HomeMy WebLinkAbout2026-171A TRUE COPY
CERTIFICATION ON LAST PAGE
Mission: RYAN L. BUTLERSantis
To protect, promote & improve the health Governor
of all people in Florida through integrated
state, county & community efforts J Joseph A. Ladapo, MD, PhD
HEALTHState Surgeon General
Vision: To be the Healthiest State in the Nation
O
September 3, 2026 r. John Titkanich, Administrator IIndian River County Board of County Commissioners Q ���� W
1801 27th Street
Vero Beach, FL 32960
eOGEtO
RE: 2026-2027 State/County Contract
Dear Mr. Titkanich,
Please find attached (3) originals of the 2026-2027 State and County contract for the operations of the
Indian River County Health Department for your review and formal approval by the Indian River County
Board of Commissioners.
The contract, required under F.S. 154, contains the full annual operating budget; revenues and
expenditure program plan for our health department.
The total amount of the contract including all revenue sources and in -kind sources is $10,979,387. The
county appropriation of $888,980 along with estimated building operational expenses of $1,145,345 are
specified fiscal responsibilities of the Indian River County Board of Commissioners.
The basic expenditure plan forecasts anticipated number of clients, services, and dedicated staff to
each area served by the health department. As always, a quarterly report will be forwarded to your
attention for review and a written explanation will be provided if the variance exceeds or falls below
25% of the planned expenditure amount for the contract year.
Please feel free to call me at 794-7450 if you have any questions. We will be available to the
Commission when the contract is presented.
Sincerely,
Miranda C. Swanson, M.P.H.
Health Officer
Enclosures
Cc: Chasity McLeod, Office of Budget and Revenue Management
Florida Department of Health
In Indian River County
1900 27th Street, Vero Beach, FL 32960 I• ' s
PHONE: 7721794-7400
WEBSITE: http://indiandver.floddahealth.gov
FloridaHealth.gov
Accredited Health Department
Public Health Accreditation Board
Mission:
To protect, promote and improve the health
of all people in Florida through integrated
state, county, and community efforts.
A TRUE COPY
CERTIFICATION ON LAST PAGE
RYAN L. BUTLER, CLEFI°n DeSantis
Governor
Ri# t Joseph A. Ladapo, MD, PhD
HEALTHState Surgeon General
Vision: To be the Healthiest State in the Nation
INTEROFFICE MEMORANDUM
DATE: September 3rd, 2026
TO: Curtis Barker, Director
Office of Budget and Revenue Management
FROM: Miranda C. Swanson, MPH
Administrator/Director
Indian River County Health Department
SUBJECT: Core Contract Certification for 2026-2027
INFORMATION ONLY
I certify that no changes have been made to the Core Contract document or attachments
by the Indian River County Health Department.
❑ I certify that the following changes have been made to the Core Contract document or
attachments by the County Health Department (requires Deputy General Counsel
review and signature below):
Page
Paragraph
I Document Changes
State exact changes to language or new language.)
Page
Section
Attachment Changes
(State exact changes to language or format.)
I certify that Attachment IV is complete and lists all facilities currently utilized by the Indian River
County Health Dep rtment.
Signatur (Administrator/Director) Date
Signature (Deputy General Counsel)
Date
Florida Department of Health
n 11Indian River County Accredited Health De artment
900 27t^ Street, Vero Beach, Florida 32960 �•
� ' P
PHONE: 772-794-7400 Public Health Accreditation Board
FloridaHealth.gov
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CERTIFICATION ON LAST PAGE
RYAN L. BUTLER, CLERK
CONTRACT BETWEEN
INDIAN RIVER COUNTY BOARD OF COUNTY COMMISSIONERS
AND
STATE OF FLORIDA DEPARTMENT OF HEALTH
FOR OPERATION OF THE
INDIAN RIVER COUNTY HEALTH DEPARTMENT
CONTRACT YEAR 2026-2027
This contract is made and entered into between the State of Florida, Department of Health
("State"), and the Indian River County Board of County Commissioners ("County"), through
their undersigned authorities, effective October 1, 2026. State and County are jointly referred
to as the "parties".
RECITALS
A. Pursuant to Chapter 154, Florida Statutes, the intent of the legislature is to
"promote, protect, maintain, and improve the health and safety of all citizens and visitors of this
state through a system of coordinated county health department services."
B. County Health Departments were created throughout Florida to satisfy this
legislative intent through the "promotion of the public's health, the control and eradication of
preventable diseases, and the provision of primary health care for special populations."
C. Indian River County Health Department ("CHD") is one of the created County
Health Departments.
D. It is necessary for the parties hereto to enter into this contract to ensure
coordination between the State and the County in the operation of the CHD.
NOW, THEREFORE, in consideration of the mutual promises set forth herein, the
sufficiency of which is hereby acknowledged, the parties hereto agree as follows:
1. RECITALS. The parties mutually agree that the foregoing recitals are true and correct
and incorporated herein by reference.
2. TERM. The parties mutually agree that this contract shall be effective from October 1,
2026, through September 30, 2027, or until a written contract replacing this contract is entered
into between the parties, whichever is later, unless this contract is otherwise terminated
according to the termination provisions outlined in paragraph 8. below.
3. SERVICES MAINTAINED BY THE CHD. The parties mutually agree that the CHD shall
provide those services as outlined in Part III of Attachment II hereof, to maintain the following
three levels of service pursuant to section 154.01(2), Florida Statutes, as defined below:
a. "Environmental health services" are those services that are organized and operated to
protect the health of the general public by monitoring and regulating activities in the
environment that may contribute to the occurrence or transmission of disease. Environmental
health services shall be supported by available federal, state, and local funds and shall include
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ERTIFICATION ON LAST PAGE
'AN L. SUTLER, CLERK
those services mandated on a state or federal level. Examples of environmental health
services include but are not limited to, food hygiene, safe drinking water supply, sewage, and
solid waste disposal, swimming pools, group care facilities, migrant labor camps, toxic material
control, radiological health, and occupational health.
b. "Communicable disease control services" are those services that protect the health of
the general public through the detection, control, and eradication of diseases that are
transmitted primarily by human beings. Communicable disease services shall be supported by
available federal, state, and local funds and shall include those services mandated on a state
or federal level. Such services include, but are not limited to, epidemiology, sexually
transmissible disease detection and control, HIV/AIDS, immunization, tuberculosis control, and
maintenance of vital statistics.
c. "Primary care services" are acute care and preventive services that are made available
to well and sick persons who are unable to obtain such services due to lack of income or other
barriers beyond their control. These services are provided to benefit individuals, improve the
collective health of the public, and prevent and control the spread of disease. Primary health
care services are provided at home, in group settings, or in clinics. These services shall be
supported by available federal, state, and local funds and shall include services mandated on
a state or federal level. Examples of primary health care services include but are not limited to
first contact acute care services; chronic disease detection and treatment; maternal and child
health services; family planning; nutrition; school health; supplemental food assistance for
women, infants, and children; home health; and dental services.
