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08-10-04 Agenda Spec/WS CITY COMMISSION CITY OF DELRAY BEACH. FLORIDA SPECIAL/WORKSHOP - TUESDAY. AUGUST 10. 2004 6:00 P.M. FIRST FLOOR CONFERENCE ROOM DELRAY BEACH 1993 2001 The City will furnish appropriate auxiliary aids and services where necessary to afford an individual with a disability an equal opportunity to participate in and enjoy the benefits of a service, program, or activity conducted by the City. Contact Doug Randolph at 243-7127, 24 hours prior to the program or activity in order for the City to reasonably accommodate your request. Adaptive listening devices are available for meetings in the Commission Chambers. SPECL4.L MEETING AGENDA Pursuant to Section 3.12 of the Charter of the City of Delray Beach, Mayor Jeff Perlman has instructed me to announce a Special Meeting of the City Commission to be held for the following purposes: CONTRACT AWARD: Contract award to PGAL, Inc. in the amount of $86,160.00 for professional consulting services for prelLminary planning activities for the proposed Old School Square Cultural Arts Center Parking Garage Project. Funding is available from 380-4150-572-63.29 (2004 G.O. Bond/Parks & Recreation/Old School Square). ~004-2005 FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES BLOCK GRANT FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE FUNDING AGREEMENT/SUBCONTRACT WITH COMMUNITY CHILD CARE CENTER: Consider approval of an agreement between the City and the Florida Department of Children and Families and approve a subcontract agreement with the Community Child Care Center in the amount of $162,637.00 for the provision of substance abuse prevention services. CHANGE ORDER NO. 1/CONTRACT ADDITION/THE _IONES COMPANY OF SOUTH FLORIDA: Approve Change Order No. 1 (Contract Addition) in the amount of $29,768.55 to The Jones Company of South Florida for the relocation of a portion of an existing water main which conflicts with the installation of the proposed drainage system at the N.W. 18th Avenue site. Funding is available from 442-5178-536-63.50 (Water/Sewer Renewal & Replacement/Water Mares) and 448-5470-538-65.44 (Stormwater Utility Fund/N.E.-N.W. Area/Lake Ida to Atlantic Avenue). FUNDING REOUEST/ROOTS CULTURAL FESTIVAL. INC.: Consider approval of a request from Ms. Elizabeth Wesley to fund certain expense items for the 27~h Annual Roots Cultural Festival, Inc. for their event to be held August 6-8, 2004. Funding is available from 001-6311-572-83.01 (General Fund/Other Grants/Aid). WORICSHOP AGENDA 1. Old School Square Presentation -Joe Gillie 2. Proposed revisions to the event policies & procedures 3. Discussion regarding Public Information Strategy 4. Provide direction regarding the Bexley Park Proposal 5. Discussion regarding proposed budget for FY 2005 6. Commission Comments Please be advised that if a person decides to appeal any decision made by the City Comrmssion with respect to any matter considered at this meeting, such person will need to ensure that a verbatim record includes the testimony and evidence upon which the appeal is based. The City neither provides nor prepares such record. MEMORANDUM TO: FROM: SUBJECT: DATE: MAYOR AND CITY COMMISSIONERS CITY MANAGER~ AGENDA ITEM # ~{), ~- - SPECIAL MEETING OF AUGUST 10. 2004 CONTRACT AWARD/PGAL. INC./OLD SCHOOL SOUARE PARKING GARAGE AUGUST 6, 2004 This is before the City Commission to approve a contract award to PGAL, Inc. in the amount of $86,160.00 for professional consulting services for preliminary planning activities for the proposed Old School Square Cultural Arts Center Parking Garage Project. Funding is available from 380-4150-572-63.29 (2004 G.O. Bond/Parks & Recreation/Old School Square). Recommend approval of a contract award to PGAL, Inc. in the amount of $86,160.00 for professional consulting services for preliminary planning activities for the proposed Old School Square Cultural Arts Center Parking Garage Project. S:\City Clerk\agenda memo~\Contract Awa~d. PGALOSS Pa~king Garage.08.10.04 City Of Delray Beach Department of Environmental Services M E M 0 R A N D U M TO: FROM: SUBJECT: David T. Harden, City Manager Richard C. Hasko, P.E., Environmental Services Directo~ ~'fl~ OLD SCHOOL SQUARE PARKING GARAGE www. mydelraybeach, com DATE: August 6, 2004 Attached is a contract proposal from PGAL, Inc. for provision of professional consulting services involved with preliminary planning activities for a proposed parking garage at the Old School Square Cultural Arts Center. PGAL, Inc., partnered with Eliopoulos & Associates, was ranked number one by the City's Review Committee which evaluated respondents to the City's Request For Qualifications for the Old School Square Parking Garage. The scope of services for this phase of the project includes the development of up to three alternative plans for a maximum 48 foot high parking structure for approximately 570 cars and incorporation of between 7,000 and 10,000 square feet of retail space on street frontage along N.E. 2nd Avenue and N.E. 1st Street. Activities involved with this effort will include assembly and evaluation of all prior work performed for the Old School Square Board of Directors concerning this phase of development of the overall Cultural Center Master Plan; review and verification of facility capacity requirements; multiple meetings with all stakeholders to identify operational and aesthetic requirements and achieve a consensus regarding project parameters; preparation of alternative site plans for stakeholder review, discussion and refinement to a final site proposal and preparation of a construction budget estimate for that proposal. Time of performance for this scope is four months. The total fee for the basic scope of services is $ 86,160. Supplementary services and associated fees for proceeding with preliminary facility design are listed as Optional Tasks. These services are shown for budget purposes and are not included in the basic scope fee. Performance of any of the Optional Services will require additional Commission Approval. Funding for this contract is available in account #380-4150-572-63.29. Please place this item on the August 10th Special Agenda for consideration by City Commission. Cc' Bob Barcinski, Asst. City Manager 2004-044 Project File AGREEMENT FOR GENERAL CONSULTING SERVICES THIS AGREEMENT, made and entered into this day of , 20 , by and between the CITY of Delray Beach, Florida, hereinafter referred to as "CITY", and PGAL, Inc. hereinafter referred to as "CONSULTANT". WITNESSETH: WHEREAS, the CITY has provided notice of the desired professional services and carried out the proper selection process pursuant to and in accordance with the Consultant's Competitive Negotiation Act; and, WHEREAS, the CITY represents that it is a Florida municipal corporation with the authority to engage the CONSULTANT and accept the obligation for payment for the services desired; and, WHEREAS, the CITY desires to engage the CONSULTANT to perform certain professional services pertinent to such work in accordance with this AGREEMENT and with SERVICE AUTHORIZATIONS to be issued at the time of or subsequent to execution of this AGREEMENT; and WHEREAS, this AGREEMENT does not entitle the CONSULTANT to any fees for any particular project without first receiving a Service Authorization; and WHEREAS, the professional services in AUTHORIZATIONS. CONSULTANT desires to provide such accordance with this AGREEMENT and SERVICE NOW, THEREFORE, in consideration of the premises and the mutual benefits which will accrue to the parties hereto in carrying out the terms of this AGREEMENT, it is mutually understood and agreed as follows: I. DEFINITIONS; GENERAL CONDITIONS ao THE SCOPE OF WORK is to be implemented in phases as set forth by this Agreement and by SERVICE AUTHORIZATIONS, which are attached hereto and made a part hereof, and as also may be added as approved by the City from time to time. A SERVICE AUTHORIZATION is a form to be used to authorize work, projects, and services. The form shall be executed by the CITY'S and CONSULTANT'S representatives. A CITY purchase order number shall be identified on the form. The purchase order authorization is established in the CITY Code of Ordinances with provisions for expenditure levels of approval authorizations. A sample form of the service authorization is attached as Exhibit "A" to this AGREEMENT. The projects, work, and services to be performed by the CONSULTANT, and time for completion of the particular phase of the work by CONSULTANT, shall be authorized by a SERVICE AUTHORIZATION. The SERVICE AUTHORIZATION shall include the scope of work to be performed; the budget cost, complete with an itemization of man-hours, wage rates, reimbursable expenses, and other related costs; schedule for completion and name of project manager. The SERVICE AUTHORIZATION shall be signed by the CITY and the CONSULTANT'S authorized repre- sentative. A CITY purchase order shall be issued with authorization identifying funds and amount of expenditures. The terms of this AGREEMENT supersede the terms stated on the purchase order. PHASES: A phased approach may be utilized. The City and the Consultant shall have the right to negotiate the terms of each phase as contained within each service authorization, and to reject any service authorization, if the parties cannot agree to the terms of the service authorization. In the event the parties cannot agree, the city may select the next ranked proposer or go out for additional proposals in order to complete the subsequent phase(s)~of the project. This phased approach shall not waive the City's right to terminate the Consul- tant's contract during any phase of the project. II. GENERAL DUTIES OF CONSULTANT The relationship of the CONSULTANT to the CITY will be that of a professional CONSULTANT, and the CONSULTANT will provide the professional and technical services required under this AGREEMENT in accordance with acceptable professional practices and ethical standards. No employer/employee relationships shall be deemed to be established and the CONSULTANT, its agents, subcontractors, and employees shall be independent contractors at all times. Professional and Technical Services. It shall be the responsibility of the CONSULTANT to work with the CITY and apprise it of solutions to problems and the approach or technique to be used towards accomplish- ment of the CITY'S objectives as set forth in SERVICE AUTHORIZATIONS, which will be made a part of this AGREEMENT upon execution by both parties. Co The scope of services to be provided shall be covered in detail in SERVICE AUTHORIZATIONS. 2 Ho The City has established a budget for each project awarded to CONSULTANT. The CONSULTANT shall be responsi- ble for providing, at no additional cost to the City, new designs, drawings, specifications, reports and other applicable services if the budget for the entire project is exceeded during and up to completion of the design phase of the project; however, nothing contained herein shall require the CONSULTANT to bear additional costs if the additional costs are a result of a change in the scope of services directed by the City. The CONSULTANT shall be responsible for the professional quality, technical accuracy, timely completion, compliance with regulations and rules, and the coordination with all appropriate agencies of all designs, drawings, specifications, reports and other services furnished by the CONSULTANT under this AGREEMENT. If the CITY determines there are any errors, omissions or other deficiencies in the CONSULTANT'S designs, drawings, specifications, reports and other services, the CONSULTANT shall, without additional compensation, correct or revise said errors or omissions to the satisfaction of the CITY. Approval by the CITY of drawings, designs, specifica- tions, reports and incidental professional services or materials furnished hereunder shall not in any way relieve the CONSULTANT of responsibility for the technical adequacy of its work. The CITY'S review, approval or acceptance of, or payment for, any of the services shall not be construed to operate as a waiver of any rights under this AGREEMENT or of any cause of action arising out of the performance of this AGREEMENT. The CONSULTANT and its subconsultants shall have no responsibility for the discovery, presence, handling or removal or disposal of or exposure of persons to hazardous materials in any form existing prior to construction at the project site, including but not limited to asbestos, asbestos products, polychlorinated biphenyl (PCB) or any other toxic substances. The CONSULTANT designates Ian A. Nestler, as its representative to act as liaison with the CITY. The representative shall manage and coordinate CITY projects and is hereby authorized to act on behalf of the CONSULTANT to negotiate and approve SERVICE AUTHORIZATIONS and act on any other related matter with respect to performance of services for the CITY in accordance with the AGREEMENT. Any change to name another person shall be requested in writing to the CITY, and shall be approved by the City. 3 CONSULTANT shall attend all meetings, as specified or as defined in each SERVICE AUTHORIZATION of the City Commission or any City approval Board, where the project is discussed, unless the City's representative declares such attendance and participation is not necessary. In addition, the CONSULTANT shall attend all additional meetings as may be required to facilitate the project. III. DUTIES OF CONSULTANT: The following Duties of CONSULTANT are separated into phases of the project, which if approved via SERVICE AUTHORIZATIONS shall be performed by the CONSULTANT. The City may require SERVICE AUTHORIZATIONS, which contain additional requirements applicable to the project. The City must authorize through service authorizations, the commencement of each phase of the work. ao Phase I - Study and Report Phase. If the Study and Report Phase following requirements shall apply. is authorized, the 1. The CONSULTANT shall consult with the CITY to clarify and-define the CITY'S requirements for the Project and review available data. 2. The CONSULTANT shall advise the CITY as to the necessity of the CITY'S providing or obtaining from others, data or services. 3. The CONSULTANT shall identify and analyze permit and approval requirements of all governmental authorities having jurisdiction to approve either the design of the Project and participate in consultations with such authorities. 4. The CONSULTANT shall provide analyses of the CITY'S needs, planning surveys, site evaluations and comparative studies of prospective sites and solutions. The CONSULTANT shall provide a general economic analysis of Owner's requirements applicable to various alternatives. The CONSULTANT shall prepare a Report containing schematic layouts, sketches and conceptual design criteria with appropriate exhibits to indicate clearly the considerations involved (including applicable requirements of governmental authorities having jurisdiction as aforesaid) and the alternative solutions available to the CITY and setting forth CONSULTANT'S findings and 4 Bo o recommendations. This Report will be accompanied by CONSULTANT'S pre-design estimate of probable costs for the Project, including, but not limited to the following, which will be separately itemized: Construction Cost, allowance for engineering costs and contingencies allowances for such other items, such as charges of all other professionals and consultants, for the cost of land and rights-of-way, for compensation for or damages to properties, and for permit, review and/or approval fees by other governmental agencies, if required. The CONSULTANT shall also provide a preliminary evaluation of the City's Project Schedule. The City's Project Schedule and probable construction costs shall be evaluated and updated throughout subsequent phases of the work. The CONSULTANT shall furnish the number of copies of the Study and Report documents as provided in the SERVICE AUTHORIZATION and review them with the CITY. o 3. 4. 5. 6. 7. the Phase II - Preliminary Design Phase. If the Preliminary Design Phase is authorized, following requirements will apply: 1. The CONSULTANT, in consultation with the CITY shall determine the general scope, extent and character of the Project. Prepare Preliminary Design documents consisting of final design criteria, preliminary drawings, outline specifications and written descriptions of the Project. Advise the CITY if additional data or services are necessary and assist the CITY in obtaining such data and services. Furnish the specified number of copies of the above Preliminary Design documents as contained within the SERVICE AUTHORIZATION and present and review them with the CITY. The CONSULTANT shall submit to the CITY a preliminary estimate of construction costs based on current area, volume or other unit costs, which shall be updated throughout he design development phase. The CONSULTANT shall prepare a development schedule, which shall include, but shall not be limited to, the review and approval times by all governmental agencies as may be required. The CONSULTANT shall make available all design calculations and associated Data, and participate in meetings in which Value Engineering Analysis of the project takes place, at such times and places as shall be determined by the CITY. Co Phase III. Final Design Phase. If the Final Design Phase is authorized, the following requirements shall apply: 1. The CONSULTANT shall prepare construction documents which shall include but not be limited to drawings and technical specifications, general and supplementary conditions, bid forms, invitations to bid, instructions to bidders, with technical criteria, descriptions and design data necessary for permitting by governmental authorities, and shall include any further adjustments in the scope or quality of the project or in the construction budget authorized by the City. 2. The CONSULTANT shall, in the preparation of construction documents, technical criteria, written descriptions and design data, take into account all currently prevailing codes and regulations governing construction in the City of Delray Beach, Florida, and shall meet the requirements of all other agencies or governmental authorities having jurisdiction over the project. 3. The CONSULTANT shall prepare a detailed opinion of probable cost 'in accordance with paragraph I.C, which shall be reviewed by the CITY prior to going out for bids. 4. The CONSULTANT shall provide the required documents and attend meetings as necessary, for the approval of governmental boards, agencies or authorities having jurisdiction over the project. 5. The CONSULTANT shall use bid documents provided by the CITY including bidding forms, conditions of the contract, and form of AGREEMENT between the CITY and CONTRACTOR. 6. The CONSULTANT shall prepare all documents including design and plan revisions required for the approval of governmental authorities having jurisdiction over the project. Said approvals are required prior to the public notice for the Invitation to Bid and submission of applications, therefore are the responsibility of the CONSULTANT. 7. The CONSULTANT shall provide the CITY the number of copies of contract documents as specified in the.service authorization. mo Phase IV - Bidding/Negotiation Phase. If the bidding phase is authorized, requirements shall apply: 1. The CONSULTANT shall assist the CITY in the following obtaining the bids or negotiated proposals, assist in awarding and preparing contracts for construction, attend pre-bid conferences, prepare addenda, provide written recommendation of award, assist in the compilation/preparation of contract documents, and after the award assist the CITY in securing the required bonds and certificates of insurance, and in the review of the contract documents for completeness. 2. The CONSULTANT shall attend the bid opening, prepare bid tabulation sheets and assist the CITY in evaluating Bids or proposals and in assembling and awarding contracts for construction, materials, equipment and services. 3. The CONSULTANT shall issue addenda as appropriate to interpret, clarify or expand the Bidding Documents. 4. The CONSULTANT shall consult with and advise the CITY as to the acceptability of subcontractors, suppliers and other persons and organizations proposed by the prime contractor(s) (herein called CONTRACTOR(S) for those portions of the work as to which such acceptability is required by the Bidding Documents. 5. Consult with the CITY concerning and determine the acceptability of substitute materials and equipment prior to the award of contracts is allowed by the Bidding Documents. Phase V - Construction Phase. If Contract Administration is requirements shall apply: authorized, the following 1. The CONSULTANT shall provide administration of the contract for construction as set forth herein and as contained within the general conditions of the contract for construction. 2. The CONSULTANT shall be a representative of and shall advise and consult with the CITY during construction and until final payment to the contractor is due. The CONSULTANT shall have authority to act on behalf of the CITY only to the extent provided in this AGREEMENT and as provided in the contract for construction unless otherwise modified by written instrument. 3. The CONSULTANT shall visit the site at regular intervals appropriate to the stage of construction or as otherwise agreed to by the CITY and the CONSULTANT, in writing, to become generally familiar with the progress and quality of the work completed and shall determine in general if the work is being performed in a manner indicating that 7 the work when completed will be in accordance with the contract documents. The CONSULTANT shall be required to make on-site observations to review the work. The CONSULTANT shall keep the CITY informed of the progress and quality of the work and shall provide certification to the CITY of satisfactory completion of all phases of the work in compliance with the plans, specifications thereto. 4. The CONSULTANT shall not have control over or charge of and shall not be responsible for construction means, methods, techniques, sequences or procedures of construction or for safety precautions and programs in connection with the work, since these are solely the CONTRACTOR'S responsibility under the contract for construction. The CONSULTANT shall make every reasonable effort to ensure that the CONTRACTOR completes the work in accordance with the current approved schedule and carries out the work in accordance with the Contract documents. 5. The CONSULTANT based on observations and evaluations of CONTRACTOR'S applications for payment shall review and certify the amounts due the CONTRACTOR. 6. The CONSULTANT'S certification for payment shall constitute a representation to the CITY, based on the CONSULTANT'S observations at the site as provided herein and on the data comprising the CONTRACTOR'S application for payment, that the work has progressed to the point indicated and that, to the best of the CONSULTANT'S knowledge, information, and belief, the quality and quantity of the work is the accordance with the contract documents. The foregoing representations are subject to an evaluation of the work for conformance with the contract documents upon substantial completion, to results of subsequent tests and inspections, to minor deviations from the contract documents, correctable prior to completion and to specific qualifications expressed by the CONSULTANT. The issuance of the certificate of payment shall further constitute a representation that the CONSULTANT has made observations to review the quality or quantity of the work. 7. The CONSULTANT shall recommend disapproval or rejection of CONTRACTOR'S work to the CITY, which does not conform to the contract documents. The CONSULTANT will have authority to require additional inspection or testing of the work in accordance with the provisions of the contract documents, whether or not work is fabricated, installed or completed. 8. The CONSULTANT shall review and approve or take other appropriate action upon CONTRACTOR'S submittals, such as shop drawings, product data, and samples for the purpose of checking for conformance with information given and the design concept expressed in the contract documents. The CONSULTANT shall evaluate and determine the acceptability of substitute materials and equipment proposed by CONTRACTORS. 9. The CONSULTANT shall prepare change orders and construction change directives with supporting documentation and data if deemed necessary bye the CONSULTANT, for the CITY'S approval and execution in accordance with the contract documents, and may authorized minor changes in the work not involving an adjustment in the contract time, which is consistent with the intent of the contract documents. 10.The CONSULTANT shall conduct inspections to determine the date or dates of substantial completion and the date of final completion, shall receive and forward to the CITY for the CITY'S review and records, written warranties and related documents required by the contract documents and assembled by the CONTRACTOR and shall issue a final certificate for payment upon compliance with the requirements of the contract documents. 11. The CONSULTANT shall interpret matters concerning performance of the CITY and CONTRACTOR under the requirements of the contract documents on written request of either the CITY or CONTRACTOR. The CONSULTANT'S response to such requests shall be made with reasonable promptness and within any time limits agreed upon. 12. Interpretations of the CONSULTANT shall be consistent with the intent of and reasonably inferable from the contract documents and shall be in writing or in the form of drawings. When making such interpretations, the CONSULTANT shall endeavor to secure faithful performance by both the CITY and the CONTRACTOR. 13.The CITY shall be the final arbiter on matters relating to aesthetics. 14.The CONSULTANT shall render written interpretations within a reasonable time on all internal disputes between the CITY and CONTRACTOR relating to the execution of the progress of the work as provided in the contract documents. 15.The CONSULTANT"S interpretations on internal disputes are not binding on the CITY and CONTRACTOR relating to the execution of the progress of the work as provided in the contract documents. 16. The CONSULTANT shall provide the number of sets of the construction documents to the CONTRACTOR as specified in the SERVICE AUTHORIZATION. 9 17. Upon completion of construction the CONSULTANT shall provide to the CITY, three sets of record drawings, signed and sealed, plus one set of mylars incorporating as built conditions and other data furnished by contractor(s) to CONSULTANT. 18. In company with the City, the CONSULTANT shall visit the Project to observe any apparent defects In the completed construction, assist the CITY in consultations and discussions with CONTRACTOR(S) concerning correction of such deficiencies, and make recommendations as to replacement or correction of defection work. F. Phase VI - Resident Project Representative Services Phase If the Resident Project Representative Services Phase is authorized the following requirements shall apply: A. A Resident Project Representative will be assigned to assist CONSULTANT in carrying out his responsibilities to CITY at the site. Resident Project Representative is CONSULTANT'S agent at site, will act as directed by and under the supervision of CONSULTANT, and will confer with CONSULTANT regarding Resident Representative's actions. Resident Representative's dealing in matters pertaining to the on-site work shall in general be with CONSULTANT and CONTRACTOR keeping the CITY advised as necessary. Resident Project Representative's dealings with subcontractors shall only be through or with the full knowledge and approval of CONTRACTOR. Resident Project Representative shall generally communicate with the CITY with the knowledge of and under the direction of CONSULTANT. B. Resident Project Representative shall where applicable: 1. Review the progress schedule, schedule of Shop Drawing submittals and schedule of values prepared by CONTRACTOR and consult with CONSULTANT concerning its general acceptability. 2. Attend meetings with CONTRACTOR, such as preconstruction conferences, progress meetings, job conferences and other o project-related meetings, and of minutes thereof. Working principally through assist CONSULTANT in serving CONTRACTOR, when CONTRACTOR'S on-site operations. prepare and circulate copies CONTRACTOR'S superintendent, as the City's liaison with operations affect the CITY'S 4. Assist in obtaining from the CITY additional details or information, when required for proper execution of the Work. 5. Record date of receipt of Shop Drawings and samples. 