HomeMy WebLinkAboutDocumentation_Regular_Tab 04_08/09/2018 R�'QUBS�'9
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���R�SC VILLAGE OF TEQUESTA
TEQUESTA FIRE-RESCUE
INTER-0FFICE MEMORANDUM
DATE: July 18, 2018 �
TO: Mr. Couzzo, Village Manager �
VIA: Hand Delivery
FROM: Joel Medina, Fire Chief
SUBJECT: Modification to Subgrant Agreement
Issue: Executing the State Modification Agreement for Emergency
Protective Measures.
Explanation: Pursuant to the Presidential Declaration of a Major Disaster for
the State of Florida issued on 9/10/2017 and Notice to FEMA, FEMA made an
agreement to pay 100% of all eligible Category B costs. In our case it is the
$138,805.76 amount found on "Attachment A — 1St Revision". The reason for
the amendment is to increase the total amount that we can draw down from
the State based on the amount of obligated funds which can change as
projects are added, obligated or changed. Because we have a total of four
projects for this disaster we will most likely see additional amendments when
and if the other two projects are obligated.
Recommendation: To Execute the Modification Agreement, in triplicate,
attached hereto reflecting the remaining amount of this Project Category B
to be obligated is $138,805.76, One Hundred Percent (100%) reimbursable
by the Federal Government.
MODIFICATION # Z0036-1 TO SUBGRANT AGREEMENT
BETWEEN THE DIVISION OF EMERGENCY
MANAGEMENT AND
Tequesta, Village Of
This Modification is made and entered into by and between the State of Florida,
Division of Emergency Management ("the Division"), and
Tequesta, Village Of ("Sub-RecipienY'), to modify
Contract Number Z0036 , which began on 9/04/2017 ("the Agreement").
WHEREAS, the Division and the Sub-Recipient have entered into the
Agreement, pursuant to which the Division has provided a Subgrant to Sub-
Recipient under the public assistance program of $143,805.24 in Federal funds;
and,
WHEREAS, the Division and Sub-Recipient desire to modify the Agreement by
increasing the Federal funding $138,805.76 under the Agreement.
WHEREAS, the Division and the Sub-Recipient desire to modify the Scope of Work.
WHEREFORE, in consideration of the mutual promises of the parties contained
herein, the parties agree as follows:
1. The Agreement is hereby amended to increase the Federal funding by
$138,805.76 and the State share by $0.00 for the maximum
amount payable under the Agreement to $138,805.76
2. The Scope of Work, Attachment A to the Agreement, is hereby modified as set
forth in the 1st Revised Attachment A to this Modification, a copy of which is
attached hereto and incorporated herein by reference.
3. All provisions of the Agreement being modified and any attachments thereto
in conflict with this Modification shall be and are hereby changed to conform
with this Modification, effective as of the date of the last execution of this
Modification by both parties.
4. All provisions not in conflict with this Modification remain in full force and effect,
and are to be performed at the level specified in the Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Modification as of
the dates set out below.
SUB-RECIPIENT: Tequesta, Village Of
By:
� , • � � !` (J+�'�'�� �
Name and Tit e. �� � /'
Date: 1 � 1 �
DIVISION OF EMERGENCY MANAGEMENT
By:
Name and Title: Michael Kennett, Deputy Director
Date:
30
AttachmeM A-1st Revision
Budget and Project Ust
�l1f144Y:
The Budget of this Agreement is initialty determined by the amount of any Project Worksheet(s)(PW)that the Federal Emergency Management
Administration(FEMA)has obligated for a Sub-Recipient at the time of execution.Subsequent PWs or revisions thereof will increase or decxease
the Budget of this Agreement.The PW(s)that have been obligated are:
DB�737 ■ T eah,V Of
� Mkct Tftle FdetN SWre % Sh4 Si�re % IweY SYare � r A E� POP Shrt�te PO!EW Da4
<<Z C+ �� 54.999. 75 5833 12.5 5833.2 12.5 56,665.9 9/0/l2017 )/IO/2019
579 B M V' Wide 5136.805.7 I00 S0. 0 S0. 0 ft38,805.� 9/M/2017 '3/102018
Todl 5147 Sl33 fB37 f115,17L �
PUBLIC RECORDS. In accordance with Sec. 119.0701, Florida Siotutes,
CONTRACTOR must keep and maintain this Agreement and any other
records associated therewith and that are associated with the
perfo�mance of the work described in the Proposal or Bid. Upon request
from the Village's custodian of public records,CONTRACTOR must provide
the Yllage with copies of requested records, or allow such records to be
inspected or copied, within a reasonable time in accordance with access
and cost requirements of Chapter 119, Florida Statutes. A CONTRACTOR
who fails to p�ovide the public records to the Village,or fails to make them
available for inspection or copying, within a reasonable time may be
subject to attome�s fees and costs pursuant to Sec. 119.0701, Florida
Statutes,and other penalties under Sec. 119.10,Florida Statutes. Further,
CONTRACTOR shall ensure that any exempt or confidential records
associated with this Agreement or associated with the performance of the
work described in the Proposal or Bid are not disclosed except as
authorized by law for the duration of the Agreement term, and following
completion of the Agreement if the CONTRACTOR does not transfer the
records to the vllage. Finally, upon completion of the Agreement,
CONTRACTOR shall transfer, at no cost to the Vllage, all public�ecords in
possession of the CONTRACTOR, or keep and maintain public records
required by the vllage. If the CONTRACTOR transfers all public records to
the vllage upon completion of the Agreement, the CONTRACTOR shall
dest�oy any duplirate public records that are exempt or confidential and
exempt from public records disclosure requirements. If the CONTRACTOR
keeps and maintains public records upon completion of the Agreement,
the CONTRACTOR shall meet all applicable requirements for retaining
public records. Records that are stored eledronically must be provided to
the VILLAGE, upon request from the Vllage's custodian of public records,
in a format that is compatible with the Village's information technology
systems.