4. FUNDING. The parties further agree that funding for the CHD will be handled as follows:
a. The funding to be provided by the parties and any other sources is outlined in Part II of
Attachment II hereof. This funding will be used as shown in Part I of Attachment II.
The State's appropriated responsibility (direct contribution excluding any state fees,
Medicaid contributions, or any other funds not listed on the Schedule C) as provided in
Attachment II, Part II is an amount not to exceed $ 3,860,142.00 _(State General
Revenue, State Funds, Other State Funds and Federal Funds listed on the Schedule C).
The State's obligation to pay under this contract is contingent upon an annual
appropriation by the Legislature.
ii. The County's appropriated responsibility (direct contribution excluding any fees,
other cash, or local contributions) as provided in Attachment II, Part Ills an amount
not to exceed $ 888,980 (amount listed under the "Board of County Commissioners
Annual Appropriations section of the revenue attachment).
b. Overall expenditures will not exceed available funding or budget authority, whichever is
less, (either the current year or from surplus trust funds) in any service category. Unless
requested otherwise, any surplus at the end of the term of this contract in the County Health
Department Trust Fund that is attributed to the CHD shall be carried forward to the next contract
period.
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RYAN L. BUTLER, CLERK
c. Either party may establish service fees as allowed by law to fund activities of the CHD.
Where applicable, such fees shall be automatically adjusted to at least the Medicaid fee
schedule.
d. Either party may increase or decrease funding of this contract during the term hereof by
notifying the other party in writing of the amount and purpose for the change in funding. If the
State initiates the increase or decrease, the CHD will revise Attachment II and send a copy of
the revised pages to the County and the State's Office of Budget and Revenue Management.
If the County initiates the increase or decrease, the County shall notify the CHD in writing. The
CHD will then revise Attachment II and send a copy of the revised pages to the State's Office
of Budget and Revenue Management.
e. The name and address of the official payee to whom payments shall be made is:
County Health Department Trust Fund
Indian River County Health Department
1900 27th Street
Vero Beach, FL 32960
5. CHD DIRECTOR or ADMINISTRATOR. Both parties agree the director or administrator
of the CHD shall be a State employee or under contract with the State and will be under the
day-to-day direction of the State's Deputy Secretary for County Health Systems. The director
or administrator shall be selected by the State with the concurrence of the County. The director
or administrator of the CHD shall ensure that non -categorical sources of funding are used to
fulfill public health priorities in the community and the Long -Range Program Plan.
6. ADMINISTRATIVE POLICIES AND PROCEDURES. The parties hereto agree that the
following standards should apply in the operation of the CHD:
a. The CHD and its personnel shall follow all State policies and procedures, except to the
extent permitted for the use of County purchasing procedures as outlined in subparagraph b.,
below. All CHD employees shall be State or State -contract personnel subject to State
personnel laws, rules, and procedures. Employees will report time in the Health Management
System compatible format by program component as specified by the State.
b. The CHD shall comply with all applicable provisions of federal and state laws and
regulations relating to its operation with the exception that the use of County purchasing
procedures shall be allowed when it will result in a better price or service and no statewide
purchasing contract has been implemented for those goods or services. In such cases, the
CHD director or administrator must sign a justification, therefore, and all County purchasing
procedures must be followed in their entirety, and such compliance shall be documented. Such
justification and compliance documentation shall be maintained by the CHD following the terms
of this contract. State procedures must be followed for all leases on facilities not enumerated
in Attachment IV.
c. The CHD shall maintain books, records, and documents following the Generally
Accepted Accounting Principles, as promulgated by the Governmental Accounting Standards
Board, and the requirements of federal or state law. These records shall be maintained as
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RYAN L. BUTLER, CLERK
required by the State's Policies and Procedures for Records Management and shall be open
for inspection at any time by the parties and the public, except for those records that are not
otherwise subject to disclosure as provided by law which is subject to the confidentiality
provisions of paragraphs 6.i. and 6.k., below. Books, records, and documents must be
adequate to allow the CHD to comply with the following reporting requirements:
The revenue and expenditure requirements in the Florida Accounting
Information Resource System; and
ii. The client registration and services reporting requirements of the minimum
data set as specified in the most current version of the Client Information
System/Health Management Component Pamphlet; and
iii. Financial procedures specified in the State's Accounting Procedures
Manuals, Accounting memoranda, and Comptroller's memoranda; and
iv. The CHD is responsible for assuring that all contracts with service providers
include provisions that all subcontracted services be reported to the CHD in
a manner consistent with the client registration and service reporting
requirements of the minimum data set as specified in the Client Information
System/Health Management Component Pamphlet.
d. All funds for the CHD shall be deposited in the County Health Department Trust Fund
maintained by the state treasurer. These funds shall be accounted for separately from funds
deposited for other CHDs and shall be used only for public health purposes in Indian River
County.
e. That any surplus or deficit funds, including fees or accrued interest, remaining in the
County Health Department Trust Fund account at the end of the contract year shall be credited
or debited to the State or County, as appropriate, based on the funds contributed by each and
the expenditures incurred by each. Expenditures will be charged to the program accounts by
State and County based on the ratio of planned expenditures in this contract and funding from
all sources is credited to the program accounts by State and County. The equity share of any
surplus or deficit funds accruing to the State and County is determined each month and at the
contract year-end. Surplus funds may be applied toward the funding requirements of each
party in the following year. However, in each such case, all surplus funds, including fees and
accrued interest, shall remain in the trust fund until accounted for in a manner that clearly
illustrates the amount which has been credited to each party. The planned use of surplus funds
shall be reflected in Attachment II, Part I of this contract, with special capital projects explained
in Attachment V.
f. There shall be no transfer of funds between the three levels of services without a contract
amendment unless the CHD director or administrator determines that an emergency exists
wherein a time delay would endanger the public's health and the State's Deputy Secretary for
County Health Systems have approved the transfer. The State's Deputy Secretary for County
Health Systems shall forward written evidence of this approval to the CHD within 30 days after
an emergency transfer.