6. Receive samples, which are furnished at the site by CONTRACTOR, and notify the CONSULTANT of availability of samples for examination. 10 7. Advise the CONSULTANT and any Work requiring a Shop been approved by the CONSULTANT. 8. Conduct on-site observations of the assist the CONSULTANT in determining general, proceeding in accordance Documents. CONTRACTOR of the commencement of Drawing, if the submittal has not Work in progress to if the Work is, in with the Contract 9. Report to the CONSULTANT whenever Residential Project Representative believes that any Work is unsatisfactory, faulty or defective or does not conform to the Contract Documents; or has been damaged, or does not meet the requirements of any inspection, test or approval required to be made. Advise the CONSULTANT of Work that Resident Project Representative believes should be uncovered for observation, or requires special testing, inspection or approval. Nothing herein shall relieve the CONTRACTOR or the CONSULTANT from the duties imposed by the contract. 10. Verify that tests, equipment and systems startups, and operating and maintenance training are conducted in the presence of appropriate personnel, and that CONTRACTOR maintains adequate records thereof; and observe, record and report to the CONSULTANT appropriate details relative to the test procedures and startups. 11. Accompany visiting inspectors representing public or other agencies having jurisdiction over the Project, record the results of these inspections and report to the CONSULTANT. 12. Report to CONSULTANT when clarifications and interpretations of the Contract Documents are needed and transmit to CONTRACTOR clarifications and interpretations as issued by the CONSULTANT. 13. Consider and evaluate CONTRACTOR'S suggestions for modifications in Drawings or Specifications and report with Resident Project Representative's recommendations to the CONSULTANT. Transmit to CONTRACTOR decisions as issued by the CONSULTANT. 14. Maintain at the reports of job reproductions of Work Directive job site orderly files for correspondence, conferences, Shop Drawings and samples, original Contract Documents, including all Changes, Addenda, Change Orders, Field Orders, additional Drawings issued subsequent to the execution of the Contract, CONSULTANT'S clarifications and interpretations of the Contract Documents, progress reports, and other Project related documents 15. Keep a diary or log book, recording CONTRACTOR hours on the job site, weather conditions, data relative to questions of Work Directive Changes, Change Orders or changed conditions, list of job site visitors, daily activities, decisions, observations in general, and specific 11 observations in more detail as in the case of observing test procedures; and send copies to the CONSULTANT. 16. Record all names, addresses and telephone numbers of the CONTRACTOR, all subcontractors and major suppliers of material and equipment. 17. Furnish the CONSULTANT periodic reports as required of progress of the Work of the CONTRACTOR'S compliance with the progress schedule and schedule of Shop Drawing and sample submittals. 18. Consult with the CONSULTANT in advance of schedule major tests, inspections or start of important phases of the Work. 19. Draft proposed Change Orders and Work Directive Changes, obtaining backup materials from CONTRACTOR and recommend to the CONSULTANT, Change Orders, Work Directive Changes, and Field Orders. 20. Report immediately to the CONSULTANT and the CITY upon the occurrence of any accident. 21. Review applications for payment with CONTRACTOR for compliance with the established procedure for their submission and forward with recommendations to the CONSULTANT noting particularly the relationship of the payment requested to the schedule of values, Work completed and materials and ~uipment delivered at the site, but not incorporated in the Work. 22. During the course of the work, verify that certificates, maintenance and operation manuals and other data required to be assembled and furnished by CONTRACTOR are applicable to the items actually installed and in accordance with the Contract Documents, and have this material delivered to the CONSULTANT for review and forwarding to CITY prior to final payment for the Work. 23. Before the CONSULTANT issues a Certificate of Substantial Completion, submit to CONTRACTOR a list of observed items requiring completion or correction. 24. Conduct final inspection in the company of the CONSULTANT, the CITY and the CONTRACTOR and prepare a final list of items to be completed or corrected. 25. Observe that all items on final list have been completed or corrected and make recommendations to the CONSULTANT concerning acceptance. C. The Resident Project Representative shall not: 1. Authorize any deviation from the Contract Documents or substitution of materials or equipment. 2. Exceed limitations of the CONSULTANT'S authority as set forth in the Contract Documents. 12 3. Undertake any of the responsibilities of CONTRACTOR, subcontractors, or CONTRACTOR'S superintendent. 4. Advise on, issue directions regarding or assume control over any aspect of the means, methods, techniques, sequences or procedures of construction unless such advice or directions are specifically required by the Contract Documents. 5. Advise on, issue directions regarding or assume control over safety precautions and programs in connection with the Work. 6. Accept Shop Drawing or sample submittals, from anyone other than CONTRACTOR. 7. Authorize the CITY to occupy the Project in whole or in part. 8. Participate in specialized field or laboratory tests or inspections conducted by others except as specifically authorized by the CONSULTANT. IV. DATA AND SERVICES TO BE PROVIDED BY THE CITY The CITY shall provide the following: Furnish or cause to be furnished such reports, studies, instruments, documents, and other information as the CONSULTANT and CITY mutually deem necessary and which are under control of the CITY. Other data and services to be agreed upon in subsequent SERVICE AUTHORIZATIONS. Pay for all legal advertisements incidental to obtaining bids or proposals from contractors. The CITY Manager or his designee shall act as the CITY'S representative with respect to the work to be performed under this AGREEMENT. The CITY Manager or his designee shall have the authority to the extent authorized by the CITY Charter and Code of Ordinances to exercise the rights and responsi- bilities of the CITY provided in this contract. Said authority may include but is not limited to: transmit instructions, stop work, receive information, interpret CITY'S policies and decisions with respect'to materials, equipment, elements, and systems pertinent to the services covered by this AGREEMENT. E. Pay all permit application filing fees. 13 F. Provide access to CITY facilities. TIME OF PERFORMANCE The CONSULTANT will begin work promptly after issuance of a Notice to Proceed. Bo The CONSULTANT'S services called for under the AGREEMENT shall be completed in accordance with the schedule contained in each SERVICE AUTHORIZATION. If the CONSULTANT'S services are unreasonably delayed by the CITY in excess of 180 days, the time of performance and compensation shall be renegotiated, provided; however, the CONSULTANT as a condition precedent to renegotiations shall notify the City within fifteen (15) calendar days at the end of the delay of CONSULTANT'S proposed additional costs incurred by reason of said delay. VI. AGREEMENT PERIOD VII. The period of service is from the date of execution of this AGREEMENT until such time as all outstanding SERVICE AUTHORIZATIONS, if any, that have been issued are completed. Each Service Authorization shall delineate a time for completion of the service to be rendered. COMPENSATION The CITY will compensate the CONSULTANT for the services performed on each SERVICE AUTHORIZATION in accordance with a negotiated lump sum, or a not to exceed budgeted amount based on time charges which are based upon hourly rates, plus reimbursable expenses if compensation is based on Method II and other related costs as are specified in the SERVICE AUTHORIZATION. 1. METHOD 1 - LUMP SUM Lump Sum Araount. Wherever possible, the scope of services for Services, Projects or Programs shall be thoroughly defined and outlined prior to its author- ization. The CITY and CONSULTANT shall mutually agree to a lump sum amount for services to be rendered and a detailed scope of services. Should the CITY deem that a change in the scope of services is appropriate, then a decrease or increase in compensation shall be authorized in writing. In lump sum contracts, the CONSULTANT shall submit the estimated man-hours, wage rates and other actual unit costs supporting the compensation. The CONSULTANT shall submit a truth in negotiation certificate stating that all data supporting the 14 compensation is accurate, complete and current at the time of contracting. METHOD II - ~IMES CHARGES/ NOT TO EXCEED BUDGETED AMOUNT Computation of Time Charges/Not to Exceed Amount. When a service is to be compensated for on a time charge/not to exceed basis, the CONSULTANT will submit a not to exceed budget cost to the CITY for prior approval based on actual time charges which shall not exceed established hourly rates as shown in Exhibit B attached hereto, plus reimbursable expenses and other related costs. The CITY shall not be obligated to reimburse the CONSULTANT for costs incurred in excess of the not to exceed cost amount. so The CITY agrees to pay the CONSULTANT compensa- tion for services rendered based upon the established raw hourly salary rates as shown in Exhibit B for services rendered on CITY projects multiplied by an overhead factor not to exceed 3.0, which includes profit not to exceed ten percent (10%) and may be subject to audit. The schedule of hourly rates as set forth in Exhibit B is attached hereto and made a part hereof. The rates listed in Exhibit 'B' may be adjusted upon written AGREEMENT of both parties, however the adjustment may not exceed more than five percent (5%) within any twelve (12) month period. A newly revised Exhibit 'B' must be submitted for approval. In addition, the CITY shall pay for reim- bursable expenses invoiced at the actual cost of expenditures incurred by the CONSULTANT if provided in the SERVICE AUTHORIZATION as follows: (1) Actual expense of transportation and lodging in accordance with CITY policy in effect at the time of travel when traveling in connection with each SERVICE AUTHORIZATION, express courier charges, and permit fees paid for securing approval of authorities having jurisdiction over the project. (2) Actual expense of reproductions, of Drawings and Specifications including duplicate sets of the completion of 15 Bo Do VIII. each SERVICE AUTHORIZATION for the CITY'S review and approval. (3) Actual expenses of testing, laboratory services, and field equipment. (4) Actual expense of overtime work requiring higher than regular rates, when authorized by the CITY. (5) Actual expense of Auto Travel at the established CITY rate per mile for travel outside Palm Beach County. Subcontractual service shall be invoiced at the actual fees paid by the CONSULTANT, plus an additional ten percent (10%) of the cost of these services to compensate CONSULTANT, for the procuring and management of the sub- consultant, and for the other financial and administrative costs. Subcontractual services shall be approved by the CITY in writing prior to performance of the subcontractual work. Total Compensation (including, but not limited to compensation fo~--$ub-consultants) for all services and expenses shali not exceed the budget cost listed upon each SERVICE AUTHORIZATION, without written approval. If the CITY determines that any price for services, however calculated provided by the CONSULTANT, including profit, negotiated in connection with this AGREEMENT or any cost reimbursable under this AGREEMENT was increased by any significant sums because the CONSULTANT or any subcontractor furnished incomplete or inaccurate costs or pricing data, then such price or cost or profit shall be reduced accordingly and the SERVICE AUTHORIZATION shall be reduced accordingly and the SERVICE AUTHORIZATION shall be modified in writing to reflect such reduction. PAYMENT The CITY agrees that it will use its best effort to pay the CONSULTANT within thirty (30) calendar days from presentation of the CONSULTANT'S itemized report and invoice and approval of the CITY'S representative, unless additional time for processing is required for payments for basic services, subcontractual services, and reimbursable expenses as defined in Section VII. The CONSULTANT shall submit monthly invoices, as required in the SERVICE AUTHORIZATION, which shall include a report of work completed during the respective invoice period. Invoices shall be in a format consistent with those shown in Exhibit C. The report shall be adequate in detail to 16 describe work progress (% complete for each task) and written summaries of work completed. No payment request shall exceed the value of work and services performed by the CONSULTANT under the SERVICE AUTHORIZATION. IX. MISCELLANEOUS PROVISIONS A. Ownership Documents: Ail reproducible mylar drawings and CADD disks in a format compatible with CITY'S Computer system shall be given to the CITY. Details, design calculations, and all other documents and plans that result from the CONSULTANT'S SERVICES under this AGREEMENT shall become and remain the property of the CITY, including copyright rights, whether the project is completed or not, and will be delivered to the CITY upon demand. CONSULTANT reserves the right to retain a copy of all such documents for record purposes. Where such documents are required to be filed with governmental agencies, the CONSULTANT will furnish copies to the CITY upon request. The con- tract work is represented by hard copy documentation; software, is provided to the CITY for convenience only. B. Copies of Documents: The CONSULTANT shall ~repare sufficient copies of all documents necessary to ~btain approval through the City's processes, as well as iother governmental authorities.. The CITY acknowledges~ that the materials cited in Paragraph IX A. and other data provided in connection with this Agreement which are provided by the CONSULTANT are not intended for use in connection with any project other than the project for which such materials are prepared. Any use by the CITY of such materials in connection with a project other than that for which such materials were preparediwithout prior written consent and adaptation by the CONSULTANT shall be at the CITY'S sole risk, and the CONSULTANT shall have no responsibility or liability therefore. Insurance: any! of the other obligations Without limiting or liabilities of the CONSULTANT, the CONSULTANT shall, at his own expense, provide and maintain in force, until all of its services to be performed under this AGREEMENT have been completed and accepted by the CITY (or for such duration as it otherwise specified hereinafter), the following insurance coverages: Worker's Compensation Insurance to apply to all of the CONSULTANT'S employees in compliance with the "Worker's Compensation Law" of the State of Florida and all applicable Federal Laws. ao Employer's Liability with limits of $100,000 per person, $500,000 per occurrence and $100,000 per each disease. Comprehensive General Liability with minimum limits of one million dollars ($1,000,000.00) per occurrence combined single limit for Bodily Injury Liability and Property Damage Liability. Coverage must be afforded on a form no more restrictive than the latest edition of the Comprehensive General Liability policy, without restrictive endorsements other than ISO Endorsement GL 21 06 (Engineers, Architects, or Surveyors Professional Liability exclusion), as Filed by the Insurance Services Office and must include: so Premises and/or Operations Independent Contractors Co Products and Completed Operations - CONSULTANTS shall maintain in force until at least three years after completion of all services required under this AGREEMENT, coverage for Products and Completed Operations, including Broad Form Property Damage. Broad Form Property Damage Contractual Coverage applicable to this specific AGREEMENT. Personal Injury Coverage with minimum limits of coverage equal to those required for Bodily Injury Liability. Business Automobile Liability with minimum limits of three hundred thousand dollars ($300,000.00) per occurrence combined single limit for Bodily Injury Liability and Property Damage Liability. Coverage must be afforded on a form no more restrictive than the latest edition of the Business Automobile Liability policy, without restrictive endorsements, as filed by the Insurance Services Office and must include: a. Owned Vehicles b. Hired and Non-Owned Vehicles c. Employers' Non-Ownership 18 o Professional Liability Insurance with minimum limits per occurrence applicable to CITY projects as follows: Construction Cost Ranqe Limit a. 0 - 99,000 250,000 b. 100,000 - 299,000 500,000 c. 300,000 - 499,000 750,000 d. 500,000 - Above 1,000,000 Coverage shall be afforded on a form acceptable to the CITY. CONSULTANT shall maintain such professional liability insurance until at least one year after a Certificate of Occupancy is issued. CONSULTANT shall insure that sub-consultants used for any portion of the project, maintain adequate levels of Professional Liability Insurance. Prior to commencement of services, the CONSULTANT shall provide to the CITY Certificates of Insurance evidencing the insurance coverage specified in the foregoing Paragraphs C1, C2, C3, C4. All policies covered within subparagraphs C1, C2, C3, C4, shall be endorsed to provide the CITY with thirty (30) days notice of cancellation and/or restriction. The CITY shall be named as an additional insured as to CONSULTANT'S liability on policies referenced in subparagraphs C2. The required Certificates of Insurance shall not only name the types of policies provided, but also shall refer specifically to this AGREEMENT and section and to the above paragraphs in accordance with which insurance is being furnished, and shall state that such insurance is as required by such paragraphs of this AGREEMENT. The CONSULTANT shall also make available to the CITY a certified copy of the professional liability insur- ance policy required by paragraph 4 above for the City's review. Upon request, the CONSULTANT shall provide copies of all other insurance policies. If the initial insurance policies required by this AGREEMENT expire prior to the completion of the services, renewal Certificates of Insurance of policies shall be furnished thirty (30) days prior to the date of their expiration. For Notice of Cancellation and/or Restriction; the policies must be endorsed to provide the CITY with thirty (30) days notice of cancellation and/or restriction. The CONSULTANT'S insurance, including that applicable to the CITY as an Additional Insured, shall apply on a primary basis. 19 Do Litigation Services: It is understood and agreed that CONSULTANT'S services include reasonable participation in litigation or dispute resolution arising from this AGREEMENT. CONSULTANTS participation shall include up to 30 hours of services related to litigation or dispute resolution. Any such services in excess of 30 hours shall be an extra service. Authority to Contract: The CITY represents that it is a Florida Municipal Corporation with the authority to engage the CONSULTANT for professional services described in the SERVICE AUTHORIZATIONS and to accept the obligation for payment for the services described in the SERVICE AUTHORIZATIONS. Assignment: The CITY and the CONSULTANT each binds itself and its successors, legal representatives, and assigns to the other party to this AGREEMENT and to the partners, successors, legal representatives, and assigns of such other party, in respect to all covenants of this AGREEMENT subject to budget considerations and requirements of law; and, neither the CITY nor the CONSULTANT will assign or transfer their interest in this AGREEMENT without the written consent of the other. Confidential Information: During all times that the CONSULTANT is employed on behalf of the CITY and at all times subsequent to the date of this contract, all discussions between the CITY and the CONSULTANT and all information developed or work products produced by the CONSULTANT during its employment and all matters relevant to the business of the CITY not otherwise being a matter of public record shall be deemed to be confidential. All such information and work product shall be protected by the CONSULTANT and shall not be revealed to other persons without the express written permission of the CITY, unless mandated by order of the court. Non-Exclusive Contract: The CITY reserves the right to award projects to other firms pursuant to the Florida Statutes Consultant's Competitive Negotiations Act during the period of service of the CONSULTANT. The CONSULTANT agrees to cooperate with the CITY and other firms in accomplishing work that 20 Jo may require joint efforts to accomplish This cooperation, when requested by include but not be limited to: the CITY'S goals. the CITY, will 1. Sharing technical information developed under con- tract with the CITY. 2. Joint meetings for project coordination. 3. Establish lines of communication. Subconsultants: In the event the CONSULTANT, during the course of the work under this AGREEMENT requires the services of any subcontractors or other professional associates in connection with services covered by this AGREEMENT, CONSULTANT must secure the prior written approval of the CITY. Notices: Whenever either party desires to give notice unto the other, it must be given by written notice, sent by registered United States mail, with return receipt requested, addressed to the party for whom it is intended at the place last written, as the place for giving of notice in compliance with the provisions of this paragraph. For the present, the parties designate the following as the respective places of giving of notice to wit: CITY of Delray Beach CITY MANAGER City of Delray Beach, Florida 100 NW 1st Avenue Delray Beach, Florida 33444 CONSULTANT Ian A. Nestler, Principal ?GAL 791 Park of Commerce Boulevard, Suite #400 Boca Raton, FL 33487 21 K. Attachments: Lo No Oo Request for Qualifications is hereby incorporated within and made an integral part of this AGREEMENT. Truth-In-Neqotiation Certificate: Signature of this AGREEMENT by CONSULTANT shall act as the execution of a truth in negotiation certificate stating that wage rates and other factual unit costs supporting the compensation of this AGREEMENT are accurate, complete, and current. The original contract price and any additions thereto shall be adjusted to exclude any significant sums by which the CITY determines the contract price was increased due to inaccurate, incomplete, or non-current wage rates and other factual unit costs. Records: Records of all expenses relative to each SERVICE AUTHOR- IZATION shall be kept on a generally recognized accounting basis and shall be available to the CITY or its authorized representative at mutually convenient times. Personnel: The CONSULTANT represents that it has or will secure, at its own expense, qualified personnel required in perform- ing the services under this AGREEMENT. All work shall be performed under the direction of a professional, registered under the State of Florida in the field for which he is responsible for performing such services. The project manager shall be approved by the CITY under each SERVICE AUTHORIZATION. Key project personnel will be identified for each project and expected to perform the work assignment as can reasonably be expected. Equal Opportunity Employment: CONSULTANT agrees that it will not discriminate against any employee or applicant for employment for work under this Agreement because of race, color, religion, sex, age or national origin. Such action shall include, but not be limited to the following: employment, upgrading, demotion or transfer; recruitment advertising; lay-off or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The CONSULTANT agrees to post in conspicuous places, available to employees and applicants for employment, notices setting forth this non-discrimination clause. This provision applies to all CONSULTANT'S subcontractors 22 Po Qo and it is the responsibility of CONSULTANT to ensure subcontractor's compliance. Prohibition Against Contingent Fees: The CONSULTANT warrants that he has not employed or retained any company or person, other than a bona fide employee working solely for the CONSULTANT, to solicit or secure this AGREEMENT, and that he has not paid or agreed to pay any persons, company, corporation, individual or firm, other than a bona fide employee working solely for the CONSULTANT any fee, commission, percentage, gift, or any other consideration, contingent upon or resulting from the award or making of this AGREEMENT. Termination: This AGREEMENT may be terminated by either party by seven (7) calendar days prior written notice, in the event of substantial failure to perform in accordance with the terms hereof by the other party through no fault of the terminating party. The CITY shall have the right to terminate this AGREEMENT for convenience at any time by thirty (30) calendar days written notice to the consultant. In the event the project described in any SERVICE AUTHORIZATION, or the services of the CONSULTANT called for under any SERVICE AUTHORIZATION, is or are suspended, canceled, or abandoned by the CITY, the CONSULTANT shall be given five days prior written notice of such action and shall be compensated for the professional services provided and reimbursable expenses incurred up to the date of suspension, cancellation or abandonment. The CONSULTANT agrees to provide all documents to the CITY (specifically those referenced in paragraph IX.A. Further, prior to the CONSULTANT'S destruction of any of the above referenced documents, the CITY shall be notified and allowed a reasonable period to gain access to and make copies of any such documents. Upon any termination of this AGREEMENT, the CONSULTANT agrees that it shall use its best efforts to work harmoniously with any successor who enters an AGREEMENT to provide services for the CITY in order to provide for a smooth transition period. Indemnification: In consideration of ten dollars ($10.00) and other valuable consideration, the CONSULTANT will at all times indemnify, save and hold harmless and defend the CITY, its officers, agents (the term agents shall not include the contractor(s), any subcontractors, any materialmen or others who have been retained by the City or Contractor, or materialmen to supply goods or services to the project) and employees, from and against all liability, any claim, demand, damage, loss, expense or cause of 23 To action and costs (including attorney's fees at trial or appellate levels) arising out of error, omission, or negligent act of CONSULTANT, its agents, servants or employees in the performance of services under this agreement. The CONSULTANT further agrees to indemnify, hold harmless and defend the City, its officers, agents and employees from and against any claim, demand or cause of action arising out of any negligence or misconduct of CONSULTANT for which the City, its agents, servants or employees are alleged to be liable. The indemnification's contained herein shall survive the expiration or earlier termination of this Agreement. Nothing in this AGREEMENT shall be deemed to affect the rights, privileges and immunities of the CITY as set forth in Florida Statutes 768.28. Interest of the Consultant: The CONSULTANT covenants that it presently has no interest and shall not acquire any interest, direct or indirect, in any Project to which this AGREEMENT pertains or any other interest which would conflict in any manner or degree with the performance of its services hereunder. The CONSULTANT further covenants that in the performance of this AGREEMENT, no person having such interest shall be employed. Compliance with Laws: The CONSULTANT shall comply with the applicable requirements of State and applicable County laws and all Codes and Ordinances of the CITY OF DELRAY BEACH as amended from time to time, and that exist at the time of building permit issuance. For SERVICE AUTHORIZATIONS involving work under Federal or State Grantors or Approving Agencies, the CITY and the CONSULTANT shall review and approve the applicable required provisions or any other supple- mental provisions as may be included in each SERVICE AUTHORIZATIONS. Jurisdiction; Venue: The CONSULTANT hereby covenants, consents and yields to the jurisdiction of the State Civil Courts of Palm Beach County, Florida. Any dispute between CONSULTANT and the CITY shall be governed by the laws of Florida with venue in Palm Beach County. 