IF CONTRACTOR HAS QUESTIONS REGARDING THE
APPUCATION OF CHAPTER 119, FLORIDA STATUTES, TO
CONTRACTOR'S DUTY TO PROVIDE PUBUC RECORDS
RELATING TO THIS AGREEMENT, PLEASE CONTACT THE
VILLAGE CLERK, RECORDS CUSTODIAN FOR THE VILLAGE, AT
(561) 768-0685, OR AT Imcwilliams@teauesta.or�, OR AT 345
TEQUESTA DRIVE,TEQUESTA, FLORIDA 33469.
Village of T'eqLiesta
3�5 Tcqucsta Dri��c 561-768-0700
Tcquesta, FL 33=�69 �v���v.tequesta.org
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�l cr :\Iicli:icl I�. Couiz�>, ��illa�c :\l:i�ia�cr
I�rc>m: 1)c,�itilas �L Chambers, l�ircctor Pul�lic ��'url:s
�ubjccc I�:�ccl Cleanin��� Rcstc,r:itic>n �u��lics Crcclit :�E��licari��n
1);itc: AIa�� �9, ?U 1 S
The following Agenda item is a Credit Appli�ation to purchase Custodial Supplies from Excel
Supply.
The Credit Application is a standard business requirement, which would allow the Village to
purchase custodial supplies.
Excel Cleaning & Restoration Supplies has been servicing the Southeastern region of the U.S.
since 1995.
The Village had been purchasing Custodial Supplies from Best Way Custodial Supplies.
Excel Supply has acquired Best Way Supplies in Jupiter. 1630 S Cypress Dr,Jupiter, FL 33469 .
Doug Chambers
Director
Department of Public Works
\'i�c-\Ia��,r I��ni P.�tcrn�� \f:icur.1h1�� lir�•nnan ('c>uncil \Icml�rr\incc .\rrn:i
(:uuncil \(cmhcr l.auric lir:in�l„n � ��uncil \[cinl�cr liri�ii ���hn«m
\illa��c \l.in.t�cr\Iich:tcl I�. (:uuzz��, �r.
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SI�FPLIL�S � .
,�....._.�._..,._� �_,,_�:.�._..__..,.....�.
6301 Topaz Court
Fort Myers, FI 33966
(239)768-0767 (239)768-2413 Fax
CREDIT APPLICATI�N & AGREEMENT �
NAME ��(IaGe o�' (�(,1�5 rd- DATE J 18'�S
PHONE (�� ��08"CXI S� FAX ( `�D I ) -T(�S' O7U 8
MAILiNG ADDRESS I3� rJ���qe ��aal
� CITY (CCo�LIpS'�fa STATE FL ZIP � 33�fog
—�.
SHIPPING ADDRESS �3�o gr,�d Ge �UQ�
CITY (eC�,�� `�-P�. STATE 'L- ZIP 33
lF BUSINESS, PLEASE INDICATE TYPE:
CORPORATION PARTNERSHIP PROPRIETOR
FED I.D. # �4�I OS 1 �
NURflBER OF YEARS COMPANY HAS BEEN lN BUSINESS: �
TAX EXEMPT: YES ✓ NO NUMBER � 'J� 41 330� C'
� (Must have sales tax certificate completed 8�attached)
PRINCIPALS/OFFICERS•OF COMPANY:
NAME: zc� Title: � I la�e Wlauia�ea`
PHQNE# SZflI—�Lo —
ADDRESS � CiTY� STATE �� ZIP 33�I�°!
NAME: Title• .
PHONE#
ADDRESS CITY STATE ZIP
Contact person for Accounts Payables: �U�1(:� ��0��e `�Q�7��'��g�-
TERMS AND CONDITIONS OF EXCEL SUPPLIES
All invoices are due in full 30 days following the date of the invoice, unless other terrns are
specified. An additional 1.5°/a per month (18% annual) interest charge will be added to
unpaid balances. ln the event of default, the undersigned agrees to pay all costs of
collection and attorneys' fees together with cost of court. The u�dersigned further agrees
that any legal action brought hereunder may be brought in Lee County, Fl.
UWe understand, acknowledge, and accept Excel Supplies terms of sale and certify that the
information given is true and correct. Credit Application must be completely filled out to
obtain credit with Excel Supplies.
"<
Name &Trtie (please print): '�� � � �� �D�IZZG� J �
Signature: �a�� �� -��^l�
ADDENDUM
Pablic Records: In accordance with Sec. 119.0701, Florida Statut�s, the Contracta
must keep a�d maintain this Agreement aad any other reoords associated therewith aad that are
associated with the performance of the work descnbed in the Scope of Services. Upon request,
the Contr�ctor must provide the public with access to such c+ecords in acxordance with access and
c�st requirements of Chapter 119,Florrda Statutes. Further,the Contiactor shall ensme that any
exempt vr c�nfidential records associated with this Agreemeat or associated with tlie
perfonmance of the work descnbeci in the Scope of Services ace not disclosed except as
authorized by law. Finally, the Contr�toc shaU t�etain tl�e rxords described in this para�aph
throughout the peiforaaance of the worlc described in the Scope of Services,and at the o�nclusion
of said work, transfer to the Town,at no cost to the Towa, all such recozds in the posse.ssion of
the Contractor and destroy any duplicates the�of. Records that are storcd eledronicaUy must be
transferred to the Town in a forimat thet is compatible with the Town's information technology
systems.