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RYAN L. BUTLER, CLERK
g. The CHD may execute subcontracts for services necessary to enable the CHD to carry
out the programs specified in this contract. Any such subcontract shall include all
aforementioned audit and record -keeping requirements.
h. At the request of either party, an audit may be conducted by an independent certified
public accountant on the financial records of the CHD, and the results made available to the
parties within 180 days after the close of the CHD fiscal year. This audit will follow requirements
contained in OMB Circular A-133, as revised, and may be in conjunction with audits performed
by the County government. If audit exceptions are found, then the director or administrator of
the CHD will prepare a corrective action plan and a copy of that plan and monthly status reports
will be furnished to the contract managers for the parties.
i. The CHD shall not use or disclose any information concerning a recipient of services
except as allowed by federal or state law or policy.
j. The CHD shall retain all client records, financial records, supporting documents,
statistical records, and any other documents (including electronic storage media) pertinent to
this contract for five years after termination of this contract. If an audit has been initiated and
audit findings have not been resolved at the end of five years, the records shall be retained
until the resolution of the audit findings.
k. The CHD shall maintain the confidentiality of all data, files, and records that are
confidential under the law or are otherwise exempted from disclosure as a public record under
Florida law. The CHD shall implement procedures to ensure the protection and confidentiality
of all such records and shall comply with sections 384.29, 381.004, 392.65, and 456.057,
Florida Statutes, and all other state and federal laws regarding confidentiality. All confidentiality
procedures implemented by the CHD shall be consistent with the State's Information Security
Policies, Protocols, and Procedures. The CHD shall further adhere to any amendments to the
State's security requirements and shall comply with any applicable professional standards of
practice concerning client confidentiality.
I. The CHD shall abide by all State policies and procedures, which by this reference are
incorporated herein as standards to be followed by the CHD.
m. The CHD shall establish a system through which applicants for services and current
clients may present grievances over denial, modification, or termination of services. The CHD
will advise applicants of the right to appeal a denial or exclusion from services, of failure to take
account of a client's choice of service, and right to a fair hearing to the final governing authority
of the CHD. Specific references to existing laws, rules, or program manuals are included in
Attachment I of this contract.
n. The CHD shall comply with the provisions contained in the Civil Rights Compliance and
Non -Discrimination Certificate, hereby incorporated into this contract as Attachment III.
o. The CHD shall submit quarterly reports to the County that shall include at least the
following:
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RYAN L. BUTLER, CLERK
The DE385L1 Contract Management Variance Report and the DE580L1
Analysis of Fund Equities Report; and
ii. A written explanation to the County of service variances reflected in the year-
end DE385L1 report if the variance exceeds or falls below 25 percent of the
planned expenditure amount for the contract year. However, if the amount
of the service -specific variance between actual and planned expenditures
does not exceed three percent of the total planned expenditures for the level
of service in which the type of service is included, a variance explanation is
not required. A copy of the written explanation shall be sent to the State's
Office of Budget and Revenue Management.
p. The dates for the submission of quarterly reports to the County shall be as follows unless
the generation and distribution of reports are delayed due to circumstances beyond the CHD's
control:
March 1, 2027, for the reporting period of October 1, 2026, through
December 31, 2026; and
ii. June 1, 2027, for the reporting period of October 1, 2026, through
March 31, 2027; and
iii. September 1, 2027, for the reporting period of October 1, 2026
through June 30, 2027; and
iv. December 1, 2027, for the reporting period of October 1, 2026
through September 30, 2027.
7. FACILITIES AND EQUIPMENT. The parties mutually agree that:
a. CHD facilities shall be provided as specified in Attachment IV to this contract and the
County shall own the facilities used by the CHD unless otherwise provided in Attachment IV.
b. The County shall ensure adequate fire and casualty insurance coverage for County -
owned CHD offices and buildings and all furnishings and equipment in CHD offices through
either a self-insurance program or insurance purchased by the County.
c. All vehicles will be transferred to the ownership of the County and registered as County
vehicles. The County shall ensure insurance coverage for these vehicles is available through
either a self-insurance program or insurance purchased by the County. All vehicles will be
used solely for CHD operations. Vehicles purchased through the County Health Department
Trust Fund shall be sold at fair market value when they are no longer needed by the CHD and
the proceeds returned to the County Health Department Trust Fund.
6
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RYAN L. BUTLER, CLERK
8. TERMINATION.
a. Termination at Will. This contract may be terminated by either party without cause upon
no less than 180 calendar days' notice in writing to the other party unless a lesser time is
mutually agreed upon in writing by both parties.
b. Termination Because of Lack of Funds. In the event funds to finance this contract
become unavailable, either party may terminate this contract upon no less than 24 hours'
notice.
c. Termination for Breach. This contract may be terminated by either party for a material
breach of an obligation hereunder, upon no less than 30 days' notice. Waiver of a 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 of this contract.
