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Okaloosa County BOCC — October 15, 2013 — Health Dept Annual Contract — reading text
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CERTIFICATE
The applicant provides this assurance in consideration of and for the purpose of obtaining federal grants, loans,
contracts (except contracts of insurance or guaranty), property, discounts, or other federal financial assistance to
programs or activities receiving or benefiting from federal financial assistance. The provider 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 applicant assures that it will comply with:
1.
Title VI of the Civil Rights Act of 1964, as amended, 42 U.S.C., 2000 Et seq., which prohibits
discrimination on the basis of race, color or national origin in programs and activities receiving or
benefiting from federal financial assistance.
Section 504 of the Rehabilitation Act of 1973, as amended, 29 U.S.C. 794, which prohibits discrimination
on the basis of handicap in programs and activities receiving or benefiting from federal financial
assistance.
Title IX of the Education Amendments of 1972, as amended, 20 U.S.C. 1681 et seq., which prohibits
discrimination on the basis of sex in education programs and activities receiving or benefiting from
federal financial assistance.
The Age Discrimination Act of 1975, as amended, 42 U.S.C. 6101 et seq., which prohibits discrimination
on the basis of age in programs or activities receiving or benefiting from federal financial assistance.
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.
All regulations, guidelines and standards lawfully adopted under the above statutes. The applicant agrees
that compliance with this assurance constitutes a condition of continued receipt of or benefit from federal
financial assistance, and that it is binding upon the applicant, its successors, transferees, and assignees
for the period during which such assistance is provided. The applicant further assures that all contracts,
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 in violation of the above statutes, regulations, guidelines, and
standards. In the event of failure to comply, the applicant understands that the grantor may, at its
discretion, seek a court order requiring compliance with the terms of this assurance or seek other
appropriate judicial or administrative relief, to include assistance being terminated and further assistance
being denied.
ATTACHMENT IV
OKALOOSA COUNTY HEALTH DEPARTMENT
FACILITIES UTILIZED BY THE COUNTY HEALTH DEPARTMENT
Facility
Description Location Owned By
Okaloosa CHD 221 Hospital Dr NE Okaloosa County
Fort Walton Beach, FL 32548
810 E. James Lee Blvd Okaloosa County
Crestview, FL 32536
ATTACHMENT V
OKALOOSA COUNTY HEALTH DEPARTMENT
SPECIAL PROJECTS SAVINGS PLAN
IDENTIFY THE AMOUNT OF CASH THAT iS ANTICIPATED TO BE SET ASIDE ANNUALLY FOR THE PROJECT.
CONTRACT YEAR STATE COUNTY TOTAL
2009-2010 147 562 $ 86,515 $ 234,077
2010-2011
2011-2012
2012-2013
2013-2014
PROJECT TOTAL
eo fF fF Ff HAH &
we FF fF ©
147,562 86,515 234,077
SPECIAL PROJECT CONSTRUCTION/RENOVATION PLAN
PROJECT NAME: Okaloosa CHD Renovation of the Fort Walton Beach Facility
LOCATION/ ADDRESS: 221 Hospital Dr NE, Fort Walton Beach, FL 32548
PROJECT TYPE: NEW BUILDING ROOFING
RENOVATION X PLANNING STUDY
NEW ADDITION OTHER
SQUARE FOOTAGE: 3500
PROJECT SUMMARY: Describe scope of work in reasonable detail.
Project ID 81146100
This is a renovation intended to repair and renovate the main lobby/entryway of the Fort Walton Beach facility
and to refurbish 11 bathrooms. This project will be managed by the ODC. The main lobby/entryway has a lighting
problem that cannot be fixed without faking down ihe ceiling. The project includes repairing damaged walls and
replacing old flooring. The 11 bathrooms are ina serious state of disrepair since most are at least 30 years old. in
addition, 3 of the women's bathrooms need to be redesigned to eliminate a safety risk when opening the entry
door to the bathroom. Fixtures will be upgraded to energy-efficient/water saving devices that will ultimately save
the CHD in utility costs. The OCHD is requesting $320,000 of authority from GAFR 30 1 4XXXX for design and
construction costs.
ESTIMATED PROJECT INFORMATION:
START DATE (initial expenditure of funds) : October-11
COMPLETION DATE: January-14
DESIGN FEES: $ 38,018
CONSTRUCTION COSTS: $ 234,077
FURNITURE/EQUIPMENT $
TOTAL PROJECT COST: $ 272,095
COST PER SQ FOOT: $ 77.741 42857
Special Capital Projects are new construction or renovation projects and new furniture or equipment
associated with these projects and mobile health vans.
ATTACHMENT V
OKALOOSA COUNTY HEALTH DEPARTMENT
SPECIAL PROJECTS SAVINGS PLAN
IDENTIFY THE AMOUNT OF CASH THAT IS ANTICIPATED TO BE SET ASIDE ANNUALLY FOR THE PROJECT.
CONTRACT YEAR STATE COUNTY TOTAL
2009-2010 $ 30,199 $ 17,706 $ 47,905
2010-2011 $ -
2011-2012 $ 68,702 $ 49,873 $ 118,575
2012-2013 $ 47,477 $ 58,523 $ 106,000
2013-2014 $ $ $ -
PROJECT TOTAL $ 146,378 $ 126,102 $ 272,480
SPECIAL PROJECT CONSTRUCTION/RENOVATION PLAN
PROJECT NAME: Okaloosa CHD Renovation of the Crestview Facility
LOCATION/ ADDRESS: 810 E. James Lee Blvd, Crestview, FL 32536
PROJECT TYPE: NEW BUILDING ROOFING
RENOVATION X PLANNING STUDY
NEW ADDITION OTHER
SQUARE FOOTAGE: 3700
PROJECT SUMMARY: Describe scope of work in reasonable detail.
Project ID. 81146200
This is a renovation intended to improve the space utilization of an existing facility of the OCHD in order
to accommodate the growing needs of Clinical Services, WIC and Environmental Health programs.
This project will be managed by the ODC. The renovation will involve changes to existing walls and
doors, renovation of aged bathrooms, flooring, etc. The OCHD is requesting $250,000 of authority from
GAFR 30 14XXXxX for design and construction costs.
ESTIMATED PROJECT INFORMATION:
START DATE (initial expenditure of funds) : June-12
COMPLETION DATE: October-13
DESIGN FEES: $ 25,425
CONSTRUCTION COSTS: $ 272,480
FURNITURE/EQUIPMENT $
TOTAL PROJECT COST: $ 297,905
COST PER SQ FOOT: $ 80.51491351
Special Capital Projects are new construction or renovation projects and new furniture or equipment
associated with these projects and mobile health vans.
