HomeMy WebLinkAbout2022-201ADocuSign Envelope ID: 10B3B763-095B-4:B1-990A-93BF6E604F54
Agreement
THIS AGREEMENT is by and between INDIAN RIVER COUNTY, a Political Subdivision of the State of Florida
organized and existing under the Laws of the State of Florida, (hereinafter called OWNER) and Critical
Response Strategies, LLC (hereinafter called PROVIDER). OWNER and PROVIDER, in consideration of the
mutual covenants hereinafter set forth, agree as follows:
ARTICLE 1- WORK
PROVIDER shall complete all Work as specified or indicated in the Contract Documents. The Work is
generally described as follows:
Provide fully -staffed medical team(s) in the event of shelter activation to provide round-the-clock
coverage at Persons with Special Needs (PSN) Shelter, which includes: two (2) nurses (at least one of whom
is a Registered Nurse), Six (6) Certified Nursing Assistants or Home Health Aides, and One (1) Respiratory
Therapist.
ARTICLE 2 - THE PROJECT
The Project for which the Work under the Contract Documents may be the whole or only a part is generally
described as follows:
Project Name: Medical Services for Persons with Special Needs (PSN) Shelter
Bid Number: 2022058
Project Address: 8955 85`h Street, Sebastian, FL 32958, or other location as
determined by FDOH
ARTICLE 3 - CONTRACT TERM
The term of this award is three years from effective date, with three additional one year terms available,
based on mutual consent, and OWNER's determination that renewal is in the best interest of the County.
ARTICLE 4 - CONTRACT PRICE
4.01 OWNER shall pay PROVIDER for completion of the Work an amount in current funds equal to the
sum of the amounts determined pursuant to the prices stated in PROVIDER's Bid, attached hereto
as Exhibit 1. Payment will be made at the total team price bid, even if lower level positions are filled
by more highly -qualified providers.
4.02 Failure to provide a fully -qualified and staffed team in accordance with the time requirements
provided in the Article 7 will result in a penalty of $1,000 per day.
ARTICLE 5 - PAYMENT PROCEDURES
5.01 Progress Payments.
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A. The OWNER shall make progress payments to the PROVIDER on the basis of the approved
partial payment request as recommended by OEM in accordance with the provisions of the
Local Government Prompt Payment Act, Florida Statutes section 218.70 et. seq.
5.02 Pay Requests.
A. Each request for a progress payment shall contain the PROVIDER'S certification. All
progress payments will be on the basis of progress of the work measured by the schedule
of values established, or in the case of unit price work based on the number of units
completed.
5.03 Paragraphs 5.01 and 5.02 do not apply to construction services work purchased by the County as
OWNER which are paid for, in whole or in part, with federal funds and are subject to federal grantor laws
and regulations or requirements that are contrary to any provision of the Local Government Prompt
Payment Act. In such event, payment and retainage provisions shall be governed by the applicable grant
requirements and guidelines.
ARTICLE 6 - INDEMNIFICATION
6.01 PROVIDER shall indemnify and hold harmless the OWNER, and its officers and employees, from
liabilities, damages, losses and costs, including, but not limited to, reasonable attorney's fees, to
the extent caused by the negligence, recklessness, or intentional wrongful misconduct of the
PROVIDER and persons employed or utilized by the PROVIDER in the performance of the Work.
ARTICLE 7 - PROVIDER'S RESPONSIBILITIES
7.01 In order to induce OWNER to enter into this Agreement PROVIDER makes the following
representations:
A. Provider will deliver temporary healthcare staffing to the PSN shelter within sixteen (16) hours
of the request. Initial request will be made by telephone with a follow up email from the OEM.
The services will be provided during a proposed shelter opening for a disaster event that could
impact Indian River County.
B. Provider will deliver professional and efficient temporary healthcare services twenty-four (24)
hours a day, seven (7) days a week during PSN shelter activation. Meals will be provided to staff
housed at the shelter, and shower facilities are available in close proximity to the shelter.
C. Provider will provide one (1) or more of the following staffing teams to the County PSN shelter
for a twelve (12) hour shift: Two (2) nurses (at least one of which is a Registered Nurse), Six (6)
Certified Nursing Assistants or Home Health Aides, and One (1) Respiratory Therapist.
Emergency Medical Technicians (EMTs) can be substituted for a CNA as long as they have their
National Registry Certification.
D. Provider personnel shall have at least one (1) year of documented experience in specified job
classification.