9. MISCELLANEOUS. The parties further agree:
a. Availability of Funds. If this contract, any renewal hereof, or any term, performance, or
payment hereunder, extends beyond the CHD fiscal year beginning July 1, 2027, it is agreed
that the performance and payment under this contract are contingent upon an annual
appropriation by the Legislature, under section 287.0582, Florida Statutes.
b. Contract Managers. The name and addresses of the contract managers for the parties
under this contract are as follows:
For the State:
Sara Torres-Laluz
Name
Administrative Services Manager I
Title
1900 27th Street
Vero Beach, FL 32960-3383
Address
Sara.Torres-Laluz(a)-FLHealth.gov
Email Address
772-794-7464
Telephone
For the County:
Kristin Daniels
Name
Budget Director
Title
1801 27th Street
Vero Beach, FL 32960-3383
Address
kdaniels(a�ircgov.com
Email Address
772-567-8000 Ext. 1214
Telephone
If different contract managers are designated after the execution of this contract, the name,
address, email address, and telephone number of the new representative shall be furnished in
writing to the other parties and attached to the originals of this contract.
c. Captions. The captions and headings contained in this contract are for the convenience
of the parties only and do not in any way modify, amplify, or give additional notice of the
provisions hereof.
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RYAN L. BUTLER, CLERK
d. Notices. Any notices provided under this contract must be delivered by certified mail,
return receipt requested, in person with proof of delivery, or by email to the email address of
the respective party identified in Section 9.b., above.
In WITNESS THEREOF, the parties hereto have caused this eight page contract, with its
attachments as referenced, including Attachment I (two pages), Attachment II (six pages),
Attachment III (one pages), Attachment IV (one pages), and Attachment V (one pages), to be
executed by their undersigned officials as duly authorized effective the 1st day of October 2026.
BOARD OF COUNTY COMMISSIONERS.... STATE OF FLORIDA
FOR INDIAN RIVER COUNTY 4{ sioDEPARTMENT OF HEALTH
SIGNEE
NAME:
TITLE: Chairman
DATE: September 15, 2026
ATTESTED T-)
SIGNED BY: a/It�
NAME: Q YV I' IOW
TITLE: bP,ptA,+\i C laY -
DATE:
ED BY:
E: Joseph A. Ladapo, M.D., Ph.D.
TITLE: State Surgeon General
DATE:
SIGNED BY:
NAME: Miranda C. Swanson, MPH
TITLE: CHD Administrator
DATE:
8
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RYAN L. BUTLER, CLERK
ATTACHMENT I
INDIAN RIVER COUNTY HEALTH DEPARTMENT
PROGRAM SPECIFIC REPORTING REQUIREMENTS AND PROGRAMS REQUIRING
COMPLIANCE WITH THE PROVISIONS OF SPECIFIC MANUALS
Some health services must comply with specific program and reporting requirements in addition to the Personal Health
Coding Pamphlet (DHP 50-20), Environmental Health Coding Pamphlet (DHP 50-21) and FLAIR requirements because of
federal or state law, regulation or rule. If a county health department is funded to provide one of these services, it must
comply with the special reporting requirements for that service. The services and the reporting requirements are listed
below:
Service
1. Sexually Transmitted Disease
Program
2. Dental Health
3. Special Supplemental Nutrition
Program for Women, Infants and
Children (including the WIC
Breastfeeding Peer Counseling
Program)
4. Healthy Start/ Improved Pregnancy
Outcome
Requirement
Requirements as specified in F.A.C. 64D-3, F.S. 381 and F.S. 384.
Periodic financial and programmatic reports as specified by the
program office.
Service documentation and monthly financial reports as specified in
DHM 150-24* and all federal, state and county requirements
detailed in program manuals and published procedures.
Requirements as specified in the 2007 Healthy Start Standards and
Guidelines and as specified by the Healthy Start Coalitions in
contract with each county health department.
5. Family Planning Requirements as specified in Public Law 91-572, 42 U.S.C. 300, et
seq., 42 CFR part 59, subpart A, 45 CFR parts 74 & 92, 2 CFR 215
(OMB Circular A-110) OMB Circular A-102, F.S. 381.0051, F.A.C.
64F-7, F.A.C. 64F-16, and F.A.C. 64F-19. Requirements and
Guidance as specified in the Program Requirements for Title X
Funded Family Planning Projects (Title X Requirements)(2014) and
the Providing Quality Family Planning Services (QFP):
Recommendations of CDC and the U.S. Office of Population Affairs
published on the Office of Population Affairs website.
Programmatic annual reports as specified by the program office as
specified in the annual programmatic Scope of Work for Family
Planning and Maternal Child Health Services, including the Family
Planning Annual Report (FPAR), and other minimum guidelines as
specified by the Policy Web Technical Assistance Guidelines.
Immunization Periodic reports as specified by the department pertaining to
immunization levels in kindergarten and/or seventh grade pursuant
to instructions contained in the Immunization Guidelines -Florida
Schools, Childcare Facilities and Family Daycare Homes (DH Form
150-615) and Rule 64D-3.046, F.A.C. In addition, periodic reports
as specified by the department pertaining to the
surveillance/investigation of reportable vaccine -preventable
diseases, adverse events, vaccine accountability, and assessment
of immunization
ATTACHMENT I (Continued)
Attachment_I - Page 1 of 2
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RYAN L. BUTLER, CLERK
8.
9.
levels as documented in Florida SHOTS and supported by CHD
Guidebook policies and technical assistance guidance.
Environmental Health Requirements as specified in Environmental Health Programs
Manual 150-4* and DHP 50-21*
HIV/AIDS Program Requirements as specified in F.S. 384.25 and F.A.C. 64D-3.030
and 64D-3.031. Case reporting should be on Adult HIV/AIDS
Confidential Case Report CDC Form DH2139 and Pediatric
HIV/AIDS Confidential Case Report CDC Form DH2140.
School Health Services
10. Tuberculosis
11
Requirements as specified in F.A.C. 64D-2 and 64D-3, F.S. 381 and
F.S. 384. Socio-demographic and risk data on persons tested for
HIV in CHD clinics should be reported on Lab Request DH Form
1628 in accordance with the Forms Instruction Guide.
Requirements for the HIV/AIDS Patient Care programs are found in
the Patient Care Contract Administrative Guidelines.
Requirements as specified in the Florida School Health
Administrative Guidelines (May 2012). Requirements as specified
in F.S. 381.0056, F.S. 381.0057, F.S. 402.3026 and F.A.C. 64F-6.
Tuberculosis Program Requirements as specified in F.A.C. 64D-3
and F.S. 392.