. • •
Memo
To: Michael R Couzzo, Jr., Village Manager
From: Merlene Reid, Asst. Village Manager/HR Director /����'
F
Dabe: June 15, 2018
Re: Jupiter Medical Center Urgent Care 2018-2020 Renewal Addendum
The vllage requires a HealthCare agreement with a competent facility to provide applicant
screenings, post-accident dn�g testing, annual physicals for oertified fire-rescue employees,
and to help manage our workers compensation injuries ftom initial treatment through retum to
woiic status.
HR and the Fire department are requesting that the current agreement with Jupiter Medical
Center(JMC) Urgent Care be renewed for 2 years for the period October 1, 2018 to
September 30, 2020. Both departments jointly negotiated the Schedule of Services and Fees
which are attached as Exhibit A.We were successful in obtaining a 2-year agreement for the
first time, moving the contract dates from a calendar year renewal cycle to coincide with the
Vllage's fiscal year, and retaining a reasonable price structure.
HR and Fire-Rescue are also recommending that the Ullage continue to utilize JMC Urgent
Care services for the additional reasons outlined below:
1. Based on their size and available resources, JMC Urgent Care is the closest
occupational heafth facility offering the most comprehensive set of services within a
10-mile radius.
2. The opening hours are wide-ranging from Monday to Saturdays, 8:OOam- 8:OOp.m
and Sundays, 9am-5 p.m., with JMC Emergency room as an altemative resource.
3. Continuity of service is important in respect of inedical records and long-term
employee treatment, and
4. A check with surrounding municipalities revealed that the majority continues to use
JMC Urgent Care services in some form.
Attachments:
1. Agreement for HealthCare Services:-Jan 5-Sep 30, 2018
2. Renewal Addendum:- Oct 1, 2018- Sep 30, 2020
RENEWAL ADDENDUM
This Renewal Addendum ("Arldendum")relates to that certain Agreement for Health
Services (the"Agreement")dated January 5, 201 S by and between Jupiter Medical Center
Yhysicians Uroup, Inc. ("Provi�ler") and Village of Tequesta/Tequesta Fire Department
("Conrpany"). This Addendum must bc signed by Company and returned to Provider on or
before September 30`t', 2018.
In consideration of the mutual promises and covenants herein contained, and for other
good and valuable consideration, the receipt and sufficiency of which are hereby acl:nowledged,
the parties hereto herby agree as follows:
1. The Agreement shall be renewed for a two (2}year period starting on October I,
2018 and continuing through September 30, 2020.
2. The Services and Fees Schedule on Eahibit A of the Agreement shall:
a. RF,MAIN THE SAME AS THE PRIOR YEAR: or
� b. Be deleted in their entirety and replaced with the new Services and Fees
set forth on Exhibit A attached herewith and incorporated into the Agreement by
this reference.
3. Except as otherwise set forth in this Renewal Addendum, the Agreement shall
remain in full force and effect in accordance with its terms.
[N WITNESS WHFRF,OF, in signing below, and intending to be legally bound thereby, the
parties hereto hereby agree to the foregoing, which shall take effect as of the first day of the
Renewal term set forth in the title of this document.
Provider: Campany:
JUPITER MEDICAI.CENTF.R VTLLAGE OF TEQUESTA/
PHYSICIANS G OUY, 1N . �1�EQUESTA FIRE DERPARTMENT
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EXHIBIT A �
To Annwil Renewal Addendum �
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SERVICES AND FEES SCHEDULE �
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[To be complcted by Provider in the event that the existing Ezhibit A to the Agi�eement must be �
updated to reflect new Services and Fees to be oi�cred to Company by Provider as part of a �
renewal of the Agreement.] �
SERVICE FEE �
Complete Medical History and Physical Examination by Provider $70.00 �
Urine Heavy Metal $70_0p �
Urinary Malysis $13.30
Hepatitis B Surface Antibody�titer} $23.00 ;
�
RPR Screening $8.50 �
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HN Screening $25.00 j
Comprehensive Metabolic Panel $17,Sp � �
Lipid Panel $21,pp �
Complete Blood Count with D'�fferential $12.50
RBC Chalinesterase $33.50 �
EKG with Cardiologist Interpretation $55.00
Audio Test $55.U0 �
Pulmonary Function Test $55.00 �
PPD(Tubercubsis Test} $21.00 �
Chest x-ray(PA and lateral)with radiologisi interpretation $75.00 �
Arsenic Fractionation $78,75 �
x
Hepatitis B Vaccine $gg.0p �
Urine Drug Screen(coliection,testing,MRO) $40.0p �
�
Breath Alcohol with o�without confirmation $47.50 �
,
vsion Testing $30.pp �
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AGREEMENT FOR HEALTH CARE SERVICES
T6is Agreement for Heahh Services(this"Agree�ienP)made this 5�'day of January,
2018("E,�`iuriv�e Datc")by and between Jupiter Medical Center Physicians Group,L►c.
