf'idential 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 perforrnance of the work described in the Scope of Services, and at the conclusion
of said work, transfer to the Village, at no cast to the Village, a11 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.
,��ouES TEQUFSTA POLICE DEPARTMENT ! � ,q , �� \
ic-\, q ti .�''
• ��'.; �
;°o ' MEMORANDUM
PT -
To: Mr. Michael Couao, Village Manager
From: Christopher L. Elg, Chief of Police
Date: July 26, 2016
Subject: PBC Law Enforcement Operational Mutual Aid Agreement
A mutual aid agreement gives officers the same authority as the requesting
departrnent. Without a valid mutual aid agreement in place, the officer may
not have any authority outside of his or her jurisdiction. This works both ways and
most recently was applicable when we requested assistance with conducting
traffic enforcement initiatives and patrol coverage during the police and fire
awards dinner.
There are no direct costs associated with the signing of this agreement which is
generally done every several years to account for changes in police chiefs,
municipal managers and mayors.
Action Requested: Authorize the Village Manager and Mayor to sign the PBC
Law Enforcement Operational Mutual Aid Agreement.
PALM BEACH COUNTY LAW ENFORCEMENT AGENCIES
COMBINED
OPERATIONAL ASSISTANCE AND VOLUNTARY COOPERATION
MUTUAL AID AGREEMENT
WITNESSETH
WHEREAS, the subsc�ibing Law Enforcement Agencies as listed in
Attachmenf /, which is incorporated by reference, are so located in relation to each
other that it is to the advantage af each to receive and extend mutua! aid in the form of
!aw enforcement services and resaurces to adequately respond to:
(1) Intensive situations, including, but. not limited to, emergencies as
defined under Section 252.34, Florida Statutes, and ,
(2) Continuing, muiti jurisdictional law enforcement problems, so as to
protect the public peace and safety, and preserve the lives and
praperty af the people; and,
WHEREAS, the subscribing Law Enforcement Agencies have the
authority under Section 23.1225, Florida Statutes, et. seq., The Florida Mutual Aid Act,
ta enter into a combined mutual aid agreement for law enforcement service which:
(1) . Permits voluntary cooperation and assistance of a roufine law
enforcement nature across jurisdictional lines, and;
(2} Provides for rendering of assistance in a law enforcement
emergency as defined in Section 252.34.
NOW, THEREFORE, THE AGENCIES AGREE AS FOLLOWS:
SECTION I: PROVISIONS FOR OPERATIONAL ASSISTANCE
The subscribed Law Enforcement Agencies hereby approve and enter into this
Agreemen# whereby each of the agencies so represented may request and render !aw
enforcement assistance to the other to include, but not necessarily be lim�ed to, dealing
with civil disturbances, large protest demonstrations, aircraft disasters, fi�es, natura! or
man-made disasters, sporting events, concerts, public school graduations, parades,
� escapes from detention faciiities, and incidents requiring u#iiization of speciaiized uni�.
SECTlON tl: PROViSfONS FOR VOLUNTARY COOPERATION
Each of tt�e subscribed Law Enforcement Agencies hereby approve and enter into this
Agreeme�t whereby each of the agencies may request andlor voluntarily render routine
law enforcement assistance to the other, to include, but not necessarily be limited to,
investigating homicides, sex offenses, robberies, assaults, burglaries, larcenies,
gambling, motor vehtcle thefts, controiled substance vio{ations, pursuant to Chapter
893, Fiorida Statutes, DUI violations, backup services during pa#rol activities, School
Pal'tce Officers enforcing laws within 1000 feet of a school or School Board property,
inter-agency task forces and/or joint investigations, and coverage for overtime details.
SECTf�N Ill: PROCEDURE FOR REQUESTING ASSISTANCE
In the event that an agency that is a party to this Agreement is in need of assistance as
set forth above, such agency shall notify the agency or agencies from whom suct�
assistance is required. The Agency Nead or his/her authorized designee whose
assistance is sought shall evaivate the situation and his/her available resources and wil(
respond in a manner he/she deems appropriate.