General Communicable Disease Carry out surveillance for reportable communicable and other acute
Control diseases, detect outbreaks, respond to individual cases of
reportable diseases, investigate outbreaks, and carry out
communication and quality assurance functions, as specified in
F.A.C. 64D-3, F.S. 381, F.S. 384 and the CHD Epidemiology Guide
to Surveillance and Investigations.
12. Refugee Health Program
Programmatic and financial requirements as specified by the
program office.
*or the subsequent replacement if adopted during the contract period.
Attachment_I - Page 2 of 2
ATTACHMENT II
INDIAN RIVER COUNTY HEALTH DEPARTMENT
PART I. PLANNED USE OF COUNTY HEALTH DEPARTMENT TRUST FUND BALANCES
Estimated State Estimated County
Share of CHD Trust Share of CHD Trust
Fund Balance Fund Balance Total
1. CHD Trust Fund Ending Balance 09/30/26 0 1315427 1315427
2. Drawdown for Contract Year
October 1, 2026 to September 30, 2027
3. Special Capital Project use for Contract Year
October 1, 2026 to September 30, 2027
2 -556402 -556400
0
0
4. Balance Reserved for Contingency Fund 2 759025 759027
October 1, 2026 to September 30, 2027
Special Capital Projects are new construction or renovation projects and new furniture or equipment associated with these projects, and mobile health vans.
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Attachment_II_Part _I - Page 1 of 1
ATTACHMENT II
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RYAN L. BUTLER, CLERK
INDIAN RIVER COUNTY HEALTH DEPARTMENT
Part II, Sources of Contributions to County Health Department
October 1, 2026 to September 30, 2027
State CHD County Total CHD
Trust Fund CHD Trust Fund Other
(cash) Trust Fund (cash) Contribution
1. GENERAL REVENUE - STATE
015040 AIDS PATIENT CARE
015040 CHD - TB COMMUNITY PROGRAM
015040 HEALTHY BEACHES MONITORING PROGRAM
015040 FAMILY PLANNING GENERAL REVENUE
015040 PRIMARY CARE PROGRAM
015040 RACIAL & ETHNIC DISPARITIES • CHD EXPENSES
015040 SCHOOL HEALTH SERVICES
015050 CHD GENERAL REVENUE NON- CATEGORICAL
GENERAL REVENUE TOTAL
2. NON GENERAL REVENUE - STATE
015010 ENVIRONMENTAL BIOMEDICAL WASTE PROGRAM
NON GENERAL REVENUE TOTAL
3. FEDERAL FUNDS - STATE
007000 AIDS DRUG ASSISTANCE PROGRAM ADMIN HQ
007000 WIC BREASTFEEDING PEER COUNSELING PROG
007000 COASTAL BEACH WATER QUALITY MONITORING
007000 COMPREHENSIVE COMMUNITY CARDIO - PHBG
007000 FAMILY PLANNING TITLE X - GRANT
007000 PUBLIC HLTH INFRASTRUCTURE & WORKFORCE/CENTRAL 1
007000 INFANT MORTALITY
007000 IMMUNIZATION ACTION PLAN
007000 BASE COMMUNITY PREPAREDNESS CAPABILITY
007000 BASE PUB HLTH SURVEILLANCE & EPI INVESTIGATION
007000 AIDS PREVENTION
007000 RYAN WHITE TITLE II GRANT/CHD CONSORTIUM
007000 WIC PROGRAM ADMINISTRATION
015075 SCHOOL HEALTH SERVICES
FEDERAL FUNDS TOTAL
4. FEES ASSESSED BY STATE OR FEDERAL RULES • STATE
001020 CHD STATEWIDE ENVIRONMENTAL FEES
001092 ON SITE SEWAGE DISPOSAL PERMIT FEES
001092 CHD STATEWIDE ENVIRONMENTAL FEES
001206 ON SITE SEWAGE DISPOSAL PERMIT FEES
001206 SANITATION CERTIFICATES (FOOD INSPECTION)
001206 SEPTIC TANK RESEARCH SURCHARGE
001206 SEPTIC TANK VARIANCE FEES 50%
001206 PUBLIC SWIMMING POOL PERMIT FEES- 10% HQ TRANSFER
001206 DRINKING WATER PROGRAM OPERATIONS
001206 REGULATION OF BODY PIERCING SALONS
001206 TANNING FACILITIES
001206 TATTOO PROGRAM ENVIRONMENTAL HEALTH
it
Total
100,000
0
100,000
0
100,000
34,762
0
34,762
0
34,762
28,223
0
28,223
0
28,223
20,317
0
20,317
0
20,317
187,853
0
187,853
0
187,853
52,000
0
52,000
0
52,000
136,867
0
136,867
0
136,867
1,924,454
0
1,924,454
0
1,924,454
2,484,476
0
2,484,476
0
2,484,476
6,830
0
6,830
0
6,830
6,830
0
6,830
0
6,830
18,045
0
18,045
0
18,045
57,500
0
57,500
0
57,500
11,573
0
11,573
0
11,573
35,000
0
35,000
0
35,000
30,232
0
30,232
0
30,232
38,248
0
38,248
0
38,248
31,400
0
31,400
0
31,400
30,089
0
30,089
0
30,089
85,757
0
85,757
0
85,757
83,827
0
83,827
0
83,827
23,443
0
23,443
0
23,443
37,778
0
37,778
0
37,778
735,876
0
735,876
0
735,876
150,068
0
150,068
0
150,068
1,368,836
0
1,368,836
0
1,368,836
154,907
0
154,907
0
154,907
281,221
0
281,221
0
281,221
3,143
0
3,143
0
3,143
24,650
0
24,650
0
24,650
2,030
0
2,030
0
2,030
6,200
0
6,200
0
6,200
1,300
0
1,300
0
1,300
1,721
0
1,721
0
1,721
394
0
394
0
394
120
0
120
0
120
264
0
264
0
264
1,794
0
1,794
0
1,794
Attachment_II_Part_II - Page 1 of 3
ATTACHMENT II A TRUE COPY
CERTIFICATION ON LAST PAGE
RYAN L. BUTLER, CLERK
INDIAN RIVER COUNTY HEALTH DEPARTMENT