("Pnovidu'�and Village of Tequesta/Toquesta Firc Dcpattment,Florida("Conrpa�y'�.
RECITALS
Whereas, Provider is in d�e business of providing health care services through Jupiter
Medical Center Urgcnt Care("URGENT CARE'�located in the Abacoa Shopping Center at the
comex of Military Trail and Donald Ross Road in Jupitcr,Florida;
Wheceas, from time to time Company's employees need health care services which are
available at the URGEN'T CARE;and,
Whaeas,Company dcsires to hava its cmpbyees receive Company-requested health care
serviccs by Providcr at its URGENT CARE location.
Now therefore, in consideration of the recitais set forth above and the covenants and
conditions contained herein,the paities agree as follows:
1. RECTTALS. The izcitals set focth above are true and correct and shall be
incorporsted herein by this reference and considered in the interpcetation of tfiis Agreement
2. COMPANY'S OBLIGATIONS.
a. Company shall provide or cause to be provided to Provider a referral form that
shatl accompany each employce referred to die URGENT CARE for tt►e specific health care
services &om Ez�ibit A hcreto which are roqucsted by the Company. Thc rcfeiral form shall
include the following information:
(i) Employce's fWl name and date of birth.
(ii) Employee's social security number.
(iii) Empbyer contact information.
(iv) Namc of person authorizing tnatma�t.
(v) The Requcsted servicts from Ezhibit A.
(vi) Workers' compensation carcier informadon, if services are to be
billed to the carrier.
(vii) Instructions for delivery of results.
b. Company shall rcmit all paymcnts duc to Providcr within thirty days (30) of
receipt of an invoice. Invoices shall be sumitted monthly and shall identify the employee(s) and
the date(s)and type(s)of services rendered. Said invoices will be based on the fce schedule set
forth on Exhibit attached ha�eto and made a pazt heceof.
3. PROVIDER OBLIGATIONS.
a Except as othecwise specified in this Agre�ment,with c+espect to the heahh care
services, Providcr shall provide facilities, equipmertt, and phlcbotomy supplies such as btood
tubes and ncedles,or other supplies t�quired to pmvide any of the lab services or uiine collection
services as r�quested by Company for its employces.
b. Hard copy reports of drug screens will be provided directly to Company from
the laboratory or medical review officer ovecsceing any drug scrcen. Physical exam results will
be forwarded to the Compeny by fax or mail,per direction of Company at time of referral,within
the same busit�ess day that resuhs arc knovm. Woric status reports will be provided to CompanY
and/or workers' compensation cairier on the same day of service. Ot�ice notes for workers'
compensation patients will be available to tfie camer within seventy-two (72) hours of an
employee's visit.
4. TERM. This Agreement shall commence on the Effxtive Date and shall expin
at S:OOpm Eastern time on the next-occuring September 30m(thc"Exp�ralloa Datd'� unless the
parties rex�ew �e A�eement by signmg an Annual Renewal Addendum in the form attached
herewith as Ei6ibit B. Failure of Company to sign and rehan the Annual Renewal Addendum
to Company on or before the Expiration Date shall result in termination of this Agreement on the
Expiration Date.
5. TERMINA'I"ION.
a Either party may teeminate this Agreement at any time without cause by giving
the other party at least thirty(30)days' prior written notice.
b. Neither party shall have any fucther ri�ts or obli�tions hereunder following
tcrmination of the Ag�ement cxcept: (i) as oti�erwisc provided turcin; (ii) for rights and
obligations accnung prior to the effe�tive date of termination (e.g.. fees due to Provider for
services rendered prior to the termination date); or(iii) arising as a resuh of any breach of the
Agreement.
6. RELATIONSHIP OF PARTIES.Neither party is an agent or representative of the
other party undar this Agreement� This A�+eement does not constitute a joint venwre or
partnership between the p�ties.
7. CONFID�VTIAI,ITY.
a The parties recognize and acknowledge that the parties hereto may gain access
to ccrtain inforn�ation of one another that is confidential and constitutes valuable, special and
unique pmperty of such party. As such, each party agi�ecs that it will not at any time, either
during or subsequent w the term of this Agreement,disclose to ott►ers, use, copy or permit to be
copied, without the other party's express prior written consent, except pursuaM to such party's
duties herew�der, disclose any con6dential or proprietary information of the other party,
including, but not limited to, informaiion which concems eithec party's employees, patients,
2
costs, or treatment methods and which is not otherwise available to the public. The fotegoing
shall not apply to: (1)any inforrnation received by a parly without breach of this Agreement;(2)
any inforn�ation which was independeirtly developed by a party; (3) any information which is
ordered to be released by requirement of a govemmental agency, validly served subpoena, or a
court of law;and,(4)any information naxs.sary in connection with Provider's accroditation.
b. Except for disclosure to Company's legai counsel, accountant or fmancial
advisors(none of whom st�all be associated or affiliated in any way with Provider(or any of its
attitiates), Cvmpany shall not disclose the terms of this Agreement to any person who is not a
p�rty to this Agneement, unless disclosure thereof is required by law or atherwise autho�by
this Agre�tnent consented to in writing by Providcr. Unauthorizcd disclosure of thc terms of this
Agteement shall be a material breach of this AgreemenG
c. HIPAA Compliance_ 'I7�e parties agree to comply wid� the applicable
provisions of tfie Health Insutance Portability and Accountability Act of 1996 ("HIPAA") and
the c+aquirements of any r�gulations promulgated thcreunder.
d.All provisions of this Section 7 shall survive expiration or othcr tennination of
this Agreement,rcgardless of the cause of such tertnination.