The Agency Head in whose jurisdiction assistance is being rendered may determine
who is authorized to lend assistance in his/her jurisdiction, for how long such assistance
is authorized and for what purpose such authority is granted. This authority may be
granted either verbally or in writing as the particular situation d3ctates.
School District Police Officers are hereby authorized to enforce laws in an area within
1000 feet of a school or school board property and within 1000 fiee# of any school
sponsored event including, bu# not necessarily limited to, public schoo! graduations,
proms, dances and project graduations.
Should a sworn law enforcement officer(s) be in another subscribed agency's
jurisdiction and violation of Florida Statutes occurs, which is a crime of vialence, in the
presence of said officer, he/she shall be empoweked to exercise authority as a law
enfo�cement officer as if the officer was in his/her own jurisdiction. Should enforcement
action be taken, said officer shall notify the agency having normai jurisdiction and upon
the latter's arrival, turn the situa#ion over to them and offer any assistance requested
including, but not limited to, a follow-up written report dacumenting the event and the
actions taken. This provision so prescribed in this paragraph is not in#ended to grant
general authority to conduc� investigafions, sen►e warrants and/or subpoenas or to
respond without request to emergencies already being addressed by the agency of
normal jurisdiction, but is intended to address criticai, life-threatening or public safe#y
situatio�s, prevent bodiiy injury to citizens, andlor secure apprehension of violent
criminals whom the law enforcement officer may encounter.
In any jurisdiction where the Sheriff of Palm Beach County has primary law enforcement
responsibiEities, the faliowing shall appiy: When a swom {aw enforcement officer of a
subscribing law enforcement agency has established �probable cause to arrest an
2
individuaf(s) as a result of an investigation regarding any Forcible Felony, as defined in
Section 776.Q8, Florida Statutes, or any act of Domestic Violence as defined in Section
741.28, Florida Statutes, that occurred within the jurisdiction of the arresting officer,
he/she is authorized to make this arrest in any jurisdiction where the Sheriff has primary
law enfo�cement responsibilities upon exigent circumstances and provided said offense
occur�ed within the previous seventy-two (72) hours. Prior to any
officer rnaking any such arrest pursuant to this paragraph, the officer shall notify the
Palm Beach County Sheriff's Office Commanding Officer in charge of the district in
which the action will be taken. This paragraph does not inciude the authority to make
non-consensua! or forcible entries into private dwellings, residences, living spaces or
business spaces which are nat open to the public, i.e., authorit�/ derived pursuant to this
paragraph may be exercised only when in places open to the public or private places
in#o which the arresting officer has entered with the consent of an occupant entitled to
give consent.
!n all other jurisdictions within the Palm Beach County, the following shalt apply: Sworn
law enforcement officers of subscri6ing law enforcement agencies are hereby
authorized ta exercise the power to make arrests in any subscribing agency's
jurisdiction af persons identified as a result of investigations regarding any offense
constituting a felany or any act af Domestic Violence as defined in Section 741,28,
Florida Statutes, that occurred within the jurisdiction of the arresting officer. However,
this paragraph does not include authority to make non-consensual of forcible entries
into private dwellings, residences, living spaces or business spaces which are not open
to tl�e public, i.e., authority derived pursuant to this paragraph may be exercised only
when in places apen to the public or private places into whi,ch the arresting officer has
entered with the consent of an occupant entitled to give consent. Prior to any officer
taking enforcement action pursuant to this paragraph, the officer shall notify the
Commanding Qfficer in charge of the jurisdiction in which the action will be taken,
unless exigent circumstances prevent such prior notification, in which case notification
shall be made as soon after the action as practicable.
The Agency Head's decis�on in the�e rnatters shall be final.
