of Forfeiture - by lzv41816

VIEWS: 15 PAGES: 27

									        COLUMBIA COUNTY BOARD OF COUNTY COMMISSIONERS
                     POST OFFICE BOX 1529
                  LAKE CITY, FLORIDA 32056-1529

                             CONSENT AGENDA

                             DECEMBER 4, 2008


(1)   Invoice - Anderson Columbia Company, Inc. - Emerald Forest SID &
      Emerald Lakes SID - Project No. 2008-06 - $150,585.13

(2)   Invoice - Hughes Well Drilling & Pump Service, LLC - Ellisville
      Potable Public Water Wells - $90,900.00

(3)   External Budget Amendment - Purchasing - General Fund -
      BA #08-03 - Shredder - $1,316.00

(4)   Public Works - Requesting Funds from FY 2007-2008 - Scarbourgh
      Landroller/Cul-De-Parked Seeder and a Vibratory Double Drum Roller
      also Two (2) Ford Pickups - Board Approved These on 8/21/08 -
      $83,603.00

(5)   Sheriff's Office - Request the Release of Funds - Contraband
      Forfeiture Trust Funds - Refunded Under an Agreed Final Judgment
      and Order of Forfeiture - $19,700.00

(6)   Bid Award - Ten-8 Fire Equipment - Tanker Refurbishment - Bid No.
      2008·0 - $73,919.00

(7)   Human Resource - Hiring Freeze Waiver Recommending Ty Sellers-
      General Laborer Position - Public Works

(8)   Board Requesting Approval - Repair Fifty (50) Feet of Easement on SW
      Explorer Glen Off Old Wire Road - Removal of Fill Dirt

(9)   Agreement - Lake City Community College/Columbia County
      Emergency Medical Services - Clinical Laboratory Practices for
      Students

(10) Approval of Cooperative Agreement - Columbia County Board of
      County Commissioners/Medical Examiner Services from the City
      of Jacksonville - Subject to the Approval of the State Attorney Elect

(11) Public Works - Acceptance of Roadway Material - Outside County
     (Gilchrist)
                                                                                                            #1

                                 Columbia County Bid Tabulation
                                                             Bid Title: EMERALD FORREST & EMERALD LAKE
            -
Bd N o. 200806
 I                    Daeof 0JPemnq: 10/15/2008
                        t                                    ROAD IMPROVEMENTS
                                          Florida Fill and   John C. Hipp Anderson    CA Boone     APAC
                       Bidders            Grading            Construction  Columbia   Construction

                  Description                Unit Price       Unit Price     Unit Price     Unit Price     Unit Price



Total Bid Price                                $198,210.00     $162,750.80    $150,585.13    $199,300.00 No Bid




Recommend award to low bidder (Anderson Columbia).
                                                                                                                                                        #1




                                    BID PROPOSAL
                               ROAD PROJECT NO. 2008-06
                        EMERALD FOREST SID & EMERALD LAKES SID
                              COLUMBIA COUNTY) FLORIDA


    THE UNDERSIGNED hereby propose to furnish all materials, labor and supervision
for constructIon of the subject project in conformance with the plans and specifications
for the followIng unit prices:

                                                                                                                                     UNIT
                   ITEM                          UNIT                                              QUANTITY                          PRICE         TOTAL
1. Mobilization                                Lump Sum                                               1                             19 397.22     19,397.22
2. MaIntenance of Traffic                      Lump Sum                                                                  1          14 231,&6     14 231.86
3. Rework Existing Limerock Base                Sa. Yd.                                                          8320                    3.92     32,614.40
4. limerock (New Material)                     Cu. Yd.                                                               100                26.63      2,b63.00
5. Asphaltic Concrete (S.P.G.5 vJrgin mbc)       Ton                                                                 810                98.00     79,380.00
6. Pavement Stripplnq                         Lump Sum                                                                   1           2,29B.65      2,298.65


         TOTAL AMOUNT OF BID                                                                                                                    150,585.13


3. Includes removel and disposal of asphaltic concrete surface,
4. As required by the Engineer.
6. Include centeriine (6 r double yellow) and stop bars.
   Two applications required.




                                                                                 \... 'J },J             a/ ".
                                                                   CJ       J                                        4
Anderson Columbia Co., Inc.
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P. a.Bo)!. 1829                                          ./        .
lake City, Fl. 32056                                       A-                   ..   f         f) ..
                                                             . .'t
(386) 752-7585
(386) 755-5853 Fax                                                                        r.
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       PAGE              OF                                                                                                                                       RGtJRES                               "_u\.Gl'RU£ !Y.")I
                                                                                                             WORK PROGRESS SCHEDULE CHART                                                                           ~il":':l


                                                                                                                                                                      REPORTING DATE
       FiN PHOJ NO           LCc)~ ~ a                 l.o                FA_ PROJECT NO-                                   CONTRACT NO.                              '\4 COMf'lElE     - - - - - - -- - - - -
       CONT"RACTOR             ~,o.J ».E'I\~QI\\ C~ . . . G. IA                       Co__ \.~'--'                                                                    % TlME ELAPSED                                    _
       ADORESS                                                                                                                                                        % SCHEDLJLED COMPLETE              ..             _
                                                                                             ACTUAl PROGRESS                                    < % COMPLETE EACH CATE.GOR'I' EACH MONTH (BY RESIDE.NTENGINEER)
                                                                                             SCHEDUlED PROGRESS                                 < AS SUBMITIEO 5"" CONTRACTOR


