Okaloosa County BOCC — September 16, 2014 — reading text

Kublik Contracts & Leases Okaloosa County Purchasing Department 602-C North Pearl Street Crestview, FL 32536 850-689-5960 / 850-689-5998 (FAX) E-Mail: jkublik@co.okaloosa.fl.us IN WITNESS WHEREOF, the Chairman of the Board of County Commissioners, by authority vested in him, has hereunto subscribed his name on behalf of the County of Okaloosa, Florida, the Owner, and the said has hereto fixed his signature, the day and year above written. WITNESS: Contractor BY TITLE STATE OF FLORIDA COUNTY OF OKALOOSA This contract is accepted this _____ day of _____________________ 2014 and is effective on the _____ day of _________________________ 2014. ATTEST: COUNTY OF OKALOOSA, FLORIDA BY Gary Stanford Charles K. Windes, Jr., Chairman Deputy Clerk of Court Packet Pg. 442  EMS COLLECTION SERVICES RANKING SHEET BID # EMS COMPANY NAME Percentage Cost of Collections (Fee Structure) - 30 pts Narrative Work Plan Including Collections Practices - 25 pts Qualifications of Firm and Staff - 25 pts Experience on Comparable Entities Serving - 15 pts References - 5 pts TOTAL Person Scoring (Print) _________________________________ Signature ____________________________________________ Date ________________________________________________ Packet Pg. 443  EVALUATION CRITERIA Evaluation and ranking of all proposals will be made by a review team approved by the County based on the following criteria: Criteria Points 1. Percentage cost of collections (Fee Structure) 30 2. Narrative work plan including collection practices 25 3. Qualifications of firm and staff 25 4. Experience on comparable entities serving 15 5. References 5 Packet Pg. 444  BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST DATE: September 16, 2014 TO: Honorable Chairman and Members of the Board FROM: Dino J. Villani SUBJECT: Final Payment to Intermedix/ADPI for EMS Billing Contract DEPARTMENT: Public Safety BCC DISTRICT: All STATEMENT OF ISSUE: Request approval of the final payment to Intermedix/Advanced Data Processing, Inc. (ADPI), for Contract #C99-0257-PS, in the amount of $30,860.63. BACKGROUND: The old EMS billing contract with Intermedix/ADPI, Contract #99-0257-PS, expired on May 18, 2014. The final invoice for the period May 1-18, 2014, in the amount of $30,860.63 is due to Intermedix/ADPI. Request Contract #C99-0257-PS be closed out after the final payment has been made. OPTIONS: Approve/Disapprove. RECOMMENDATIONS: Approve the final payment to Intermedix/ADPI in the amount of $30,860.63. RECOMMENDED BY: APPROVED BY: Ernie Padgett, County Administrator Packet Pg. 445  Invoice Date Invoice # Advanced Data Processing, Inc. 5/31/2014 INVADPI14549 6451 N. Federal Highway Suite 1000 Ft. Lauderdale, FL 33308 954-308-8700 Tax ID # 22-3875190 Bill To Dino Villani Okaloosa County 90 College Blvd East Niceville FL 32578 Terms Due Date PO # Billing Period From Billing Period To Net 30 6/30/2014 5/1/2014 5/18/2014 Description Quantity Rate Amount Gross Collections 5/1/2014 - 5/18/2014 364,020.69 0.0858 0.00 Patient Refunds -4,129.15 0.0858 0.00 Medicaid Collections -33,077.57 0.0858 0.00 Net Collections 335,072.27 0.0858 28,749.20 Medicaid Account Processing Fee - 5/1/14 - 5/18/14 119.00 11.40 1,356.60 Privacy Notice Mailing - 5/1/14 - 5/18/14 1.00 754.83 754.83 Thank you for your business. Total $30,860.63 Packet Pg. 446  09-08-14P12:03 RCVD CONTRACT CLOSE-OUT CHECKLIST (To Be Prepared by the Purchasing Services Coordinator) DATE: 09/08/2014 TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office SUBJECT: Contract No. C99-0257-PS MANAGING DEPARTMENT: Public Safety CONTRACTOR'S NAME: lntermedix/Advanced Data Processing, Inc. PROJECT TITLE: Ambulance Billing The attached has met the final payment contract requirement