8. NOTICES. All notices hereunder shall be in writing, delivered personally, by
certified or registered mail, return receipt requested, or by overnight courier, shall be deemed
cffective whon received,and shall be addressed as follows:
[f to Providcr. Jupiter Medicai C;enter Physicians Group, Inc.
1210 S. Old Dixie Hwy
Jupiter,FL 33458
Attn: Pc+esident
With copy to:Gencral Counsel
tf to Company: Village of Tequesta and Tequesta Fire Departrnent
345 Tequesta Drive
Tequesta,FL 33469
Attn: Merlene Reid
or to such other persons or places as either party may from time to time designate by notia
pursuant to this paragraph.
9. PREVAII.ING PARTY. In the event that a suit,action or other proceeding of any
naUu+e whatsoever arises out this Agteement, the prevailing party shatl be entitled to rocover
from the losing party the prevailing party's rea.gonable auorney's fees and costs actually incumed
and reasoaably nec�sary in connection therowith, as determined by the judge, in addition to all
other remedies provided by law.
l0. ENTIRE AGREEMENT: MODIFICATION. This Agreement, including any
attachments hereto, contains the entire agreement of the parties hereto and supersedes alt prior
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and contemporaneous oral or vvritt.cn n�gotiations, repc�.sentations, ag�eements, �mderstandings,
proposals, or undcrtakmgs with respcct to t�e subjcct matter heieof, all of which are dcemed
incorporatod and mcrged into this Ag�eeemerrt or abandoned. This Agreanent may only be
modified or amended by the mutual written ag�+eement of the parties. Any such modificstion or
amtndmtnt shall be signed by authoriz.ed rtpreseatatives of each party and shaU ba attachcd to
and become part of diis A�+S+eea�ent
I 1. GOVERTTING LAW. 'This Agreement shall be construed in accadauce with the
laws of the State of Florida wit�venue in the courts of Palm Beach Courny.
12. COCJNTERPARTS AND FACSIIVIII..ES. The parties hereto may execute this
Agreement in any number of separate couaterparts (including by confinned electronic, email,
snd/ar facsimile tirans�nission), each of which,when executed shall be deemed and original, and
all of which,when taken togethcr,s�all constituR�one and the samc insuvment
13. WANER Any failure of a�ae paity to enforce its ri�ts undcr this Agreement
shall not be cons�vcd as contemporaneous or firtiu�e waivet of such rights (or any other ri&hts)
herein. No waiver of aay breach or faihut to enforce one or more of the terms and conditi�ns
hcreof shall be consaved as an implied amendme�or agrEemerrt to modify or as a waiver of the
right to later enfarce, such terms. If any provision of this Agreemtnt is held invalid,thcn to the
fullest exterrt petmitted by law,snch mvaiidity shall not affect the validity of any athor pmvision
of this Agreement_
14. ASSIQNMENT:BINDING EFFEG"T. This Agr�ment is not assignable without
thc prior vvriv,eu canseat of the parties.
IN WTTNESS WHEREOF, the Parties hereto have exec�rted this Ag�reemeat as of tho
da�frst writt�n abov�.
Providor: Company:
NPITER D9�DICAL CENTER VII,LAGE OF TEQUESTA and TEQUESTA FIRE
PHYSICIANS GROUP,INC. DEPARTMENT
B By:
y v,ce Presia�ent
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EXHIBTT A
SERYICES AND FEES SCHEDULE
SERVICE fEE
Complete Medical History and Physical Examination by Provider $70.00
Urine Heavy Metal $7�•�
Urinary Analysis $lZ•50
Hepatitis B Surface Antibody(titer) $2Z•00
RPR Screening S 8•�
HN Screening $25•00
Comprehensive Metabolic Pane! $17•00
Lipid Panel 5 28•00
Complete Blood Count with Diffe�ential $12•00
RBC Cholir�sterase 5 32•00
EKG with Cardiologist Interpretation $55.00
Audio Test $55.00
Pulmonary Function Test S 55.00
PPD(Tuberculosis Test) S 20•00
Chest x-ray(PA and laterat)with radiologist interpretation $75.00
Aresnic Fractanation $75.00
He atitis B Vaccine $85.00/each
Urine Dru Screen(collection,testing,MRO) $40•00
Breath Akohol with or without confirmation $45.00
Management of Workers' Compcnsation injuries is also provided from initial injury ti�rough
retum t�work.Fees are based on the State of Florida mandated fee schedule.