                                                                               %
        fTEM               WORKCA1EGOR~S'
                                                                              OF
        NOS.                   & SUBACTl'ITTIES
                                                                              810
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       Non;~ SHOW THE EXACT Si:OUENCE OF CONSlltucrrON pLAWNEO ro~ EACH IT£M. THE e~GIHNIHG AND I:'!NDlNe ctlNTAACT DAY AND lHE OURta noN OF ffiE. WOAK.
       • A LISTING OF CON1'llACT IlEMS 6V WORK CAT£GORY 19 INClUDED IN THe: CONTRACT I!.NE01ArELY FOUOWINC 8m ITEMS.
       SI.JBMITT£D IN ACCOROANCE W1Tli COIlIDeT PROVIsIONS 1!I'l':
                                                                                                                                             #2

                             APPLICATION AND CERTIFICA IE FOR PAYMENT FORM



 Ap.pJication No._---'7'--                                   ~-   Progress,                        ~---       Final                      _

 Engineds Project No.:                    ..;tJ~/A'-'-----                            . . .:. :.                                     _

                         Project:                                 COLUMBIA COuNTY, ELLISVILLE POTABLE
                                                                  PUBLIC WATER WELLS

 Contr.~ctor:HU6H.€5 WEll ~~nLu,J4 J.                              ?Ll/YIP   Sf.~ VIC_E,     Ltc Contract Date: D<P      I 20 I ~B

 Application Date:,_-,-'J,--,')L:1---,,+<;-.LJ"'-oS"'----                                          For Period Ending     /I /J   11 DB
                                                   . .                        ..
 Change. Order Summary                                                                                                                       I
 Change Orders 3,pprove.d in                                           ADDITIONS                                DEDUCTIONS
 previous months by OWNER.
                          TOTAL
, AOPfOved this month
  Number           Date Approved,




                               TOTALS
I Nt-( Chang6 by C~ange Orders                                                                                                               I


 l.         ORJGlNAL CONTRACT SUM                                                                         $    J./tr1,   '0". OD
            Net Change by Change Order                                                                    $            8'
 2.
 3,         CONTRACT SUM TO DATE (Li,ne I and 2)
 4.          TOTAL COMPLETED AND STOREo-TO DATE
 5.          RETAINAGE: (Column I & N, Forms 00845 and 00846)
             a.    'D % ofCompkt.;d Wor\<
             b. 10 ''70 '~f $t6red. M~tet<il\1
             Total Retainage (L.ine Sa and.5b)
 6.          TOTAL EARNED LESS RETArNAGE
             (Line 4 tess Line 5 T?~al)
 {.          LESS .PR.EVIOUS C&RTWJCATE,S. FO~ P-A YMl:~T
             (Lin~ 6    frecjl prior Cert-ifica.te)
 ~.          AMOUNT DUE THIS APPUCA TION
 9.          BALANCE TO F1NISH, PLUS RETAlNAGE
             (Line 3 less LIne 6)
Contractor's Certification

The undersigned Contractor hereby swears under penalty of pe~i\.lry that (I) all previous progress
paymems received from tbe Owner on account of Work performed under the contract referred to
above have been applied by the undersigned to discharge in full all obligations of the
undersigned incurred in connection with Work covered by prior Applications for Payment
numbered 1 through ~_ inclusive; and (2) all materials and equipment incorporated in said
Pl·o.iect or otherwise listed in or covered by this Application for Payment aloe free and clear of all
liens, c!nims, security interest and encumbrances; (3) all Work covered by this Application for
Payment is in accordance with the Contract Documents and not defective as that term is defined
in the Contract Documents_

Dated      /1- /4                            ,20DB




                                                                               f' £ Lf) A~l5TBrJT
                                                                                                (Title)


COUNTY OF t~ W M~' P-\

STATE OF          FLlJR:....:....:\....!:!..\)i\~            _
Before me on this                                   lt           day of   ~()\J ~M ~IT_, 20~           personally appeared
:r~@         \-\\.l&%£.         known [0 me, who being duly sworn, deposes and says that
                                                         1


(s)he is the ~\f..~b ,.."SS\'8,\~_,           of the Contractor above mentioned; that (s)he
executed the above Application for Payment and statement                               behalf of said Contractor; and thaI
all of the statements contained therel n are true, correct an                          plete.


                                                                             Notary Public
                                                                             My Commission Expires   Mt\RC,'r\ OJ \ ~lJ\\

Engineer's Recommend<l{ion

Payment of the above AMOUNi DUE THIS APPLICA nON' is reco'11mer,ded.