Part II, Sources of Contributions to County Health Department
October 1, 2026 to September 30,
2027
State CHD
County
Total CHD
Trust Fund
CHD
Trust Fund
Other
(cash)
Trust Fund
(cash)
Contribution
001206 MOBILE HOME & RV PARK FEES
1,800
0
1,800
0
FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL
479,544
0
479,544
0
6. OTHER CASH CONTRIBUTIONS - STATE:
031005 GENERAL CLINIC RABIES SERVICES & DRUG PURCHASES
1,000
0
1,000
0
090001 DRAW DOWN FROM PUBLIC HEALTH UNIT
.2
0
-2
0
OTHER CASH CONTRIBUTION TOTAL
998
0
998
0
6. MEDICAID - STATE/COUNTY:
001057 CHD CLINIC FEES
0
1,822
1,822
0
001148 CHD CLINIC FEES
0
9,040
9,040
0
MEDICAID TOTAL
0
10,862
10,862
0
7. ALLOCABLE REVENUE - STATE:
0
0
0
0
ALLOCABLE REVENUE TOTAL
0
0
0
0
8. OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND - STATE
ADAP
0
0
0
264,637
PHARMACY DRUG PROGRAM
0
0
0
846
WIC PROGRAM
0
0
0
2,953,487
BUREAU OF PUBLIC HEALTH LABORATORIES
0
0
0
3,290
IMMUNIZATIONS
0
0
0
24,921
OTHER STATE CONTRIBUTIONS TOTAL
0
0
0
3,247,181
9. DIRECT LOCAL CONTRIBUTIONS - BCC/TAX DISTRICT
008040 CHD LOCAL REVENUE & EXPENDITURES
0
888,980
888,980
0
DIRECT COUNTY CONTRIBUTIONS TOTAL
0
888,980
888,980
0
10. FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION - COUNTY
001077 CHD CLINIC FEES
0
500
500
0
001094 CHD LOCAL ENVIRONMENTAL FEES
0
433,422
433,422
0
001110 VITAL STATISTICS CERTIFIED RECORDS
0
320,000
320,000
0
FEES AUTHORIZED BY COUNTY TOTAL
0
753,922
753,922
0
11. OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY
001029 CHD CLINIC FEES
0
5,319
5,319
0
001090 CHD CLINIC FEES
0
1,690
1,690
0
010300 STATE UNDERGROUND PETROLEUM RESPONSE ACT
0
1,173
1,173
0
010300 MIGRANT LABOR HOUSING INSPECTION H -2A PROGRAM
0
1,844
1,844
0
011000 REVENUE CONTRACT/MOA WINO REPORTING REQUIREMENT
0
23,895
23,895
0
011001 CHD HEALTHY START COALITION CONTRACT
0
2,090
2,090
0
090002 DRAW DOWN FROM PUBLIC HEALTH UNIT
0
556,402
556,402
0
OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL
0
592,413
592,413
0
12. ALLOCABLE REVENUE - COUNTY
Total
1,800
479,544
1,000
.2
998
1,822
9,040
10,862
0
0
264,637
846
2,953,487
3,290
24,921
3,247,181
888,980
888,980
500
433,422
320,000
753,922
5,319
1,690
1,173
1,844
23,895
2,090
556,402
592,413
0 0 0 0 0
Attachment_II_Part_II - Page 2 of 3
A TRUE COPY
ATTACHMENT II CERTIFICATION ON LAST PAGE
RYAN L. BUTLER, CLERK
INDIAN RIVER COUNTY HEALTH DEPARTMENT
Part II, Sources of Contributions to County Health Department
October 1, 2026 to September 30, 2027
State CHD County Total CHD
Trust Fund CHD Trust Fund Other
(cash) Trust Fund (cash) Contribution Total
COUNTY ALLOCABLE REVENUE TOTAL 0 0 0 0
13. BUILDINGS- COUNTY
ANNUAL RENTAL EQUIVALENT VALUE
OTHER (Specify)
UTILITIES
BUILDING MAINTENANCE
WABASSO SITE - ANNUAL RENATL EQUIVALENT VALUE
WABASSO SITE - UTILITIES
WABASSO SITE - BUILDING MAINTENANCE
OTHER (Specify)
BUILDINGS TOTAL
14. OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND - COUNTY
EQUIPMENT / VEHICLE PURCHASES
VEHICLE INSURANCE
VEHICLE MAINTENANCE
OTHER COUNTY CONTRIBUTION (SPECIFY)
OTHER COUNTY CONTRIBUTION (SPECIFY)
OTHER COUNTY CONTRIBUTIONS TOTAL
GRAND TOTAL CHD PROGRAM
0
0
0
0
638,313
638,313
0
0
0
0
0
0
0
0
227,968
227,968
0
0
0
127,663
127,663
0
0
0
97,230
97,230
0
0
0
34,725
34,725
0
0
0
19,446
19,446
0
0
0
0
0
0
0
0
1,146, 345
1,145, 345
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4,340,684
2,246,177
6,586,861
4,392,526
10, 979, 387
Attachment_II_PartII - Page 3 of 3
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A TRUE COPY
CERTIFICATION ON LAST PAGE
ATTACHMENT II
RYAN L. BUTLER, CLERK
INDIAN RIVER
COUNTY
HEALTH DEPARTMENT
Part III, Planned Staffing. Clients, Services
and
Expenditures By Program Service
Area Within Each Level of Service
October 1, 2026 to September 30, 2027
Quarterly Expenditure Plan
FTE's
Clients Services/
let
2nd
3rd
4th
Grand
(0.00)
Units
Visits
(Whole dollars only)
State
County
Total
BODY PIERCING FACILITIES SERVICES (349)
0.04
5
6
807
941
807
941
739
2,757
3,496
GROUP CARE FACILITY (351)
0.72
68
99
14,298
16,677
14,298
16,678
19
61,932
61,951
MIGRANT LABOR CAMP (352)
0.20
29
259
4,934
5,755
4,934
5,754
8,006
13,371
21,377
HOUSING & PUB. BLDG. (353)
0.12
0
15
3,423
3,993
3,423
3,994
3
14,830
14,833
MOBILE HOME AND PARK (354)
0.35
49
128
8,539
9,960
8,539
9,960
16,621
20,377
36,998
POOLS/BATHING PLACES (360)
1.92
521
2,230
45,661
53,259
45,661
53,259
60,336
137,504
197,840