SECTION IV: COMMAND AND SUPERVISORY RESPONSIBILITY _
The personnei and equipment that are assigned by the assisting agency head shall be
under the immediate command vf a supe�vising officer designated by the assisting
agency hsad. Such supervising officer shall be under the direct supervision and
command of the agency head or his/her designee of the agency requesting assistance.
CONFLICTS:
Whenever a Law Enforcement Officer is rendering assistance pursuant to this
Agreement, the Law Enforcement Officer shall abide by and be subject to the rules and
regulations, personnel policies, general orders and standard operating- procedures of .
his/her own employer. If any such rule, regulation, personnel policy, general order or
3 .
standard operating procedure is contradicted, contravened or othen+vise, in conflict with
a direct order of a superior officer of the requesting agency, then such rule, regulation,
policy, general order or procedure shall control and shall supersede the direct order.
HAN�LING COMPLAlNTS:
Whenever there is cause to believe that a complaint has arisen as a result of a
caoperative effort as it may pertain to this Agreement, the Agency Head or his/her
designee of the requesting agency shall be responsible #or the documentation of said
compiaint to ascertair� a# a minimum:
1. The identi#y of the complainant.
2. An address where the complaining agency can be contacted.
3. The speci�c allegation.
4. The identity of the employees accused without regard to agency affiliation.
If it is determined that the accused is an employee of the assisting agency, the above
information with all pertinent documentation gathered during the receipt and processing
of the complaint shall be forwarded without delay #o fhe Agency Head or his/her
designee of the assisting agency for administrative review. The requesting agency may
conduct a review of the complaint to determine if any factual basis for the complaint
exists andlor whether any of the employees of the requesting agency violated any of
their agency's policies or procedures. �
SECTION V: LIABILITY
Each agency engaging in any mutual coopera#ion and assistance, pursuant to this
Agreement, agrees to assume responsibility for the acts, omissions, or conduct of such
agency's employees while engaged in rendering such aid pursuant to this Agreement,
subject to the provisions of Section 768.28, Florida Statutes, where applicable.
SECTION VI: POWERS, PRIVILEGES, IMMUNITIES AND COSTS
A. Employees of each participating Law Enforcernent Agency, when actually
engaging in mutual cooperation and assistance outside of their jurisdictiona!
limits, but inside the State of Florida, under the terms of this Agreement, shall,
� pursuant to the provisions of Section 23.127{1), Florida Statutes, have the same
powers, duties, rights, privileges and immunities as if the employee was
perfo�rning duties inside the employee's political subdivision in which normally
emplayed. �
B. Each agency agrees #o fumish necessary personnel, equipment, resources and
facilities and to render services to each other agency to the Agreement as set
farth above; provided hov�rever, that no agency shall be required to deplete
4
un�easonably its own personnel, equipment, resources, faciiities, and services in
furnishing such mutual aid.
C. Communication with personnel from outside agencies will be accompfished with
a shared radio frequency. Should the agency furnishing aid not have the
capability to communicate on a shared radia frequency, then the requesting
agency will eitfier provide radios to the personnel of the agency furnishing aid or
pair personnel from the agency furnishing aid wikh personne! from agencies that
have the capabi(ity to communicate on a shared radio frequency.
D. A politicai subdivision that fumisMes equipment gursuant ta this part must bear
the cost af loss or damage to that equipment and must pay any expense incurred
in the operation and maintenance of tha# equipment.
E. The agency furnishing aid pursuant to this section shall compensate its
employees during the time such aid is rendered and shalt defray the actual travei
and maintenance expenses of its employees while they are rendering such aid,
including any amounts paid or due for compensation due to personal injury or
death while such employees are engaged in rendering such assistance.
F. The privileges and immunities from liability, exemption frvm laws, ordinances and
ruies, and alf pension, insurance, relief, disability, workers' compensation, salary,
death and other benefits that apply to the activity of an employee of an agency
when perfom►ing the employee's duties within the territo�ial limits of the
employee's agency apply ta the employee to the same degree, manner, and
extent while engaged in the performance af the employee's duties
extraterritorially under the provisions of this Mu#uai Aid Agreement. The
provisions of this section sha(I apply with equal effec# to paid, volunteer, auxiiiary,
� and reserve emplayees.