 Date: _....!:.--1---+L-!>...L--f--'--'=---------"
Owner's Approval                    By: - - - - - - - - - - - - - -


                                                  (Title)


Ace\. No.          .   _            Oate:                       _



                           END OF S£CT{0N
  HUGHES WELL DRILLING & PUMP SERVICE, lLC
                          12367 N US HWY 441
                       LAKE CITY, FLORIDA 32055
                         PHONE: 386.752.1840
                           FAX: 386.755.2934
                         hugwe/11840@ao/.com

JOB ELUSVILLE POTABLE WATER WELL
COLUMBIA COUNTY BOARD OF COUNTY COMMISSIONERS
EUTAW UTIUTIES- MARC NE1HAUS
APPLICATION NO.7
               -------------_---!
1. WORK COMPLETED
       DENSITY/PROCTOR TEST FOR BUILDING                                 $1.000.00
       WATER TREATMENT/ELECTRICAL BUILDING                             $100,000,00
       (INCLUDES CHASE PIPE FOR ELECTRICAL)




2. MATERIALS
         RENTAL OF 3 PHASE GENERATOR FOR 24 HOUR PUMP TEST WITH FUEL    $10,000,00




                                                           TOTAL=      $111,000.00
District NO.1 - Ronald Williams
District NO.2 - Dewey Weaver
                                                                                                              #3
District No.3 - Jody DuPree
District No.4 - Stephen E. Bailey
District No.5 - Scarlet P. Frisina




                                              BUDGET AMENDMENT
                                                        2008-2009




          NUMBER:           BA-08-03

          FUND:             General



          FROM                                    TO                                        AMOUNT
          00 J .8400.584.9097                     001. I 000.51 1.6064                      $1,316
          Equipment Reserve                       Equipment




          DESCRIPTION: Purchase paper shredder for use by various departments.

          REFERENCE:

          REQUESTED BY: Ben Scott, Purchasing Director              t1t1l\ -get:>--



                                        BOARD MEETS FIRST THURSDAY AT 7:00 P,M
                                            AND THIRD THURSDAY AT 7:00 P,M.


           P. O. BOX 1529        ...   LAKE CITY, FLORIDA 32056-1529             ...   PHONE (386) 755-4100
           Dist(lc~   NO.1 -       Ronald Williams                                                                                    #4
           District   NO.2 -       Dewey Weaver
           District   No.3·        George Skinner
           District   No.4·        Stephen E. Bailey
           District   No.5·        Elizabeth Pocter

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                                                                          MT.MORANDtfM



                            TO:                     Dale WIlliams, County Manager

                            FROM:                   Kevin Kirby, ?ublic Works Direcloyk-4

                            DA TE:                  November 20, 2008

                            SUBJECT:                Funds Carry-Over

                            I am requesting funds from FY 2007-2008 for equipment purchases as follows be carried
                            over into lhe current FY 2008-2009:

                                   I.            Total of $52,649 from FY 2007-2008 account number 101.4230.541.60.64 for
                                                 the purchase of a. scarbourg.h landroller/aJl-de-parked seeder and a vibratory
                                                 double drum roller that were BCe approved on Og/21/08 to FY 2008-2009
                                                 account number 101.4230. S4 1.60.64;
                                   2.            Total of$30,954 from FY 2007~2008 accounl number 101.4240.54160.64 for
                                                 the purchase of two (2) Ford pickups that were BeC approved 08121/08 to FY
                                                 2008-2009 account number lO1.4240.S4J .60.64.

                            This equipment were ordered prior to September 30, 2008 but not being received until
                            after October 1) 2008.

                            Should you have any questions) please contact myself or Perry Lillie. Thank you.

                            115o
                               0



                            xc:              Mary Sue George, Accounting




                                                                  BO..RD MEETS FIRST THURSDAV AT 7:0l:J P,M.
                                                                      AND THIAQ THUASDAV AT 7:00 P.M.


                            P. O. BOX 1529                      LAKE CITY. FLORIDA 32056-1529                      PHONE (386) 7SS·410D
                                                                                     #5
        Bill Goote ,Sheriff
        Columbia County




November 18, 2008



Honorable Dewey Weaver
Chairman
Board of County Commissioners
P. O. Drawer 1529
Lake City, FL 32056-1529

Dear Mr. Weaver,

Pursuant to Florida Statutes 932.704 (3)(a), I am respectfully requesting the release
of $ 19,700.00 from the Contraband Forfeiture Trust Funds. This money is to be
refunded under an Agreed Final Judgment and Order of Forfeiture (Case #04-213CA).
The original deposit made on 09/03/04 was for $54,850.00, pending this Judgment
which has now been settled.

 This is simply a refund of seized U,S. Currency court ordered to be refunded to the
defendant. I assure you that, in my opinion, the aforementioned expenditure complies
with the provisions of Florida Statutes.

Thanking you in advance.

Bill Gootee
Sherif( Columbia County




cc: Dale Williams, County Coordinator
    Clerk of Courts, Finance



                                                                                4917 US 90 East
                                                                       Lake City. Florida 32055
                                                                                   386,752.9212
                                                                     INV.JW. colu mbiasheriff, com
                                           Jolly & Peterson, P.A.
                                                                               OCT 1 7 2.0\. g
                                                  Attorneys
Jolvt W joUy.k                                  1\45 Della eOll\~van.1
CuI R I'eler«l" I r                                    Suite 200
BarbQJ'b C. Fro",,,,                            raUa1l~S$~e. fl .12303,
Kellh C TlSchle.
                                                                                       T.Iepl o~. (850; ·1.'l·O ;ai.
                                                                                       f3csi,'ll. (fl5I\: '1::2·FI~

GayleSlJIith Swrom.,k
OICouruel



                                               October 9, 2008 .