5
PUBLIC RECORDS. In accordance with Sec. 119.0701, Florida Statutes,
CONTRACTOR must keep and maintain this Agreement and any otfier
records associated therewith and that are associated with the
performance of the work described in the Proposal or Bid. Upon request
from the Village's custodian of public records,CONTRACTOR must provide
the vllage with copies of requested records, or allow such records to be
inspected or copied, witfiin a reasonable time in accordance with access
and cost requirements of Chapter 119, Florida Statutes. A CONTRACTOR
who fails to provide the public records to the Village,or fails to make them
available for inspection or copying, within a reasonable time may be
subject to attorne�/s fees and costs pursuant ta Sec. 119.0701, Florida
Statutes,and othe�penahies under Sec.119.10,Florida Statutes. Further,
CONTRACTOR shall ensure that any exempt or confidential �ecords
associated with this Agreement or associated with the perfomnance of the
work described in the Proposal or Bid are not disclosed except as
authorized by law for the duration of the A�reement term, and following
completion of the Agreement if the CONTRACTOR does not transfer the
records to the vllage. Finally, upon completion of the Agreement,
CONTRACTOR shall transfer, at no cost to the vllage,all public records in
possession of the CONTRACTOR, or keep and maintain public records
required by the�Ilage. If the CONTRACTOR transfers all public records to
the vllage upon completion of the Agreement, the CONTRACTOR shall
destroy any duplicate public records that are exempt or confiderrtial and
exempt from public records disclosure requirements. If the CONTRACTOR
keeps and maintains public records upon completion of the Agreement,
the CONTRACTOR shatl meet all applicable requirements for retaining
public records. Records that are stored electroniralty must be provided to
the VILIAGE, upon request from the Vllage's custodian of public records,
in a forrnat that is compatible with the Village's information technology ,
systems.
IF CONTRACTOR HAS QUF.,STIONS REGARDING THE
APPUCATION OF CHAP'TER 119, FLORIDA STATUTES, TO
CONTRACTOR'S DUTY TO PROVIDE PUBUC RECORDS
RELATING TO THIS AGREEMENT, PLEASE CONTACT THE
VILLAGE CLERK, RECOitDS CUSTODIAN FOR THE VIWGE, AT
(561) 768-0685, OR AT Imcwilliams@teauesta.ora. OR AT 345
TEQUESTA DRIVE,TEQUESTA,FLORIDA 33469.
0
To: Michael Couzzo
From:Brad Gomberg
Date:06/27/�018
Re:Sat Intemet Cutover
Mr.Couzzo,
The backup satellite internet circuit we utilize for EOC operation was contracted through a company
(E&E Global Enterprises)that recently filed for chapter 7.As such,we have moved to a new provider
(Mobile Satellite Technologies)and the agreement must go on the consent agenda.
Thank you,
Brad Gomberg-IT Director
hbbil Satell ite .��`• , 2021 Scenic Parkway • Chesapeake,VA 23323
T���� � Voice : T57.312.8300 • Fax : 757.282.7702
...�_
Customer Name Phone
Company Name Fax
Service Address E-mail
City, State-ZIP Cell
Modem Serial# MAC ID#
H TS Fixed Plans
HiqhThrouqhputSatellRe AII the below plans require no contract:
Select plan ID Fixed Data price Term Addl GB
Plan Plans
❑ Fixed-12MBPS By 3 MBPS'-Level 1 10 GB/mo $69.99f mo Billed Quarterly $15
a �ixed-12MBPS By 3 MBPS•-Level 2 15 GB/mo $49.99/mo Bi►led Quarterly $15
aFixed-12MBPS By 3 MBPS`-Level 3 25 GB/mo $129.99jrno Billed Quarterly $15
� Fixed-15M8PS ey 4MBPS•+ 30 GB/mo 5159.99/mo Billed Quarterly $10
30GB Extra between 3 AM-8AM
PLEASE SELECT A SERVICE PLAN ABOVE•All plan spNds are up to dr Ilsted apNd and b�st sfforL
NOTE-There is a one-time provisioning charge of S99•00 for all new service activations.
NOTE-To change your plan or beam there is a one time charge of 5�.00.
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Credit Card Number. CaM Type: Gedit Card CV Code:
C ration Dabe: Bifling �ess of Credit .
Signature of Csrd Holder: Date:
caronoid.rs� n rnncH.m.
Sfpnature of Subscriber. '— �y�� Date: � .?S /
up�plp�r 810n Nan . PArK Nam�
Mobl/Satel/ite Techno/o8ies Sa/es Ettginee�
PUBLIC RECORDS. In accordance with Sec. 119.0701, Florida Statutes,
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 Proposal or Bid. Upon request
from the Village's custodian of public records,CONTRACTOR must provide
the Village with copies of requested records, or allow such records to be
inspected or copied, within a reasonable time in accordance with access
and cost requirements of Chapter 119, Florida Statutes. A CONTRACTOR
who fails to provide the public records to the Vitlage,or fails to make them
available for inspection or copying, within a reasonable time may be
subject to attorney's fees and costs pursuant to Sec. 119.0701, F/orida
Statufes,and other penalties under Sec. 119.10,Florida Stafutes. Further,
CONTRACTOR shall ensure that any exempt or confidential records
associated with this Agreement or associated with the performance of the
work described in the Proposal or Bid are not disclosed except as
authorized by law for the duration of the Agreement term, and following
completion of the Agreement if the CONTRACTOR does not transfer the
records to the Village. Finally, upon completion of the Agreement,
CONTRACTOR shall transfer, at no cost to the Village, all public records in
possession of the CONTRACTOR, or keep and maintain public records
required by the Village. If the CONTRACTOR transfers all public records to
the Village upon completion of the Agreement, the CONTRACTOR shall
destroy any duplicate public records that are exempt or confidential and
exempt from public records disclosure requirements. If the CONTRACTOR
keeps and maintains public records upon completion of the Agreement,
the CONTRACTOR shall meet all applicable requirements for retaining
public records. Records that are stored electronically must be provided to
the VILLAGE, upon request from the Village's custodian of public records,
in a format that is compatible with the Village's information technology
systems.