� G. Nothing herein shall prevent the requesting agency from requesting
supplemental appropriations from the goveming authority having �udgeting
jurisdiction to reimburse the assisting agency for any actual costs or expenses
incurred by the assisting agency performing hereunder.
H. Nothing in this Agreement is in#ended or is fo be construed as any transfer or
co�tracting away o# the powers o� functions of one party hereto to the other.
SECTIOId VII: EFFECTIVE DATE
This Agreement shait take effect upon execution and approval by hereinafter named
o#ficiais and shall continue in ful! force and effect until �o��°�; '�'�9�T,'- January 31,
2021. On or about , September 30, 2020, a committee wiA be
established by the Palm Beach County Association of Chiefs of Police, Inc., to review
this Agreement and revise, if necessary. Under no circumstances may this Agreement
be renewed, amended, or extended except in writing.
5
SECTION YIII: CANCELLATION
Any agency may cancei their participation in this Agreement upon delivery ofi written
notice to the other agencies. Cancellation wii{ be -at the direction of any subscribing
agency. ,
1N WITNESS WHEREOF, the agencies hereto cause these presents to be signed on
fhe da#e specified. �
s
ATf EST:
CITY OF ATLANTIS:
Michaei Dahigren, Mayor (date) Robert G. Mangold, Chief of Police (da#e}
Mo Thornton, City Manager (date) (date)
CITY OF BOCA RATON:
Susan Whelchel, Mayor (date) Daniel C. Alexander, Chief of Police (date)
Leif Ahneil, City Manager (date) (date}
CITY OF BOYNTON BEACH:
Woodrow Hay (da#e} Jeffrey Katz, Chief of Police (date)
Lori LaVerriere, City Manager (date) (date)
CITY OF DELRAY BEACH:
Nelson McDuffie, Mayor (date) Jeffrey Goldman, Chief of Police (date)
David T. Harden, City Manager (date) (date)
FLORIDA ATLANTIC UNIVERSITY:
Mary Jane Saunders, President (date) � , Chief of Police (date}
{date) (date) -
' 7
TOWN OF GULFSTREAM:
_ Joan Orthwein, Mayor (date) Garrett J. Ward, Chief of Police (date)
William H. Thrasher, Town Manager (date� (date)
TOWN OF HIGHLAND BEACH:
Bernard Featherman, Mayor (date) Craig Hartmann, Chiefi of Police (da#e}
Kathleen D. Weiser, Town Mgr {date) (date)
TOWN OF HYPOLUXO:
Kenneth M. Schuitz, Mayor (date) Sean M. Scheller, Chief of Pofice (date)
Barbara L. Searts, Town Clerk (date} � (date)
TOWN OF JUNO BEACH:
Mort Levine, Mayor (date) Brian J. Smith, Chief of Police (date)
Jose�h F. LoBello, Tawn Manager (date} (date)
TOWN OF JUPITER:
Ka�en Golonka, Mayor (date) Frank J. Kitzerow, Chief of Police (date)
Andrew D. Lukasik, Town RAanager (date) (date)
s
TOWN �F JUPITER INLET COLONY:
Daniel J. Comerford, Mayor (date) Samuel J. Pruitt, lll, Chie# of Police (date)
Samue! J. Pruitt, lll, Town Administrator (date) (date)
T4WN OF LAKE CLARKE SHORES:
Gregory P. Freebold, Mayor {date) William W. Smith, (II, Chief of Poiice (date)
Dan P. Clark, Town Administrator (date) (date)
TOWN OF LANTANA:
David J. Stewart, Mayor (date)� Sean M. Scheller, Chief of Police {date)
Deborah Manzo, Town Manager (date) (date)
TOWN OF MANALAPAN:
Basil S. Diamond, Mayor (date} Carmen Mattox, Chief of Poiice {date)
Linda A. Stumpf, Town Manager (da#e) (date)
VILLAGE OF IdORTH PALM� BEACH:
David B. Norris, Mayor (date) Richard E. Jenkins, Chief of Police (date)
James P. Kelly, Viilage Manager (da#e) �date}
� , �
TOWN OF OCEAN RIDGE:
Geoffrey Pugh, Mayor (date) Hal Hutchins, Chief of Police (date)
Ken Schenck, Town Manager (date) (date)
TOWN OF PALM BEACH:
Gai1 L. Coniglio, Mayor (da#e) Kiric W. Biouin, Chief of Police (date)
Peter B, Elwell, Town Manager (date} David A. Rosow, President, Town Councii (date)
PALM BEACH COUNTY SHERIFF'S OFFICE:
(date) Ric L. Bradshaw, Sheriff (date)
� (date) (date)
PAL�A BEACH COUNTY SCHOOL DISTRICT;
Chuck Shaw, Chairman (date) �.awrence J. Leon, Chief of School Police (date}
Ro�ert M. Avossa, Ed.D., Superintendent (date) (date}
C1TY OF PALM BEACH GARDENS:
David J. Levy, Mayor (date) Stephen J. Stepp, Chief of Police (date)
Ronald Ferris, City Nlanager (date) {date)
10
TOWPI4F PALM BEACH SHORES:
John Workman, Mayor (date) Duncan Young, Chie�f of Police (date)
. . . . ,r . " : a . � .
Cynthia Lindskoog, Town Manager (date) (date)
VILLAGE OF PALM SPRINGS:
Bev Smith, Mayor (date} Tom Ceccarelli, Director of Public Safety (date)
Karl E. Umberger, Viliage Manager (date} (date)
C1TY OF RIVIERA BEACH:
Thomas Masters, Mayor (date) Ciarence D. Williams, III, Chief of Police (date)
Ruth C. Jones, City Manager (date) (date)
TOWN OF SOUTH PALM BEACH;
Dr. Donald Clayman, Mayor (date) Carl Webb, Jr., Chief of Police {date)
Rex Taylor, Town Manager (date) (date}
STATE ATTORPIEY FOR THE FIFTEENTH JUDICtAL CIRCUIT IPI AN FOR PALA� BEACN
COUNTY:
(date) David Aronberg, State Attorney (date)
Fifteenth Judicial Circuit !n and For
Palm Beach County, Florida
(date} (date)
� 11 � .
�
VILLAG �F TEQ STA:
t--�' v�' :� �` j-�!'
, ayor {date) Chri topher Elg, C' f f Police dat )
Fl f; L �/ �.� E�rJrJt.r.}
� ,�. �. : !
Michael R. Couz r., Vi nager ate} (date)
CITY OF WEST PALM BEACH:
Jeri Muoio, Mayor (date) Bryan Kummerien, Chief of Police (date)
Edward R. Mitcheif, City Administrator (date) (date)
12
Attachment t
Atlantis Police Department
Boca Raton Potice Department
Soynton Beach Police Department
Delray Beach Police Department �
Fiorida Atlantic University
Gulfstream Poiice Department
Highland Beach Police Department
Hypoluxo — Town of
Juno Beach Police Department
Jupiter Police Department
Jup'rtec Inlet Coiony Police Department
Lake Clarke Shores Police Department
Lantana Police Department
Manalapan Police Department
North Palm Beach Police Department
Ocean Ridge Poiice Department
Paim Beach Police Department
Palm Beach County Sheriff s Office
Palm Beach County School District Police Department
Palm Beach Gardens Police Department
Palm Beach Shores Police Department
Palm Springs Police �Department
Riviera Beach Police Department
South Palm Beach Poiice Depa�tment
State Attorney, Fifteenth Judicial Circuit for Palm Beach Coun#y
Tequesta PoEice Departmant
West Pa{m Beach Police Department
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ADDENDUM
Public Records: In accordance with Sec. 119.4701, 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 sha11 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 possessian
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.