Sheriff Goolee
Columbia County Sheriff's Otfice
4917 E. U.S. Highway 90 .
Lake City, Florida 32055-6288


             Re:        Forfeiture of $54, 850 in U,S. Currency
                        Case No. 04-213-CA
                        Agency Case No. 2003-035992
                        Matter No.: 8164


Dear Sheriff:

       I enclose a copy of the" Agreed Final Judgment and Order of Forfeilur3" rn-I"e
malter of the seizure of Ihe $54.850.00 in U,S. Currency. You will recall thaI we settle.::1 1~le
maIler In a manner which allowed for the Sheriff's Office 10 retain $35.150.00 in U.S.
Currency whIle returning $19.700.00 of Ihe seized U.S. Currency fo the Claimar f. Wc,/ne
Thought.

        If you have been mainloining thol money in escrow during Ihe pendeflcy 01' H"l(':~e
proceedings. you no longer need 10 do so. From lhaf fund, J would encourog ~ you to
issue a check in Ihe amoun1 of $19.700.00 payable 10 Wayne Thought ond Nc-rmar
Malinski. his attorney, and send il to me. I will then forward it to Mr. Malinski, Cc)Un$c: - for
the claimant. who will deliver that cheCk 10 Ihe claimant and no doubt lake his fee; fwm
lhol payment.

       If there is anyfhing else that you need from me n Ihis molter. or othel'\·.,Iise.             pl':~cfse
do not hesitate 10 call. 11hank you for your courfesy a  c , operation.
                                                                          ~




                                                                              \\
                                                                                   ,
                                                                                   \




JWJ/pab
Enclosure
                                                                                                                      #6
                                Columbia County Bid Tabulation

Bid No. 2008-0        Date of Opening: 11/19/2008               Bid Title: Tanker Refurbishment
                                           Ten-8                US Tanker         G&G
                      Bidders              Fire Equipment       Fire Apparatus Metal
                                                                               FabrJcation
                  Description                 Unit Price          Unit Price       Unit Price        Unit Price   Unit Price



Total Bid Price                                    $73,919.00      $99,125.00           $83,789.00


Days to Completion                         60-90                            290                 60




Recommend award bid to low bidder (Ten-8 Fire Equipment).



~J[f/J-
Ben Scott
Purchasing Director
                                                                                                            #7



  Memo
      To:            Dale Williams


})~\ 2       m       Michele Crummitt


_/'Vf:.e,        ,
                     Recruiting File

                     11/18/2008
      Reo:           Public Works - General Laborer



      A committee consisting of me, Kevin Kirby, Perry Little, and Clint Pittman interviewed candidates for a
      vacant General Laborer position. The committee is recommending Ty Sellers for the position as his
      references have been checked and found to be satisfactory With your approval. and the approval of
      the board, I will make a conditional offer of employment and schedule the pre-employment screenings.
District
DisLric\
           No.1 - Ronald Williams
           NO.2 - Dewey Weaver
                                                                                                      #8
District   NO.3 - Jody DuPree
District   No.4 - S1ephen E. Bailey
District   No.5 - Scarlet P. Frisina




           November 25, 2008



           MEMO



           TO:        Kevin Kirby

           fR:       Dale Williams     ~
           RE:       May 5, 2007 Release -
                     Mary M. Wright

           Thank you for your prompt response to my inquiry regarding S.W.
           Explorer- Glen. The concern I have is Htat while Ms_ Wright provided the
           fill material from her proper1y, the access used was a private easement
           in common with other owners.

           I am requesting Board approval to repair the first fifty (50) feet of
           S.W. Explorer Glen off Old Wire Road. Please instruct your staff to be
           aware that many private easements are shared. When the access is
           shared, permission must be received from all parties. Also, please note
           that the Release was not properly signed.

           DW/pds

           xc:       Board of County Commissioners
                     Public Works Hold Harmless File



                                        80AACl MEETS fIRST THURSDAY AT 7:00 P.M
                                            .AND THIAC THUASOAY AT 7:00 PM.


              P. O. BOX 1529           LAKE CITY, FLORIDA 32056·' 529             PHONE (386) 755·4 tOO
                       GENERAL RELEASE AND HOLD HARMLESS AGREEMENT

              The undersigned private property owner,         ~J\Or\/ M.       V\J ViQ:--ht---:...-_ _
                                                                                                     -J

                                                                     I               .....J
    "Owner", llnd COLUMBIA COUTNY, FLORIDA, by and tw-oughjts representative,
    hCX10,eJJ
                       J
                              u tHe:             , "County", hereby agree as follows:
              WHEREAS, Owner a rees for County to enter upon Owner's propel1y for the purpose of
         rCt\'OvoJ                of letd d \(t:
              WHERE, Owner authorize County to enter upon Owner's private property and release
    Cou nty iTom liability as a result thereof, and
              WHEREAS, County agrees to hold Owner harmless from liabilily as a result of County's
    actions upon Owner's property.
              NOW, THEREFORE, in consideration of the mutual covenants set forth herein the
    panies agree as follows:
              1.        Owner hereby authorizes County and its representatives to enter upon Owner's
                           property for the purpose of   rt:rrD\fO...l of.pl e I d d i(±
                        Owner hereby Releases County together with its agents, representatives and
                        employees from any and all actions, cause of actions or liability, including for
                        trespass damages or other claims or demands whatsoever, in law or in e(]uity as a
                        result of County's actions upon Owner's property, so long as the same is not done
                        in any grossly negligent manner.
              2.        County hereby agrees to hold Owner harmless from any liability as a result of
                        County's actions upon Owner's property or the actions of any third parties, whiCh.
                        may enter on Owner's property upon County's direction or authorization.