BIOMEDICAL WASTE SERVICES (364)
1.61
389
520
31,960
37,278
31,960
37,278
36,658
101,818
138,476
TANNING FACILITY SERVICES (369)
0.08
20
48
1,987
2,318
1,987
2,318
2,381
6,229
8,610
Group Total
6.78
1,338
3,661
151,145
176,295
151,145
176,296
159,664
495,217
654,881
Groundwater Contamination
STORAGE TANK COMPLIANCE SERVICES (355)
0.00
0
0
0
0
0
0
0
0
0
SUPER ACT SERVICES (356)
0.01
0
4
401
468
401
469
0
1,739
1,739
Group Total
0.01
0
4
401
468
401
469
0
1,739
1,739
Community Hygiene
COMMUNITY ENVIR. HEALTH (345)
0.03
0
79
597
696
597
696
1
2,585
2,586
INJURY PREVENTION (346)
0.15
0
0
2,988
3,485
2,988
3,484
4
12,941
12,945
LEAD MONITORING SERVICES (350)
0.00
0
0
11
13
11
13
0
48
48
PUBLIC SEWAGE (362)
0.51
2
32
11,199
13,062
11,199
13,062
11
48,511
48,522
SOLID WASTE DISPOSAL SERVICE (363)
0.01
0
0
265
309
265
310
0
1,149
1,149
SANITARY NUISANCE (365)
0.12
54
4
3,336
3,891
3,336
3,890
3
14,450
14,453
RABIES SURVEILLANCE (366)
0.15
28
74
4,377
5,106
4,377
5,106
4
18,962
18,966
ARBORVIRUS SURVEIL. (367)
0.00
0
0
0
0
0
0
0
0
0
RODENTIARTHROPOD CONTROL (368)
0.00
0
0
7
8
7
9
0
31
31
WATER POLLUTION (370)
0.28
0
62
7,920
9,238
7,920
9,239
7
34,310
34,317
INDOOR AIR (371)
0.00
0
0
41
48
41
49
0
179
179
RADIOLOGICAL HEALTH (372)
0.00
0
0
21
24
21
24
0
90
90
TOXIC SUBSTANCES (373)
0.14
10
17
4,168
4,861
4,168
4,860
4
18,053
18,057
Group Total
1.39
94
268
34,930
40,741
34,930
40,742
34
151,309
151,343
ENVIRONMENTAL HEALTH SUBTOTAL
16.76
3,499
15,037
387,708
452,217
387,708
452,219
485,892
1,193,960
1,679,852
D. NON -OPERATIONAL COSTS:
NON -OPERATIONAL COSTS (599)
0.00
0
0
0
0
0
0
0
0
0
ENVIRONMENTAL HEALTH SURCHARGE (399)
0.00
0
0
9,295
10,841
9,295
10,842
40,273
0
40,273
MEDICAID BUYBACK (611)
0.00
0
0
0
0
0
0
0
0
0
NON -OPERATIONAL COSTS SUBTOTAL
0.00
0
0
9,295
10,841
9,295
10,842
40,273
0
40,273
TOTAL CONTRACT
67.75
12,216
130,255
1,520,247
1,773,182
1,520,247
1,773,185
4,340,684
2,246,177
6,586,861
Attachment_II_Part_III - Page 2 of 2
A TRUE COPY
CERTIFICATION ON LAST PAGE
RYAN L. BUTLER, CLERK
ATTACHMENT III
INDIAN RIVER COUNTY HEALTH DEPARTMENT
CIVIL RIGHTS COMPLIANCE AND NON-DISCRIMINATION CERTIFICATE
The CHD agrees to complete the Civil Rights Compliance Questionnaire, DH Forms 946 A and B (or the
subsequent replacement if adopted during the contract period), if so requested by the Department.
The CHD assures that it will comply with the Omnibus Budget Reconciliation Act of 1981, P.L. 97-35,
which prohibits discrimination on the basis of sex and religion in programs and activities receiving or
benefiting from federal financial assistance.
Assurance of Civil Rights Compliance: The CHD hereby agrees that it will comply with Title VI of the
Civil Rights Act of 1964 (42 U.S.C. 2000d et seq.); Title IX of the Education Amendments of 1972 (20
U.S.C. 1681 et seq.); Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794); the Age
Discrimination Act of 1975 (42 U.S.C. 6101 et seq.); Title II and Title III of the Americans with Disabilities
Act (ADA) of 1990, as amended by the ADA Amendment Act of 2008 (42 U.S.C. 12131-12189) and as
implemented by Department of Justice regulations at 28 CFR Parts 35 and 36; Executive Order 13166,
"Improving Access to Services for Persons with Limited English Proficiency" (August 11, 2000); all
provisions required by the implementing regulations of the U.S. Department of Agriculture (7 CFR Part
15 et seq.); and FNS directives and guidelines to the effect that no person shall, on the ground of race,
color, national origin, age, sex, or disability, be excluded from participation in, be denied the benefits of,
or otherwise be subjected to discrimination under any program or activity for which the agency receives
Federal financial assistance from FNS; and hereby gives assurance that it will immediately take
measures necessary to effectuate this agreement.
By providing this assurance, the CHD agrees to compile data, maintain records and submit records and
reports as required to permit effective enforcement of the nondiscrimination laws, and to permit
Department personnel during normal working hours to review and copy such records, books and
accounts, access such facilities, and interview such personnel as needed to ascertain compliance with
the non-discrimination laws. If there are any violations of this assurance, the Department of Agriculture
shall have the right to seek judicial enforcement of this assurance.