��ouESr4 TEQUESTA POLICE DEPARTMENT ,
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' ;°o cti ' MEMORANDUM �
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To: Mr. Michael Couzzo, Village Manager
From: Christopher L. Elg, Chief of Police
Date: July 26, 2016
Subject: Check Replacement Request
This form is being sent to us in order to have a replacement check issued for
reimbursement of Mantee patrol overfime. The original check was never
received by the Village and was presumably lost in the mail. PBC needs this form
signed in order to stop payment on the lost check and send a replacement.
The indemification portion of the form is detailed in section five of the form and
basically states that the Village will hold PBC harmless based on the initiation of
this check replacement request.
Action Requested: Authorize the Village Manager to sign the form requesting
the replacement check be issued by PBC.
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SNA20NIt.BOCK
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�'.��"��G•. APPLICATION FOR CHECK REPLACEMENT
AIUD INDEMNITY AGREEMENT
(Please print all information)
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DATE: ----------------
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(First� (Middlel (Last) �
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1. That the address of the above is � S 7 �����-'S�`' �� � ��� �`��� J � `��
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(5treet, Apt. , City, Stare, Zip codel
2. That check number 7A� sz�_, dated2/11116, drawn by the Palm Beach County Board oi County
Commissioners on Welis Fargo Bank in the amount of S 7dQ� �,�, issued payable to the order of
Vil aqe pf aa uecta and the undersigned makes application for a duplicate
check to replace said check which has been lost or destroyed.
3. That the check (was! (was notl endorsed. If endorsed, state exactlythe manner of all endorsements appearing
thereon:
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4. That the undersigned has not received the proceeds from said check, and the whereabouts of said check is
unknown.
5, In consideration of County's reliance upon the foregoing representations and certifications and in further
consideration of County's compliance with the foregoing request, the undersigned hereby agrees to indemnify
and hold County harmless from and against any and all ciaims, demand, losses, damages, actions, including
expenses, costs, and reasonahle attorney's fees which County at any time may sustain or incur by reason of
County's reliance upon the foregoing representations and warranties and compliance with the foregoing
request of the undersigned.
The undersigned understands that the undersigned will be liable to the Coun[y for payment of a sum of money
equal to the original check, including without limitation expenses, costs, ancl reasonable attorney fees, if any
assertions in this document are untrue, The undersigned hereby agrees to deliver the original County's check to
County for cancellation if the same shall ever be found.
NOTE: AREPLACEMENTCHECKWILLNOTBEISSUEDUNTILTHISFORMISPROPERLY
EXECUTED AND FILED WITH THE CLERt<, AND THE CLERI< HAS RECEIVED
CONFIRMATtON fROM THE BANK THAT TH CHECK HAS NOT BEEN NEGOTIATED.
APPLICANT SIGNATURE: (Payee or if a ____ DATE: __ L`°� �� �� ��/
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STATE OF _����� �� __ 7-S � / y
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COUNTY OF __� fn�_ �3e G'C�
The fo oipg instrument was acknowledged before me this ____a �_ day of __�J "!' �___, __________,
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(Name of person acknowled ingi f Affix Notary Seal or Stamp:
_ �
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(Signature of Notary lic)
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�����jy p� DEBRA ANN TELFRIN
Check One: Personally i<nown _� or Produced Itlentification _____ ; o �" e�;s,
a„ . o Notary Public - State ot Florida
s• p e•, My Comm. Expires Jan 5, 20 t 7
Type o f Iden ti fication Pro duce d: _____________________________ �'' � Commission # EE 842843
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Rev.07(1?
ADDENDUM
Public Records: In accordance with Sec. 119.0701, Florida Statutes, the Contractor
rnust 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, all 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.