24 V. Internal Dispute Between Owner and Consultant: The City Manager shall be the final decision maker regarding internal disputes between CiTY and CONSULTANT. Extent of Agreement: This AGREEMENT represents the entire integrated AGREEMENT between the CITY and the CONSULTANT and supersedes all prior negotiations, representations or AGREEMENTS, written or oral. This AGREEMENT does not entitle the CONSULTANT to receive any fee unless first being issued a Service Authorization. This AGREEMENT does not provide that a CONSULTANT is entitled to receive any Service Authorization. This AGREEMENT may not be amended, changed, modified, or otherwise altered in any way, at any time after the execution hereof, except by approval of the CITY Commission. This AGREEMENT applies only to those projects that are on the CITY'S Capital Improvement Plan (CIP), attached hereto as Exhibit ~D". The CITY is not required to issue any Service Authorizations to CONSULTANT for any projects listed on the CIP. 25 IN WITNESS WHEREOF, the CITY has caused these presents to be executed in its name by its Mayor, and attested and its official Seal to be hereunto affixed by its CITY Clerk, and the CONSULTANT has hereunto set its hand and Seal the day and year first written above. CITY OF DELRAY BEACH, FLORIDA By: MAYOR ATTEST: City Clerk Approved as to Form: CITY Attorney Witness Name Printed CONSULTANT By: Title: PGAL, Inc. Ian A. Nestler Principal (Seal) Witness Name Printed 26 ACKNOWLEDGEMENT IF CORPORATION State of Florida County of Palm Beach BEFORE ME, the foregoing instrument, this day of 200_, was acknowledged by , on behalf of the Corporation and freely and voluntarily for the said person executed the same purpose therein expressed. WITNESS my hand and aforesaid this day of seal in the County and State , 200_. (SEAL) Notary Public My Co~unission Expires: ACKNOWLEDGEMENT IF AN INDIVIDUAL State of Florida County of Palm Beach I HEREBY CERTIFY that on this date before me, an officer duly authorized in the state and county named above to take acknowledgments, personally appeared , known to me to be the person in and who executed the foregoing instrument, and acknowledged before me that he/she executed the same. SWORN TO AND SUBSCRIBED before me this day of , 200_. Notary Public My Commission Expires: 27 ACKNOWLEDGEMENT IF A PARTNERSHIP State of Florida County of Palm Beach I duly authorized acknowledgments, executed the HEREBY CERTIFY that on this date before me, an officer in the state and county named above to take personally appeared , known to me to be the person in and who foregoing instrument as a partner of , a partnership. He/She acknowledged before that he/she executed the same as the act and deed of said partnership for the uses and purposes therein mentioned. SWORN TO AND SUBSCRIBED before me this , 200_. day of Notary Public My Commission Expires: 28 ACKNOWLEDGEMENT IF A PARTNERSHIP State of Florida County of Palm Beach I duly authorized acknowledgments, executed the HEREBY CERTIFY that on this date before me, an officer in the state and county named above to take personally appeared , known to me to be the person in and who foregoing instrument as a partner of , a partnership. He/She acknowledged before that he/she executed the same as the act and deed of said partnership for the uses and purposes therein mentioned. SWORN TO AND SUBSCRIBED before me this , 200_. day of Notary Public My Commission Expires: 28 EXHIBIT "A" Service Authorization No. 1 to the Agreement to Furnish Professional Services Dated Between the City of Delray Beach, Florida and PGAL, Inc. City P.O. Number: City Project Number: 2004-044 Project Title: Design Services for Old School Square Parking Garage General This SERVICE AUTHORIZATION, when executed, shall be incorporated in and shall become an integral part of the professional service agreement referenced above. Changes in the indicated Scope of Services will be subject to renegotiation and implemented through an Amendment to this agreement or an additional Service Authorization. Project Description The primary purpose of the project is to design a structured parking facility for approximately 570 cars. The structure shall be a maximum of 48' high, will incorporate 7,000 - 10,000 gross square feet of retail space at grade and be situated adjacent to the Old School Square Cultural Arts Center in Delray Beach. Scope of Services The work plan outlined below includes the development of alternative conceptual layouts and preliminary designs for the facility. These alternatives and preliminary plans will be developed through meetings, workshops and other activities designed for coordinating stakeholder input and consensus building. Additional services may be requested at the discretion of the City, including, but not limited to, preparation of final design and documents sufficient for permitting and construction, construction administration services and/or a design-build combination with a contractor to be selected by the City. We understand that an Oversight Committee will be formed consisting of 2 members from Old School Square, 2 members from the CRA, 1 member from City Parking and I City Project Manager (R. Hasko). The role of the Oversight Committee will be to provide specific program information and review stakeholder comments relative to the program. All communications are to be coordinated through the City Project Manager. We understand the stakeholders may include the following groups (final determination to be made by the Oversight Committee): DF B/~3~ 1040007/S ET561 .DOC I 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Old School Square (OSS) Board Community Redevelopment Agency (CRA) Board Pineapple Grove Executive Board Pineapple Grove Design Committee Existing Tenants/Merchants Site Plan Review and Approval Board (SPRAB) Downtown Development Authority (DDA) Board Parking Management Committee Chamber of Commerce City Attorney Local Utilities/Services (FP&L, Adelphia, BellSouth, Waste Management) City Fire Department Up to 10 total meetings will be held with stakeholder groups (individually or in combination) to obtain consensus on the program, alternatives and preliminary design. It is our intent to identify and review existing documentation (prior studies, surveys, etc. to be provided by City) to facilitate development of a conceptual design that addresses the needs of all users of the garage and occupants of the retail space. The preliminary design shall enhance safety for drivers, pedestrians and bicyclists on adjacent streets as well as respond the historic context of the downtown area. We will establish capacity needs for the garage (requirements for; retail, OSS, City, replacement of existing), identify traffic impacts and evaluate the surrounding roadway network for proper ingress/egress locations (elimination of one-way pairs to be studied by others) and consider potential service needs for the proposed retail and existing OSS Amphitheater. Garage planning will include analyses of ramp systems and grades, gate capacity and queuing at peak hours, revenue control, stall and aisle sizes, pedestrian circulation and structural systems. Preliminary architecture and engineering will include code research, envelope studies (elevations), exterior materials, mechanical (it is not intended for the garage to be mechanically ventilated), electrical (lighting), fire sprinkler, civil and landscaping. A budget construction cost estimate will be prepared for the approved preliminary design. Schedule PGAL will commence work on the Scope of Services described herein upon receipt of a fully executed copy of this Specific Service Authorization from the CITY, which will serve as the notice to proceed. Depending on the number and availability of stakeholders during the consensus building process, we anticipate having a preliminary design ready to submit for SPRAB review and approval within 120 calendar days of notice-to-proceed. DFBI981040007/SET561 DOC 2 Assumptions This scope of services is based on the following modifications to the Professional Service Agreement: 1. III.A.5. A "general economic analysis of the Owner's requirements" is not included. 2. III.A.6. A schematic report including a preliminary estimate of construction cost will be prepared, but it will not include an "allowance for engineering costs and contingencies, allowances for such other items such as charges for all other professionals and consultants, for the cost of lands and rights-of-way, for compensation for or damages to properties, and for permit review and/or approval fees by other governmental agencies, if required". 3. IlI.B.7. Value engineering meetings, if necessary at this time, are included in the assumption of total meetings attended. Compensation to the CONSULTANT Compensation for basic professional consulting services as described herein shall be on a lump sum basis in accordance with Article VII.A.1 of the AGREEMENT. Basic Services Tasks and Fees are as follows: Task 1 Review of existing conditions and documentation $ 2,400 Task 2 Define preliminary program requirements $ 9,560 Task 3 Internal research and studies $ 4,220 Task 4 Provide up to 3 alternatives and report for review $14,600 Task 5 Build consensus with stakeholders $21,800 Task 6 Develop final concept plan for approval $26,680 Task 7 Prepare budget cost estimate $ 6,900 Total Basic Services $ 86,160 All above fees are detailed on Attachment '1 to Exhibit A, Fee Schedule for Basic Services. Tasks 1, 2, 3 and 4 above fulfill the requirements of Article III.A Phase I - Study and Report Phase. Tasks 6 and 7 fulfill the requirements of Article III.B Phase II - Preliminary Design Phase. A portion of Task 5 will be applied to both Phases as meetings are held. DF~981040007/SET561,90C 3 Optional Services Tasks and Fees are as follows: Opt 1 Opt 2 Opt 3 Opt 4 Opt 5 Site survey (boundary, spot elevations, existing structures) $12,900 Traffic study (surrounding mad network) $ 7,960 Underground utilities $ 1,420 Submit for SPRAB approval $41,740 · Architectural, MEP, Structural $20,225 · Civil $13,935 · Landscape $ 7,580 Rendering (allowance) $ 5,000 Total Optional Services $ 69,020 All above fees are detailed on Attachment 2 to Exhibit A, Fee Schedule for Optional Services. Each Optional Service will require a separate written authorization from the City. DFB/9810400071S ET561 .DOC 4 This service authorization is approved contingent upon the CITY's acceptance of and satisfaction with the completion of the services rendered in the previous phase or as encompassed by the previous service authorization. If the CITY in its sole discretion is unsatisfied with the services provided in the previous phase or service authorization, the CITY may terminate the contract without incurring any further liability. The CONSULTANT may not commence work on any service authorization approved by the CITY to be included as part of the contract without a further notice to proceed. Approved by: CITY OF DELRAY BEACH: PGAL, INC. (Corporate Seal) Date: lan A. Nestler, AIA, Principal Witness Witness David T. Harden City Manager Attest: Approved as to Legal Sufficiency and Form STATE OF FLORIDA COUNTY OF PALM BEACH The foregoing instrument was acknowledged before me this __. day of ,2004, by lan A. Nestler, Principal, PGAL, Inc., a Texas corporation, on behalf of the corporation. He is personally known to me and (did/did not) take an oath. Notary Public My Commission Expires: State of Florida (Seal) DFB/981040007/SET561 .DOC 5 0'0 0 a~ Agenda Item No. ~ .~- AGENDA REQUEST Request to be placed on: __ Regular Agenda X Special Agenda __ Workshop Agenda Date August 3, 2004 When: August 10, 2004 Description of item (who, what, where, how much): Staff requests Commission approval of a contract with PGAL, Inc. for provision of professional services for preliminary plannincl activities for the proposed Old School Square Cultural Arts Center Parkinq Garage. Scope of services includes evaluation of work to date on this phase of the OSS master plan, verification of facility capacity needs, development of alternative layouts for presentation to stakeholdem for consensus buiidin.q and refinement to a final siteplan and facility design parameters and preparation of a construction budqet estimate for the proiect based on the final plan. Fees for the basic scope total $ 86,160 with funding available in account #380-4150-572-63.29. A supplementary fee schedule is listed as Optional Services for budget purposes if Commission authorizes preliminary design and site plan approval activities. These fees are not included in the basic scope and will require additional Commission approval. ORDINANCE/RESOLUTION REQUIRED: YES/NO DRAFT A'I-rACHED YES/N._~_O Recommendation: Staff recommends approval of a contract with PGAL, Inc. for $86,160. Department head signature: Determination of Consistency with Comprehensive Plan: City Attorney Review/Recommendation (if applicable): Budget Director Review (re, p~on ~11 items invQIvir~a~x~enditure of funds): Funding available: E~S/NO ~,~w~..- ~'~'~,~ ~'/~/o d Funding alternatives: (if appli~ble) . Ac~unt No. & Description: ~' Ac~unt Balance: ~ ~ /%./ /~0 City Manager Review: ApprovedHold Until:f°r agenda: ~/NO ~ Agenda Coordinator Review: Received: Placed on Agenda: Action: Approved/Disapproved MEMORANDUM TO: FROM: SUBJECT: MAYOR AND CITY COMMISSIONERS CITY MANAGER ~ AGENDA ITEM # ~.A ,~.., . SPECIAL MEETING OF AUGUST 10. 2004 2004-2005 FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES BLOCK GRANT FOR PREVENTION AND TREATEMENT OF SUBSTANCE ABUSE FUNDING AGREEMENT/SUBCONTRACT AGReeMENT WITH COMMUNITY CHII.F} CARE CENTER DATE: AUGUST 10, 2004 This item was pulled from the August 3, 2004 Agenda because Exhibit "A" was not attached. Consider approval of the attached item with Exhibit "A" attached. S:\City Clerk\agenda memos\DCF CCCC Agn~.08.10.04 City of Delray Beach Community Development Division MEMORANDUM TO: David T. Harden, City Manager THRU: FROM: DATE: Lula Butler, Director of Community Improvement Kendra W. Graham, C.D. Administrator ~X July 30, 2004 SUBJECT: 2004-2005 Florida Department of Children and Families Block Grant for Prevention and Treatment of Substance Abuse Funding Agreement - Community Child Care Center ITEM BEFORE CITY COMMISSION Approval is requested to execute a contract with the Community Child Care Center for the provision of substance abuse prevention services. BACKGROUND On June 21, 2004, the City of Delray Beach entered into a contract with the Florida Department of Children and Families (DCF) for the provision of community-based substance abuse and mental health prevention services to children and adults. The term of the contract is July 1, 2004 through June 30, 2005. Funding under the contract for the Children's Substance Abuse (CSA) program is $122,637 and $40,000 for the Adult Substance Abuse (ASA) program. DCF contract provisions require that any subcontracts be evidenced by a written agreement prior to the disbursement of funds, specifying the work to be performed and reporting requirements, among other necessary requirements and governing provisions. This agreement has been developed in accordance with the stated regulations and has been reviewed and approved by the City Attorney for legal sufficiency and form. RECOMMENDATION Staff recommends approval and execution of the attached agreement in the amount of $162,637. AGREEMENT THIS AGREEMENT, made this day of ~ 2004, by and between the CITY OF DELRAy BEACH, a municipal corporation, (City), 100 NW 1st Avenue, Delmy Beach, FL 33444 and COMMUNITY CHILD CARE CENTER, (CCCC) of Delray Beach, 555 NW 4th Street, Delray Beach, FL 33444. WITNESSETH: WHEREAS, the City received a grant from the Florida Department of Children and Families (DCF) to provide community based substance abuse and mental health services to adults and children; and WHEREAS, the City desires to subcontract with the Community Child Care Center {CCCC), a local not-for profit organization, to carry out the activities described in the grant award agreement. NOW THEREFORE, for good and valuable consideration, the receipt and sufficiency which are hereby acknowledged, the parties hereby agree as follows: Incorporation of Recitals. The parties hereby represent and warrant that the above recitals are accurate and correct and hereby incorporate them as if fully set forth in this Agreement. Term: This agreement shall conunence upon execution by both parties and terminate on June 30, 2005. This Agreement shall be contingent upon the City's receipt of grant money from DCF. Payment: Subject to Paragraph 2 above, transfers from the City to CCCC will be made in accordance with the following procedures: The City agrees to reimburse to CCCC for provision of services described in Exhibit "A" (Agreement between the City and DCF). It is expressly understood and agreed, by and between the parties, that the services to be rendered hereunder by CCCC shall be provided in compliance with all terms and conditions set forth in Exhibit "A", as well as the terms and conditions of this formal Agreement between the City and CCCC. b) The total payments for services rendered pursuant to this Agreement shall be up to the amount of $162,637.00, for services rendered from July 1, 2004 through June 30, 2005, made to CCCC monthly on a reimbursement basis. CCCC shall submit an invoice to the City by the 10th day of each month following the month in which the services were provided. The invoice will include documentation reflecting all expenditures made by CCCC under this Agreement, in whatever form reasonably required by City. Subject to the availability of funds, the City will provide reimbursement to CCCC within 30 days after receipt of the invoice. CCCC shall submit a final invoice to the 6 City no later than June 30, 2005 (with appropriate documentation). The City will not reimburse CCCC for any expenditure made by CCCC under this Agreement that is submitted after June 30, 2005. The City has the discretion to decrease CCCC's allocation based upon the program's inability to meet the parameters outlined in the program model and/or the inability to maintain program capacity based upon quarterly reviews. Overpayment: CCCC agrees to return to the City any overpayments made through inadvertence or miscalculation or because payment is disallowed as not having been properly earned under this Agreement. Such funds shall be refunded in full by CCCC to the City as follows: ao Within twenty (20) days from the date of written notification by the City to CCCC of overpayment or disallowance; or Within thirty (30) days following the end of this Agreement. The City shall have the right to deduct from any subsequent payment request submitted by CCCC, the amount of any overpayments or disallowed funds. Suspension of Payment of Funds: The City may, for reasonable cause, suspend the payment of funds pending corrective action by CCCC or pending a decision by the City to terminate this Agreement. The City may, for reasonable cause, prohibit CCCC from incurring additional obligation of any funds received from the City, pending corrective action by CCCC or a decision to terminate this Agreement. Said suspension of payment of funds or obligation thereof may apply to all or part of CCCC's operations funded by the City. CCCC agrees to comply with all documentation requirements as required by Exhibit "A" and any terms and conditions of this Agreement. The CCCC agrees to provide program data on a quarterly basis, and in a format as requested by the City, as well as fiscal reports as requested by City. Indemnification: CCCC shall defend, indemnify, save harmless and exempt the City, its officers, agents, servants, and employees from and against any and all suits, actions, legal proceedings, claims, demands, damages, costs, expenses, and attorneys fees resulting from injury to or death of persons or damage to property arising out of or resulting from the Contract or from work done by CCCC or its subcontractors in the performance of the Contract except to the extent caused by the sole negligence of or breach of contract by the City. In connection with any legal proceedings arising hereunder, the City reserves the right to retain counsel of its choice and at its own expense, or in the alternative, to approve counsel obtained by CCCC. The parties understand that the City does not waive its sovereign immunity under Fla. Stat. §768.28. 2 10. 11. 12. 13. Independent Contractor: CCCC is performing the services and duties required hereunder as a non-profit partner of the City of Delray Beach but they are an independent contractor and not an employee of the City. CCCC shall assume sole and exclusive responsibility for the payment of wages to all employees for services performed by them under this Agreement. CCCC shall, with respect to said employees, be responsible for withholding federal income taxes, paying federal social security taxes, maintaining unemployment insurance and maintaining worker's compensation coverage in amounts required by applicable federal and state law. Insurance: CCCC shall provide the City with Comprehensive General Liability Insurance in the amount of $1,000,000.00 per occurrence naming the City as an additional insured, with a thirty (30) days notice of cancellation provision. CCCC shall provide Worker's Compensation Insurance as required by law and Automobile Insurance in the amount of $500,000.00, naming the City as an additional insured. Notices: All notices required hereunder shall be in writing and shall be addressed to the following representative of the part parties: For the City: David Harden, City Manager City of Delray Beach 100 NW 1st Avenue Delray Beach, FL 33444 For CCCC: Nancy K. Hurd, Executive Director Community Child Care Center of Delray Beach, Inc. Full Time School Age Programming (-3111) 555 NW 4t~ Street Delray Beach, FL 33444 Venue/Laws. This Agreement shall be governed by the Laws of the State of Florida and venue shall be in Palm Beach County, forsaking any other jurisdiction which either party may claim by virtue of residency. Termination: In the event funds to finance this Agreement become unavailable to the City, the City may terminate this Agreement upon no less than five (5) days written notice to CCCC. The City shall be the fmal authority as to the availability of funds. Notwithstanding any other provision of this Agreement, the City may terminate this Agreement for any breach by CCCC. If the City intends to terminate this Agreement, notice shall be provided in writing to CCCC no less than twenty-four (24) hours prior to the effective date of the termination. The City's failure to terminate or suspend a CCCC for past breaches of this Agreement shall be construed as a waiver of its right to demand strict compliance with the terms of the Agreement or to terminate for said breaches or similar breaches, and shall not be construed to be a modification of the terms of the Agreement. In addition, CCCC and the City may terminate this contract with or without cause provided that CCCC or City shall give sixty (60) days notice in writing to City or CCCC. The City shall reimburse CCCC for all monies CCCC has expended up to and including the effective date of the termination and CCCC shall do the same. 14. Entire Agreement. This Agreement along with Exhibit "A", attached hereto, shall constitute the entire Agreement of the parties with respect to the subject matter of it. All prior understanding and agreements between the parties with respect to such matters are merged into this Agreement, which alone fully and completely expresses their understanding. Modifications to this Agreement must be made in writing and mutually agreed to by the parties. 15. Assignment or Transfer. This Agreement may not be assigned or transferred by CCCC in whole or part without the written consent of the City. IN WITNESS WHEREOF, the parties have entered into this Agreement on the day and year first above written. ATTEST: CITY OF DELRAY BEACH, FLORIDA City Clerk Approved as to Legal Form: City Attorney WITNESS: Signature Print Name Signature Print Name By: JeffPerlman, Mayor COMMUNITY CHILD CARE CENTER By: Nancy Hurd, Executive Director 4 & F ILIES Jeb Bush Governor Jerry Regier Secretary Ted Simpkins Distdct 9 Administrator DATE: TO: FROM: SUBJECT: Certified Mail Receipt # 7001 1140 0002 0802 1748 June 21,2004 Lula Butler, Director of Community Improvement City of Delray Beach John F. McCarthy'~_~ (DO) SAMH Program Supervisor Notification of Contract Approval Your agency's fiscal year 2004-2005 contract with the Substance Abuse and Mental Health Program Office has been approved and is forwarded herewith: CONTRACT NUMBER: ID057 EFFECTIVE DATE: June 21~ 2004 TOTAL CONTRACT AMOUNT: ~162,637.00 Gloria Johnson is your agency's contract manager. Please feel free to contact her with any questions or concerns regarding the contract indicated above. All correspondence, reports, etc. should be directed to Gloria. I would like to thank you and your agency for their dedication to the field of mental health and substance abuse. If I can be of assistance, please contact me. CC: FY 04/05 Contract File Sally Stewart, Contract Administrator Enclosure Substance Abuse & Mental Health Program Office- District 9 tll So. Sapodilla Avenue, Room 101 -West Palm Beach, Florida 33401 (561) 650-6860, Fax (561) 650-6859 The Department of Children and Families is committed to working in partnership with local communities to ensure safety, well-being and self-sufficiency for the people we serve. FAMILIES Jeb Bush Governor Jerry Regier Secretary Ted Simpkins District 9 Administrator MEMORANDUM DATE: TO: FROM: SUBJECT: June 21, 2004 Lula Butler, Director of Community Improvement City of Delray Beach ~Ct Gloria Johnson, Contract Manag(e~ ' Post Award Notice - Contract #1D057 As required by OMB Circular A-133, the enclosed information sheet reflects federal funding sources and state funding sources based on your current District 9 SAMH contract. If your agency receives federal funding you are required to assign these monies to specific programs/cost enters at your agency. Please refer to Exhibit A and/or B of your contract to assist you in making these assignments. This will be updated as revisions in funding sources or funding amounts are made. Please ensure this information is provided to your external auditors. You may contact me at (561) 650-6860 should you have any questions. CC: FY 04/05 Contract File Sally Stewart, D9 Contract Administrator Enclosure l'tl"tJl::l V ~- L~ JUL - 6 2004 COMM. IMP. ADMIN. Substance Abuse & Mental Health Program Office. District 9 111 So. Sapodilla Avenue, Room 101 -West Palm Beach, Florida 33401 (561) 650-6860, Fax (561) 650-6859 The Department of Children and Families is committed to working in partnership with local communities to ensure safety, well-being and seE-sufficiency for the people we serve. Date mailed to provider: ~(_..