    DATED this                     5#\        day of        mOLl                     ' 2007.
                                                         ~lJ(,dY~vI-
D ~' " , ;., ," ~ID                                      ~~
                                                         /~COmITY
I         OV2 2008
    Board ot C
                  1'\/ Comll1issi()(\er-
              (lun"
                                                         REPRESENT AT(VEJAGENTI.EMPLOYEE
                                                         Elizabeth Porter, Chairwoman
           ColumbIa COUliN
                                                                                                             Page 1 of 6 Pages

                                      MEMORANDUM OF AGREEMENT
                                             BETWEEN
                                                                                                                            #9
                          THE DISTRICT BOARD OF TRUSTEES OF
                            LAKE CITY COMMUNITY COLLEGE

                                                              AND

               COLUMBIA COUNTY EMERGENCY MEDICAL SERVICES
                               P. O. BOX 1529
                          LAKE CITY, FL 32056-1529


THIS AGREEMENT, made and entered into this 1 \day, of Janu~iy,. 2009;' by and
                                                                                     ST
between the DISTRICT BOARD OF TRUSTEES OF LAKE CITY 'CO'MMUNITY
COLLEGE, 149 SE College Place, Lake City, Florid~, 32025, ;.he:re"jnaft~r'referred to as
the "College", and COLUMBIA COUNTY,:., EMERGENCY:, MEDICAL SERVICES,
hereinafter referred to as the "Agency", : : . '           ,
                                                     .'   .
                                                    Wi·TNE.~SETH .\;
                                                                                      ".
WHEREAS, the College offers ..;~~., approved 'program                                      of \he   study in the field of
Emergency Medical Sel'ilices programs, and
                                          .                   ~:                ..
                                                                                .
                                                                                "




WHEREAS, the Colleg<?/desires: that its stt.tdents· obtain clinical laboratory experience,
and              .:-:.:';       ",          0,..

                                                                   ..... ~.:.

WHEREAS, the,Agency desire~ to cooperat'e'with the College in implementing the above
stated objectiye, '..       "
                          .::                 ,',

NOW, THEREFO~~;--- in:.90nsideration of the mutual promises contained in this
Agreement, the. Agehcy and 'the College, by their duly constituted and authorized officers,
agree as follows:\           ....... ,
                                   .
                                .~' ".,


THAT the students enrolled in the above-named program and the faculty at the College
may use the \(ariou~:' departments of the Agency for clinical laboratory practice. The
                 -.... . . .
                .,;   ~


number of student's and the specific dates when the students of the College will be
utilizing the various departmental facilities of the Agency will be established and agreed
upon by both parties in advance of the specific session, Learning experiences in the
laboratory departments will be selected by the faculty, and the days and hours planned by
the faculty of the College in cooperation with the Agency.

THAT neither the College nor the Agency will discriminate in its employment practices or
admission of students on the basis of race, color, religion, age, sex, marital status or
national origin nor will either discriminate against any qualified handicapped individual.
                                                                                                                                                            Page 2 of 6 Pages




RESPONSIBILITIES/RIGHTS OF THE AGENCY:

1.    To share in the responsibility for the education of College's students in the
      Emergency Medical Services programs through the cooperation and assistance of
      its staff and employees along with the faculty and students of the College.

2.    Students shall be selected for the program by the College and under the program,
      shall not exceed the teachJng capabilities of the agency...;,"
                                                                                                                      ."   .~        "

                                                                                                                                               ,
                                                                                                                                         .......
3.    To provide for opportunities for observation and practice.. experie.nce in the
      laboratory, and in selected departments of the Agency. The stud,ent will" be allowed
      to have practice experience only after the instructor·.J1as verified the ":student's
                                                          .                                                                     ~.                               ','

      capability.                                                         ,"
                                                                                                              ...
                                                                                                                                          .'        '..    ",'
                                                                                                                                                           .',


4.    To make available to faculty and students-.of the 'College' the                                                                              us~":;f its facilities the
      same as to its own personnel.            ':~"'.:, "..      '
                                                                                          :--.               . .:".

5.    To make available whenever               to               P6~Sjble
                                                                       of the College itsfac~lty. a~~T '~tu~;nts
      facilities and services in th~"planned learning experiences of the aforementioned
                                 . :. "".       .         :
                                                     ..::.~.;                    .....                          ~
      program.::·:>                      ".      " ",    . ,.'
                                                .'                                               ":',   .:

6.    To provide conference ancJ"meeting r90ms as.:required and needed, if available and
      not being used for, , qther purposes by tneAgency.
                        . ".                     .
                           .~:      ". -                                   '.~



7.    To include faculty           m~~bers
                                      of t'he                       pr.og;~m
                                                      in their staff meetings when policies to
      be discussed-affect or directly relate to the program,
              :"~    ..:~.        -'.
                             '.)
8.    The Agency agr~es to provide' access to faculty and students for emergency
      IT!edical.... care in_case of. illne'ss or accidents incurred while on duty in the Agency.
      Student"ls: not' eligible for; worker's compensation, and medical expenses incurred
      will. be the responsib.iljty of the student.
        ,            :',           ..~:;:~:.,
9,    Instruction under the program shall be at all times agreed by the parties to this
      contract:- ...... .~

10.   To assume responsibility for the supervision of assigned program students during
      the performance of clinical practice. The Agency will provide direct supervision of
      students.