in subject contract. Yes No l. Final Invoice ~ D 2. Completed Contract/Lease Payment Approval Form ~ D 3. Close-Out Documents Yes No N/A a. Signed Release of Lien D D ~ b. Proof of Completion Advertisement D D ~ c. Certificate of Insurance D D ~ d. Consent of Surety to Final Payment D D ~ e. Proof of Performance/Payment Bond D D ~ Continuation 12 Months Following Final Payment Yes No 4. Agenda Request ~ D· 5. Remarks ¥-tu9Nf I DATE v Packet Pg. 447 Packet Pg. 448  BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST DATE: September 16, 2014 TO: Honorable Chairman and Members of the Board FROM: Dino J. Villani SUBJECT: Amendment 1 to Medical Director's Contract DEPARTMENT: Public Safety BCC DISTRICT: All STATEMENT OF ISSUE: Request approval of Amendment 1 to the Medical Director's contract adding Exhibit A, the Business Associate Addendum. BACKGROUND: Dr. Christopher D. Tanner, M.D., has been the Medical Director for Okaloosa County EMS since May 23, 2000. Due to changes in the Health Insurance Portability and Accountability Act (HIPAA), we are required to have a Business Associate Agreement with Dr. Tanner. HIPAA is a set of federal standards to protect the privacy of patients' medical records and other health information maintained by covered entities. These standards provide patients with access to their medical records and with significant control over how their personal health information is used and disclosed. The Business Associate Agreement will be added to the existing contract as Exhibit A. OPTIONS: Approve/Disapprove. RECOMMENDATIONS: Approve Amendment 1 to the Medical Director's contract. RECOMMENDED BY: APPROVED BY: Ernie Padgett, County Administrator Packet Pg. 449 Packet Pg. 450 Packet Pg. 451 Packet Pg. 452 Packet Pg. 453 Packet Pg. 454 Packet Pg. 455  BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST DATE: September 16, 2014 TO: Honorable Chairman and Members of the Board FROM: John Hofstad SUBJECT: Seeking Approval to Amend Purchase of Class 1 Rip Rap. DEPARTMENT: Public Works BCC DISTRICT: All STATEMENT OF ISSUE: Seeking approval to amend the purchase order for Class 1 Rip Rap from Southern Rock & Lime for the Gilmore Road Project. BACKGROUND & ANALYSIS: The Public Works Department requested the purchase of class 1 rip rap for the construction of Gilmore Road. The amount of rip rap needed was not anticipated as part of the initial project design/estimate. Bids were solicited through Purchasing and three bids were received. Southern Rock and Lime submitted a bid meeting specifications for a total cost of $57,776.25, however the vendor delivered more class 1 rip rap stone than the Purchase Order specified. An amendment to the Purchase Order is requested to add additional funds to the PO in the amount of $445.71. If approved, a final invoice in the amount of $1,107.86 will be submitted for payment. The Gilmore Road project is funded through FY14 Local Option Gas Tax (LOGT - 3202) in the amount of $250,000. July 15, 2014, Public Works staff requested and the Board adopted increasing the project funding for the Gilmore Road project from $150,000 to $250,000. OPTIONS: Approve/Deny amending the additional purchase of class 1 rip rap from Southern Rock and Lime. RECOMMENDATION: Staff recommends approving the additional purchase of class 1 rip rap from Southern Rock and Lime and paying the final invoice in the amount of $1,107.86. RECOMMENDED BY: APPROVED BY: Ernie Padgett, County Administrator Packet Pg. 456 Packet Pg. 457 Packet Pg. 458 Packet Pg. 459 Packet Pg. 460 Packet Pg. 461 Packet Pg. 462  BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST DATE: September 16, 2014 TO: Honorable Chairman and Members of the Board FROM: John Hofstad SUBJECT: Antioch Road Sidewalk Improvements LAP