~_/0~ POST AWARD NOTICE OF FEDERAL AWARDS AND STATE FINANCIAL ASSISTANCE PROVIDER NAME: City of Delray Beach CONTRACT PURPOSE: Section .400(d) of OMB Circular A-133, as revised, and Section 215.97(5)(a), Florida Statutes, require information about Federal programs and State projects be provided to the recipient. Information contained herein is a prediction of funding soumes and related amounts based on the contract budget. I. FEDERAL FUNDS AWARDED TO THE RECIPIENT PURSUANT TO THIS AGREEMENT CONSIST OF THE FOLLOWING: Federal Program I (Department of Health and Human Services, 93.959, Block Grants for Prevention and Treatment of Substance Abuse) TOTAL FEDERAL FUNDS AWARDED $162,637.00 $162,637.00 Specific compliance requirements for Federal funds awarded pursuant to this agreement can be found in OMB Circular A-133, Appendix B: Compliance Supplement at www.whitehouse.qovlomblcirculare. II. STATE FUNDS AWARDED TO THE RECIPIENT PURSUANT TO THIS AGREEMENT CONSIST OF THE FOLLOWING: A. MATCHING FUNDS FOR FEDERAL PROGRAMS: No Matching State Funds Awarded State funds reported above may include maintenance of effort funding. This occurs when a CFDA number is associated with state funds used to meet federal maintenance of effort requirements. B. STATE FUNDS SUBJECT TO SECTION 215.97, FLORIDA STATUTES: No State Project Funds Awarded Specific compliance rsquirsments for the State financial assistance awarded pursuant to this agreement can be found in Part.Four: State Project Compliance Requirements of the Florida Single Audit Act at www.myflorida.com/myRorida/~lovernmentJ,qovem orinitlativss/fsaa/Index.html. C. STATE FUNDS AWARDED NOT INCLUDED ABOVE: No Other State Funds Awarded Compliance requirements applicable to these funds can be found In the contract. Page I of 1 06/08/04 03/23/04 CFDA No. 93.959 Client [] Non-Client [] Multi-District [] FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES STANDARD CONTRACT THIS CONTRACT is entered into between the Florida Department of Children and Families, hereinafter referred to as the "department," and City of Delrav Beach hereinafter referred to as the "provider." I. THE PROVIDER AGREES: A. Contract Document To provide services in accordance with the terms and conditions specified in this contract including all attachments and exhibits, which constitute the contract document. B. Requirements of Section 287.058 F.S. To provide units of deliverables, including reports, findings, and drafts, as specified in this contract, which must be received and accepted by the contract manager in writing prior to payment. To submit bills for fees or other compensation for services or expenses in sufficient detail for a proper pre-audit and post-audit. Where itemized payment for travel expenses are permitted in this contract, to submit bills for any trave! expenses in accordance with section 112.061, F.S. or at such lower rates as may be provided in this contract. To allow public access to all documents, papers, letters, or other public records as defined in subsection 119.011(1), F.S., made or received by the provider in conjunction with this contract except that public records which are made confidential by law must be protected from disclosure. It is expressly understood that the provider's failure to comply with this provision shall constitute an immediate breach of contract for which the department may unilaterally terminate the contract. C. Governing Law 1. State of Florida Law That this contract is executed and entered into in the State of Florida, and shall be construed, performed and enforced in all respects in accordance with the Florida law including Florida provisions for conflict of laws. 2. Federal Law a. That if this contract contains federal funds the provider shall comply with the provisions of 45 CFR, Part 74, and/or 45 CFR, Part 92, and other applicable regulations. b. That if this contract contains federel funds and is over $100,000, the provider shall comply with all applicable standards, orders, or regulations issued under section 306 of the Clean Air Act, as amended (42 U.S.C. 7401 et seq.), section 508 of the Federal Water Pollution Control Act as amended (33 U.S.C. 1251 et seq.), Executive Order 11738 as amended and where applicable, and Environmental Protection Agency regulations (40 CFR, Part 30). The provider shall report any violations of the above to the department. c. That no federal funds received in connection with this contract may be used by the provider, or agent acting for the provider, to influence legislation or appropriations pending before the Congress or any State legislature. If this contract contains federal funding in excess of $100,000, the provider must, prior to contract execution, complete the Certification Regarding Lobbying form, Attachment II . If a Disclosure of Lobbying Activities form, Standard Form LLL, is required, it may be obtained from the contract manager. All disclosure forms as required by the Certification Regarding Lobbying form must be completed and retumed to the contract manager, prior to payment under this contract. d. That unauthorized aliens shall not be employed. The department shall consider the employment of unauthorized aliens a violation of section 274A(e) of the Immigration and Nationality Act (8 U.S.C. 1324 a). Such violation shall be cause for unilateral cancellation of this contract by the department. - e. That if this contract confains $10,000 or more of federal funds, the provider shall comply with Executive Order 11246, Equal Employment Opportunity, as amended by Executive Order 11375 and others, and as supplemented in Department of Labor regulation 41 CFR, Part 60 and 45 CFR, Part 92, if applicable. f. That if this contract contains federal funds and provides services to children up to age 18, the provider shall comply with the Pro-Children Act of 1994 (20 U.S.C. 6081). Failure to comply with the provisions of the law may result in the imposition of a civil monetary penalty of up to $1,000 for each violation and/or the imposition of an administrative compliance order on the responsible entity. This clause is applicable to all subcontracts. D. Audits, Inspections, Investigations, Records and Retention ¶. To establish and maintain books, records and documents (including electronic storage media) sufficient to reflect all income and expenditures of funds provided by the department under this contract. 2. To retain all client records, financial records, supporting documents, statistical records, and any other documents (including electronic storage media) pertinent to this contract for a period of six (6) years after completion of the contract. If an audit has been initiated and audit findings have not been resolved at the end of six (6) years, the records shall be retained until resolution of the audit "03123/04 findings or any litigation which may be based on the terms of this contract, at no additional cost to the department. Records shall be retained for longer periods when the retention period exceeds the time frames required by law. 3. Upon demand, at no additional cost to the department, the provider will facilitate the duplication and transfer of any records or documents during the required retention period in Subsection I, Paragraph D.2. 4. To assure that these records shall be subject at all reasonable times to inspection, review, copying, or audit by Federal, State, or other personnel duly authorized by the department. 5. At all reasonable times for as long as records are maintained, persons duly authorized by the department and Federal auditors, pursuant to 45 CFR, Section 92.36(i) (10), shall be allowed full access to and the right to examine any of the provider's contracts and related records and documents, regardless of the form in which kept. 6. To provide a financial and compliance audit to the department as specified in this contract and in Attachment itl and to ensure that all related party transactions are disclosed to the auditor. 7. To comply and cooperate immediately with any inspections, reviews, investigations, or audits deemed necessary by the office of The Inspector General (Section 20.055, Florida Statutes). 8. To include the aforementioned audit, inspections, investigations and record keeping requirements in all subcontracts and assignments. E. Monitoring by the Department To permit persons duly authorized by the department to inspect and copy any records, papers, documents, facilities, goods and services of the provider which are relevant to this contract, and to interview any clients, employees and subcontractor employees of the provider to assure the department of the satisfactory performance of the terms and conditions of this contract. Following such review, the department will deliver to the provider a written report of its findings and request for development, by the provider of a corrective action plan where appropriate. The provider hereby agrees to timely correct all deficiencies identified in the corrective action plan. F. Indemnification NOTE: Exceot to the extent oermitted by s.768.28, F.S, or other applicable Florida Law. Paragraph I.F.I. and 2. are not applicable to contracts executed between state agencies or subdivisions, as defined in subsection 768.28(2), F.S. 1. To be liable for and indemnify, defend, and hold the department and all of its officers, agents, and employees harmless from all claims, suits, judgments, or damages, including attorneys' fees and costs, arising out of any act, actions, neglect, or omissions by the provider, its agents, or employees during the performance or operation of this contract or any subsequent modifications thereof. 2. That its inability to evaluate its liability or its evaluation of liability shall not excuse the Provider's duty to defend and t° indemnify within seven (7) days after notice by the department by certified mail. After the highest appeal taken is exhausted, only an adjudication or judgment specifically finding the provider not liable shall excuse performance of this provision. The provider shall pay all costs and fees including attorneys' fees related to these obligations and their enforcement by the department. The department's failure to notify the provider of a claim shall not release the provider from these duties. The provider shall not be liable for the sole negligent acts of the department. G. Insurance To provide continuous adequate liability insurance coverage during the existence of this contract and any renewal(s) and extension(s) of it. By execution of this contract, unless it is a state agency or subdivision as defined by subsection 768.28(2), F.S., the provider accepts full responsibility for identifying and determining the type(s) and extent of liability insurance necessary to provide reasonable financial protections for the provider and the clients to be served under this contract. Upon the execution of this contract, the provider shall furnish the department written verification supporting both the determination and existence of such insurance coverage. Such coverage may be provided by a self-insurance program established and operating under the laws of the State of Florida. The department reserves the right to require additional insurance as specified in this contract. H. Confidentiality of Client Information Not to use or disclose any information concerning a recipient of services under this contract for any purpose prohibited by state or federal law or regulations (except with the written consent of a person legally authorized to give that consent or when authorized by law). I. Assignments and Subcontracts 1. To neither assign the responsibility for this contract to another party nor subcontract for any of the work contemplated under this contract without prior written approval of the department which shall not be unreasonably withheld. Any sublicense, assignment, or transfer otherwise occurring without prior approval of the department shall be null and void. 2. To be responsible for all work performed and for all commodities produced pursuant to this contract whether actually furnished by the provider or its subcontractors. Any subcontracts shall be evidenced by a written document. The provider further agrees that the department shall not be liable to the subcontractor in any way or for any reason. The provider, at its expense, will defend the department against such claims. 3. To make payments to any subcontractor within seven (7) working days after receipt of full or partial payments from the department in accordance with section 287.0585, F.S., unless otherwise stated in the contract between the provider and ' 03/23104 subcontractor. Failure to pay within seven (7) working days will result in a penalty that shall be charged against the provider and paid to the subcontractor in the amount of one-half of one percent (.005) of the amount due per day from the expiration of the pedod allowed for payment. Such penalty shall be in addition to actual payments owed and shall not exceed fifteen (15%) percent of the outstanding balance due, 4. That the State of Flodda shall at all times be entitled to assign or transfer its rights, duties, or obligations under this contract to another governmental agency in the State of Florida, upon giving prior written notice to the provider. In the event the State of Florida approves transfer of the provider's obligations, the provider remains responsible for all work performed and all expenses incurred in connection with the contract. This contract shall remain binding upon the successors in interest of either the provider or the department. J. Return of Funds To return to the department any overpayments due to unearned funds or funds disallowed pursuant to the terms and conditions of this contract that were disbursed to the provider by the department. In the event that the provider or its independent auditor discovers that an overpayment has been made, the provider shall repay said overpayment immediately without prior notification from the depertmenL In the event that the department first discovers an overpayment has been made, the contract manager, on behalf of the department, will notify the provider by letter of such findings. Should repayment not be made forthwith, the provider will be charged at the lawful rate of interest on the outstanding balance after department notification or provider discovery. K. Client Risk Prevention and Incident Reporting 1. That if services to clients are to be provided under this contract, the provider and any subcontractors shall, in accordance with the client risk prevention system, report those reportable situations listed in CFOP 215-6 in the manner prescribed in CFOP 215-6 or district operating procedures. 2. To immediately report knowledge or reasonable suspicion of abuse, neglect, or exploitation of a child, aged person, or disabled adult to the Florida Abuse Hotline on the statewide toll-free telephone number (1-800-96ABUSE). As required by Chapters 39 and 415, F.S., this provision is binding upon beth the provider and its employees. L. Purchasing 1. To purchase articles which are the subject of or are required to cam/out this contract from Prison Rehabilitative Industries and Diversified Enterprises, Inc., (PRIDE) identified under Chapter 946, F.S., in the same manner and under the procedures set forth in subsections 946.515(2) and (4), F.S. For purposes of this contract, the provider shall be deemed to be substituted for the department insofar as dealings with PRIDE. This clause is not applicable to subcontractors unless otherwise required by law. An abbreviated list of products/services available from PRIDE may be obtained by contacting PRIDE, (850) 467-3774. 2. To procure any recycled products or materials, which are the subject of or are required to carry out this contract, in accordance with the provisions of sections 403.7065, and 287.045, F.S. M. Civil Rights Requirements 1. Not to discriminate against any employee in the performance of this contract or against any applicant for employment because of age, race, religion, color, disability, national origin, marital status or sex. The provider further assures that all contractors, subcontractors, subgrantees, or others with whom it arranges to provide services or benefits to participants or employees in connection with any of its programs and activities are not discriminating against those participants or employees because of age, race, religion, color, disability, national origin, marital status or sex. This is binding upon the provider employing fifteen (15) or more individuals. 2. To complete the Civil Rights Compliance Questionnaire, CF Forms 946 A and B, in accordance with CFOP 60-16. This is binding upon providers that have fifteen (15) or more employees. N. Independent Capacity of the Contractor 1. To act in the capacity of an independent contractor and not as an officer, employee of the State of Flodda, except where the provider is a state agency. Neither the provider nor its agents, employees, subcontractors or assignees shall represent to others that it has the authority to bind the department unless specifically authorized in writing to do so. 2. This contract does not create any right to state retirement, leave benefits or any other benefits of state employees as a result of performing the duties or obligations of this contract. 3. To take such actions as may be necessary to ensure that each subcontractor of the provider will be deemed to be an independent contractor and will not be considered or permitted to be an agent, servant, joint venturer, or partner of the State of Florida. 4. The department will not furnish services of support (e.g., office space, office supplies, telephone service, secretarial or cledcal support) to the provider, or its subcontractor or assignee, unless specifically agreed to by the department in this contract. 5. All deductions for social security, withholding taxes, income taxes, contributions to unemployment compensation funds and all necessary insurance for the provider, the provider's officers, employees, agents, subcontractors, or assignees shall be the sole responsibility of the provider. 03123t04 O. Sponsomhip As required by section 286.25, F.S., if the provider is a non-govemmental organization which sponsors a program financed wholly or in part by state funds, including any funds obtained thmogh this contract, it shall, in publicizing, advertising, or describing the sponsorship of the program, state: "Sponsored by (provider's name) and the State of Florida, Department of Children and Families.~ If the sponsorship reference is in written material, the words "State of Florida, Department of Children and Families" shall appear in the same size letters or type as the name of the organization. P. Publicity Without limitation, the provider and its employees, agents, and representatives will not, without prior departmental written consent in each instance, use in advertising, publicity or any other promotional endeavor any State mark, the name of the State's mark, the name of the State or any State affiliate or any officer or employee of the State, or represent, directly or indirectly, that any product or service provided by the provider has been approved or endorsed by the State, or refer to the existence of this contract in press releases, advertising or materials distributed to the provider's prospective customers. Q. Final Invoice To submit the final invoice for payment to the department no more than 45 days after the contract ends or is terminated. If the provider fails to do so, all rights to payment are forfeited and the department will not honor any requests submitted after the aforesaid time period. Any payment due under the terms of this contract may be withheld until all reports due from the provider and necessary adjustments thereto have been approved by the department. R. Use of Funds for Lobbying Prohibited To comply with the provisions of sections 11.062 and 216.347, F.S., which prohibit the expenditure of contract funds for the purpose of lobbying the Legislature, judicial branch, or a state agency. S. Public Entity Clime Pursuant to section 287.133, F.S., the following restrictions are placed on the ability of persons convicted of public entity crimes to transact business with the department: When a person or affiliate has been placed on the convicted vendor list following a conviction for a public entity crime, he/she may not submit a bid on a contract to provide any goods or services to a public entity, may not submit a bid on a contract with a public entity for the construction or the repair of a public building or public work, may not submit bids on leases of real property to a public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity, and may not transact business with any public entity in excess of the threshold amount provided in section 287.017, F.S., for CATEGORY TWO for a period of thirty-six (36) months from the date of being placed on the convicted vendor list. T. Patents, Copyrights, and Royalties 1. If any discovery or invention arises or is developed in the course of or as a result of work or services performed under this contract, or in anyway connected herewith, the provider shall refer the discovery or invention to the department to be referred to the Department of State to determine whether patent protection will be sought in the name of the State of Florida. Any and all patent rights accruing under or in connection with the performance of this contract are hereby reserved to the State of Florida. 2. In the event that any books, manuals, films, or other copyrightable materials are produced, the Provider shall notify the Department of State. Any and all copyrights accruing under or in connection with performance under this contract are hereby reserved to the State of Florida. 3. The provider, if not a state agency, shall indemnif~ and save the department and its employees harmless from any liability whatsoever, including costs and expenses, arising out of any copyrighted, patented, or unpatented inventi(~n, process, or article manufactured or used by the provider in the performance of this contract. 4. The department will provide prompt written notification of any claim of copyright or patent infringement. Further, if such claim is made or is pending, the provider may, at its option and expense, procure for the department, the right to continue use of, replace, or modify the article to render it non-infringing. If the provider uses any design, device, or materials covered by letters, patent, or copyright, it is mutually agreed and understood without exception that the compensation paid pursuant to this contract includes all royalties or costs arising from the use of such design, device, or materials in any way involved in the work contemplated by this contract. U. Construction or Renovation of Facilities Using Stets Funds That any state funds provided for the purchase of or improvements to real property are contingent upon the provider granting to the state a security interest in the property at least to the amount of the state funds provided for at least five (5) years from the date of purchase or the completion of the improvements or as further required by law. As a condition of receipt of state funding for this purpose, the provider agrees that, if it disposes of the property before the department's interest is vacated, the provider will refund the proportionate share of the state's initial investment, as adjusted by depreciation. 03/23104 V. Information Security Obligations t. To identify an appropriately skilled individual to function as its Data Security Officer who shall act as the liaison to the department's Security Staff and who will maintain an appropriate level of data security for the information the provider is collecting or using in the performance of this contract. An appropriate level of security includes approving and tracking all provider employees that request system or information access and ensuring that user access has been removed from ail terminated provider employees. 2. To hold the department harmless from any loss or damage incurred by the department as a result of information technology used, provided or accessed by the provider. 3. To furnish Secudty Awareness Training to its staff. 4. To ensure that all provider employees who have access to departmental information are provided a copy of CFOP 50-6 and that they sign the DC F Security Agreement form (CF 114), a copy of which may be obtained from the contract manager, W. Accreditation That the department is committed to ensuring provision of the highest quality services to the persons we serve. Accordingly, the department has expectations that where accreditation is generally accepted nationwide as a clear indicator of quality service, the majority of our providers will either be accredited, have a plan to meet national accreditation standards, or will initiate one within a reasonable period of time. X. Agency for Workforce Innovation and Workforce Florida That it understands that the department, the Agency for Workfome Innovation, and Workforce Florida, Inc. have jointly implemented an initiative to empower recipients in the Temporary Assistance to Needy Families Program to enter and remain in gainful employment. The department encourages provider participation with the Agency for Workforce Innovation and Workforce Florida. Y. Health Insurance Portability and Accountability Act Where applicable, to comply with the Health Insurance Portability and Accountability Act (42 U. S. C. 1320d.) as well as all regulations promulgated thereunder (45 CFR Pads 160, 162, and 164), Z. Emergency Preparedness If the tasks to be performed pursuant to this contract include the physical care and control of clients, the provider shall, within 30 days of the execution of this contract, submit to the contract manager an emergency preparedness plan which shall include provisions for pre-disaster records protection, altemative accommodations for clients in substitute care, supplies, and a recovery plan that will allow the provider to continue functioning in compliance with the executed contract in the event of an actual emergency. The department agrees to respond in writing within 30 days of receipt of the plan accepting, rejecting, or requesting modifications. In the event of an emergency, the department may exercise oversight authority over such provider in order to assure implementation of agreed emergency relief provisions. II. THE DEPARTMENTAGREES: A. Contract Amount To pay for contracted services according to the terms and conditions of this contract in an amount not to exceed $162.637.00, subject to the availability of funds. The State of Florida's performance and obligation to pay under this contract is contingent upon an annual appropriation by the Legislature. Any costs or services paid for under any other contract or from any other source are not eligible for payment under this contract. B. Contract Payment Pursuant to section 215.422, F.S., the department has five (5) working days to inspect and approve goods and services, unless the bid specifications, purchase order, or this contract specify othenvise. With the exception of payments to health care providers for hospital, medical, or other health care services, if payment is not available within forty (40) days, measured from the latter of the date a properly completed invoice is received by the department or the goods or services are received, inspected, and approved, a separate interest penalty set by the Comptroller pursuant to section 55.03, F.S., will be due and payable in addition to the invoice amount. Payments to health care providers for hospital, medical, or other health care services, shall be made not more than thirty-five (35) days from the date eligibility for payment is determined. Financial penalties will be calculated at the daily interest rate of .03333%. invoices returned to a provider due to preparation errors will result in a non-interest bearing payment delay. Interest penalties less than one (1) dollar will not be paid unless the provider requests payment. C. Vendor Ombudsman A Vendor Ombudsman has been established within the Department of Financial Services. The duties of this office ars found in subsection 215.422 (7), F S., which include disseminating information relative to the prompt payment of this state and assisting vendors in receiving their payments in a timely manner from a state agency. The Vendor Ombudsman may be contacted at (850) 410- 9724 or 1-800-848-3792, the State of Florida Comptroller's Hotline. D. Notice Any notice, that is required under this contract shall be in writing, and sent by U.S. Postal Servica or any expedited delivery service that provides verification of delivery or by hand delivery. Said notice shall be sent to the representative of the provider responsible for administration of the program, to the designated address contained in this contract. 0~2~04 III.THE PROVIDER AND DEPARTMENT MUTUALLY AGREE: A. Effective and Ending Dates This contract shall begin on Julv 1. 2004. or on the date on which the contract has been signed by the last party required to sign it, whichever is later. It shall end at midnight, local time in Palm Beach County, Florida, on June 30. 2005. B. Financial Penalties for Failures to Comply with Requirement for Corrective Action. 1. In accordance with the provisions of Section 402.73(7), FIodda Statutes, and Section 65-29.001, Florida Administrative Code, corrective action plans may be required for noncompliance, nonperformance, or unacceptable performance under this contract. Penalties may be imposed for failures to implement or to make acceptable progress on such corrective action plans. 