11.   To provide necessary feedback and evaluation of assigned program students
      utilizing the specified evaluative tool as prescribed, and communicate to academic
      faculty any student deficiencies or needs for remediation.

12.   The responsibility for the patient remains with the Agency.
                                                                                      Page 3 of 6 Pages

13.   THAT the Agency can require the College to withdraw a faculty member or student
      from its facilities whose conduct or work with patients or personnel is not, in the
      opinion of the administration of said Agency, in accordance with acceptable
      standards of performance. The college agrees to maintain discipline among
      students and faculty.


THE RESPONSIBILITIES/RIGHTS OF THE COLLEGE ARE:

1.    To use proper Agency channels to make plans for observation and practice
      experience.                                   .'. '. ~

2.    To comply with current policies and proced~.~~? .. <;>f the Ag~.rcy, incl~ding all
      applicable legislation and regulation.                  ...      ".:":.,
                                                                       ",

3.    To maintain standards of the program as" rec9mmende.d and prescribed by all
      governing bodies and accrediting agendes.regulating the ·program.
                                              :.. ,             .
4.    Faculty members attend orientation ,                   to the Agency.:'
                                                                            .
                                                                                . "

5.    To comply with and requjr~,·)f necessary, physical.. examination, chest x-rays and
      certa in immunizations as ,deem'ed necessary by the' A~gency or other such authority
      relative to the program priQr to entrance upon premises under the program.
                                    :.   ';:..~.           (..:'.~~:   .'}?,
6.    To employ qualified emploYees in' the 'program as administrators and instructors.
      The College agrees)O the re.sponsibilibes of interpreting the objectives of the
      program to the students,. consulting ~ith"administrative personnel of the Agency in
      advance ab6"ut.use of the various facilities.
                .".              ".',
                    ,:-}:y                         ,   .
7.    To be responsible'for the          edu~ati~'nal supervision of students in the program.
                             ,'.'
       ••••   •   ,....      ',~.. I .



8.    Students' 'shail'h~ sele~ted for the program by the College and program classes
      shall not exte~d the teaching capabilities of the Agency,

9.    Maintain individual records of classes and practicum student competency and
      health. ' .... ,< :::..:
                      .......

10.   Maintain strict confidentiality regarding all patient-centered information.

11.   Prepare any rotational plans for services to be used for experiences and to secure
      the approval of this plan from the Agency prior to commencement of educational
      program under the facilities. Major changes in the plan will not be effective until such
      time as they shall be approved by the Agency.

12.   Provide a FDLE criminal background check on each student prior to assignment at
      facility.
                                                                                                        Page 4 of 6 Pages


RESPONSIBILITIES/RIGHTS OF THE STUDENT:

1.    The student will provide the results of a drug screen to the program coordinator
      prior to beginning clinical rotations.

2.    The student will provide documentation of current health insurance coverage to
      the program coordinator prior to beginning clinical rotations.

3.    Student will be punctual in attendance in accordance with the times scheduled by
      the College and/or Agency.                             ....

4,    Student will maintain strict confidentiality regarding ~II patient or agenc'y., centered
      information in accordance with the requirements' of the Health Ins'uranca:: Portability
      and Accountability Act.                        ..      ' ':',-.          ,,

5.    Students will treat all agency                       person!1~I,, pati~nts., co~s{;tuent$":~nd
                                                                         . '"              ~~      '.
                                                                                                          visitors with
      dignity, respect. and courtesy.                                           '.         . '.'
                                                            .:~   .
6.    Students will abide by all applicable- policies 'and procedures as set forth by the
      College and/or Agency.                               . ".
                                .:::~ - ....           \

                                          ~.:"                                       ..
7.    Students will provide tim~ly notification of impending tardiness and/or absence to
      the appropriate staff of the' -College and Agency;
                                 ••              .',                  'A                  '.-



8.    Students will provide written/oral, assjgn~ents, presentations or reports as directed
      and assigned by College and/or Agency' Instructional Personnel.
               ,{.,"\ '.:~
                               ...
9.    Students~('will be~ treated with mutual dignity, courtesy and respect by agency
      personnel'.' '.   ,"
                   ~   . ..'. ...
                           ~\"    '




10.   R'outine measures will 'be' employed to assure the student of a safe, legal and
      ethical practice enviroqment.
                      ..    , ',.
                                      .
11.   The student will.,have immediate access to a supervising clinical instructor during the
      clinical practj~url1.

12.   The student may request and be entitled to a conference with the Clinical Instructor,
      and/or Program Coordinator.

13.   The student is entitled to periodic performance assessment, necessary privacy,
      confidentiality and non-discrimination.

14.   The student may request a transfer from the assigned Clinical Instructor and/or
      Agency in the event a situation cannot be resolved.
                                                                                  Page 5 of 6 Pages


GENERAL CONDITIONS:

1.   The Agency and the College expressly agree that all faculty and students under the
     program shall remaIn employees or students of the college. The College agrees that
     it will never act or represent it is acting as an agent of the Agency or incur any
     obligations on the part of the Agency without first obtaining the express written
     authority of the Administrator. The Agency agrees that it will not be responsible for
     any salaries, taxes or insurance of the College faculty, agents or students.

