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R21-082 1 RESOLUTION NO. R21-082 2 3 A RESOLUTION OF THE CITY OF BOYNTON BEACH, FLORIDA, 4 AUTHORIZING THE AUTHORIZE THE MAYOR* CITY 5 APt!IMC:rE-R TO SIGN AN AMENDMENT FOR A TIME 6 EXTENSION TO THE STATE GRANT AGREEMENT WITH 7 THE FLORIDA DEPARTMENT OF HEALTH (FDOH) FOR THE 8 PURCHASE AND INSTALLATION OF FLUORIDE STORAGE 9 AND FEED EQUIPMENT AT THE CITY'S EAST WATER 10 TREATMENT FACILITY; AND PROVIDING AN EFFECTIVE 11 DATE. 12 13 WHEREAS,the original Grant Agreement was approved by the City Commission 14 via Resolution R20-030 with a completion date of July 31,2021; and 15 WHEREAS,a time extension with a new completion date of February 28, 2022 is 16 required for the bidding and construction of the project; and 17 WHEREAS,Grant funds received will assist with the Utility's implementation 18 of a fluoride feed system for addition to water treated at the East Water Treatment 19 Facility. 20 NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION 21 OF THE CITY OF BOYNTON BEACH,FLORIDA,THAT: 22 Section 1. The foregoing "Whereas" clauses are hereby ratified and confirmed as 23 being true and correct and are hereby made a specific part of this Resolution upon adoption 24 hereof. 25 Section 2. The City Commission approves and authorizes the Mayor to sign an 26 amendment for a time extension to the State Grant Agreement with the Florida Department of 27 Health(FDOH)for the purchase and installation of fluoride storage and feed equipment at the 28 City's East Water Treatment Facility, a copy of the Amendment to Grant Agreement is 29 attached hereto as Exhibit"A". * - Indicates Scrivener's Error S:\CA\RESO\Agreements\Grants\Approve Amendment To FDOH Grant For Flouride Storage- Reso.Docx 30 Section 3. This Resolution shall become effective immediately upon passage. 31 PASSED AND ADOPTED this 20th day of July, 2021. 32 33 34 CITY OF BOYNTON BEACH, FLORIDA 35 36 YES NO 37 ✓ 38 Mayor— Steven B. Grant 39 40 Vice-Mayor— Woodrow L. Hay 41 42 Commissioner—Justin Katz 43 44 Commissioner—Christina L. Romelus (/- 45 /45 46 Commissioner—Ty Penserga ✓ 47 48 49 VOTE / O 50 51 ATTEST: 52 53 4 . 55 Cr tal Gibson, MMC 56 C ty Clerk 57 58 59 60 (Corporate Seal) 61 S:\CA\RESO\Agreements\Grants\Approve Amendment To FDOH Grant For Flouride Storage- Reso.Docx DocuSign Envelope Ib:AlB9FAF7-AF5A-4ED2-8308-BDOCBFEF7263 R21-082 CONTRACT SUMMARY This contract action has completed the Department's routing process and has received the required approvals for execution. Division/CHD/Office: Community Health Promotion Provider Name: City of Boynton Beach Contract Number: COHZ4-A2 Original Contract Amount: $213,137 50 Total Contract Amount(executed actions): $0.00 Original Contract Start Date: 8/24/2020 Contract End Date (executed actions): 2/28/2022 DESCRIPTION OF CONTRACTUAL SERVICES: This contract is for the purchase and installation of water fluoridation equipment for the provision of initiating access to fluoridated water. CONTRACT ACTION: AMENDMENT(Y/N): Yes AMENDMENT AMOUNT: $0.00 CHANGE TO TERM(Y/N): Yes START DATE: 6/15/2021 END DATE: 2/28/2022 RENEWAL: RENEWAL AMOUNT: START DATE: END DATE: DESCRIPTION OF CONTRACT AMENDMENT ACTION: Due to an updated project timeline according to the design consultant for the project,the provider has requested a Six(6)No-Cost Extension updating the term end date for COHZ4 to February 28,2022, from the original term end date of August 31,2021.Please see the attached request by the provider. This contract complies with all of the followine requirements: • A statement of work • Quantifiable and measurable deliverables • Performance measures • Financial consequences for non-performance • Terms and conditions which protect the interest of the state • All requirements of law have been met regarding the contract • Documentation in the contract