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E. Provider is responsible for background screening, testing, evaluations, maintenance,
recruitment, and disciplinary actions of its personnel.
F. Provider will abide by all ordinances and laws pertaining to their operation and secure all
required licenses and permits.
G. Provider will perform all services in accordance with customary, reasonable, and prudent
industry standards of care.
H. Provider will ensure appropriate credentials, certifications, and/or licenses to complete work are
active and current:
o Registered Nurse is licensed by the Florida Department of Health of Medical Quality
Assurance to practice nursing under 464.003(4), Florida Statutes. An out of state Nursing
license may be considered, as long as there is a reciprocity agreement with the issuing state.
o Licensed Practical Nurse are licensed under 464.003(3)(b), Florida Statutes.
o Certified Nursing Assistants are certified under the Board of Nursing 464.2085, Florida
Statutes.
o Registered Respiratory Therapist is licensed to provide respiratory care under the
supervision of a physician 468.35 —468.369, Florida Statutes.
I. Provider shall assume professional liability and Workman's Compensation coverage for its
personnel.
J. Provider staff will work under the Provider's medical policies and protocols. Staff will abide by
the rules and regulations set forth by agency compliance with standard and transmission -based
precautions, OSHA Blood - borne Pathogens Exposure Control Plan and Verify training on HIPPA
laws and patient confidentiality. (45 CFR Parts 160, 162, and 164).
K. Provider understands that shelters are open twenty-four (24) hours a day, seven (7) days a week
during disasters. When the County is experiencing tropical storm force winds or higher, staff
may be required to stay at the shelter for personal safety.
I. The Contract Documents are generally sufficient to indicate and convey understanding of all terms
and conditions for performance and furnishing of the Work.
J. PROVIDER is registered with and will use the Department of Homeland Security's E -Verify system
(www.e-verify.gov) to confirm the employment eligibility of all newly hired employees for the
duration of this agreement, as required by Section 448.095, F.S. PROVIDER is also responsible for
obtaining proof of E -Verify registration and utilization for all subcontractors.
ARTICLE 8 - CONTRACT DOCUMENTS
8.01 Contents
A. The Contract Documents consist of the following:
(1) This Agreement;
(2) Notice to Proceed;
(3) Certificate(s) of Liability Insurance;
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(4) Request for Proposals 2022058;
(5) PROVIDER'S Submitted Proposal;
(6) The following which may be delivered or issued on or after the Effective Date of the Agreement
and are not attached hereto:
a) Written Amendments;
b) Work Change Directives;
c) Change Order(s).
ARTICLE 9 - MISCELLANEOUS
9.01 Terms
A. Terms used in this Agreement will have the meanings indicated in the Request for Proposals.
9.02 Assignment of Contract
A. No assignment by a party hereto of any rights under or interests in the Agreement will be binding
on another party hereto without the written consent of the party sought to be bound; and,
specifically but without limitation, moneys that may become due and moneys that are due may not
be assigned without such consent (except to the extent that the effect of this restriction may be
limited by law), and unless specifically stated to the contrary in any written consent to an
assignment, no assignment will release or discharge the assignor from any duty or responsibility
under the Contract Documents.
9.03 Successors and Assigns
A. OWNER and PROVIDER each binds itself, its partners, successors, assigns, and legal representatives
to the other party hereto, its partners, successors, assigns, and legal representatives in respect to
all covenants, agreements, and obligations contained in the Contract Documents.
9.04 Severability
A. Any provision or part of the Contract Documents held to be void or unenforceable under any Law
or Regulation shall be deemed stricken, and all remaining provisions shall continue to be valid and
binding upon OWNER and PROVIDER, who agree that the Contract Documents shall be reformed to
replace such stricken provision or part thereof with a valid and enforceable provision that comes as
close as possible to expressing the intention of the stricken provision.
9.05 Venue
A. This Agreement shall be governed by the laws of the State of Florida. Venue for any lawsuit brought
by either party against the other party or otherwise arising out of this Agreement shall be in Indian
River County, Florida, or, in the event of a federal jurisdiction, in the United States District Court for
the Southern District of Florida.
9.06 Public Records Compliance
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A. Indian River County is a public agency subject to Chapter 119, Florida Statutes. The PROVIDER
shall comply with Florida's Public Records Law. Specifically, the PROVIDER shall:
(1) Keep and maintain public records required by the County to perform the service.
