Okaloosa County BOCC — September 16, 2014 — Annual Health Dept Contract — reading text

33 1,049 899 1,049 1,049 2,609 1,437 4,046 Group Total 4.69 758 2,844 74,340 63,704 74,340 74,310 164,274 122,420 286,694 Groundwater Contamination STORAGE TANK COMPLIANCE SERVICES (355) 0.00 0 0 0 0 0 0 0 0 0 SUPER ACT SERVICES (356) 0.13 29 39 2,377 2,037 2,377 2,377 4,500 4,668 9,168 Group Total 0.13 28 39 2,377 2,037 2,377 2,377 4,500 4,668 9,168 Community Hygiene COMMUNITY ENVIR. HEALTH (845) 0.00 0 0 162 139 162 163 0 626 626 INJURY PREVENTION (846) 0.00 0 0 1,297 1,111 1,297 1,295 5,000 0 5,000 LEAD MONITORING SERVICES (350) 0.00 0 0 o 0 0 0 Q 0 0 PUBLIC SEWAGE (362) 0.00 0 0 0 0 0 0 0 0 0 SOLID WASTE DISPOSAL SERVICE (363) 0.00 0 0 0 0 0 0 0 0 0 SANITARY NUISANCE (365) 0.33 69 178 5,531 4,740 5,531 5,529 0 21,331 21,331 RABIES SURVEILLANCE (366) 1.97 520 1,306 31,227 26,759 31,227 31,214 0 120,427 120,427 ARBORVIRUS SURVEIL. (367) 0.00 0 0 0 0 0 0 a 0. 0 RODENT/ARTHROPOD CONTROL (368) 0.00 0 0 0 0 0 0 0 0 0 WATER POLLUTION (870) 0.00 0 0 0 0 0 0 0 0 0 INDOOR AIR (871) 0.00 0 0 0 0 0 0 0 0 0 RADIOLOGICAL HEALTH (372) 0.00 0 0 0 0 0 0 0 0 0 TOXIC SUBSTANCES (373) 0.00 0 0 0 0 0 0 0 0 0 Group Total 2.30 589 1,484 38,217 32,749 38,217 38,201 5,000 142,884 147,384 ENVIRONMENTAL HEALTH SUBTOTAL 11.10 2,576 6,134 184,085 157,747 184,085 184,015 384,841 325,091 708,932 D. NON-OPERATIONAL COSTS: SPECIAL CONTRACTS (599) 0.00 0 0 0 i) 0 0 0 0 0 ENVIRONMENTAL HEALTH SURCHARGE (399) 0.00 0 0 5,774 4,948 5,774 5,773 22,269 0 22,269 MEDICAID BUYBACK (611) 0.00 0 0 4,257 3,648 4,257 4,254 16,416 0 16,416 NON-OPERATIONAL COSTS SUBTOTAL 0.00 0 0 10,031 8,596 10,031 10,027 38,685 0 38,685 TOTAL CONTRACT 114,35 32,915 331,747 1,960,137 —-:1,679,687 1,960,137 1,959,879 3,406,616 4,152,724 7,559,340 Page 2 of 2 ATTACHMENT Ill OKALOOSA COUNTY HEALTH DEPARTMENT CIVIL RIGHTS 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 seqg., 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