file is sufficient to support the contract and the attestation(examples: business case;directive to establish contract;subject research and analysis,etc.) • If the contract is established by way of a competitive solicitation as identified in section 287.057(1),Florida Statutes,the costs of the contract are the most advantageous to the state or offer the best value COHZ4-A2 DocuSign Envelope Id:AlB9FAF7-AF5A-4ED2-8308-BDOCBFEF7263 STATE OF FLORIDA DEPARTMENT OF HEALTH AMENDMENT#A2 This amendment entered into between the State of Florida, Department of Health, hereinafter referred to as "the Department" and City of Boynton Beach, hereinafter referred to as "Provider," amends contract#COHZ4. The contract is amended as follows: 1. Page 7, Department's Standard Contract, Section IIIA. Effective and Ending Dates, is deleted in its entirety and replaced with the following: A. Effective and Ending Dates: This contract will begin on or on the date on which the contract has been signed by both parties, whichever is later. It will end on February 28, 2022. 2. Page 8, Attachment I, Section B.1.a., Task List, Task 2) is deleted in its entirety and replaced with the following: 2) Purchase and install water fluoridation equipment needed to replace the recently removed fluoridation system by February 28, 2022. All purchases must be in accordance with the approved Cost Estimate. Take pictures of each item purchased and pictures of each piece of equipment being replaced. Maintain the pictures throughout the contract term. All purchases and installations must be made in accordance with Florida Administrative Code Rule 62-555.325. Reimbursement will be made for each item purchased in accordance with the terms of this contract. 3. Page 9, Attachment I, Section B.1.a. Task List, Task 5), is deleted in its entirety and replaced with the following: 5) Prepare a Project Close Out Report that includes an itemized list of equipment purchased including the equipment's name and cost and submit it to the Contract Manager within 30 days of project completion but no later than February 28, 2022. 4. Page 11, Attachment I, Section C.1, Payment, is deleted in its entirety and replaced with the following: 1. Payment: This is a cost reimbursement contract. Provider may seek quarterly reimbursement for the completion of the deliverables as specified in Section B.1.b. and in accordance with the terms and conditions of the contract a total dollar amount not to exceed $213,137.50. Reimbursement may be sought in an amount not to exceed $53,602.72 by the end of the fourth quarter of the first contract year and in an amount not to exceed $159,534.78 by February 28, 2022. 5. Page 12, Attachment I, Section C.3., Invoice Requirements, is deleted in its entirety and replaced with the following: 3. Invoice Requirements: Payment must be requested through submission of a properly completed invoice to the Contract Manager within 30 days 1 DocuSign Envelope ID:Al B9FAF7-AF5A-4ED2-8308-BDOCBFEF7263 DocuSign Envelope ID:Al B9FAF7-AF5A-4ED2-8308-BDOCBFEF7263 from the end of each quarter. Deliverables must be completed as specified in Section B.1.b. prior to any payments being made. At a minimum, each invoice must be submitted on the Provider's letterhead and provide the invoice date, deliverable completed, and the amount due. All supporting documentation must be included for the invoice to be reviewed and assessed for payment. Receipts that are submitted for reimbursement each quarter must show that the expenses were incurred before the end of that particular quarter. Provider must include with its invoice a statement certifying that reimbursement expenses were incurred on or before February 28, 2022. 