IF CONTRACTOR HAS QUESTIONS REGARDING THE
APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO
CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS
RELATING TO THIS AGREEMENT, PLEASE CONTACT THE
VILLAGE CLERK, RECORDS CUSTODIAN FOR THE VILLAGE, AT
(561) 768-0685, OR AT Imcwilliams@tequesta.or�, OR AT 345
TEQUESTA DRIVE,TEQUESTA, FLORIDA 33469.
Village of TeqLiesta
34� Tcqucsta Dri�-e 5G1-7G8-0700
Tequesta, FL 33469 «-��-�v.tequesta.org
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"1�1:O�-l:ti'1'_1 Pl'131.IC \C'ORI�S llI�:V:V:I�\II�N"1' ��[l�:t\IOR_1Nlll�t\1
�l o: \Iichacl R. Cc>uuu, \'illagc �I:ttla�cr
I�rom: 1�<ni�las �I. Ch:imbcrs, l�ircct��r Public �C`<>rks
�ubjcct: A[um�an 1'aintin�ancl Rc•t��rari��n
I�atc: �unc?S, 21l 1 h
The following Agenda item references a proposal from Munyan Painting and Restoration to
prime and paint the interior walls in the Police Department HallUiays.
Munyan Painting has been in Business since 1951 providing painting services throughout the
State of Florida. They are a Member of The Painting and Decorating Contractors of America.
This request meets the Purchasing Policies Discretionary Procurement Threshold described in
the Village of Tequesta Purchasing Policy and Procedures
Total Proposal for Labor and Materials: $3,860
Funding Source Police Department 001-175-546.303
Doug Chambers
Director
Department of Public Works
\tcr \Ltt��r l�mi Patrrrn, \I:uur.11�l�t lircnnan (:r�uncil \Irmhcr\-incc .\rcn.i
Cuuncil \Irmhcr l.auric I�ranci��n C�xtncil \[cnthcr[�n:ti �uhn>�m
\'ill:i�r \I:in,iticr\Iich:trl IZ. Couzz��, �r.
Munyan Painting & Restoration ��u^
1799 7t" Ave North PAINan�N�
�ECORA71lVG
Lake Worth, FL i i�61 coNSRacTORs
of AlAERICA
id e+
�..�
To: Doug Chambers
Project Name: Tequesta PD Date: June 25, 2018
11 e lurcht'cr,�rc�e 1�> !hc clrun��l.sl r�r«c(clilin�tu/irork.c1�eclJiecJhelr�u�:
Item # Description Labor �Iaterial
� Paintin� Police Department interior hall��a}' ��alls and
CjOOC �1111bS.
TOIa�
TOTf1L Lahor�Q �Ilrrterict!of tl�is Chu�i,ct O�•dcr 53,860.00
.�"UTE: Thi.,� clrurr�c O!'CIt!'I7C'C[)I)IC ti�J(!1'/O�UlT[I!1] COlifO/'/IlflI7CL' ll'!/�I/�1L'C_l"1.1'/Ul�Cl)/7�/'UCI
We Ag�'ee tu make th� chai��.!t(s) spccilied abo��e at this price
Current Contract :�►mount
Re��ised Contract Amount
AcccptecJ by: Prescnted and Si��nc�l b��:
Vlw����ltl P1111t111S:
Bu�ei-'Customer Compan� Name
� yG �
Date Date
(c�2005 Work-Systems&PDCA All Righ[s Reserved For use by PDCA Members Only
ADDENDUM
Public Records: In accordance with Sec. 119.0701, Florida Statut�s� the Contract�
must keep and maintain this Agreemeat and any other reooc�ds associat�ed therewith aad that are
associated with the performance of the work descnbod in the Sc�pe of Serviaes. Upon request,
the Cont�ctor must provide the public with access to such rxords in aocordance with access and
cost c�equirements of Chapter 119,Florida Smtutes. Furtl�,the Contrador shall ensnre that any
exempt or confidential recards associated with this Agreemeot or associated with t�e
perfo�anoe of the work descdbed in the Scope of Services are not disclosed ea�cept as
authorized by law. F'u�ally, the Contractar shall retain the records described in this ParagraPh
throughout the performanoe of the work described in the Scope of Services,and at the oonclusioa
of said wak, tiansfer to the Town.at no cost to the Town, all such records in the possession of
the Cautractor ar�d destroy any duplicates thereof. Re�ords that are stored electronic:ally must be
transferred to the Town in a format that is aompadble with the Town's information technology
systems.
0
To:Michael Couzzo
From: Brad Gomberg
Date:07/25/2018
Re:Mimecast Renewal
Mr.Couzzo,
The Mimecast item on the consent agenda is simply an extension of our contract for Email Archival and
Discovery services.
Thank you,
Brad Gomberg-IT Director
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Accourrt Name'Min�ecast Nort�AmenW.Inc.
Acco�xN Nimber:3300842707
C�arenc.y:USD
Via wke Ransfer
Silkon VaUey BaNc
3003 Tasman Dtive
SaMa Ga2.CA 95054
ABA:t21t40399
SwAtCode SVBKUS63
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a�ease nae
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Term.However,Customer must provide Mimecast wim aavance noUce pnor to atlding atltl�nonal Pertni
Customer's account,and addilanal fees may apqy.