2. The increments of penalty imposition that shall apply, unless the department determines that extenuating circumstances exist, shall be based upon the severity of the noncompliance, nonperformance, or unacceptable performance that generated the need for corrective action plan. The penalty, if imposed, shall not exceed ten percent (10%) of the total contract payments during the period in which the corrective action plan has not been implemented or in which acceptable progress toward implementation has not been made. Noncompliance that is determined to have a direct effect on client health and safety shall result in the imposition of a ten percent (10%) penalty of the total contract payments dudng the peded in which the corrective action plan has not been implemented or in which acceptable progress toward implementation has not been made. 3. Noncompliance involving the provision of service not having a direct effect on client health and safety shall result in the imposition of a five percent (5%) penalty. Noncompliance as a result of unacceptable performance of administrative tasks shall result in the imposition of a two percent (2%) penalty. 4. The deadline for payment shall be as stated in the Order imposing the financial penalties. In the event of nonpayment the department may deduct the amount of the penalty from invoices submitted by the provider. C. Termination 1. This contract may be terminated by either party without cause upon no less than thirty (30) calendar days notice in wdling to the other party unless a sooner time is mutually agreed upon in writing. Said notice shall be delivered by U.S. Postal Service or any expedited delivery service that provides verification of deliver/or by hand delivery to the contract manager or the representative of the provider responsible for administration of the program. 2. in the event funds for payment pursuant to this contract become unavailable, the department may terminate this contract upon no less than twenty-four (24) hours notice in writing to the provider. Said notice shall be sent by U.S. Postal Service or any expedited delivery service that provides verification of delivery. The department shall be the final authority as to the availability and adequacy of funds, in the event of terminafion of this contract, the provider will be compensated for any work satisfactorily completed. 3. This contract may be terminated for the provider's non-performance upon no less than twenty-four (24) hours notice in writing to the provider. If applicable, the department may employ the default provisions in Rule §0A-1.006(3), F,A,C. Waiver of breach of any provisions of this contract shall not be deemed to be a waiver of any other breach and shall not be construed to be a modification of the terms and conditions of this contract. The provisions herein do not limit the department's fight to remedies at law or in equity. 4. Failure to have performed any contractual obligations with the department in a manner satisfactory to the department will be a sufficient cause for termination, To be terminated as a provider under this provision, the provider must have: (1) previously failed to satisfactorily perform in a contract with the department, been notified by the department of the unsatisfactory performance, and failed to correct the unsatisfactory performance to the satisfaction of the department; or (2) had a contract terminated by the department for cause. D. Renegotiaflons or Modifications Modifications of provisions of this contract shall be valid only when they have been reduced to writing and duly signed by both parties. The rate of payment and the total dollar amount may be adjusted retroactively to reflect price level increases and changes in the rate of payment when these have been established through the appropriations process and subsequently identified in the department's operating budget. 03123/04 E. Official Payee and Representatives (Names, Addresses, and Telephone Numbers): 1. The provider name, as shown on page I of this contract, and mailing address of the official payee to whom the payment shall be made is: City of Delrey Beach 100 N. W. lS~ Avenue Delra¥ Beach, Florida 32~.~.~. 3. The name, address, and telephone number of the contract manager for the department for this contract is: Gloria Johnson Substance Abuse and Mental Health Program Office 111 South Sapodilla Avenue West Palm Beach, Florida 33401 (561) 650-6860 2. The name of the contact person and street address where financial and administrative records are maintained is: Lula Butler 100 N.W. lS'Avenue Delray Beach, Florida 32~.~.~. 4. The name, address, and telephone number of the representative of the provider responsible for administration of the program under this contract is: Lula Butler 100 N. W. t'= Avenue Delra¥ Beachr Florida 33~~. (561) 243-7203 5. Upon change of representatives (names, addresses, telephone numbers) by either party, notice shall be provided in writing to the other party and the notification attached to the originals of this contract. F. All Terms and Conditions Included This contract and its attachments, I, II, Ill and any exhibits referenced in said attachments, together with any documents incorporated by reference, contain all the terms and conditions agreed upon by the parties. There are no provisions, terms, conditions, or obligations other than those contained herein, and this contract shall supersede all previous communications, representations, or agreements, either verbal or written between the parties. If any term or provision of this contract is legally determined unlawful or unenforceable, the remainder of the contract shall remain in full force and effect and such term or provision shall be stricken. By signing this contract, the pa~ies agree thatthey have read and agree to the entire con~act, as described in Paragraph III.F. above. INWlTNESS THEREOF, the parties hereto have causedthis~page contract tobe executed bytheirundersigned offidals as duly authorized. PROVIDER: City of Delray Deach FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES  NAME: t TITLE: DATE: STATE AG ENCY 2~ DIGI'T'/FLAIR DE: N/A Federal ElD # (or SSN): 59-6000308 Provider Fiscal Year Ending Data: 06130. J~hn F. McCarthy SAMH~Program Supervisor 07/01/2004 Ci~ of Delray Beach Performance Contract SAMH Services Program ATTACHMENT I A. Services To Be Provided 1. Definition of Terms a. Contract Terms Refer to the Glossary in CFOP 75-2, Contract Management System for Contractual Services, which can be found at the following web site: http:llwww.dcf.state.fl.us/publicationslpolicies/O75-2.pdf b. Program/Service Specific Terms (1) ASAM PPC-2-R Florida Supplement - American Society of Addiction Medicine, Patient Placement Criteria for the Treatment of Substance Related Disorders, second edition, July 1, 2001, or the latest revised edition thereof. (2) Available Appropriations - State funds for mental health and substance abuse services and the associated local matching funds. (3) Client (synonymous with recipients and persons who are receiving services) - Any individual who is receiving services in any substance abuse or mental health program whose cost of care is paid, in part or in whole, by the department, Medicaid, or local match. (4) Community-Based Services - Mental Health and Substance Abuse services provided outside a state mental health facility (5) Cost Center (synonymous with services) - A grouping of services that is similar in time, intensity and function where the average cost for service is generally the same. See Rule 65E-14.021(2), Florida Administrative Code (F.A.C.) for a complete listing of approved cost centers. (6) Department of Children & Families, Pamphlet 155-2, Mental Health and Substance Abuse Measurement and Data, effective July, 2003 (5th edition), or the latest revised edition thereof - A document promulgated by the department and incorporated by reference in Rule 65E-14.002, F.A.C. that contains required data reporting elements for substance abuse and mental health services hereafter referred to as "CFP 155-2." (7) Local Match - Funds received and expended from governing bodies of local government, including city commissions, county commissions, district school boards, special tax districts, private hospital funds, private gifts (both Rev. 07/01/2004,~ 8 Contract No. ID057 I 07/01/2004 City of Delray Beach Performance Contract SAMH Services Program individual and corporate), bequests and funds received from community drives or any other source. See subsection 394.67(14), F.S. (8) Missing Children Language Definitions: a. Designee - a person, contractual provider or other agency or entity named by the Department. b. Exigent Circumstances - situations that require immediate actions, such as the child is under the age of thirteen, believed to be out of the zone of safety for their age and development, mentally incapacitated, in a life threatening situation, in the company of others who could endanger their welfare or is absent under circumstance inconsistent with established behaviors. c. Missing Child - a person who is under the age of 18 years; whose location has not been determined; and who has been or will be reported as missing to a law enforcement agency. d. "Family Services Counselor - a professional position responsible for case management for children placements. The term includes Department of Children and Families staff and staff working for an agency named as a designee. (9) Performance Measures - Quantitative indicators, outcomes and outputs, that can be used by the department to objectively measure a provider's performance. (10) Prorated Share - The total number of unpaid units or funds divided by the number of months remaining between the time the prorated share is calculated and the end date of the contract. (11) Representative Payee - An entity who is legally authorized to receive Supplemental Security Income, Social Security Income, Veterans Administration benefits, or other federal benefits on behalf of a client. (12) SAMH - Substance Abuse and Mental Health. (13) TANF Participant - A person or family member of that person as defined in 45 CFR Part 260 and section 414.1585 and subsection 414.0252(9), F.S. (14) Temporary Assistance to Needy Families Program (TANF) - Cash assistance families include any families receiving cash assistance payments or TANF diversion services from the state program pursuant to the provisions of section 414.045, F.S., and part A of Title IV of the Social Security Act. Rev. 07101/2004, I 9 Contract N° ID057I 07/01/2004 City of Delray Beach Performance Contract SAMH Services Program (15) Unit Measurement- Deliverables to be used in billing the department for services. There are nine (9) different unit measurements. The definition of each can be found in Rule 65E-14.021(5)(a), F.A.C. (16) Verifiable Service - Documentation of service provision in compliance with the requirements contained in Rule 65E-14.021, F.A.C. 2. General Description a. General Statement The services provided under this contract are community-based substance abuse and mental health services provided to adults and children, as authorized in section 394.74, F.S. b. Authority Chapters 39, 393, 394, 397, and 415 F.S provide the department with authority to contract. c. Scope of Service The provider is responsible for the administration and provision of services in the following counties: Palm Beach County d. Major Program Goals To promote and improve the b'ehavioral health of the citizens of the state by making substance abuse and mental health treatment and support services available through a community-based system of care. 3. Clients to be Served See Exhibit A, Clients to be Served. B. Manner of Service Provision 1. Service Tasks a. Task List (1) The provider shall deliver services according to the Program Description on file in the contract manager's file and is incorporated herein by reference. (2) The provider shall deliver units of services by program in the number specified in Exhibit G., State Funding by Program, Activity and Cost t Rev. 07/01/20~ ~ 10 ~ Contract No. ID057t 07/01/2004 City of Delray Beach Performance Contract SAMH Services Program Center (3) The provider shall serve the number of persons indicated in Exhibit D, Substance Abuse and Mental Health Required Outcomes and Outputs. (4) The provider shall use the Florida Supplement (ASAM PPC-2-R), for assessing and placing clients receiving substance abuse treatment services. (5) The provider shall establish a grievance procedure which applicants for, and recipients of, services may use to present grievances to the governing authority of the provider about services being provided under this contract. (6) The provider shall ensure that clients discharged from state mental health treatment facilities will be maintained on the medication that was prescribed for them by the facility at discharge pursuant to 394.676 F.S. Maintaining includes performing required lab tests, providing the medication, and providing appropriate physician oversight. (7) The provider shall ensure that clients who are receiving substance abuse services paid for, in whole or in part, by this contract, Medicaid or local match, shall be informed of procedures to gather follow-up information on clients after treatment. (a) All providers shall use the standardized informed consent form for the follow-up survey form. See Exhibit J, Informed Consent for Follow-Up Survey. (b) The provider shall Contact clients at least once during the three (3) months following discharge to update client's information. contact (8) The provider shall comply with the department's Substance Abuse Family Intervention Specialist Guidelines. The Guidelines can be obtained from the contract manager upon request. b. Task Limits Services will be provided within the limits established in the provider's Pro.qram Description. 2. Staffing Requirements a. Staffing Levels The provider will maintain staffing levels in compliance with applicable rules, statutes and licensing standards. IRev, 07/01/2004 1 1 Contract No. ID057 07/01/2004 City of Dell'ay Beach Performance Contract SAMH Services Program b. Professional Qualifications (1) The provider shall comply with applicable rules, statutes, and licensing standards with regard to professional qualifications. (2) The provider shall comply with sections 394.4572 and 397.451, F.S., with regard to screening and fingerprinting of mental health and substance abuse personnel. c. Staffing Changes The provider shall notify the contract manager, in writing, of staffing changes regarding the positions of Chief Executive Officer, Chief Operating Officer and Chief Financial Officer pursuant to 65E-14.021(8)(d)(5) F.A.C. d. Subcontractors (1) This contract does allow the provider to subcontract for some or all of the services contained in this contract. All applicable clauses and/or contract requirements contained in the standard contract and its attachments shall be passed on to the subcontractor. (2) Providers that subcontract out any or all of the services, under their contract with the department, shall monitor those subcontractors on an annual basis. The provider a.qrees to schedule and monitor all subcontractors, as related to this contract, prior to the date set for the provider's site visit by the department. (3) The provider shall submit a list of all subcontractors, under this contract, within 45 days of execution of contract. 3. Service Location and Equipment a. Service Delivery Location (1) The location of services will be as specified in the Program Description pursuant to 65E-14.021(8)(d)d.lll. (2) The provider shall notify the contract manager, in writing, of changes to service delivery location pursuant to 65E-14.021(8)(d)(5) F.A.C. b. Service Times (1) The days and times will be as specified in the Program Description. 07/01/2004 City of Delray Beach Performance Contract SAMH Services Program (2) The provider shall notify the contract manager, in writing, of any changes in days and times where services are being provided pursuant to 65E- 14.021(8)(d)(5) F.A.C. c. Changes in Location The provider shall notify the contract manager, in writing, of any changes in locations where services are being provided pursuant to 65E-14.021(8)(d)(5) F.A.C. d. Equipment The provider agrees to furnish all appropriate equipment necessary for the effective delivery of the services purchased. 4. Deliverables a. Service Units The provider agrees to deliver the service units specified in Exhibit G, State Funding by Program, Activity and Cost Center. b. Records and Documentation The provider agrees to protect confidential records from disclosure and to protect client confidentiality in accordance with subsections 397.501(7), 394.455(3), sections 394.4615, and 414.295, F.S. c. Reports (1) The provider shall submit to the department financial and programmatic reports specified in Exhibit C, Required Reports by the dates specified. (2) The provider shall submit, pursuant to subsection 394.74(3)(e), F.S. and Rule 65E-14.022, F.A.C., demographic, admission, discharge, enrollment, placement, service, and performance outcome data electronically as specified in CFP 155-2. (3) Upon request, the provider shall submit to the department information regarding the amount and number of services paid for by the Community Mental Health Services Block Grant and/or the Substance Abuse Prevention and Treatment Block Grant. (4) The provider shall ensure that its audit report will include the standard schedules that are outlined in Rule 65E-14.003, F.A.C. Rev. 07/01/2004~,~ 13 Contract No. ID057 I 07/01/2004 City of Delray Beach Performance Contract SAMH Services Program (5) The provider shall ensure that the engagement of the independent audit contains a review of a SAMH contract. (6) Delivery of reports shall not be construed to mean acceptance of those reports; acceptance, in writing, of required reports shall constitute a separate act and shall be approved by the contract manager as such. The department reserves the right to reject reports as incomplete, inadequate or unacceptable. 5. Performance Specifications a. Performance Measures The provider shall meet the performance standards and required outcomes specified in Exhibit D, Substance Abuse and Mental Health Required Outcomes and Outputs.. b. Performance Measurement Terms CFP 155-2 provides the definitions of the data elements used for various per[ormance measures and contains policies and procedures for submitting the required data into the department data system. c. Performance Evaluation Methodology (1) Providers collect information and submit performance data and individual client outcomes, to the department data System in compliance with CFP 155- 2 requirements. Performance outcome results are drawn from this system by department staff and are reported back to the provider monthly via the district program office. The specific methodologies for each performance measure will be furnished upon request by the contract manager. (2) By execution of this contract the provider hereby acknowledges and agrees that its performance under the contract must meet the standards set forth above and will be bound by the conditions set forth in this contract. If the provider fails to meet these standards, the department, at its exclusive option, may allow up to six (6) months for the provider to achieve compliance with the standards. If the department affords the provider an opportunity to achieve compliance, and the provider fails to achieve compliance within the specified time frame, the department must cancel the contract in the absence of any extenuating or mitigating circumstances. The determination of the extenuating or mitigating circumstances is the exclusive determination of the department. The contract manager will monitor the standards and outcomes specified in Exhibit D, Substance Abuse and Mental Health Required Rev. 07/01/2004~ ~ I 14 J Contract No. ID057 07/01/2004 City of Delray Beach Performance Contract SAMH Services Program Outcomes and Outputs, during the contract period, to determine if the provider is achieving the levels that are specified. 6. Provider Responsibilities a. Provider Unique Activities (1) The provider will ensure that the invoices submitted to the department reconcile with the amount of funding and services specified in this contract as well as the agency's audit report and client information system. (2) The provider agrees to comply with all other applicable federal laws, state statutes and associated administrative rules as may be promulgated or amended. See Exhibit F, Minimum Service Requirements. (3) If the provider is the representative payee for Supplemental Security Income, Social Security Administration, Veterans Administration, or other federal benefits on behalf of the client, the provider agrees to comply with the applicable federal laws including the establishment and management of individual client trust accounts (20 CFR 416 and 31 CFR 240). (4) Pursuant to section 402.73, F.S., the provider agrees to maintain data on the performance standards specified in Exhibit D, Substance Abuse and Mental Health Outcomes and Outputs, for the types of services provided under this contract and shall submit such data to the department upon request. Data submission requirements can be found in CFP 155-2. (5) A provider that receives federal block grant funds from the Substance Abuse Prevention and Treatment or Community Mental Health Block Grants agrees to comply with Subparts I and II of Part B of Title XIX of the Public Health Service Act, sections 42 U.S.C. 300x-21 et seq. (as approved September 22, 2000) and the Health and Human Services (HHS) Block Grant regulations (45 CFR Part 96). (6) If required by 45 CFR Parts 160, 162, and 164, the following provisions shall apply pursuant to 45 CFR 164.504(e)(2)(ii): (a) The provider hereby agrees not to use or disclose protected health information (PHI) except as permitted or required by this contract, state or federal law. (b) The provider agrees to use appropriate safeguards to prevent use or disclosure of PHI other than as provided for by this contract or applicable law. (c) The provider agrees to report to the department any use or disclosure 07/01/2004 City of Delray Beach Performance Contract SAMH Sen/ices Program of the information not provided for by this contract or applicable law. (d) The provider hereby assures the department that if any PHI received from the department, or received by the provider on the department's behalf, is furnished to provider's subcontractors or agents in the performance of tasks required by this contract, that those subcontractors or agents must first have agreed to the same restrictions and conditions that apply to the provider with respect to such information. (e) The provider agrees to make PHI available in accordance with 45 CFR 164.524. (f) The provider agrees to make PHI available for amendment and to incorporate any amendments to PHI in accordance with 45 CFI:{ 164.526. (g) The provider agrees to make available the information required to provide an accounting of disclosures in accordance with 45 CFR 164.528. (h) The provider agrees to make its internal practices, books and records relating to the use and disclosure of PHI received from the department or created or received by the provider on behalf of the department available for purposes of determining the provider's compliance with these assurances. (i) The provider agrees that at the termination of this contract, if feasible and where not inconsistent with other provisions of this contract · concerning record retention, it will return or destroy all PHI received from the dePartment or received by the provider on behalf of the department, that the provider still maintains regardless of form. If not feasible, the protections of this contract are hereby extended to that PHI which may then be used only for such purposes as to make the return or destruction infeasible. (j) A violation or breach of any of these assurances shall constitute a material breach of this contract. (7) Reporting of Missing Children The provider agrees to instruct caregivers (including relatives and non- relatives) to immediately do the following, as applicable, and document their attempts upon discovering a child under their care is missing: (a) If exigent circumstances exist, the caregiver will call local law enforcement as soon as the determination is made that the child is missing and ask the officer to: IRev. 07/01/2004 16 Contract No D057. I 07/01/2004 City of Delray Beach Pen~ormance Contract SAMH Sen~ices Program (b) Take a report of the missing child. (c) Assign a case number and provide the number back to the caregiver or person reporting the child missing. (d) Provide a copy of the law enforcement case report, when it is available. (e) If the responding law enforcement officer refuses to take a missing child report, for any reason, the caregiver will request to speak to the appropriate Watch Commander and document the officer's name and specific local law enforcement agency name. If the Watch Commander refuses to take a missing child report, the caregiver will immediately contact the family services counselor or on-call staff to report this information. The counselor will report this information to the FDLE-MClC contact person who will contact FDLE to request assistance in obtaining the missing child report. (f) The caregiver will notify the child's family services counselor or emergency on-call staff and share all pertinent information listed above with emphasis on providing the law enforcement agency name, case number and if available a copy of the law enforcement report. (2) If exigent circumstances do not exist, the caregiver will within the first hour check to see what, if any, of the child's personal belongings are missing or if the child left a note; and, (a) Call the following persons as appropriate to ascertain if the child has been seen, or has given any indications that may explain the child's missing status: i. School/child's teachers and school resource officer; ii. The child's relatives/parents, both local and non-local, if appropriate and the caregiver has the means for such contact; iii. Any friends or places that the child generally frequents, the local runaway shelter (if there is one in the community); and, iv. The child's employer, if applicable. (b) Write down any information gathered that might help locate the child. i. Provide telephone/beeper numbers and ask for the individuals above to call back and share information if they have further information or see the child. IRev. 07/01/2004 17 Contract No. ID057 I 07/01/2004 City of Delray Beach Performance Contract SAMH Services Program ii. Write down what the child was wearing the last time the child was seen and obtain a recent photo. iii. Notify the child's family services counselor or emergency on-call staff and share all pertinent information listed above with emphasis on providing the law enforcement agency name and case number if available. (3) If at any time the child returns to the caregiver home, all law enforcement agencies and other agencies notified that the child was missing must be contacted immediately. If at any time new information is obtained on the child's location, all law enfomement agencies and other agencies notified that the child was missing must be contacted immediately and appropriate efforts taken to return the child to the caregivers' home. b. Coordination with other Providers/Entities The provider agrees to coordinate with other providers and state entities as follows: (1) The provider hereby agrees to develop and implement a system of care with the department's contracted Community Based Care providers within their communities through the execution of a departmental approved Memorandum of Understanding (MOU). The intent of the MOU is to establish a formal linkage of partnerships with a shared vision for improving outcomes for families involved in the child welfare system by providing integrated community support and services. (2) The Memorandum of Understanding shall be submitted to the SAMH contract manager within ninety (90) days of contract execution. (3) The failure of other providers or entities does not alleviate the provider from any accountability for tasks or services that the provider is obligated to perform pursuant to this contract. c. Minimum Service Requirements See Exhibit F, Minimum Service Requirements 7. Department Responsibilities a. Department Obligations The department will participate in the collaborative development and implementation of the MOU with the Community Based Care and Substance 07101/2004 City of Delray Beach Performance Contract SAMH Services Program Abuse and Mental Health providers to ensure the integration of services and support within the community. The department will support the development and implementation of the MOU by providing an example of an MOU, system of care information, data reporting requirements and technical assistance. b. Department Determinations The department has exclusive authority to make the following determination(s) and to set the procedures that the provider must follow in obtaining the required determination(s): (1) Tarqet Populations as outlined in Exhibit D and Pro.qram Descriptions. (2) Acceptance and approval of reports as required on Exhibit C. {3) Acceptance and approval of provider's Proqram Description. c. Monitoring Requirements The provider will be monitored in accordance with 394.741 F.S. C. Method of Payment See Exhibit B, Method of Payment. D. Special Provisions 1. Fee Schedule The provider shall comply with the provisions of Rule 65E-14.018, F.