6. Page 24, Attachment III, Budget Narrative, the End date of August 30, 2021 is deleted in its entirety and replaced with February 28, 2022 7. This amendment will begin on June 15, 2021, or the date on which the amendment has been signed by both parties, whichever is later. All provisions in the contract and any attachments thereto in conflict with this amendment are hereby changed to conform with this amendment. All provisions not in conflict with this amendment are still in effect and are to be performed at the level specified in the contract. This amendment and all its attachments are hereby made a part of the contract. IN WITNESS THEREOF, the parties hereto have caused this 3-page amendment to be executed by their officials thereunto duly authorized. STATE OF FLORIDA DEPARTMENT OF HEALTH PROVIDER: Cit _Qf on Beach DoauSiynedby: SIGNED BY: / SIGNED BY: /MASS& iitrAIn, 370904009659476... NAME: Steven B. Grant NAME: Melissa Jordan MS, MPH TITLE: Mayor TITLE: Director, Division of Community Health Promotion DATE: (V-,1 Or-) /,QC) I DATE: 7/28/2021 FEDERAL ID NUMBER: 59-6000282 APPROV L � + O M: CITY ATTORNEY 2 DocuSign Certificate Of Completion Envelope Id:A1B9FAF7AF5A4ED28308BDOCBFEF7263 Status:Completed Subject:Contract COHZ4-A2:Has been sent to the providers POC to obtain signature Source Envelope: Document Pages:3 Signatures: 1 Envelope Originator: Certificate Pages:5 Initials:1 JoAnn Nelson AutoNav:Enabled JoAnn.Nelson@fihealth.gov Envelopeld Stamping:Enabled IP Address: 167.78.14.87 Time Zone:(UTC-05:00)Eastern Time(US&Canada) Record Tracking Status:Original Holder:JoAnn Nelson Location:DocuSign 6/25/2021 3:25:55 PM JoAnn.Nelson©fihealth.gov Signer Events Signature Timestamp Shannon Harp (—°S Sent:7/27/2021 3:42:18 PM Shannon.Harp@fihealth.gov Viewed:7/28/2021 7:35:10 AM Security Level:Email,Account Authentication Signed:7/28/2021 7:37:15 AM (None) Signature Adoption:Pre-selected Style Using IP Address:167.78.24.26 Electronic Record and Signature Disclosure: Accepted:7/28/2021 7:35:10 AM ID:08f55e49-69a5-480f-9eaa-2f32797069d0 ooc„sgnw by: Melissa Jordan Elktkissa Sent:7/28/2021 7:37:17 AM Melissa.Jordan@flhealth.gov 3tfdot Viewed:7/28/2021 8:33:44 AM Interim Division Director 70°°'0D°°5°°" Signed:7/28/2021 8:34:08 AM Security Level:Email,Account Authentication (None) Signature Adoption:Pre-selected Style Using IP Address:71.209.67.98 Electronic Record and Signature Disclosure: Accepted:7/28/2021 8:33:44 AM ID:4c805752-2478-4be 1-88dd-3def1291 f25f In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp JoAnn NelsonVIEWED Sent:6/25/2021 3:33:14 PM joann.nelson@fihealth.gov Viewed:7/27/2021 3:40:42 PM Carahsoft OBO Florida Department of Health Completed:7/27/2021 3:42:17 PM Security Level:Email,Account Authentication Using IP Address:167.78.14.87 (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Carbon Copy Events Status Timestamp Shannon Harp COPIED Sent:6/25/2021 3:33:13 PM Shannon.Harp©flhealth.gov Security Level:Email,Account Authentication (None) Electronic Record and Signature Disclosure: Accepted:7/28/2021 7:35:10 AM ID:08f55e49-69a5-480f-9eaa-2f32797069d0 Susan Pearson COPIED Sent:6/25/2021 3:33:13 PM Susan.Pearson@flhealth.gov Security Level:Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Lynn Swanson COPIED Sent:6/25/2021 3:33:14 PM SwansonL@bbfl.us Viewed:6/25/2021 3:34:29 PM Security Level:Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 6/25/2021 3:33:13 PM Certified Delivered Security Checked 7/28/2021 8:33:44 AM Signing Complete Security Checked 7/28/2021 8:34:08 AM Completed Security Checked 7/28/2021 8:34:08 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on 3/24/2017 1:05:43 PM Parties agreed to:Shannon Harp,Melissa Jordan,Shannon Harp ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time,Carahsoft OBO Florida Department of Health(we, us or Company)may be required by law to provide to you certain written notices or disclosures. 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