•Diak�g a SUDsaiptlon Term,it rs not possiDle for Customer to p)reGuce the number ot Pemnttetl Users shc
downgrade any of the Services slwwn above;w(i6)remove any ot the Services shown appi,e Such charges
ertec[Ne at the start Of a new SWSclipOo�Tetm,btR pnly A MimeCast receves notice of such charge rai less V
notice priot to Ihe rmewal tlate.fa Ganty.Mimecast wi11 nol r¢duce fees based on changes received fewet tY
� pnor to the renewal date
By sgnag bebw,Customer expressy agrees Ihat ihe prwiswn of Services aescrwea herem K suqect t
contrachial ageertient belween M�mecast arW Custortier unless otherwise fntlicatetl.tttls Quote is vali0 kx tl�
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termna6e said new Services at arry fmie wiUMn ihirty tlays ol Uie elfecUve tlate W fhis Quote.7 any ieCs 1�
adrance.wch kes wili be promptly refurWed.If notice of tmninatlon�s not recervetl wiThn me tMrty-0ay tvn
fhe Subscripfion 7erm Tor lhe new Sernces will contlnue unalfected For the avo�tlance W tloubt.ftie parties�
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PUBLIC RECORDS. In accordance with Sec. 119.0701, Florida Statures,
CONTRACTOR must keep and maintain this Agreement and any othe�
records associated therewith and that are associated with the
performance of the work described in the Proposal or Bid. Upon request
from the Village's custodian of public records,CONTRACTOR must provide
the vllage with copies of requested reco�ds, or allow such records to be
inspected or copied, within a reasonable time in accordance with access
and cost requirements of Chapter 119, Flo�ido Statutes. A CONTRACTOR
who fails to provide the pu6lic records to the Village,or fails to make them
available for inspection or copying, within a reasonable time may be
subject to attome�/s fees and costs pursuant to Sec. 119.0701, Florido
Stotutes,and other penalties under Sec.119.10,Flwida Statutes. Further,
CONTRACTOR shall ensure that a�y exempt or confidential records
associated with this Agreement or associated with the performance of the
work described in the Proposal or Bid are not disdosed except as
authorized by law for the duration of the Agreement term, and following
completion of the Agreement if the CONTRACTOR dces not transfer the
records to the vllage. Finally, upon completbn of the Agreement,
CONTRACTOR shall transfer, at no cost to the�Ilage,all public records in
possession of the CONTRACTOR, or keep and maintain public records
required by the vllage. If the CONTRACTOR Vansfers all public records to
the vllage upon completion of-the Agreement, the CONTRACTOR shall
destroy any dupiicate public records that are exempt or confidential and
exempt from public records disclosure requirements. If the CONTRACTOR
keeps and maintains public records upon completion of the Agreement,
the CONTRACTOR shall meet all applicable requirements for retaining
public records. Records that are stored eledronically must be provided to
the VILLAGE, upon request from the vllage's custodian of public records,
in a format that is compatible with the�Ilage's information technology
systems.
IF CONTRACTOR HAS QUEST10N5 REGARDING THE
APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO
CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS
RELATING TO THIS ACsREEMENT, PLEASE CONTACT THE
VILLAGE CLERK, RECORDS CUSTODIAN FOR THE VILLAGE, AT
(561) 768-0685, OR AT Imcwilliams�teauesta.ors. OR AT 345
TEQUESTA DRIVE,TEQUESTA, FLORIDA 33469.
PUBLIC RECORDS. In accordance with Sec. 119.0701, Florida StatuTes,
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 Proposal or Bid. Upon request
from the Village's custodian of public records,CONTRACTOR must provide
the Village with copies of requested records, or allow such records to be
inspected or copied, within a reasonable time in accordance with access
and cost requirements of Chapter 119, Florida Statutes. A CONTRACTOR
who fails to provide the public records to the Village,or fails to make them
available for inspection or copying, within a reasonable time may be
subject to attorney's fees and costs pursuant to Sec. 119.0701, Florido
Statutes,and other penalties under Sec. 119.10, Florida Statutes. Further,
CONTRACTOR shall ensure that any exempt or confidential records
associated with this Agreement or associated with the performance of the
work described in the Proposal or Bid are not disclosed except as
authorized by law for the duration of the Agreement term, and following
completion of the Agreement if the CONTRACTOR does not transfer the
records to the Village. Finally, upon completion of the Agreement,
CONTRACTOR shall transfer, at no cost to the Village, all public records in
possession of the CONTRACTOR, or keep and maintain public records
required by the Village. If the CONTRACTOR transfers all public records to
the Village upon completion of the Agreement, the CONTRACTOR shall
destroy any duplicate public records that are exempt or confidential and
exempt from public records disclosure requirements. If the CONTRACTOR
keeps and maintains public records upon completion of the Agreement,
the CONTRACTOR shall meet all applicable requirements for retaining
public records. Records that are stored electronically must be provided to
the VILLAGE, upon request from the Village's custodian of public records,
in a format that is compatible with the Village's information technology
systems.
IF CONTRACTOR HAS QUESTIONS REGARDING THE
APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO
CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS
RELATING TO THIS AGREEMENT, PLEASE CONTACT THE
VILLAGE CLERK, RECORDS CUSTODIAN FOR THE VILLAGE, AT
(561) 768-0685, OR AT Imcwilliams@teauesta.or�, OR AT 345
TEQUESTA DRIVE,TEQUESTA, FLORIDA 33469.