^.C. A copy of the sliding fee scale that reflects the uniform schedule of discounts referenced in 65E-14.018(4) shall be furnished by the provider to the contract manager within thirty (30) days of contract execution. 2. Service Provision Requirements for Substance Abuse Prevention and Treatment Block Grants a. If funding is received from the Substance Abuse Prevention and Treatment Block Grant, the provider also agrees to comply with the data submission requirements outlined in CFP 155-2, Appendix Q. b. The provider shall make available, either directly or by arrangement with others, tubemulosis services to include counseling, testing and referral for evaluation and treatment c. Funds under this grant may be used to support substance abuse treatment services for individuals with a co-occurring mental disorder as long as the funds allocated are used to support substance abuse prevention and treatment Rev. 07/01/2004 I 19 Contract No. ID057I 07/01/2004 City of Delray Beach Performance Contract SAMH Services Program services and can be tracked to the specific substance abuse activity as listed in Exhibit G, State Funding by Program, Activity and Cost Center, d. If funding is received from the Substance Abuse Treatment and Prevention Block Grant, the provider is required to participate in the State's Peer Review process to assess the quality, appropriateness, and efficacy of treatment services provided to individuals under this contract pursuant to 45 CFR 96.136. 3. Indigent Drug Program If the provider receives funding under the Indigent Drag Program, the provider must: a. Ensure that all funds allocated for use of purchasing psychotropic medications or medications accessed through line of credit from the Indigent Drug Program (IDP) are used for individuals who meet any of the following criteria: {1) Have an annual income that is at or below 150% of the Federal Poverty Income Guidelines, as published annually in the Federal Register. (2) Have no liable third-party insurance or other source of psychotropic medications available, nor is the individual a participant in a program where psychotropic medications are paid for by any other funding source. {3) If the individual has third party insurance for psychotropic medications but has temporarily been denied benefits for these medications, they may receive IDP medications until such time as eligibility has been reestablished. b. Actively participate in patient assistance programs for atypical antipsychotic medications offered by Eli Lilly, AstraZeneca, Janssen or other pharmaceutical manufacturers that agree to participate in the Indigent Psychiatric Medication Reform Plan and are made known to the provider. c. Participate in training noticed by the department for the purposes of explaining how to access participating manufacturers' patient assistance programs. 4. Transportation Disadvantaged The provider agrees to comply with the provisions of Chapter 427, F.S., Part I, Transportation Services, and Chapter 41-2, F.A.C., Commission for the Transportation Disadvantaged, if public funds provided under this contract will be used to transport clients. The provider agrees to comply with the provisions of CFOP 40-5 if public funds provided under this contract will be used to purchase vehicles which will be used to transport clients. IRev. 07/01/2004 20 Contract No. ID057 I 07/01/2004 City of Delray Beach Performance Contract SAMH Services Program 5. Credentialing and Recredentialing Process Contract providers are required to develop and implement a Credentialinq and Recredentialinq process to select and evaluate the practitioners who participate within its delivery system. Included, but not limited to, are psychiatrists, addiction specialists, psychologists, clinical social workers, psychiatric nurses, and other behavioral healthcare practitioners who are authorized by the State of Florida to practice within the scope of their licensure requirements. 6. Coordination of District Initiatives The provider aqrees to coordinate activities, as they relate to services provided under this contract, with other providers and state entities as follows (list is not all inclusive): Department of Juvenile Justice, Palm Beach County School District, and substance abuse and mental health service providers located in Palm Beach County. Additionally, SAMH contracted providers are expected to participate in the planninq, implementation and evaluation of the Family HOPE system of care design activities as requested by the SAMH ProRram Office. The provider must develop and implement a system of care, with the department's contracted Florida Assertive Community Team (FACT), within their catchment areas through the execution of a department approved Memorandum of Understanding (MOU). The intent of the MOU is to establish a formal linkage of partnerships with a shared vision for improving outcomes for adults with severe persistent mental illness, and co-occurring disorders, and their families. 7. Policy and Procedure Manuals Comprehensive Policy and Procedure Manuals must be developed and maintained by the provider. All manuals must include the specific requirements necessary to address accounting, purchasing, personnel, and programmatic/clinical components of the agency's practices. All manuals should contain an overview pare describing the purpose of the manual, a table of contents, numbered pages, be revised/updated requtarly and should reflect approval (with dates) by the board of directors (or designee). 8. Reporting of Fraud The provider agrees to notify the department if an employee is convicted of fraud. As defined in CFOP 180-4, "Fraud" means to commit an intentional violation of law or a deliberate misrepresentation or concealment so as to secure unfair or unlawful financial or personal Rain. Rev. 07/01/2Q04 I 21 Contract No. ID057 07/01/2004 City of Delray Beach E. List of Exhibits 1. Exhibit A, Clients to be Served (HC02) 2. Exhibit B, Method of Payment (HC02) 3. Exhibit C, Required Reports 4. Exhibit D, Substance Abuse and Mental Health Required Outcomes and Outputs 5. Exhibit E-I, Substance Abuse and Mental Health Services Monthly Non-TANF Advance/Payment Request (HC02) and Exhibit E-2, Substance Abuse and Mental Health Services TANF Monthly Invoice (HC02) - N/A (not applicable and not attached) 6. Exhibit F, Minimum Service Requirements 7. Exhibit G, State Funding by Program, Activity and Cost Center (HC02) 8. Exhibit H, Funding Detail (HC02) 9. Exhibit I, Unusual Incident Reporting and Client Risk Prevention 10. Exhibit J, Informed Consent for Follow-up Survey 11. Exhibit K, TANF Guidelines - N/A (not applicable and not attached) Performance Contract SAMH Services Program Rev. 07/01/2004_,,. 22 Contract No. ID057 07/01/2004 Client Non-Specific Performance Contract SAMH Services Program Exhibit A Clients to be Served A. General Description The provider agrees to provide services funded by this contract to the target population(s) that checked below: [] Adult Mental Health - Forensic Involvement [] Adult Mental Health - Severe and Persistent Mental Illness [] Adult Mental Health - Serious and Acute Episodes of Mental Illness [] Adults with Mental Health Problems [] Children's Mental Health - Seriously Emotionally Disturbed [] Children's Mental Health - Emotionally Disturbed [] Children's Mental Health - At Risk of Emotional Disturbance [] Adults with Substance Abuse Problems [] Adults at Risk of Substance Abuse Problems [] Children with Substance Abuse Problems [] Children at Risk of Substance Abuse Problems B. Client Eligibility The provider agrees that all persons meeting the target population descriptions in the paragraph above are eligible for services based on the availability of resources. A detailed description of each target population is contained in CFP 155-2. C. Client Determination (1) Determination of client eligibility is exclusively the responsibility of the provider. D. Contract Limits ('1) The provider is not authorized to bill the department for more units than are specified in Exhibit G, State Funding by Program, Activity or Cost Center, or for more units than can be purchased with the amount of funds specified in Exhibit G. 07/01/2004 (2) The department may unilaterally increase or decrease the initial 23 PSMA I HC02 Contract No. ID057 07101/2004 Client Non-Specific Performance Contract SAMH Services Program number of units specified in Exhibit G, up to ninety (90) days after the contract's effective date, based on the availability of state funding. (3) The provider agrees that funds provided in this contract will not be used to serve persons outside the target population(s) specified in the paragraph, above. (4) Services provided under this contract are limited by the availability of funds. The provider may not authorize or incur indebtedness on behalf of the department. 07/01/2004 24 PSMA I HC02 Contract No. ID057 07/01/2004 City of Delray Beach 1. Payment Clauses Client Non-Specific Performance Contract SAMH Services Program EXHIBIT B Method of Payment a. This is a fixed price (unit cost) contract. The department shall pay the provider for the delivery of service units provided in accordance with the terms and conditions of this contract for a total dollar amount not to exceed $162,637.00, subject to the availability of funds b; The department shall pay for the service units at the unit price(s) and limits listed on Exhibit G, State Funding by Program, Activity and Cost Center, totaling $162,637.00, subject to the availability of funds. c. The provider shall provide local match up to the amount specified in Exhibit H, Funding Detail. d. The department shall reduce or withhold funds pursuant to Rule 65E- 29.001, F.A.C., if the provider fails to comply with the terms of the contract and/or fails to submit client enrollment, demographic, service or outcome information as required in subsection 394.74(3)(e) F.S., CFP 155-2 and Rule 65E-14, F.A.C. (By the due date listed on Exhibit C, Required Reports .) e. The department's decision to reduce or withhold funds will be submitted to the provider in writing. The written notice will specify the manner in which the provider has failed to comply with the terms of the contract. When compliance is achieved, withheld funds will be reinstated to the provider. f. If a provider closes or suspends the provision of services funded by this contract, the provider agrees to notify the department in writing thirty (30) calendar days prior to their intent to close, suspend or end service(s). If the provider fails to notify the department, the provider hereby agrees not to request payment for services provided in prior months if the actual number of services in the month for which payment is being requested is less than twenty-five percent (25%) of the prorated amount of services by cost center as given in Exhibit G, State Funding by Program, Activity and Cost Center or twenty-five percent (25%) of the prorated share of the amount of funding as specified in Exhibit G, State Funding by Program, Activity and Cost Center. Rev. 07/01/2004 25 PSMA I HC02 Contract No. ID057 07/01/2004 City of Delray Beach 2. Advance Payment Client Non-Specific Performance Contract SAMH Services Program The department may approve release, at its sole discretion, more than the monthly-prorated share of the contract amount when the provider submits a written request justifying the release of additional funds, and (if) funds are available. 3. Medicaid Billing a. The department and the provider specifically agree and acknowledge that the Medicaid Program is the payer of last resort, and b. For Medicaid purposes, the department shall not be considered a liable third party for Mental Health and Substance Abuse Program payments funded through the department; c. In no event shall the provider bill the Medicaid program for services or expenses for Medicaid recipients for which the provider has already been paid by any other liable third party payor; d. Provider services covered under the Flodda Medicaid program for Medicaid recipients may be billed to the Medicaid Program by the provider, unless the provider is already being paid by any other liable third party; e. Authorized provider services to non-Medicaid recipients, or for non- Medicaid covered services, may only be billed to the department or any other non-Medicaid first or third party payor; · f, The Medicaid enrolled provider may not bill the department for Medicaid covered services provided to Medicaid eligible recipients; g. The provider shall identify and report Medicaid earnings separate from all other fees; h. Medicaid earnings cannot be used as local match; i. The provider shall ensure that Medicaid payments are accounted for in compliance with federal regulations; j. In no event shall both Medicaid and the department be billed for the same service; k. The provider operating a residential treatment facility licensed as a crisis stabilization unit, detoxification facility, short-term residential treatment facility, residential treatment facility Levels I or 2, or therapeutic Rev. 07/01/2004 26 PSMA 1 HC02 .-, Contract No. ID057 07/01/2004 City of Client Non-Specific Performance Contract SAMH Services Program Delray Beach group home that is greater than 16 beds is not permitted to bill or knowingly access Medicaid for any services for recipients while in these facilities; and I. The provider operating a children's residential treatment center of greater than 16 beds is not permitted to bill or knowingly access Medicaid for any services for recipients in these facilities except as permitted under the Medicaid State Inpatient Psychiatric Program Waiver. 4. Temporary Assistance to Needy Families (TANF) Billing The provider agrees to comply with applicable parts of Part A or Title IV of the Social Security Act and ensure that TANF funds are expended for TANF participants as outlined in Exhibit K. The contract shall specify the unit cost rate for each cost center contracted for TANF funding, which shall be the same rate as for non-TANF funding, but the contract shall not specify the number of TANF units or the amount of TANF funding for individual cost centers. 5. Payments from MCO and HMO Organizations Unless waived in section D (Special Provisions) of this contract, the provider agrees that subcapitated rates from either a managed care organization (MCO) or a health maintenance organization (HMO) will be considered to be "third party payer" contractual fees as defined in Rule 65E-14.001(2)(z), F.A.C. Units of services which are covered by the subcapitated contracts and provided to persons covered by these subcapitated contracts must not be billed to the department. 6. Flexible Payment Provision a. The provider is authorized, within approved cost centers, to bill the department for eligible service units, up to a maximum of 15% more than the funding level specified on Exhibit G, State Funding by Program, Activity and Cost Center, The aggregate cost center billings and payments within a Program Activity must not exceed the total contracted Program Activity funding. b. The district SAMH program supervisor may deny invoicing flexibility provisions only pursuant to the parameters outlined in Rule 65E- 14.021(10)(b)(3) sub-parts (c)'and (d), F.A.C. Those cost centers denied flexibility are identified on Exhibit G, State Funding by Program, Activity and Cost Center. c. The following Substance Abuse and Mental Health cost centers are exempt from these flexibility provisions: FACT Teams, Outpatient Rev. 07/01/2004 27 PSMA I HC02 Contract No. ID057 07/01/2004 Client Non-Specific Performance Contract SAMH Services Program City of Delray Beach Detoxiflcation, Substance Abuse Detoxification, Inpatient, Crisis Stabilization, Crisis Support/Emergency and Short Term Residential Treatment. 7. Invoice Requirements The provider shall request payment monthly through submission of a properly completed invoice, Exhibit E-I, and/or Exhibit E-2 within thirty (30) days following the end of the month for which payment is being requested for the delivery of service. The provider's final invoice must reconcile actual service units provided during the contract period with the amount paid by the department. Except as provided in paragraphs 1.e. and 2., the total number of monthly service units paid under this contract can not exceed the monthly prorated share of units as specified in Exhibit G, State Funding by Program, Activity and Cost Center or prorated share of amount of funding as specified in Exhibit G. 8. Supporting Documentation The provider agrees to maintain service documentation for each service billed to the department pursuant to this contract. Proper service documentation for each SAMH cost center is outlined in Rule 65E- 14.021(7), F.A.C. The department and the Chief Financial Officer reserve the right to request supporting documentation at any time after actual units have been delivered. 9. MyFIorida MarketPlace Transaction Fee This contract/item is exempt from the MyFIoddaMarketPlace Transaction Fee in accordance with 60A-1.032 (1)(e), F.A.C. Rev. 07/01/2004 28 PSMA I HC02 -. Contract No. ID057 07/01/2004 City of Dclray Beach SAMH Services Program Provider Name: City of Delra¥ Beach I EXHIBIT C REQUIRED REPORTS Contract No. ID057 Date: 06/07/04 Amendment No. N/A Due Date I # of Copies I Send to: Re ~orte Required For All Providers Response to Monitoring Reports and Corrective Action Within 30 days of I Contract Manager Plans receipt of report Sliding Fee Scale [reflecting the uniform schedule of Within 30 days afar I Contract Manager discounts referenced in 65E-14.018(4)] contract execution Agency Service Capacity Report Final FY 2004-2005 Within 30 days after I Contract Manager conuact execution Draft FY 2005-2006 May 1, 2006 I Contract Manager Projected Cost Center Operating and Capital Budget Final FY 2004-2005 Within 30 days after 1 Contract Manager contract execution Draft FY 2005-2006 May 1, 2006 I Contract Manager Program Description Final FY 2004-2005 Within 30 days after 1 Contract Manager Draft FY 2005-2006 May 1, 2006 I Contract Manager Cost Center Personnel Detail Report Final FY 2004-2005 Within 30 days after 1 Contract Manager Draft FY 2005-2006 May 1, 2006 I Contract Manager Monthly Data Required by CFP 155-2 Within 15 days after Electronic Mental Health Program end of month Submission Office as appropriate Unusual Incident Report Within 24 hours of I to District As per Exhibit ! Reportn Required for Substance Abuse Providers Annum Prevention Services Report SAPT Block Grant 45 days after end of 1 to District Contract Manager SFY I to Program Substance Abuse Program Office Office District Required Reports Prevention Status Report 15 days after thc end I Contract Manager of the month Quality Assurance Plan 2 weeks after I Contract Manager contract's effective date Agency Disaster Plan Within 30 days of I Contract Manager contract execution 07101/2004 ~ PSMAI No. HC02 Contract Page 29 Contract No. ID057 07/01/2004 City of Delmy Beach SAMH Services Program Exhibit D Substance Abuse and Mental Health Required Outcomes/Outputs Provider Name: City of Delmy Beach Contract #: ID057 Date: 05/21/04 Revision #: I 1. Mental Health Contracted Services A. Required Performance Standards for Each Target Population (Including all clients paid for by SAMH, Medicaid and Local Match) Minimum Numbers to Be Served 1. Adult Mental Health - N/A a. Severe and Persistent Mental Illness b. Crisis 1. Adults with Serious and Acute Episodes of Mental Illness 2. Adults with Mental Health Problems c. Forensic Involvement N/A N/A N/A N/A N/A N/A 2. Children's Mental Health - N/A a. Seriously Emotionally Disturbed b. Emotionally Distaffbed c. At Risk of Emotional Disturbance B. Required GAA Outcomes for Each Target Population 1. Adult Mental Health - Severe and Persistent Mental Illness - N/A a. Average annual number of days (post admission assessments) spent in the community will be at least: N/A b. Average annual number of days (post admission assessments) worked for pay will be at least: N/A 2. Adult Mental Health - Adults with Serious and Acute Episodes of Mental Illness and Adults with Mental Health Problems (Crisis) - N/A a. Median length of stay for adults in a CSU/lnpaticnt unit will be no more than N/A. 3. Adult Mental Health - Forensic Involvement- N/A a. Percent of persons who violate their Chapter 916, F.S., conditional release and are recommitted shall be no more than N/A percent. b. Average annual number of days (post admission assessments) spent in the community will be at least N/A. 4. Children's Mental Health - Seriously Emotionally Disturbed - N/A a. Average annual number of days (post admission assessments) spent in the conununity will be at least N/A. b. Percent of children who improve their level of functioning will be at least N/A. 5. Children's Mental Health -Emotionally Disturbed - N/A a. Average annual number of days (post admission assessments) spent in the community will be at least N/A. b. Percent of children who improve their level of functioning will be at least N/A. C. Required Internal Measures Not Included in the General Appropriations Act/Implementing Bill 1. Data Submission Outcomes for Mental Health - N/A a. All Population Groups (1) At least 95% of clients served will have at least one corresponding mental health outcome measure record. b. Adults: Forensic, SPMI, Crisis (1) At least 95% of adults will have community days reported (2) At least 95% of adults will have work days reported (3) At least 95% of adults will have all three income categories reported (4) At least 95% of adults wilt have GAF scores reported Exhibit Page I of 2 Contract Page No. 30 PSMA! No. HC02 Contract No. ID057 · 07/1/2(~04 Performance Contract SAMH Services Program Exhibit D (continued) Substance Abuse and Mental Health Performance Measures Provider Name: City of Delray Beach Contract #: ID057 Date: 05/21/04 Revision #: 1 c. Children: SED, ED, At Risk (1) At least 95% of children will have community days reported (2) At least 95% _of children will have both school days categories reported. (3) At least 95% _of children will have CGAS reported. (4) At least 95% of children will have DJJ conunitment status reported. I1. Substance Abuse Contracted Services A. Required Performance Standards for Each Target Population (Including all clients paid for by SAMH Medicaid and Local Match) Minimum Numbers to Be Served 1. Adult Substance Abuse* a. Adults At-Risk for Developing Substance Abuse (prevenfien-unduplicated estimate) b. Adults With Substance Abuse 1) Adult clients to be served in dctoxification (Cost Centers 24, 32) 2) Adult clients to be served in non-residential/residential treatment (Cost Centers 4, 5, 6, 8, 12, 14, 18, 19, 21, 25, 35, 36, 37, or 35) 3) Adult clients to complete non-residential/residential treatment (Discharge Codes 1, 2, 6, 7, 10, 11, 13) 4) Adults 60 and older served (Age at Admission) 5) Adult clients to be served who arc involved with Family Safety (establish baseline) 230 N/A N/A N/A N/A N/A N/A 2. Children's Substance Abuse* a. Children At-Risk for Developing Substance Abuse 1 ) Children to be served in indicated prevention services (Cost Center 17) 2) Children to bc served in selective/universal (unduplicated estimate) (CLFC Program - 80 children/80 Adults) b. Children With Substance Abuse 1 ) Children to be served in detoxification (Cost Centers 24, 32) 2) Children to be served in non-residential/residential treatment (Cost Centers 4, 5, 6, 8, 12, 14, 18, 19,20,21,25, 35, 36, 37, or 38) 3) Children to complete non-residential/residential treatment (Discharge Codes 1, 2, 6, 7, 10, 11, 13) 4) Children to be served who are involved with Family Safety (establish baseline) N/A 80 N/A N/A N/A N/A N/A * To be officially counted as served clients must have service events recorded in the SAMH Data Warehouse during the fiscal year. Client counts must be unduplicated within each standard. B. Required Performance Standards for Adult and Children's Substance Abuse Services** 1. Adult Substance Abuse a. At least N/A percent of adults discharged will successfully complete treatment with no alcohol and other chug use during the month prior to discharge. (Sum of Discharge Codes 1, 10 and 13 divided by total in 1 .b.3.) b. At least N/A percent of adults discharged fi.om treatment will be employed upon discharge. (At Discharge, Sam of Employment Codes I and 2 divided by Sum of Employment Codes 1, 2, 3 and 5) 2. Children's Substance Abuse a. At least N/A percent of children discharged will successfully complete treatment with no alcohol and other drug use during the month prior to discharge. (Sum of Discharge Codes 1, 10 and 13 divided by total in 2.b.3.) Exhibit Page 2 of 2 PSMAI No. HC02 Contract Page No. 31 Contract No. ID057 32 34 07101/2004 City of Delray Beach Performance Contract SAMH Services Program EXHIBIT F Minimum Service Requirements The provider and its subcontractors shall be knowledgeable of and fully comply with all applicable state and federal laws, rules and regulations, as amended from time to time, that affect the subject areas of the contract. Authorities include but are not limited to the following: I. PROGRAMMATIC AUTHORITY (FEDERAL) A. Mental Health 42 U,S.C. 300x to 300x-9 http://www4.1aw.cornell.edu/uscode/42/ch6AschXVIIp B.html B. Substance Abuse Prevention and Treatment Block Grant (SAPTBG) 42 U.S.C. 300x-21 to 300x-35 and 300x-51 to 300x-66 http:l/www4.1aw.comell.eduluscode/ 45 CFR 96.120 - 137 http://www.access.,qpo.,qov/nara/cfr/waisidx 03/45cfr96 03.html Restrictions on expenditures of SAPTBG 45 CFR 96.135 http://www.access.,qpo.,qov/nara/cfr/waisidx 03/45cfr96 03.htm C. Substance Abuse-Confidentiality 42 CFR Chapter 2 http://www.access.(3oo.