(2) Upon request from the County's Custodian of Public Records, provide the County with a
copy of the requested records or allow the records to be inspected or copied within a reasonable
time at a cost that does not exceed the cost provided in Chapter 119 or as otherwise provided by
law.
(3) Ensure that public records that are exempt or confidential and exempt from public
records disclosure requirements are not disclosed except as authorized by law for the duration of
the contract term and following completion of the contract if the PROVIDER does not transfer the
records to the County.
(4) Upon completion of the contract, transfer, at no cost, to the County all public records in
possession of the PROVIDER or keep and maintain public records required by the County to
perform the service. If the PROVIDER transfers all public records to the County upon completion
of the contract, the PROVIDER shall destroy any duplicate public records that are exempt or
confidential and exempt from public records disclosure requirements. If the PROVIDER keeps and
maintains public records upon completion of the contract, the PROVIDER shall meet all applicable
requirements for retaining public records. All records stored electronically must be provided to
the County, upon request from the Custodian of Public Records, in a format that is compatible
with the information technology systems of the County.
B. IF THE PROVIDER HAS QUESTIONS REGARDING THE APPLICATION OF
CHAPTER 119, FLORIDA STATUTES, TO THE PROVIDER'S DUTY TO PROVIDE
PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN
OF PUBLIC RECORDS AT:
(772) 226-1424
publicrecords@ircgov.com
Indian River County Office of the County Attorney
180127th Street
Vero Beach, FL 32960
C. Failure of the PROVIDER to comply with these requirements shall be a material breach of this
Agreement.
ARTICLE 10 — FEDERAL CLAUSES
10.01 OWNER and PROVIDER will adhere to the following, as applicable to this work:
A. Suspension and Debarment
(1) This contract is a covered transaction for purposes of 2 C.F.R. pt. 180 and 2 C.F.R. pt. 3000. As
such the PROVIDER is required to verify that none of the PROVIDER, its principals (defined at 2 C.F.R. §
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180.995), or its affiliates (defined at 2 C.F.R. § 180.905) are excluded (defined at 2 C.F.R. § 180.940) or
disqualified (defined at 2 C.F.R. § 180.935).
(2) The PROVIDER must comply with 2 C.F.R. pt. 180, subpart C and 2 C.F.R. pt. 3000, subpart C
and must include a requirement to comply with these regulations in any lower tier covered transaction it
enters into.
(3) This certification is a material representation of fact relied upon by OWNER. If it is later
determined that the PROVIDER did not comply with 2 C.F.R. pt. 180, subpart C and 2 C.F.R. pt. 3000,
subpart C, in addition to remedies available to OWNER, the Federal Government may pursue available
remedies, including but not limited to suspension and/or debarment.
(4) The bidder or proposer agrees to comply with the requirements of 2 C.F.R. pt. 180, subpart C
and 2 C.F.R. pt. 3000, subpart C while this offer is valid and throughout the period of any contract that
may arise from this offer. The bidder or proposer further agrees to include a provision requiring such
compliance in its lower tier covered transactions.
B. Byrd Anti -Lobbying Amendment, 31 U.S.C. § 1352 (as amended)
PROVIDERS who apply or bid for an award of $100,000 or more shall file the required certification.
Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any
person or organization for influencing or attempting to influence an officer or employee of any agency, a
member of Congress, officer or employee of Congress, or an employee of a member of Congress in
connection with obtaining any Federal contract, grant, or any other award covered by 31 U.S.C. § 1352.
Each tier shall also disclose any lobbying with non -Federal funds that takes place in connection with
obtaining any Federal award. Such disclosures are forwarded from tier to tier up to the recipient who in
turn will forward the certification(s) to the awarding agency.
C. Procurement of Recycled/Recovered Materials
(1) In the performance of this contract, the PROVIDER shall make maximum use of products
containing recovered materials that are EPA -designated items unless the product cannot be acquired—
(i) Competitively within a timeframe providing for compliance with the contract performance schedule;
(ii) Meeting contract performance requirements; or
(iii) At a reasonable price.
(2) Information about this requirement is available at EPA's Comprehensive Procurement Guidelines
web site, https://www.epa.gov/smm/comprehensive-procurement-guideline-cpg-program.
(3) The PROVIDER also agrees to comply with all other applicable requirements of Section 6002 of
the Solid Waste Disposal Act.