This assurance is given in consideration of and for the purpose of obtaining any and all Federal
financial assistance, grants, and loans of Federal funds, reimbursable expenditures, grant or donation
of Federal property and interest in property, the detail of Federal personnel, the sale and lease of, and
the permission to use Federal property or interest in such property or the furnishing of services without
consideration or at a nominal consideration, or at a consideration that is reduced for the purpose of
assisting the recipient, or in recognition of the public interest to be served by such sale, lease, or
4. Confidentiality of Data, Files, and Records: The CHD agrees to restrict the use and disclosure
of confidential USDA, Women, Infant, and Children (WIC) applicant and participant information as specified
in 7 CFR § 246.26(d)(1)(i) in accordance with 7 CFR § 246.26(d)(1)(ii), as applicable.
Attachment_III - Page 1 of 1
Attachment IV
Fiscal Year - 2026 - 2027
Indian River County Health Department
Facilities Utilized by the County Health Department
Complete Location
(Street Address, City, Zip)
Facility Description
And Offical Building
Name (if applicable)
(Admin, Clinic, Envn Hlth,
etc.)
Lease/
Agreement
Number
Type of
Agreement
(Private Lease thru
State or County, other -
please define)
Complete
Legal Name
of Owner
SQ
Feet
Employee
Count
(FTE/OPS/
Contract)
1900 27th Street, Vero
Beach, Florida, 32960-3383
8445 64th Ave, Wabasso,
Florida, 32970
Administration, HR,
Clinic, Vital Statistics, Env. Health,
WIC
Wabasso Site
NIA
N/A
County Owned
County Owned
Board of
County Commissioners
for Indian River County
County Commissioners
for Indian River County
36,475
62.24
5,556
5.00
Facility - a fixed site managed by DOH/CHD personnel for the purpose of providing or supporting public health services. Includes county -owned, state-owned, and
leased facilites. Includes DOH/CHD warehouse and administrative sites. Includes facilities managed by DOH/CHD that may be shared with other organizations.
Does not include schools, jails or other facilities where DOH/CHD staff are out -posted or sites where services are provided on an episodic basis.
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Attachment_IV - Page 1 of 1
A TRUE COPY
CERTIFICATION ON LAST PAGE
ATTACHMENT V
RYAN L. BUTLER, CLERK
INDIAN RIVER COUNTY HEALTH DEPARTMENT
SPECIAL PROJECTS SAVINGS PLAN
CASH RESERVED OR ANTICIPATED TO BE RESERVED FOR PROJECTS
CONTRACT YEAR
STATE COUNTY
TOTAL
2025-2026*
$ 0 $
0
$
0
2026-2027*'
$ 0 $
0
$
0
2027-2028***
$ 0 $
0
$
0
2028-2029***
$ 0 $
0
$
0
PROJECT TOTAL
$ 0 $
0
$
0
SPECIAL PROJECTS CONSTRUCTION/RENOVATION PLAN
PROJECT NUMBER:
PROJECT NAME:
LOCATION/ADDRESS:
PROJECT TYPE:
NEW BUILDING ROOFING
RENOVATION PLANNING STUDY
NEW ADDITION OTHER
SQUARE FOOTAGE:
0
PROJECT SUMMARY:
Describe scope of work in reasonable detail.
START DATE (Initial expenditure of funds)
COMPLETION DATE:
DESIGN FEES: $
0
CONSTRUCTION COSTS: $
0
FURNITURE/EQUIPMENT: $
0
TOTAL PROJECT COST: $
0
COST PER SQ FOOT: $
0
Special Capital Projects are new construction or renovation
projects and new furniture or equipment associated with these projects and
mobile health vans.
' Cash balance as of 9/30/26
** Cash to be transferred to FCO account.
Cash anticipated for future contract years.
Attachment_V - Page 1 of 10
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
COUNTY HEALTH DEPARTMENT
2026 - 2027 CORE CONTRACT REVIEW CHECK LIST
COUNTY: INDIAN
STATE OF FLORIDA
INDIAN R4WR COUNTY
THIS IS TO CERTIFY THAT IS A TRUE AND CORRECT
COPY THE OR
F IN TM OFFICE.
RV 1.
BY
CLE
D.C.
/�
DATE -[ i •
4
Check when
Complete
Instructions
Three original contracts submitted.
Changes to contract approved by Deputy General Counsel.
Yes: Proceed with review.
No: Return to CHD.
Contract Document, Page 1
County name entered in various required fields.
Contract Document, Page 2
In section 4.a.i., amount equals or less than the Schedule C total for General Revenue, Other
State Funds and Federal Funds.
Contract Document, Page 2
In section 4.a.ii., amount equals the Board of County Commissioners Annual Appropriated Amount
(Attachment II, Part II, Section 9).
Contract Document, Page 3
In section 4.e., county name and address is entered.
Contract Document, Page 4
In section 6.d., county name is entered.
Contract Document, Page 7
In section 9.b., State and County contract manager information is entered in the respective fields.
Contract Document, Page 8
Number of contract document pages is entered and correct.
Contract Document, Page 8
County name for the BOCC is entered.
Contract Document, Page 8
Required signatures from Board of County Commissioners, the Witness ("Attested To"), and
the CHD Director/Administrator in the respective fields.
Exception: If the board of County Commissioners requires DOH to sign first.
Attachment II, Part I:
Section 1. - CHD Trust Fund Ending Balance 9/30/26 Total is within 10% of the FIRS Spending Plan
projected cash balance for September of the corresponding year.
Attachment II, Part I:
Section 2. - Draw down for Contract Year amount recorded in the Estimated State share column equals
the amount indicated on the Attachment II, Part II, Draw down from Public Health Unit line.
Attachment II, Part I:
Section 2. - Draw down for Contract Year amount recorded in the Estimated Coun share column equals
the amount indicated on the Attachment II, Part II, Draw down from Public Health Unit line.
Attachment II, Part I:
Balances and totals were calculated correctly.
Attachment II, Part I:
Section 4. - Cash -to budget percentage is within the CHD's minimum and maximum reserve
11.69/a
requirement. Divide the 9/30/27 total cash balance by the total planned expenditures.
%
Attachment II, Part II:
County in -kind contributions are included.
Attachment IV:
Verify that the facility information looks correct.
Attachment V:
Verify that the special project information is entered correctly.
Complete the CHD Core Contract Review form using Attachments II, Part II & Part III and the Schedule C.
Check_List - Page 1 of 1