(3ov/nara/cfr/waisidx 03/42cfr2 03.html D. Health Insurance Portability and ACcountability Act (HIPAA) 45 CFR 164 http://www.access.,qpo.,qov/nara/cfr/waisidx 03/45cfr164 03.html E. Social Security Income for the Aged, Blind and Disabled 20 CFR 416 http://www.access.,qpo..qov/nara/cfr/waisidx 03/20cfr416 03.html 07/01/'2004 Page 1 of 6 PSMAi No. llC02 Contract Page Contract No. ID057 07/01/2004 Performance Contract City of Delray Beach SAMH Services Program F. Endorsement and payment of checks drawn on the United States Treasury 31 CFR 240 relating to SSA http:llwww.access.,qpo.,qov/nara/cfrlwaisidx 03/31cfr240 03.html G. Temporary Assistance to Needy Families (TANF) Part A, Title IV of the Social Security Act 45 CFR Part 260 , http:llwww.access.,qpo.,qovlnaralcfrlwaisidx 03/45cfr260 03.html Section 414.1585, F.S. http :llwww.flsenate. Rovlstatuteslindex. H. Projects for Assistance in Transition Homelessness (PATH) Public Health Services Act, title V, Part C, Section 521, as amended 42 U.S.C. 290cc-21 et. seq. http:/Iwww4.1aw.comeli.eduluscode/ Stewart B. McKinney Homeless Assistance Amendments Act of 1990, Public Law 101-645 http:llthomas.loc..qovlc.qi-binlbdquery II. FLORIDA STATUTES All State of Florida statutes can be found at the following website: http:/Iwww.flsenate.,qov/statuteslindex. A. Child Welfare and Community Based Care CH 39 CH 119 CH 402 s. 402.3057 CH 435 CH 490 CH 491 s. 414.295 CH 1002 Proceedings Relating to Children Public Records Health and Human Services; Miscellaneous Provisions Persons not required to be refingerpdnted or rescreened Employment Screening Psychological Services Clinical, Counseling and psychotherapy services Public Records Exemptions Compulsory School Attendance 07/01/2004 Page 2 of 6 PSMAI No. HC0'~ Contract Page Contta~t No. 1D057 37 07/01/2004 City of Delray Beach Performance Contract SAMH Services Program B. Substance Abuse and Mental Health Services CH 381 CH 386 CH 395 CH 394 CH 397 CH 400 s. 409.906(8) CH 458 CH 459 CH 464 CH 465 CH 499 CH 553 CH 893 Public Health General Provisions Particular Conditions Affecting Public Health Hospital Licensing and Regulation Mental Health Substance Abuse Services Nursing Home Medicaid Medical Practice Osteopathic Nursing Pharmacy Drug, Cosmetic and Household Products Building Construction Standards Drug Abuse Prevention and Control C. Developmental Disabilities CH 393 Developmental Disabilities D. Adult Protective Services CH 415 Adult Protective Services E. Forensics CH 916 985.223 s. 985.224 Mentally Deficient and Mentally III Defendants. Incompetency in Juvenile Delinquency Cases Delinquency; Interstate Compact on Juveniles F. Florida Assertive Community Treatment (FACT) General Appropriations Act 2004-2005 http://www.flsenate.,qov/Session/index. G. Department of Administrative Services s 112.061 s 112.3185 CH 120 s 215.422 ss 218.181(16)(b) s 205.0515 Per diem and Travel Expenses Contractual Services Administrative Procedures Act Warrants and Processing Time Advanced funds invested in interest bearing accounts Public Property and Buildings 07101/'2004 Page 3 of 6 PSMAi No. HC02 Contract Page Contract No. ID057 38 07/01/2004 City of Delray Beach Performance Contract SAMH Services l~ogram CH 287 CH 815 Property and Services Computer Related Crimes III. FLORIDA ADMINISTRATIVE CODE (RULES) A. Child Welfare and Community Based Care All references to F.A.C. may be found at the following website: http:l/fac.dos.state.fl.us/faconline/chapter65.pdf 65C-13 65C-14 65C-15 Substitute Care of Children Group Care Child Placing Agencies B. Substance Abuse and Mental Health Services 65D-30 65E-4 65E-5 65E-10 65E-12 65E-14 65E-15 65E-20 Substance Abuse Services Office Community Mental Health Regulation Mental Health Act Psychotic and Emotionally Disturbed Children Pumhase of Residential Services Rules Public Mental Health, Crisis Stabilization Units, Short Term Residential Treatment Programs Community Substance Abuse and Mental Health Services- Financial Rules Continuity of Care Case Management Forensic Client Services Act Regulation C. Financial Penalties 65-29 Penalties on Service Providers Reduction/withholding of funds 65-29.001 Financial Penalties for a Provider's Failure to Comply With a Requirement for Corrective Action IV MISCELLANEOUS A. Depar{ment of Children and Families Operating Procedures CFOP 215-6, Unusual Incident Reporting and Client Risk Prevention http :l/www.dcf. state.fl.us/publications/policies/215-6.pdf B. Federal Cost Principles 07/01/2004 Page4 of 6 PSMAi No. HC02 Contract Page Contract No. 113057 07/01/2004 City of Delray Beach Performance Contract SAMH Services Program OMB Cimular A-21 Cost Principles for Educational Institutions http :l/www. wh itehouse. Rov lomblcirculars/aO211a021 .html OMB Cimular A-87 Cost Principles for State, Local and Indian Tribal Governments http://www.whitehouse.,qov/omb/cimulars/a087/a087-all, html OMB Circular A102 Grants and Cooperative Agreements with State and Local Governments http :/Iwww. whitehouse. Rov/omb/circularsla l O21a l O2.html OMB Cimular A-122 Cost Principles for Non-profit Organizations http ://www. whitehouse.,qov/omb/cimulars/a122/a122.html C. Audits OMB Circular A-133 Audits of States, Local Governments and Non-Profit Organizations http://www.whitehouse.,qov/omb/circulars/a 133/a 133.html Subsection 215.97 F.S. Florida Single Audit Act http://www.flsenate.,qov/statutes/index. Comptrollers Memorandum #03 (1999-2000): Florida Single Audit Act Implementation http://www.dbf, state.fl.us/aadir/cmindex.html#0304 D. Administrative Requirements 45 CFR Part 74 Uniform Administration Requirements for Awards and Subawards to Institutions of Higher Education, Hospitals, other Non-Profit Organizations and Other Commercial Organizations http:llwww.hhs.qovlRrantsnet/adminis/fedreR45.htm 45 CFR Part 92 Uniform Administration Requirements (State and Local Governments)\ http://www, hhs.,qov/,q rantsnet/adminis/fed re,q45.htm OMB Circular A110 Uniform Administrative Requirements for Grants and Other Agreements http://www.whitehouse.gov/omb/circularsla110la 110.html E. Data R. 65E-14.022 F.A.C. http:llfac.dos.state.fl.uslfaconlinelchapter65.pdf 07/01/200~ Page 5 of 6 PSMA! No. HC02 Contract Page Contract No. ID057 07/01/2004 City of D¢lray Beach Performance Contract SAMH Services Program s 397.321(3)(c) F.S. Data collection & dissemination system http://www.flsenate. Rov/statutes/index. s 394.74 F.S. Data Submission http :l/www.flsenate.,qovlstatuteslindex. s 394.77 F.S. Uniform management information, accounting, and reporting systems for providers. http:l/www.flsenate.,qovlstatuteslindex. CFP 155-2 Mental Health and Substance Abuse Data Measurement Handbook http://www5.myflodda.com/cf web/m,/fiorida2/healthhuman/substa nceabu sementalhealth/publications/index.html 07101/2004 Page 6 of 6 PSMA! No. HC02 Contract Page Contract No. ID057 41 Exhibit Page 1 of 2 p$MAI No. H~02 42 EXHIBIT G STATE FUNDING BY PROGRAM, ACTIVITY~ & COST CENTER ~[--1~ *o III Exhibit Page 2 of 2 43 SAMH Se~ices Pro,ram INCA 60300~-DETOXIFICATION $0 603006-P~EVF~TION SERVICES G/A-COMM SUBSTANCE ABUSE SVCS (100618) 603007-TREATMENT & AFTERCARE 270G7 27AD7 27HIV 27ME? 27WOM 39TC0 ADTRT SP614 SP615 SP616 SP617 SP618 SP619 SP622 SP623 SP624 SP625 S $0 TOTAL ADULT SU~. ABUSE 602001 -DETOXIF1CATION/ARF AMOUNT 602002-PREVENTION SERVICES 60200~-TREATMENT & AFTERCARE $122,637 TOTAL CHILD/ADOL SUB. ABUSE = $122,637 $162,637 MATCH CALCULATIONS APPLICABLE TO CONTRACT FUNI~ NOT REQUIILING MATCH: 122 7' PRP 6 I = $162,637 TOTAL FUNDS REQUIRING MATCH = $0 LOCAL MATCH REQUIRED = $0 ADDITIONAL LOCAL MATCH = GRAND TOTAL LOCAL MATCH = Exhibit I DISTRICT 9 OPERATING PROCEDURE CFOP 215-6.1 STATE OF FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES April 20, 1999 INCIDENT REPORTING AND CLIENT RISK PREVENTION Purpose. This operating procedure establishes district guidelines for identifying and reporting information related to cliem risk prevention and incidents as defined in paragraph 4. This reporting system is created to provide department manage- ment with early notice and awareness of incidents involving clients and employees which may require the direct intervention of senior-level management. Scope. a. This operating procedure applies to all incident reporting and client risk prevention in the Department of Children and Families programs, Baker Act receiving facilities, and contract providers serving clients of the deportment. It applies to all persons working for and compensated by the depmtment including volunteers. b. These reporting procedures do not replace the abuse, neglect and exploitation reporting system. Regardless of their status as an event in client risk prevention, allegations of abuse, neglect or exploitation must always be reported immediately to the Florida Abuse Hotline and appropriate district human rights advocacy committees as required by law. Definitions. As used in this Procedure, the following definitions shall apply: a) Depmtment. Depaxtment of Children and Families. b) Incident~ An occurrence involving clients, employees, volunteers, or contract providers. c) Client. Any person receiving a service from a program operated, funded, licensed, or regulated by the depax~inent. " d) Reporter. An employee of the department, volunteer, or contractual/provider agency having firsthand knowledge of any incident/event. e) Institutional Abuse. Allegations involving licensed day care, foster care, group homes, treatment facilities, residential treatment facilities, therapeutic foster homes, medical foster homes, and shelter facilities. Nursing homes and assisted living facilities while not licensed by the department will be included. f) Licensed Health Care Professional. A person who is licensed to practice medicine, osteopathy, or nurse practitioner. Revised 4/20/99 45 Exhibit I Definitions of Reportable Incidents. a) Abuse/Neglect or Exploitation. b) c) d) e) h) i) J) This includes all allegations of INSTITUTIONAL ABUSE/NEGLECT and clients under PROTECTIVE SUPERVISION. Protective investigators under Family Safety or Adult Protective Services are responsible for submitting incident report. Accident/Injury. Involving client or employee requiring medical · assistance or potential risk/injury. Aggressive or abusive behavior by client or employee including, but not limited to, 'u~e of profanity, loud tone of voice, pushing or shoving. This includes a physical altercation without injury and incidents requiring involvement by security. (For clients with special needs or disabilities, please document only behaviors that are not typical or are uncharacteristic for client.) Altercation. A physical confrontation with Injury occurring between a client and employee, employee and employee, or two or more clients at the time services are being rendered, or when a client is in the physical custody of the department, which results in one or more clients or employees receiving medical treatment by a licensed health care professional. Automobile Accident. Accident occurring in private or state vehicle during the course of employment. Reporting need not be contingent upon filing of police report and/or damage to any vehicle or injury to driver or client. Baker Act. Emergency hospitalization of any client for whom we have case management responsibility. Client Death. A person whose life temfinates due to or allegedly due to an accident, act of abuse, neglect or other incident occurring in a Depa~hr~ent of Children and Families operated foster home, group home, contracted facility, service center, Baker Act receiving facility; or when a death review is required pursuant to CFOP 175-17, Child Death Review Procedures. Elopement. The unauthoriz~ absence of any client in a program or facility licensed, funded, certified, or operated by the department. Children in the custody of the dep~runent will be reported through the ICWSIS system. Children in shelter status or under protective supervision will be reported through incident procedure. Law Violation. Any arrest of client on our premises or in our custody; or employee. Sexual Battery. An allegation of sexual battery by a client on a client, employee on a client, or client on an employee as evidenced by medical evidence or law enforcement involvement. Revised 4/20/99 46 Exhibit I k) Suicide Attempt. An act which clearly reflects the physical attempt by a client to cause his or her own death while in the physical custody of the department or a department contracted or certified provider, which results in bodily injury requiring medical treatment by a licensed health care professional. I) ThefFFacility Property Damage. Sabotage, vandalism or theft of state or private property including employee losses. m) Verbal Threat of Violence. To an employee or by an employee in a work- related situation. n) Other Event. An unusual occurrence or circumstance that could have significant public reaction/media coverage or potential liability issue. This includes bomb threats, fire alarms, natural disasters, kidnapping, riot or hostage situation, which jeopardizes the health, safety and welfare of clients or employees. Procedures. **PLEASE NOTE: Some situations which are likely to have adverse departmental impact or media coverage may require immediate notification to the District Administrator or PIO by the program administrator. Program administrators are responsible for reviewing incidents and taking appropriate action. The following steps shall be taken to report an incident: a) Employee/provider will notify their supervisor immediately. b) Reporting employee/provider will call the Client Relations Office within 24 hours (561/837-5078) to report incident and obtain log number for "Incident Report" form. c) Submit report to Client Relations within three working days with a copy to the appropriate program administrator. Report can be sent electronically by cc mail or interact mail (see separate instructions). d) Client Relations will copy other program administrators and General Services when appropriate; and the Human Rights Advocacy Committee on all incidents relating to clients. Record Keeping a) Client Relations will maintain ~ file of all incidents received. Signed Copy on File/Dated 4/20/99 Revised 4/20/99 47 Edward C. Horton District Nine Administrator 07/01/2004 Pedormance Contract SAMH Services Program INFORMED CONSENT FOR FOLLOW-UP SURVEY I, (prim client name), give permission to contact me for purposes of obtaining follow-up information concerning my post treatment behavior. My address and phone number is (please print): (stree0 (city, state, zip) (phone number) If the program is unable to reach me at this phone number, I give permission to speak with the following people listed below to inquire about any forwarding phone numbers or address where I may be reached. If follow-up personnel cannot reach me, I give permission for the person(s) named below to answer questions about my progress since leaving treatment by answering the questions in the follow-up survey to the best of their knowledge. Print Name Relationship Street City/State/Zip Phone # This Consent for follow-up will expire 18 months post discharge from treatmem unless cancelled by me. (Client Signature) Date:__/__/__ I do not wish to provide any follow-up information concerning my post treatment behavior. (Cliem Signature) Date:__/__/__ Rev. 07101/2004 Contract Page No. 48 PSMAI No. HC02 ~ Contract No. ID057 CERTIFICATION REGARDING LOBBYING Attachment II CERTIFICATION FOR CONTRACTS, GRANTS, LOANS AND COOPERATIVE AGREEMENTS The undersigned certifies, to the best of his or her knowledge and belief, that: (1) No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or an employee of any agency, a member of congress, an officer or employee of congress, or an employee of a member of congress in connection with the awarding of any federal contract, the making of any federal grant, the making of any federal loan, the entedng into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement. (2) If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a member of congress, an officer or employee of congress, or an employee of a member of congress in connection with this federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Lula Butler Name of Authorized Individual City of Delray Beach Name of Organization 100 N.W. 1st Avenue - Delra¥ Beach, Florida 33444 Address of Organization D~te ID057 Application or CoNtract Number CF 1123. PDF 03/96 49 Page ATTACHMENT II__I The administration of resources awarded by the Department of Children & Families to the provider may be subject to audits as described in this attachment. MONITORING In addition to reviews of andits conducted in accordance with OMB Circular A-133 and Section 215.97, F.S., as revised, the Department may monitor or conduct oversight reviews to evaluate compliance with contract, management and programmatic requirements. Such monitoring or other oversight procedures may include, but not be limited to, on-site visits by Department staff, limited scope audits as def'med by OMB Circular A-133, as revised, or other procedures. By entering into this agreement, the recipient agrees to comply and cooperate with any monitoring procedures deemed appropriate by the Department. In the event the Department determines that a limited scope audit of the recipient is appropriate, the recipient agrees to comply with any additional instructions provided by the Department regarding such audit. The recipient further agrees to comply and cooperate with any inspections, reviews, investigations, or audits deemed necessary by the Chief Financial Officer or Auditor General. AUDITS PART I: FEDERAL REQUIREMENTS This part is applicable if the recipient is a State or local government or a non-profit organization as defined in OMB Circular A-133, as revised. In the event the recipient expends $300,000 ($500,000 for fiscal years ending after December 31, 2003) or more in Federal awards in its fiscal year, the recipient must have a single or program-specific audit conducted in accordance with the provisions of OMB Circular A-133, as revised. In determining the Federal awards expended in its fiscal year, the recipient shall consider all sources of Federal awards, including Federal resources received from the Department of Children & Families. The determination of amounts of Federal awards expended should be in accordance with guidelines established by OMB Circular A-133, as revised. An audit of the recipient conducted by the Auditor General in accordance with the provisions of OMB Circular A-133, as revised, will meet the requirements of this part. In connection with the above audit requirements, the recipient shall fulfill th~ requirements relative to anditee responsibilities as provided in Subpart C of OMB Circular A-133, as revised. The schedule of expenditures should disclose the expenditures by contract number for each contract with the Department in effect during the audit period. The financial statements should disclose whether or not the matching requirement was met for each applicable contract. All questioned costs and liabilities due the Department shall be fully disclosed in the audit report package with reference to the specific contract number. 04101/04 50 PART II: STATE REQUIREMENTS This part is applicable iftbe recipient is a nonstate entity as defined by Section 215.97(2)(1), Florida Statutes. In the event the recipient expends a total amount of state financial assistance equal to or in excess of $300,000 in any fiscal year of such recipient, the recipient must have a State single or project-specific audit for such fiscal year in accordance with Section 215.97, Florida Statutes; applicable rules oftbe Executive Office of the Governor, the Chief Financial Officer and Chapters 10.550 (local governmental entities) or 10.650 (nonprofit and for-profit organizations), Rules of the Auditor General. In determining the state financial assistance expended in its fiscal year, the recipient shall consider all sources of state financial assistance, including state financial assistance received fi.om the Department of Children & Families, other state agencies, and other nonstate entities. State f'mancial assistance does not include Federal direct or pass-through awards and resources received by a nonstate entity for Federal program matching requirements. In connection with the audit requirements addressed in the preceding paragraph, the recipient shall ensure that the audit complies with the requirements of Section 215.97(7), Florida Statutes. This includes submission of a financial reporting package as deemed by Section 215.97(2)(d), Florida Statutes, and Chapters 10.550 or 10.650, Rules of the Auditor General. The schedule of expenditures should disclose the expenditures by contract number for each contract with the Department in effect during the audit period. The financial statements should disclose whether or not the matching requirement was met for each applicable contract. All questioned costs and liabilities due the Department shall be fully disclosed in the audit report package with reference to the specific contract number. PART III: REPORT SUBMISSION Any reports, management letters, or other information required to be submitted to the Department pursuant to this agreement shall be submitted within 180 days after the end of the provider's fiscal year or within 30 days of the recipient's receipt of the audit repor~ whichever occurs first, directly to each of the following unless otherwise required by Florida Statutes: A. Contract manager for this contract (2 copies) B. Department of Children & Families ASFMI Building 2, Room 30 l 1317 Winewood Boulevard Tallahassee, FL 32399-0700 C. Copies of the reporting packages for audits conducted in accordance with OMB Circular A- 133, as revised, and required by Part I of this agreement shall be submitted, when required by Section .320(d), OMB Circular A-133, as revised, by or on behalf oftbe recipient directly to the Federal Audit Clearinghouse designated in OMB Circular A-133, as revised (the number of copies required by Sections .320(d)(1) and (2), OMB Circular A-133, as revised, should be submitted to the Federal Auditing Clearinghouse), at the following address: 04/01/04 51 Federal Audit Clearinghouse Bureau of the Census 1201 East 10t~ Street Jeffersonville, 1N 47132 and other Federal agencies and pass-through entities in accordance with Sections .320(e) and (f), OMB Circular A-133, as revised. D. Copies of reporting packages required by Part II of this agreement shall be submitted by or on behaif of the recipient directly to the following address: Auditor General's Office Local Government Audits/342 Claude Pepper Building, Room 401 111 West Madison SWeet Tallahassee, Florida 32399-1450 Providers, when submitting audit report packages to the Department for audits done in accordance with OMB Circular A-133 or Chapters 10.550 (local governmental entities) or 10.650 (nonprofit or for-profit organizations), Rules of the Auditor General, should include, when available, correspondence from the auditor indicating the date the audit report package was delivered to them. When such correspondence is not available, the date that the audit report package was delivered by the auditor to the provider must be indicated in correspondence submitted to the Department in accordance with Chapter 10.558(3) or Chapter 10.657(2) Rules of the Auditor General. PART IV: RECORD RETENTION The recipient shall retain sufficient records demonstrating its compliance with the terms of this agreement for a period of six years from the date the audit report is issued and shall allow the Department or its designee, Chief Financial Officer or Auditor General access to such records upon request. The recipient shall ensure that audit working papers are made available to the Department or its designee, Chief Financial Officer or Auditor General upon request for a period of three years from the date the audit report is issued, unless extended in writing by the Department. 04/01/04 .-~ 52 MEMORANDUM TO: FROM: SUBJECT: DATE: MAYOR AND CITY COMMISSIONERS CITY MANAGER~< AGENDA ITEM # ~.~,(D, ~) CHANGE ORDER NO. (~OMPANY OF SOUTH FLORIDA - SPECIAL MI~.IZ. TING OF AUGUST 10. 2004 1/CONTRACT ADDITION/THE _IONES AUGUST 6, 2004 This is before the City Commission to Approve Change Order No. 1 (Contract Addition) in the amount of $29,768.55 to The Jones Company of South Florida for the relocation of a portion of an existing water main which conflicts with the installation of the proposed drainage system at the N.W. 18t~ Avenue site, as well as the removal of incidental piping not indicated for removal on the plans. The work will be performed during the contractor's normal scheduling operations, this will avoid potential remobilization charges. Funding is available from 442-5178-536-63.50 (Water/Sewer Renewal & Replacement/Water Mains and 448-5470-538-65.44 (Stormwater Utility Fund/N.E./N.W. Area - Lake Ida to Atlantic Avenue). Recommend approval of Change Order No. 1 in the amount of $29,768.55 to The Jones Company of South Florida for the relocation of a portion of an existing water main. S:\City Clerk\agenda memos\Change Order. The Jones Company.NW 18 City Of Delray Beach Department of Environmental Services M E M 0 R A N D U M TO: FROM: SUBJECT: DATE: www.mydelraybeach, com David Harden, City Manager Rafael Ballestero, Deputy Director of Construction RETENTION PONDS; NW 18 AVE., NW 15 AVE., SW 7 AVE., (P/N 2003-062) Agenda Request; Change Order #1 August 3, 2004 Attached is a Special Agenda Request for Change Order #1 to The Jones Company of South Florida. This change request is for the relocation of a portion of an existing water main which conflicts with the installation of the proposed drainage system at the NW 18th Avenue site, as well as removal of incidental piping not indicated for removal on the plans. This item is requested for Special Agenda in order to have said work performed during the contractor's normal scheduling operations, to avoid potential remobilization charges. The amount of this request is $29,768.55.These prices are commensurate with the work to be performed. A copy of the quotation is attached for your review. Staff recommends approval of Change Order #1 to The Jones Company of South Florida. Funding is available as follows: Account # 448-5470-538-65.44; NE/NW Area - Lake Ida to Atlantic Avenue, after budget transfer. $2,730.00 Account # 442-5178-536-63.50; Water & Sewer Renewal and Replacement / Water Mains $26,038.55 $29,768.55 cc: Richard Hasko, P.E.; Director of Environmental Services Randal Krejcarek, P.E.; City Engineer Carolanne Kucmerowski; City Clerks Office Agenda file; 08/03/04 Project File; 2003-062(A) S:~EngAdmin\Projects~2003~2003-062\CONSTRCT~Special Agnd memo CO#I Jones 08.02.04.doc CHANGE NO. PROJECT TITLE: TO CONTRACTOR: CITY OF DELRAY BEACH CHANGE ORDER TO ORIGINAL CONTRACT 1 (Contract Addition) PROJECT NO. 03-062 DATE: Retention Ponds, NW 18th Ave., NW 15tk Ave., SW 7tk Ave. The Jones Company of South Florida YOU ARE HEREBY REQUESTED TO MAKE THE FOLLOWING CHANGES 1N THE PLANS AND SPECIFICATIONS FOR THIS PROJECT AND TO PERFORM THE WORK ACCORDINGLY, SUBJECT TO ALL CONTRACT STIPULATIONS AND COVENANTS. JUSTIFICATION: Relocation of a portion of an existing water main which conflicts with the installation of the proposed drainage system, as well as removal of incidental piping not shown on the plans. SUMMARY OF CONTRACT AMOUNT ORIGINAL CONTRACT AMOUNT COST OF CONSTRUCTION CHANGES PREVIOUSLY ORDERED ADJUSTED CONTRACT AMOUNT PRIOR TO THIS CHANGE ORDER COST OF CONSTRUCTION CHANGES THIS ORDER ADJUSTED CONTRACT AMOUNT INCLUDING THIS CHANGE ORDER PER CENT INCREASE THIS CHANGE ORDER 10.85 % TOTAL PER CENT INCREASE TO DATE 10.85 % $274,237.87 $0.00 $274,237.87 $ 29,768.55 $304,006.42 CERTIFIED STATEMENT: I hereby certify that the supporting cost data included is, in my considered opinion, accurate; that the prices quoted are fair and reasonable and in proper ratio to the cost of the original work contracted for under benefit of competitive bidding. The Jones Company of South Florida (Contractor to sign & seal) TO BE FILLED OUT BY DEPARTMENT INITIATING CHANGE ORDER Funding is available from accounts: 448-5470-538-65.44, NE/NW Area - Lake Ida to Atlantic Avenue. DEPARTMENT FUNDING CERTIFIED BY DELRAY BEACH, FLORIDA by its City Commission RECOMMEND: By: Environmental Services City Manager APPROVED: ATTEST: By: City Attorney City Clerk THE JONES COMPANY OF SOUTH FLORIDA GENERAL CONTRACTORS eTSd PlW 18" ~tme! PHONE: e54..~e3-7300 La~le~ll~, R. 33311 F.~Z: ~e4-~-?~22 July 23, 2004 C~ of Delmy Beach Department of Envirdnme~t3J Sarvir. as Engineerin.C Division 434 SOuth ~wlnton Avenue DaI~y Beach, FL 33~4 Attention: Mr, Rafae[ Baiestero RE: Deiray Beach Retention Pon~$ Reque~ tgr Change Order Dear Mr. Balestero: Please issue a, Change Order in the arn.cu~ 9f S29,768.$5 for the items Iiated below at NW 18~' Avenue Ponds: Item #1 - $26,038.$5 Rerome 8" DiP water line which c3nf!icte with Installation of .~torrn Oraina,;e system includes the ~'oilowing · Additicnal MOT required 'or road closure $ 200.00 · Furnish and install 2-8" Une Stops 7,500.00 · Furnish and i~stal! 4-8" 45 degree bends w/meg-a4ugs 1,040.68 · Furnish and instal] 2 Thrust Blocks 200.00 · Furnish and instal! 118 L,F. of 8" DIP 1,$81.04 · Sawc~'remove/dispose of 52 SY of asphalt pavement 243.00 · Backfill and install 24" ~imemck ;o match e×istir, g aspnal~ 640.00 , Furnish and instaii 2 "C" Type in!ets 1,676.00 · Furnish and install 2' Sill Asphalt- 52 SY 516.60 · FurniSh end instalt PiG lau.qcher assembly w/PiG 792.00 · Pressure Test and Chtcrinate 40~.O(J · Bec "T" Test (2) 240.00 · Ore stick 15" HOPEPipe 180,00 · Furnish and install B" Gate Valve 1,18~.00 · Crew/Machine Time 6.200.00 $ 22,642.22 $ ~,396.33 $ 26,038.55 15% Overhead & Profit ITEM #1 TOTAL Item #2- $1S80.00 · Cut and plul~ exJstinO Sanita~ Sewer ,, Remm, e a~d dispose of existing Sanl,*.