D. Prohibition on Contracting for Covered Telecommunications Equipment or Services
(a) Definitions. As used in this clause, the terms backhaul; covered foreign country; covered
telecommunications equipment or services; interconnection arrangements; roaming; substantial or
essential component; and telecommunications equipment or services have the meaning as defined in
FEMA Policy 405-143-1, Prohibitions on Expending FEMA Award Funds for Covered Telecommunications
Equipment or Services (Interim), as used in this clause—
(b) Prohibitions.
(1) Section 889(b) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019, Pub. L.
No. 115-232, and 2 C.F.R. § 200.216 prohibit the head of an executive agency on or after Aug.13, 2020,
from obligating or expending grant, cooperative agreement, loan, or loan guarantee funds on certain
telecommunications products or from certain entities for national security reasons.
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(2) Unless an exception in paragraph (c) of this clause applies, the PROVIDER and its subcontractors may
not use grant, cooperative agreement, loan, or loan guarantee funds from the Federal Emergency
Management Agency to:
(i) Procure or obtain any equipment, system, or service that uses covered telecommunications
equipment or services as a substantial or essential component of any system, or as critical technology of
any system;
(ii) Enter into, extend, or renew a contract to procure or obtain any equipment, system, or service
that uses covered telecommunications equipment or services as a substantial or essential component of
any system, or as critical technology of any system;
ON Enter into, extend, or renew contracts with entities that use covered telecommunications
equipment or services as a substantial or essential component of any system, or as critical technology as
part of any system; or
(iv) Provide, as part of its performance of this contract, subcontract, or other contractual
instrument, any equipment, system, or service that uses covered telecommunications equipment or
services as a substantial or essential component of any system, or as critical technology as part of any
system.
(c) Exceptions.
(1) This clause does not prohibit PROVIDERS from providing—
(i) A service that connects to the facilities of a third -party, such as backhaul, roaming, or
interconnection arrangements; or
(ii) Telecommunications equipment that cannot route or redirect user data traffic or permit
visibility into any user data or packets that such equipment transmits or otherwise handles.
(2) By necessary implication and regulation, the prohibitions also do not apply to:
(i) Covered telecommunications equipment or services that:
L Are not used as a substantial or essential component of any system; and
ii. Are not used as critical technology of any system.
(ii) Other telecommunications equipment or services that are not considered covered
telecommunications equipment or services.
(d) Reporting requirement.
(1) In the event the PROVIDER identifies covered telecommunications equipment or services used as a
substantial or essential component of any system, or as critical technology as part of any system, during
contract performance, or the PROVIDER is notified of such by a subcontractor at any tier or by any other
source, the PROVIDER shall report the information in paragraph (d)(2) of this clause to the recipient or
subrecipient, unless elsewhere in this contract are established procedures for reporting the information.
(2) The PROVIDER shall report the following information pursuant to paragraph (d)(1) of this clause:
(i) Within one business day from the date of such identification or notification: The contract
number; the order number(s), if applicable; supplier name; supplier unique entity identifier (if known);
supplier Commercial and Government Entity (CAGE) code (if known); brand; model number (original
equipment manufacturer number, manufacturer part number, or wholesaler number); item description;
and any readily available information about mitigation actions undertaken or recommended.
(ii) Within 10 business days of submitting the information in paragraph (d)(2)(i) of this clause: Any
further available information about mitigation actions undertaken or recommended. In addition, the
PROVIDER shall describe the efforts it undertook to prevent use or submission of covered
telecommunications equipment or services, and any additional efforts that will be incorporated to prevent
future use or submission of covered telecommunications equipment or services.
(e) Subcontracts. The PROVIDER shall insert the substance of this clause, including this paragraph (e), in
all subcontracts and other contractual instruments.
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E. Domestic Preference for Procurements
As appropriate, and to the extent consistent with law, the PROVIDER should, to the greatest extent
practicable, provide a preference for the purchase, acquisition, or use of goods, products, or materials
produced in the United States. This includes, but is not limited to iron, aluminum, steel, cement, and other
manufactured products.
For purposes of this clause:
Produced in the United States means, for iron and steel products, that all manufacturing processes, from
the initial melting stage through the application of coatings, occurred in the United States.
Manufactured products mean items and construction materials composed in whole or in part of non-
ferrous metals such as aluminum; plastics and polymer -based products such as polyvinyl chloride pipe;
aggregates such as concrete; glass, including optical fiber; and lumber.
F. Access to Records
The following access to records requirements apply to this contract:
(1) The PROVIDER agrees to provide OWNER, the State of Florida, the FEMA Administrator, the
Comptroller General of the United States, or any of their authorized representatives access to any books,
documents, papers, and records of the PROVIDER which are directly pertinent to this contract for the
purposes of making audits, examinations, excerpts, and transcriptions.