2.   No alterations, modification, or variation of the terms of this"agreement shall be valid
     unless made in writing and signed by both parties hereto.        .

3.   The Agency and College agree that executed            ci>Pies,  of this ag·re~m~~t· shall be
     placed on file with the Administrator of the A9<?ncy and the ......•.. .
                                                             "    v
                                                                         Director of Ailied Health
                                                                                   _
     Programs, Lake City Community College.                   "     ,-....
                                                  ...... . "
                                                     "

4.   The College also at all times agrees to prey'ide- certifjcati'ol') of liability insurance in
     the amount of $1,000,000/$3,000;0,60 for afi student~:.ar"ld faculty members in the
     performance of their duties and responsibilitie~' at the" Agency. Such liability shall
     cover all causes of action, yla,ims dem'ands, liabilities" losses, damages, judgments
     or expenses of every kincr'a'nd nature',' including'       'al   costs and attorney's fees
     hereafter required as a result arising out ofar:w (legligent acts of omissions of the
     College, its students, and/or faculty jr:\, connec.tjon with and pursuant to this contract.
     The College shall provide a certificate ''Of insurance to the Agency eVidencing such
     Insurance coverage 'if required qy the Agency. The College will notify the agency if
     any changes occur. " ,.'.>              '          "
               .............
5.   Each party is responsible fdr all personal injury and property damage attributable
     to the negligent ~cts or omis.sib'ns of that party and the officers, employees and
     agents, tt"!ereof.. 9 c'Hrig within' the scope of their employment. Nothing herein shall
     be construed         as.an indemnity or a waiver of sovereign immunity enjoyed by any
     partY heretd·....,.as "prov,i,ded in Section 768.28, Florida Statutes, as amended from
     tim~ to time, or any other law prOViding limitations on claims or to impose liability
     on eith~r party for which it would not otherwise by law be responsible.
             to       _    '.'
                  ,          '


6.   College a~';~~'s "to comply with the Health Insurance Portability and Accountability
     Act of 1996, as codified at 42 U.S,C. § 1320d ("HIPAA") and any current and
     future regulations promulgated thereunder including without limitation the federal
     privacy regulations contained in 45 C.F.R. Parts 160 and 164 (the "Federal
     Privacy Regulations"), the federal security standards contained in 45 C.F.R. Part
     142 (the "Federal Security Regulations"), and the federal standards for electronic
     transactions contained in 45 C. F, R. Parts 160 and 162, all collectively referred to
     herein as "HIPAA Requirements". College agrees not to use or further disclose
     and Protected Heal th Information (as defined in 45 C. F. R. Section 164.501) or
     Individually Identifiable Health Information (as defined in 42 U.S.C. Section
                                                                                       Page 6 of 6 Pages

       1320d), other than as permitted by HIPAA Requirements and the terms of this
       Agreement.

       College will make its internal practices, books, and records relating to the use and
       disclosure of Protected Health Information available to the Secretary of Health and
       Human Services to the extent required for determining compliance with the
       Federal Privacy Regulations.

THIS AGREEMENT shall become effective upon the date of signature of both parties and
shall be renewed from year to year unless either party reques~s -a change or termination
thereof.                                                     .,

THIS AGREEMENT may be terminated at any time by either party hereto, with or without
cause upon twenty (20 days) written notice to the otheJ .party, provided that 'students
currently enrolled in the program shall be permitted.to complete th~ course> ..
                                                       .'           )."       .    ~


                                                          .          . '.       .
Any notice required or permitted to be given under this ~greenient shaH be sufficient if in
writing and sent by certified mail to elthe~. of the 'parties~' Notice shall be effective upon
compliance with this section.            .~{                .            '. '
                                                             -',
                                                               ".


LAKE CITY COMMUNITY COLLEGE
LAKE CITY, FLORIDA    ."                                                  .... :


BY: - - - - - - - - - - - - - - - - - - - : - : : : : -
Charles W. Hall, President

                                          ". ..:-
                                             "




                                                 .'\,..:;.




COLUMBIA COUN.TY EM~f3.GENCY MEDICAL SERVICES
LAKE CITY, FLORIDA ....


BY: - - - - - - - - - - - - - - DATE: - - - - - - - - - - - - -
EMS Director/Admi nistrator
                                                                                                  #10
                              COOPERATIVE AGREEMENT FOR
                               MEDICAL EXAMINER SERVICES
                                   COLUMBIA COUNTY


       THIS AGREEMENT, made and entered into this                  day of                    , 2008, by

and between the CITY OF JACKSONVILLE, Duval County, Florida, hereinafter called "Duval"

and COLUMBIA COUNTY hereinafter called "Columbia."

                                           WITNESSETH:

       WHEREAS, pursuant to Chapter 406, Florida Statutes, the Medical Examiner for District

IV also provides service to four counties of District III; Columbia, Hamilton, Lafayette and

Suwannee Counties; and

       WHEREAS, the District Medical Examiner is to be compensated for his services by the

three counties; and

       WHEREAS, Duval has allocated the arulUal salary to be paid the District Medical Examiner

for the full services rendered to al I three counties; and

       WHEREAS, Columbia should reimburse Duval for the value of the Medical Examiner's

services it receives; now therefore

       IN CONSIDERATION, of the mutual covenants herein contained and for other good and

valuable consideration, the legal sufficiency of which is stipulated by the parties) it is agreed that:

        1.     The above stated recitals are true and correct and, by this reference are made a part

hereof and are incorporated herein.