~.ry Satyr Latem! +/- (The above was not shown o,n plans) Item #3- $1200.00 · Re4;urvaylng ~ Retention Area dus to an unmarked amc u~known wa~r Jine wlthin t~ proposed cut area Item #4 - $1150,00 · R~move and dispose o; one c~Ich basin and '~20 L,F, o'~ t2" alumlnum pipe whic'~ was no~ ~dlc~t~d on pia~s TOTAL AMOUNT OF CH~GE ORDER ITEMS 1 THROUGH 4. $29,768,56 WE WILL REQUIRE AN ADDITIONAL 15 DAYS TO PERFORM ~E WORK it yo~ should have any questions or require additions! ;~ormation, please contact Don Biltuc~i, Chief F_~matcr. Agenda Item AGENDA REQUEST DATE: August 3, 2004 Request to be placed on: __ Regular Agenda X _ SpecialAgenda __ Workshop Agenda When: August 10, 2004 Description of item (who, what, where, how much): Staff requests Commission approval of Change Order #1 to the Jones Company of South Florida. This change request is for the relocation of a portion of an existing water main which conflicts with the installation of the proposed drainage system at the NW 18t~ Avenue site, as well as removal of incidental piping not indicated for removal on the plans. The amount of this request is $29,768.55. These prices are commensurate with the work to be performed. A copy of the quotation is attached for your review. Funding is available as follows: Account # 448-5470-538-65.44, NE/NW Area, Lake to Atlantic Avenue, after budget transfer, Account # 442-5178-536-63.50, Water & Sewer Renewal & Replacement / Water Mains $2,730.00 $26,O38.55 $29,768.55 ORDINANCE/RESOLUTION REQUIRED: YES/NO DRAFT ATTACHED YES/NO Recommendation: Staff recommends approval off,Change Order #1to The Jones Company of South Florida, on the Retention Ponds Project, #2003-062 /~ / Department Head ~___~~{q ~ Signature: ~,~ ~ _ ~' ''~- ur Determination of Consistency with Comprehensive Plan: City Attorney Review/Recommendation (if applicable) Budget Director Review (required o~ all items involving expenditure of funds): Funding a~/ailable YES/NO Funding alternatives (if applicable) Account No. & Description See above Account Balance z/z/j. City Manager Review: Approved for agenda: Hold Until: , Agenda Coordinator Review: Received: Placed on Agenda: Action: Approved/Disapproved file 2003-062(A) S:XEngAdmin~Orojects~2003~2003-062\CONSTRCTXSpecial Agnd req CO~I Jones 08.02.04.doc MYDELRAYBEACH. COM City of Delray Beach Administrative Services Memorandum TO: FROM: SUBJECT: DATE: David T. Harden, City Manager ~ Robert A. Barcinski, Assistant City Manager Agenda Item City Commission Workshop August 10, ~004 Funding Request for Roots Cultural Festival, Inc. August 6, ~g00{ ACTION: City Commission is requested to consider a funding request received from Ms. Elizabeth Wesley for certain line item expenses for the 27th Annual Roots Cultural Festival. BACKGROUND: Attached is a list of certain line item expenses for the final weekend of the Roots Cultural Festival. We received this request on August 5, 2004 from Ms. Wesley which is a request to Commission to consider funding any of the listed expenditures. Commission is requested to choose any of the listed funding expenses for approval. Funding is available in account code 001-6311-572-83.01 (Misc. Grant). The balance of this account is $13,530. RECOMMENDATION: Staffrecommends consideration of this request to fund certain expense items as listed for the Roots Cultural Festival. RAB/tas File:u :sweeney/agenda Doc: Funding Request for Roots Cultural Festival Roots Cultural Festival 2004 Expenses: Old School Square Space & Technician: Port-a-lets: $1,030. Sound (backline): $6,242.50 Fencing (w/screening) Security (private) $4,073. $1,030. $4,425. MYDELRA YBEA CI~ COM City of Delray Beach Administrative Services Memorandum TO: FROM: SUBJECT: DATE: David T. Harden, City Manager Robert A. Barcinski, Assistant City Manager Agenda Item City Commission Workshop August 10, ~00'~ Proposed Revisions - Special Event Policies and Procedures August 6, ~00{ ACTION: City Commission is requested to consider approval of proposed revisions to the Special Event Policies and Procedures. BACKGROUND: Special Event Policies and Procedures were first adopted one (1) year ago. We have now had the year to work with these procedures and polices and feel changes are needed to clarify some sections, address legal concerns, and to try to provide more equity in the reimbursements to the City. Attached is a draft of the proposed revisions. These changes were sent to Joe Gillie, Lt. Geoffrey Williams, Marjorie Ferrer, and Bill Wood for input. Highlights of the proposed changes are as follows: 1. Section I (B) - deleted due to legal concerns 2. Section III (J) - this section was clarified and a provisions added to require police staffing for events where alcohol is served or sold 3. Section IV (I) - 501c (4) (10) and (19) categories were added for Social Welfare Organizations, Fraternal Societies, and Veteran's Organizations 4. Section IV (C) - Intermediate Events - changes were made to reimbursement schedules. The exemption was reduced from $5,000 to $1,000 and changes were made to the percentages 5. Section IV (C) - Major Events - changes were made to reimbursement schedules. The exemption was reduced from $10,000 to $5,000 and changes were made to the percentages 6. Section V - Neighborhood Block Parties - clarifications were made to policies and sections added 7. Section VI - Appeals - This section was added due to legal concerns I have attached a sample comparison of event costs and reimbursements to the City reflecting reimbursements under the existing policy versus the proposed policy changes. In addition to the proposed changes Commissions direction is requested on the following: A. Effective date - staff recommends an effective date of 10/01/04 B. Impact on events already approved which will be held after 10/01/04 - staff recommends new policies apply C. 501c status - we currently recognize an event sponsor as non-profit if they have applied for the required 501c status. Staff recommends that the event sponsor receive their 501c approval by the time of the event. If not they would be categorized as a private sponsor RECOMMENDATION: Staff recommends approval of proposed revisions to the Special Event Policies and Procedures with an effective date of 10/01/04 with revisions to apply to events that have been approved as of this date but will not be held until after 10/01/0 as well as the provision concerning 501 c status. RAB/tas File:u:sweeney/agenda Doc:Proposed Revisions Special Event Policies and procedures SPECIAL EVENTS POLICIES & PROCEDURES Definitions A) Special Event - A special event is a non-routine happening or social activity bringing a large number of people together in a defined area on City facilities, right of way, or private property which requires City services to ensure safety and coordination. Special events include activities such as festivals, concerts, sporting events, parades, walks and runs, etc. II. Types of Events A) Maior Event - An event of one or more day duration with a cost of over $10,000 for City services, staff overtime and equipment use. B) Intermediate Event - An event of one or more day duration with a cost of between $1,000 and $10,000 for City services, staff overtime, and equipment use. c) Minor Event - An event of one day or less duration, with a cost of under $1,000 for City services, staff overtime and use of equipment. III. General Policies .... ~ ................................. ~ .......... CCC~C~:C C~ ~ ~ Event sponsors are required to obtain all Ci~, State, County and Health DepaAment permits, licenses and/or inspections as may be needed. ~ Event sponsors are responsible for submitting in writing permission as may be required from other governmental agencies, private prope~y owners, and designated managers of City propeAy ~ includin~ the Tennis Center and Old School Square. ~ Event sponsors are primarily responsible for event promotion, marketing and adve~ising. City assistance will be provided through its Public Information Officer web page and other printed publications. ~ Only one major event will be allowed per month, unless othe~ise approved by City Commission. Doc:Special Event Policy and Procedure 7/29/2004 A major and intermediate event will not be allowed on the same day or during the same week. No more than two (2) intermediate events will be allowed within the same week when total costs exceed $10,000. City staff will assist in obtaining parking lot use agreements from the County and CRA as may be needed. Event sponsors or their contractors are required to submit required certificates of insurance, to include liquor liability when applicable, hold harmless agreements, and any required cash bonds to the City at least one week before the event. Submittal Requirement: · Major Event- Initial requests must be submitted to the City Manager or his designee at least 90 days prior to the event. The permit application including all back up material must be submitted at least 60 days before the event. · Intermediate Event- Initial requestsmust be submitted to the City Manager or his designee at least 60 days before the event. The permit application including all back up material submitted no later than 45 days prior to the event. · Minor Event Initial ..... ; ..... *" requests must be submitted to the City Manager or his designee at least 45 days prior to the event. The permit application and all back up materials must be submitted at least 30 days prior to the event. · Request for a new event must be submitted in writing at least 90 days before the event. · Event submittals may require (based on the type and the size of the event) ·Site plan ·Parking plan ·Traffic plan ·Private security plan ·Alcohol control plan ·Police security plan ·Pyrotechnic permit submittals shall be submitted to the Fire- Rescue Department at least 30 days prior to the scheduled display. ·Maintenance/clean up plan City staff . may provide assistance in developing said plans. Entertainment schedule Load in and take down schedule Event Sponsors will be required to submit an event budget. Doc:Special Event Policy and Procedure 7/29/2004 L-)J Event staffinfl Police .... '~'-*'--" police or other trained non-sworn personnel are required for: At the discretion of the Chief of Police or his/her designee based upon projected attendance numbers, type of event, traffic/pedestrian concerns, .qeo.qraphic location and site layout. · Mandatory police personnel are required for events where alcohol is served or sold by the event sponsor, event vendor, or other businesses within the event foot print. Fire - mandatory staffing may be required as determined by the Fire Chief in consultation with the City Manager or his designee normally when the total estimated crowd at anyone time in the venue area exceeds 2,500 people. However, staffing requirements must take into account venue risks, type of activity, and other safety considerations in addition to the size of the event. If the Police/Fire Department determines that there is no risk to public safety, then Police/Fire staffin.q of the event is not necessary. Minor events will be approved or disapproved at the staff level; all other events will be approved by the City Commission. IV. Event Payment for City Services 1. Event sponsors will be required to pay for costs incurred by the City per the following schedule. For purposes of this section costs are defined as City staff overtime costs, stage use and set up costs, barricade rental charges and costs for signage. Non-profit and charitable organizations are defined as those with a 501c(3), c(4), e~ c(6), c(10) and c(19) Doc:Special Event Policy and Proccdure 8/6/2004 designation. All other sponsors not designated as b_y the City e~ a._~s non- profitJcharitable will be considered as private sponsors. In order to be considered as a non-profit under one of the categories above, the event sponsor must have the IRS desi,qnation by the time of the event. A) City sponsored or co-sponsored event - No charges for City costs. B) Privately Sponsored Events - Event payment schedule will take effect as of date of approval of these policies. Years calculated are based on inception date of the event. Minor Event ...... * 100% payment of all costs. Intermediate Event · Years 1-2 50% payment of costs over $1,000 · After year 2 payment of 100% of costs Maior Event · Year 1-2 · Year 3 · Year4 ~ · Afte~ Year 5 and after 50% payment of total cost 60% payment of total cost 75% payment of total cost 100% payment of all costs C) NOnlprofit/Charitable Organization Sponsor Events Minor Event · Years 1-2 · Years 3-5 · After year 5 no charges 50% of cost 100% of cost Intermediate Event ($t,000 · Years 1-2 · Years 3-5 first $5,OOO · After year 5 first $5,000 - $1o,000) no charges no c~me tJm~ $1~000~ 20% ~or ~moum over $1 ,o0o charRe first $1,000; 40% for amount over $ ,000 Filc:u:swecney/cvents Doc:Special Event Policy and Procedure 7/29/2004 Major Event (over $10,000) · Years 1-2 no charges Years 3 5 $10 000 charge ~no/_ ..~. ..... ~ ....., ...... $!0,000 first $5,000; 40% charge for costs over $5,000 After year 5 ¢,.o, ~ n nnn charge 75% ..~ ..~. .... ~ ..... , ...... cf ?,O,OO0 first $5,000; 60% charge for costs over $5,000 D) Permit Fees Event processing permit fees will be charged as follows: · Minor event $50.00 · Intermediate Event $100.00 · Major Event $200.00 Above payment structure does not include charges that may be contracted for use of Old School Square or Tennis Center. Charges specified in contracts for these sites may be different from and/or in addition to the above schedule. Additional charges will be made for stage rental and barricade rental. Barricade rental charges will be levied when the City is required to rent additional barricades. Event sponsors are responsible for all costs for portalet rentals, barricade rentals from private companies, area lightin.q rentals, tent1 table, chair rentals and any other costs for equipment or supplies that the City does not have for use. Neighborhood Block Parties ~ Permit applications for neighborhood block parties will be reviewed fer ........ ~ ...... ~. .......r.~o~o by the City Manager or his designee Consideration of approval will be based upon the following policies: · ~ Permit applications must be received in writing by the City Manager's Office at least 30 21 days prior to the event. · ~ Permit applications must be submitted by the Homeowners Association or where there is no Homeowners Association e¢ by other individuals with a petition signed by 51% of the homeowners who live on the block. · Approvals will only be given for a one (1) block area. · Consumption or sale of alcohol on City rights-of-way will not be permitted. · Structures other than barricades are not allowed in the City rights-of- way. · Homeowners Association will be required to pay all overtime costs that may be incurred. · Impacts_ due to other events will be considered in approval process. · Applications will not be approved for any activity past 10 p.m. 5 Filc;u:sw¢cncy/evcnts Doc:Special Event Policy and procedure 7/2912004 · Approvals will not be given for individual homeowner sponsored parties or events. VI. Permit denials may be appealed to the City Manager within twenty (20) days of the denial. The City Mana.qer must render a written decision within five (5) business days thereafter. If the City Manager upholds the denial, then the applicant may appeal the City Mana.qer's decision to the Circuit Court of Palm Beach County within thirty (30) days. A) Grounds for Denial of Permit Permit applications shall be reviewed by the Assistant City Manager or his/her desiqnee within thirty (30) days of submission of the permit application. Permits may be denied for any of the following reasons: · The application for permit (including any required attachments and submissions) is not fully completed and executed; · The applicant has not tendered the required application fee with the application or has not tendered the required user fee, indemnification agreement, insurance certificate, or security deposit within the times prescribed by the Assistant City Manager or his/her designee; · The application for permit contains a material falsehood or misrepresentation; · The applicant is legally incompetent to contract or to sue and be sued; · The applicant or person on whose behalf the application for permit was made has on prior occasions damaged municipal park property within the City of Delray Beach and has not paid in full for such damage, or has other outstanding and unpaid debts to the City of Delray Beach; · A fully executed prior application for permit for the same time and place has been received, and a permit has been or will be granted to a prior applicant authorizing uses or activities which do not reasonably permit multiple occupancy of the particular park or part hereof;. · The use or activity intended by the applicant would conflict with previously planned programs organized and conducted by the City of Delray Beach and previously scheduled for the same time and place; · The proposed use or activity intended by the applicant would present an unreasonable danger to the health or safety of the applicant, or other users of the park, of City Employees or of the public; · The applicant has not complied or cannot comply with applicable licensure requirements, ordinances or regulations of the City concerning the sale or offering of any goods or services; 6 Doc:Special Event Policy and Procedure 7/29/2004 The use or activity intended by the applicant is prohibited by law, by the City's Code of Ordinances or by these re.qulations. Doc:Special Event Policy and Procedure 7/29/2004 0000 0000 0 000000000 000000000 0~0~000 qqqqqqqqq ~~00 Types of Tax-Exempt Organizations Page 1 of 1 Internal Revenue Service IRS.gev Charities & Non-Profits Types of Tax-Exempt Organizations Tax Information for Charitable Oroanizafions L"/ Tax information for charitable, religio-us, scientific, literary, and other organizations exempt under Internal Revenue Code ("IRC") section 501(c)(3). V/t Tx ax Information for Social Welfare Orclanizations Tax informatior~ for civic leagues, commt~nity organizations, and other social welfare organizations exempt under IRC section 501(c)(4). p01) Tax Information for Labor and Ar~ricultural Omanizations Tax information for labor and agric~Jltural organizations exempt under IRC section 501(c)(5). v/Tax Information for Business Leagues Tax information for trade associations, chambers of commerce, real estate boards, and other business leagues exempt under IRC section 501(c)(6). Tax Information for Social Club_s Tax information for hobby clubs, country clubs, and other organizations formed for social and recreational purposes, which are exempt under IRC section 501(c)(7). Tax Information for Fraternal Societies Tax information for lodges and similar orders and associations exempt under IRC section 501 (c)(8) or 501 (c)(10). j Tax Information for Veterans' Oroanization_s Tax information for veterans' organizations, primarily those exempt under IRC section 501(c) (19). Tax Information for Emoloyee Associations Tax information for local associations for employees exempt under IRC section 501 (c)(4), voluntary employees beneficiary associations exempt under iRC section 501(c)(9), and supplemental unemployment benefit trusts exempt under IRC section 501(c)(17). Tax Information for Political Organizations Tax Information for political parties and campaign committees subject to tax under IRC section 527. Tax Information for Other Tax-Exempt Omanization~s Miscellaneous types of organizations that qualify for exemption from federal income tax. http://www.irs.gov/charities/content/0,,id=96931,00.html 6/23/2004 Nubin, Chevelle Page 1 of 1 From: Ruby, Susan Sent: Thursday, August 05, 2004 9:17 AM To: Harden, David; Nubin, Chevelle Cc: Perlman, Jeff; 'Delcommish@hotmail.com' Subject: Agenda item for a special meeting for August10 the agenda Please consult with the Mayor as to whether he wants the Bexley Park matter to be included as an item on next weeks agenda. I believe the Mayor will be speaking with D. R. Horton representatives prior to next weeks meeting on the remaining issue. I am anticipating that the remaining issue will be resolved and, if it is, the Commission can then give formal direction on whether to accept the proposal. If the Item is placed on the agenda, the letter and attachments distributed to the Commission last Tuesday night may serve as the back up material for the agenda item. I will be out of the office on Friday but I can be reached by email or cell phone at 561-479-7494 if you have any questions. Thanks. Susan ~ :P,.ufrst City Attorney 200 N. W. 1st Ave. Delray Beach, FI. 33444 561-243-7091 ruby~.ci.delray-beach.fi.us 8/5/2004 Auguat 3, 2004 S~an Ruby 200 N,W, 1= Ave. Delray Beach, Florida 33444 Dear Ms. Ruby: Attached is tho list of initial lot promiun~ and proposed changes that D,R. Herren, Inc. is willing to mak~ in an attempt to seRlc the misunderstanding over the language in our response to the RF~, Contract and Warranty Deed. In addition ~o the change in lot pre~iums, we have modified the price of the largest home and will be adding rofrlgerators to the list of standard features. If this is acceptable to the City of Dclray Beach, please let mc know and the modifications will be made to any existing conU-~cts to reflect them changes and the remainder of the horaes at Berdey Park will be offered throngh a series of lottery sales events with the next lottery planned for early October. Please call me once you have had a chance to rovlow this information with the Mayor and City Council as we are prepared to start implementing these changes immediately afar w~ receive the City's approval. Paul $, Romanowaki Division President D.R, Herren, he. 1192 But NeWl~tX Center Dfiv~ · Suite 150 ' Deerflcld Beach, Plorida 55442 ~ (954) 428-4854 · Fax~ (954) 428-7591 eP!JoI-I q~.nos 'OUl uolJoH '~'Q ~d§O:'~ POOZ 'S .~n¥ BEXLEY PARK PRICING SF LOT," LOTDEEC. PLAN BAEE: EL~ATION LOTPREM Adt. Prerll, TOTAL NewTotal 1 Phase I 24189-43L $260,0~O $26,000 ~0,-~00 $50,500 $545,500 $335,$00 2 Ph~ I 3002A-GL $290,000 $0 $20,500 $t0,~30 ~.~10,500 $300,500 3 Phase I 27375-GL $285,000 $35,000 $30,500 $10,500 $230,500 $320,500 4 Ph~ l 2418A.QL $260,000 $0 $2O,5OO $t0,60o $2a0,500 $2?0,60o 3 Phase l 32475-GL $290,000 $55,000 $25,5~0 $25,500 $370,500 $350,500 3Phasel I~)2.A-GL $190,000 S0 $25,500 $25,800 $215,500 $2t5,500 7 Phase I 3002B.GL $290,000 $20,000 $20,~00 $I0,500 L.~O,500 $320,500 5 Phase I 3247A-GL $290,000 $0 $20,~00 $10,500 $3,.-.-'~,0,500 $300,600 9 Phase I 27375-GL $235,000 $25,000 $35,500 $25,500 $34.;,500 $335,500 10 Phe*e I 3002A-GR $290,000 S0 $35,500 $25,500 $325,500 $315,500 11 Phase I 'I~02B-GR $190,000 $5,000 $30,500 $10,500 $215,500 $205,300 12 Pheee I 2737A-GR $286,000 $0 $20,~00 $10,600 $305,500 $296,500 13 Phase I 24t85-GR $260,000 $25,000 $20,500 $10,500 $30~.500 $295,800 14 Phese I 3247A-GR '$290,000 $0 $20,500 $t0,500 $350,500 $300,500 15 Phe~e I 3002B-GR $290,000 $20,000 $20,500 $10,500 $530,500 $320,500 76Phesel 1902A-GR $t90,000 $0 $15,500 $0 $205,500 $190,000 77 Phase I 27375-.GL $285,000 $25,000 $18,500 $0 $328,M0 $310,000 78 Phase I 241aA-GL $260,000 $0 79 Phase! 30029-~L $2g0,000 $20,000 $'~8,500 ~0 $$25,600 ~310,000 80 Phase I 3247A.GL $290,000 ~0 $18,500 $0 $325,800 $290,000 81 Phase I 2.4155..GL $280,000 $28,000 $28,000 $18,800 $310,000 $300,800 82 Ph~m I 2418A-GL $260,000 $0 $28,500 $28,500 $285,800 $238,600 83 Phase I 30025-<3L $290,000 $20,000 $10,500 $10,500 ~320,500 $320,800 84 Phm I 19025.GL $190,000 $5,000 $t0,500 $0 $205,600 $195,000 88 Phase I 2418A-GL $260,000 $0 $18,500 $0 $276,800 $280,000 86 Phase I $2475-GL $290,000 $35,000 $15,~00 $0 $380,8(X) $325,000 87 Phase I 3002A-GL $290,000 $0 $20,500 $10,500 ~310,500 $300,800 M Phase I 24185-GR $260,000 $26,000 $20,600 $10,600 $305,500 $296,800 89 Phase I 3247A-GR $290,000 ~0 $15,800 $3 $22.6,500 $290,000 gO Phase I 3002A-GR $2g0,000 $25,000 $18,800 $0 $230,500 $318,000 9t Phase I 1902A-GR $190,000 ~0 $18,800 $0 $205,-~00 $190,000 g2P}'~#l 3002B-GR $290,000 $20,000 $15,500 S0 $328,500 $310,000 g3Phasel 2418A-GR $260,000 ~3 $18,600 $3 $278.600 $260,000 94 Phs,as, I 27375-GR $285,000 $2,5,000 $18,500 $0 $325,600 $310,000 96 Phase I 30025-GR $290.000 $0 $26,600 $20,500 $318,500 $310,800 66Phasel 24169-GR $260,000 $23,000 $25,500 $20,600 $310,600 $306,600 97 Phase I 1002A-GR $100,000 $5 $40,500 $38,500 $230,.500 $228,600 08 Phase I 2418A..GL $260,000 $35,000 $36,800 $45,500 $530,600 $310,300 99 Phase I 2737A..GR $268,000 $0 $18,500 $10,600 $300,500 $296,500 100 Phase I 24155-GL $230,(X)0 $28,000 $t5,600 $10,800 $300,600 $298,600 t01 Phase, I 3002A-~L $290,000 $0 $401500 $35,500 $330,600 $328,500 $ 'd ~98L'°N ~p!~ol~ q3nos 'oul uo~oH '~'C ~d§O:¢ ~00~ '$ '~nY LOT # LOT DESC. 1 Pha~ 2 Phase I 3 Pha~a 4 Phase 5 Pha~ 6 Phase 7 Phase 8 Phil 9 Pha~ t0 Ph~ 11 12 Ph~ 13 Phi~ 14 Ph;~ 16 Phs~ 17 Phm~ 18 Pha~ t9 P~ 20 Pha~ 21 Pha~ ~ P~ 23 P~ ~ P~I 25 Ph~ ~ Ph~e 27 ~ Ph~ ~ Ph~ ~ Ph~ 31 Ph~ ~ Ph~ ~ Ph~ ~ Pha~ ~ Pha~ ~ Pha~ 37 Pha~ ~ Pha~ ~ Pha~ ~ Pha~ 41 Pha~ ~ P~ 43 P~ ~ P~I 45 Ph~ ~ Ph~ 47 Ph~e ~ Ph~e 49 P~ ~ Ph~ 51 Ph~ ~ Pha~ ~ Pha~ ~ Pha~ ~ Pha~ BEXLEY PARK P~CING TH PLAN BASE LOT PREM Adj. Prem. TOTAL New Total D $195,0O0 $20,505 $20,5~0 $205,500 $205,500' S $16a,0oo $o $0 $158,0o0 $168,000 C $180,005 $0 $0 $180,000 $180,000 C $180,000 $0 $0 $180.0O0 $180,000 B $168,000 $0 $0 $168,000 $168,000 D $195,00O $20,500 $20,500 $205,500 $205,500 D $185,000 $40,500 $25,500 $225,500 $2t0,500 B $168,000 .~9..5,500 $10,500 $193,600 $178,500 C $180,000 $25,500 $10,500 $205,500 $190,500 C $180,000 $25,.500 $10,500 $205,500 $190,500 B $168,000 $25,500 $10,500 $190,500 $178,500 D $195.0O0 $35,68O $25,500 $22.0,5O0 $210,500 D $1~.00O $20,50O $20,500 $205A00 $205,500 A $155,000 $10,500 $10,600 $168A00 $166,500 C $180,500 $10,500 $10,500 $190,r~X) $190,500 B $'168,000 ~0 $0 $168,000 D $185,000 $10,500 $10,600 $195,500 $195,500 D $t~,000 $15,500 $15,500 $200,500 $200,500 C $168,000 ~0 $0 $180,000 $180,000 C $180,000 $0 $0 $150,0O0 $'180,000 C $180,000 $0 $0 $180,000 $'180,000 D $168,000 $t0.500 $10,500 $195,500 $'195,500 D $190,000 $10,505 $10,500 $195,500 $195,800 A $168,0OO $0 $0 $195,000 $15.5,000 C $180,0O0 $0 $0 $150,000 $150,000 B $168,000 $0 $0 $168,000 $168,000 D $185,000 $15,600 $'15,500 $200,500 $200,500 D $195,0O0 $16,600 $15,500 $20O.500 $200,500 C $180,000 $0 $0 $150,000 $180,0O0 C S180,000 $0 $0 $'150,000 $180,000 C $180,000 $0 $0 $180,000 $t50,000 D $185,000 $10,500 $'10,500 $'195,500 $195,500 D $185,000 $10,600 $'10,S00 $'195,600 $195,550 C $150,00O $10,800 $0 $190,600 $180,000 C $150,000 $20,600 $20,500 $200,500 $200,500 C $190,000 $20,500 $20,500 $200,500 $200,0O0 D $195,000 $40,500 $30,500 $2~8,500 $2'15,500 D $195,0O0 . $48,$00 $35,500 $230,500 $220,500 C $150,000 $25,500 $20,500 $205,500 $200,500 C $150,000 $35,S00 $20,500 $2O5,500 $205,500 D $168,000 $35,500 $30,500 $220,500 $215,500 D $168,000 $35,500 $30,500 $220,680 ~215,500 A $155,0O0 $2~,680 $20,500 $180,500 $178,500 C $180,000 $25,800 $20,500 $205,500 $200,500 C $180,000 $25,500 $20,$0O $205,500 $200,500 B $168,000 $25,500 $20,500 $183,500 $188,800 D $168,0O0 $35,~O $30,500 $220,500 $215,500 D $188,000 $..~,500 $30,500 $220,500 $2.15,500 A $158,000 $95,5OO $20,,500 $180,500 $175,500 C $150,000 $25,5OO $20,500 $205,50O $200,500 B $168.000 $2S,50O $20,500 $190,500 $188,500 D $185,000 $3S,500 $,t0,500 $220,500 $2'15,500 D $168,000 $35,500 $30,500 $220.500 $2t8,S00 A $155,000 $28,500 $20,~0 $'180,500 $175,500 C $180,000 $28,500 $20,500 $205,500 $200,500 t 'd 298 'ON ep!~otJ 4~nos 'ouI uo~JoH '~'O ~dGO:~ ~OOE '$ '~nv 67 Ph~,e 68 Ph~el 69 Phase 60 Ph~el 61 Pha~e 62 Phar, e I 63 Ph;~se 64 Phsr, e $180,000 $25,500 $20,,500 $205,500 ~00,500 $168,000 ~.5,1i00 $20,500 $105,500 $188,500 $185,000 ~8,500 $~0,500 $220,500 $215,500 $185,000 ~.~5,500 $30,500 ~.20,~00 $215,$00 $180,000 $20,500 $20,500 $206,500 $200,500 $180,000 S25,500 $20,500 $205,S00 $200,500 $180,000 $25,500 $20,500 $205,500 $200,500 $185,000 $4,5,500 $40,500 $230,500 $225,$00 § 'd ~98['°N ~p!Jolj q~noS ,ou[ uo~oH '~'d ~d90:~ ~00~ '$ '~nv BEXLEY PARK PRICING MH LOT # LOT DESC. BASE 1/21 Phase I $130,000 2/21 Phase I $148,000 3/21 Phase I $150,000 1/22 Phase I $130,000 2/22 Phase I $t48,000 3/22 Phase I $150,000 1/23 Phase I $130,000 2/23 Phase I $148,000 3/23 Phase I $t50,000 1/24 Phase I $130,000 2/24 Phase I $148,000 3/24 Phase I $150,000 1/25 Phase I $t30,000 2/25 Phase I $148,000 3/25 Phase I $150,000 1/26 Phase I $130,000 2/20 Phase I $t48,000 3/25 Phase I $150,000 1/27 Phase I $130,000 2/27 Phase I $148.000 3/27 Phase I $150,000 1/28 Phase I $130,000 2/28 Phase I $148,000 3/28 Phase I $150,000 1/29 Phase I $t30,000 2/29 Phase I $148,000 3/29 Phase I $150,000 LOT PREM Adj Pram TOTAL New Total $20,500 $15,500 $150,500 $145,500 $20,500 $15,500 $168,500 $163,500 $5,500 $0 $155,500 $150,000 $0 $0 $130,000 $130,000 $5,500 $0 $153,500 $148,000 $5,500 $0 $155,500 $150,000 $0 $0 $130,000 $130,000 $5,500 $0 $153,500 $148,000 $10,500 $5,500 $160,500 $155,500 $0 $0 $130,000 $130,000 $10,500 $5,500 $t58,500 $153,500 $5,500 $0 $155,500 $150,000 $0 $0 $130,000 $t30,000 $5,600 $0 $153,500 $148,000 $5,500 $0 $t55,500 $150,000 $0 $0 $130,000 $130,000 $5,500 $0 $153,500 $148,000 $5,500 $0 $155,500 $150,000 $0 $0 $t30.000 $130,000 $5,500 $0 $153,500 $148,000 $5,500 $0 $155,500 $150,000 $0 $0 $t30,000 $130,000 $5,500 $0 $153,600 $148,000 $5,500 $0 $155,500 $150,000 $20,500 $15.500 $150,500 $145,500 $0 $0 $145,000 $148,000 $20,500 $t5,500 $t70,500 $165,500 9 'd ~98['0N ep!JolJ q~nos 'oul uo~JoH '~'Q ~dgO:t tO0~ 'g