(2) The PROVIDER agrees to permit any of the foregoing parties to reproduce by any means whatsoever
or to copy excerpts and transcriptions as reasonably needed.
(3) The PROVIDER agrees to provide the FEMA Administrator or his authorized representatives access to
construction or other work sites pertaining to the work being completed under the contract.
(4) In compliance with section 1225 of the Disaster Recovery Act of 2018, the OWNER and the PROVIDER
acknowledge and agree that no language in this contract is intended to prohibit audits or internal reviews
by the FEMA Administrator or the Comptroller General of the United States.
G. DHS Seal, Logo, and Flags
The PROVIDER shall not use the DHS seal(s), logos, crests, or reproductions of flags or likenesses of DHS
agency officials without specific FEMA pre -approval. The PROVIDER shall include this provision in any
subcontracts.
H. Compliance with Federal Law, Regulations, and Executive Orders
This is an acknowledgement that FEMA financial assistance will be used to fund all or a portion of the
contract. The PROVIDER will comply will all applicable Federal law, regulations, executive orders, and
FEMA policies, procedures, and directives.
I. No Obligation by Federal Government
The Federal Government is not a party to this contract and is not subject to any obligations or liabilities
to the non -Federal entity, PROVIDER, or any other party pertaining to any matter resulting from the
contract.
J. Program Fraud and False or Fraudulent Statements or Related Acts
The PROVIDER acknowledges that 31 U.S.C. Chap. 38 (Administrative Remedies for False Claims and
Statements) applies to its actions pertaining to the contract.
K. Affirmative Steps
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If subcontracts are to be let, the prime PROVIDER is required to take all necessary steps identified in 2
C.F.R. § 200.321(b)(1)-(5) to ensure that small and minority businesses, women's business enterprises,
and labor surplus area firms are used when possible.
L. License and Delivery of Works Subject to Copyright and Data Rights: The PROVIDER grants to the
Owner a paid-up, royalty -free, nonexclusive, irrevocable, worldwide license in data first produced in the
performance of this contract to reproduce, publish, or otherwise use, including prepare derivative works,
distribute copies to the public, and perform publicly and display publicly such data. For data required by
the contract but not first produced in the performance of this contract, the PROVIDER will identify such
data and grant to the Owner or acquires on its behalf a license of the same scope as for data first produced
in the performance of this contract. Data, as used herein, shall include any work subject to copyright under
17 U.S.C. § 102, for example, any written reports or literary works, software and/or source code, music,
choreography, pictures or images, graphics, sculptures, videos, motion pictures or other audiovisual
works, sound and/or video recordings, and architectural works. Upon or before the completion of this
contract, the PROVIDER will deliver to the Owner data first produced in the performance of this contract
and data required by the contract but not first produced in the performance of this contract in formats
acceptable by the Owner.
Article 11: TERMINATION OF CONTRACT
A. The occurrence of any of the following shall constitute a default by PROVIDER and shall provide
the OWNER with a right to terminate this Contract in accordance with this Article, in addition to
pursuing any other remedies which the OWNER may have under this Contract or under law:
(1) if in the OWNER's opinion PROVIDER is improperly performing work or violating any
provision(s) of the Contract Documents;
(2) if PROVIDER neglects or refuses to correct defective work or replace defective parts or
equipment, as directed by the Engineer pursuant to an inspection;
(3) if in the OWNER's opinion PROVIDER's work is being unnecessarily delayed and will not
be finished within the prescribed time;
(4) if PROVIDER assigns this Contract or any money accruing thereon or approved thereon;
or
(5) if PROVIDER abandons the work, is adjudged bankrupt, or if he makes a general
assignment for the benefit of his creditors, or if a trustee or receiver is appointed for PROVIDER
or for any of his property.
B. OWNER shall, before terminating the Contract for any of the foregoing reasons, notify PROVIDER
in writing of the grounds for termination and provide PROVIDER with ten (10) calendar days to
cure the default to the reasonable satisfaction of the OWNER.
C. If the PROVIDER fails to correct or cure within the time provided in the preceding Sub -Article B,
OWNER may terminate this Contract by notifying PROVIDER in writing. Upon receiving such
notification, PROVIDER shall immediately cease all work hereunder and shall forfeit any further
right to possess or occupy the site or any materials thereon; provided, however, that the OWNER
may authorize PROVIDER to restore any work sites.