       2.      This agreement shall include an annual inflationary price index, which represents

approximately three percent (3%) per year.

       3.    The tenn of this Agreement shall commence on October 1,2008 and it shall terminate
September 3D, 2011; provided however, this Agreement may be terminated by either party, without

cause, by giving the other party thirty (30) days advance written notice. If this Agreement is so

terminated, Duval shall cease performance and provision of Medical Examiner services and shall be

paid for all Medical Examiner services performed up to the date of the notice of termination.

        4.      Columbia shall pay to Duval the following rates:

        4.01.   For the period October 1,2008 until September 3D, 2009:

$2,100 for all cases whjch require a complete external and internal autopsy;

$630 per case for all cases which require only an external examination or inspection;

$350 per case for all cases which require only a medical record review and certification of death;

$60 per case for all cases referred to this office but jurisdiction is not assumed (non-medical

examiner cases), which includes investigation and forensic pathology review.

       4.02. For the period October 1,2009 until September 30, 2010:

$2,160 for all cases which require a complete external and internal autopsy;

$650 per case for all cases which require only an external examination or inspection;

$360 per case for all cases which require only a medical record review and certification of death;

$62 per case for all cases referred to this office but jurisdiction is not assumed (non-medical

examiner cases), which includes investigation and forensic pathology review.

       4.03.    For the period October 1,2010 until September 30,2011:

$2,225 for all cases which require a complete external and internal autopsy;

$670 per case for all cases which require only an external examination or inspection;

$370 per case for aU cases which require only a medical record review and certification of death;

$64 per case for all cases referred to this office but jurisdiction is nol assumed (non-medical

examiner cases), which includes investigation and forensic pathology review.
       4.04. The fees, specified in sections 4.01 through 4.03 above will inc1udecourt appearances

and depositions arising from cases under the provisions of Chapter 406 of the Florida Statutes.

       4.05. In the event that additional services are rendered, by the District Medical Examiner,

during the term of this Agreement, such services shall be paid for by Columbia, based on fees

contained in Section 124.103, Ordinance Code, as that section may be amended from time to time.

       5.     Columbia shall remit the cost of services performed per case by the District Medical

Examiner for Columbia on a monthly basis starting October 1,2008, and based upon submission of a

bill indicating the number of cases perfonned for Columbia County, for each year in the three (3)

year period of the Agreement, terminating September 30, 2011.

     [Remainder of page intentionally left blank. Signature page follows immediately.]
        IN WITNESS WHEREOF, the parties hereto have duly executed this agreement in

duplicate as of the day and year first written above.

ATTEST:                                                    COLUMBIA COUNTY



Signature                                                            Signature

                                                           --------;;----------;:,.-----;------::---;------   -- -
Type/Print Name                                                      TypelPrint Name


Title                                                                Title


Form Approved:


Columbia County Attorney


ATTEST:                                                    CITY OF JACKSONVILLE
                                                           a municipal corporation



Neill W. McArthur, Jr.                                     John Peyton
Corporation Secretary                                      Mayor



Fonn Approved:


Office of General Counse-t--




G:\GOV'1 Operelions\NEILLM\CONTRACl\Medical Examiner Columbia 2008-2011 (2).doc
District
District
           NO.1
           NO.2
                   - Ronald Williams
                   - Dewey Weaver
                                                                                                                             #11
District   No. 3   ~ George Skinner
District   NO.4    - Stephen E. Bailey
District   No.5    - Elizabeth Porter

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~.
                            -~
                            .
                         ....
                                 -
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                                                      MEMORANDUM



             TO:                 Dale Williams, County Manager

             FROM:               Kevin Kirby, Public Works Director               47ff
            DATE:                November 17, 2008

             SUBJECT:            Roadway Materia!

             I am requesting authorization to load and haul suitable fill-djrt material from a
             development site located approximately three and one-half (3 .5) miles in Gilchrist
             COUIlty to an established satellite stockyard in Ft. White.

             A developer in Gi lchrist County has in excess of one-thousand (1,000) loads of suitable
             fill-dirt material that we can obtain by loading and hauling the fill-dirt material away
             from the development site in Gilchrist County. This fill~dirt material is suitable for all
             the necessary purposes of this Department.

            Upon approval of this request, this Department will execute a General Release and Hold
            Harmless Agreement with the developer.

             Should you have any question, please do not hesitate contact me. I appreciate your
             continued cooperation and assistance to the Public Works Department.


            /Isg

             xc:       Fill-Dirt Materials


              lJUE         TD        T//vlE       f'/)/VS TI2/T/N                 T..s / J--               /ftJT/I/)£IZEIJ

              ?t/ffLI L-         110£/<.5      /0       J   T;J)12 T         If CL' I9c£:NOWLEJJI/ E /J?£ NT
             f'9N/J        [l/)N.kIR.M-9T/i'.-v               ~            ~E4JUEJrE~.

                                               80ARO MEETS FIRST THURSDAY AT 7 00 P.M
                                                   AND THIRD THURSDAY AT 7.00 P.M


              P.O BOX 1529                   LAK E CITY. FLOR IDA 32056-1 529                             PHONE (386) 755·4100

								
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