D. The PROVIDER shall be liable for:
(1) any new cost incurred by the OWNER in soliciting bids or proposals for and letting a new
contract; and
E]
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(2) the difference between the cost of completing the new contract and the cost of completing
this Contract;
(3) any court costs and attorney's fees associated with any lawsuit undertaken by OWNER to
enforce its rights herein.
TERMINATION FOR CONVENIENCE: OWNER may at any time and for any reason terminate
PROVIDER's services and work for OWNER's convenience. Upon receipt of notice of such
termination PROVIDER shall, unless the notice directs otherwise, immediately discontinue the
work and immediately cease ordering of any materials, labor, equipment, facilities, or supplies
in connection with the performance of this Contract. Upon such termination PROVIDER shall be
entitled to payment only as follows:
(1) the actual cost of the work completed in conformity with this Contract and the
specifications; plus,
(2) such other costs actually incurred by PROVIDER as are permitted by the prime contract
and approved by the OWNER.
PROVIDER shall not be entitled to any other claim for compensation or damages against the
County in the event of such termination.
F. TERMINIATION IN REGARDS TO F.S. 287.135: TERMINATION IN REGARDS TO F.S. 287.135:
PROVIDER certifies that it and those related entities of PROVIDER as defined by Florida law are
not on the Scrutinized Companies that Boycott Israel List, created pursuant to s. 215.4725 of the
Florida Statutes, and are not engaged in a boycott of Israel. In addition, if this agreement is for
goods or services of one million dollars or more, PROVIDER certifies that it and those related
entities of PROVIDER as defined by Florida law are not on the Scrutinized Companies with
Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy
Sector List, created pursuant to Section 215.473 of the Florida Statutes and are not engaged in
business operations in Cuba or Syria.
OWNER may terminate this Contract if PROVIDER is found to have submitted a false certification
as provided under section 287.135(5), Florida Statutes, been placed on the Scrutinized Companies
with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum
Energy Sector List, or been engaged in business operations in Cuba or Syria, as defined by section
287.135, Florida Statutes.
OWNER may terminate this Contract if PROVIDER, including all wholly owned subsidiaries,
majority-owned subsidiaries, and parent companies that exist for the purpose of making profit, is
found to have been placed on the Scrutinized Companies that Boycott Israel List or is engaged in
a boycott of Israel as set forth in section 215.4725, Florida Statutes.
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IN WITNESS WHEREOF, OWNER and PROVIDER have signed this Agreement in duplicate. One counterpart
each has been delivered to OWNER and PROVIDER. All portions of the Contract Documents have been
signed or identified by OWNER and PROVIDER or on their behalf.
This Agreement will be effective on October 11, 2022.
OWNER: PROVIDER:
INDIAN RIVER COUNTY Critical Response Strategies
f t>�.' •,ti :� DocuSignod by:
L
By. '.Bye
?P*rr�� i an i pQ: 655B75790A8 _.ard Caplin, Chairman
1l�Cf1
Cr4s
By: CRffrAI RESPONSE
Jason E. ro n, County Administrator �'`•.tiR%yER C����'� E
•••....
��• Attest_!
APPROVED AS TO FORM AND LEGA DEFICIENCY:
By:
Dylan Reingold, County Attorney
Jeffrey R. Smith, Clerk of Court and Comptroller
Attest:a2a4d-40tl
v
Deputy Clerk
(SEAL)
Designated Representative:
Name:
Title:
Address:
Phone
Email
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Address for giving notices:
6440 Southpoint Parkway, Suite 300
Jacksonville, FL 32216
License No.
(Where applicable)
Agent for service of process:,
Designated Representative:
Name: Danna Markham
Title: Chief Accounting Officer
Address: 6440 Southpoint Parkway, Suite 300
Jacksonville, FL 32216
Phone:
901-487-8598
Email: dmarkham@caplinfamilyoffices.com_
(If PROVIDER is a corporation or a partnership,
attach evidence of authority to sign.)
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Exhibit 1 to the Agreement — Pricing
Provider type
Hourly Rate
Providers required
Total Hourly Rate
1. Nurse (at least one RN)
$175
2
$350
2. Certified Nursing Assistant/Home Health Aide
$80
6
$480
3. Respiratory Assistant
$100
1
$100
Total Team Hourly Rate
$930
Rates are only effective when staff is on site (travel time is excluded).
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