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Memorandum of understanding with Borinquen Health Care Center, Inc. DocuSign Envelope ID:4431E74A-9236-4241-BB07-D1A4CD568E84 Reso 2021-31777 M AMI BEACH MEMORANDUM OF UNDERSTANDING BETWEEN THE CITY OF MIAMI BEACH AND BORINQUEN HEALTH CARE CENTER, INC. TO IMPLEMENT A FLU PROGRAM FOR SCHOOL YEAR 2022/2023 This is a Memorandum of Understanding ("MOU") made and entered into this 26 day of August 2022, by and between the City of Miami Beach ("CMB") and the BORINQUEN HEALTH CARE CENTER, INC. ("PROVIDER") (collectively, the "Parties"), to provide for funding and for the implementation of a flu shot program (the -Program")as provided herein, and as to be provided in an agreement between Provider and The Children's Trust ("TCT"). WITNESSETH WHEREAS, the Parties have determined that a program to provide Flu immunizations attending public schools is in the best interest of the health and public welfare of the City of Miami Beach; and WHEREAS, Provider, through contract with The Children's Trust (and in collaboration with MDCPS and DOH) has implemented a school health program that provides comprehensive and coordinated on-site health services- including first aid, nursing assessment and counseling to public school children. Staffed by registered nurses, licensed practical nurses, medical assistants, social workers, and mental health professionals. Borinquen Medical Centers is operating 31 school sites in Central Miami- Dade County; and WHEREAS, the School Health Program, through funding and partnership with the City of Miami Beach and Borinquen Medical Centers, has also implemented the provision of additional services in the form of flu vaccines. WHEREAS, as the school health Provider, Borinquen Medical Centers of Miami- Dade will be providing flu vaccines on-site at Miami Beach Public School Locations to those students who have not received their flu shot in an amount not to exceed $15,000. NOW, THEREFORE, in consideration of the mutual terms, conditions, promises, covenants, and payments hereinafter set forth, the Parties agree to provide for a Program for the participating City of Miami Beach Public School as follows: DocuSign Envelope ID.4431E74A-9236-4241-BB07-D1A4CD568E84 1. Provider shall furnish all materials, labor and services required for the administration of the Program, as set forth in Exhibit A, which Program shall be funded by the City directly to Provider. The term for the Program shall be from October 1, 2022 to September 30, 2023. 2. Provider agrees to comply with all the terms and conditions contained in the Agreement between Provider and The Children's Trust, Contract No. 2017-6920, attached hereto as Exhibit B. Provider understands that the City shall only be providing the funding for the services described in this Agreement, and Provider warrants and represents to the CITY that Provider has the authority and consent from the TCT to administer the services described in this Agreement. 3. City shall provide funding to TCT for the Program in the amount not to exceed $15,000. Subject to the availability of funds, the maximum amount payable for Services rendered under this Agreement shall not exceed $15,000. Provider agrees that the amount payable under this Contract may be reduced at the sole option of City with a proportional reduction in services. Provider agrees to adhere to City billing procedures. Provider shall submit an invoice for the services described in Exhibit A to the City which shall be paid by the City within 30 Days following the CITY's approval of the invoice. 4. In the event that any of the provisions in this MOU are not performed after the CITY's contribution has been dispersed to Provider, then Provider shall reimburse to the CITY any and all unused funds. 5. In the event that any of the provisions in this MOU are not performed, or if the services described herein are terminated after funds have been dispersed to TCT as provided in paragraphs 3 and 4, then Provider shall promptly reimburse City its proportionate share of unused funds. 6. This MOU shall be construed in accordance with the laws of the State of Florida. This MOU shall be enforceable in Miami-Dade County, Florida, and if legal action is necessary by either party with respect to the enforcement of any or all of the terms or conditions herein, exclusive venue for the enforcement of this MOU shall lie in Miami-Dade County, Florida. By entering into this MOU, Provider and the CITY expressly waive any rights either party may have to a trial by jury of any civil litigation related to or arising out of this MOU. 7. Provider agrees that all program services, activities and events funded by this Agreement shall recognize City as a funding source in any and all publicity, public relations and marketing efforts/materials created under its control on behalf of the program. PUBLICITY AND CREDITS: Provider must include the City logo and the following credit line in all publications related to this Agreement: "This Project is funded in whole or in part by funding from the City of Miami Beach." Provider's failure to 2 of 12 DocuSign Envelope ID:4431E74A-9236-4241-BB07-D1A4CD568E84 comply with this paragraph may preclude future funding from the City, in the same manner as if Provider defaulted under this Agreement. 8. NO GUARANTEE OF FUNDING: Provider acknowledges that the receipt of these Program funds does not imply a commitment on behalf of the City to continue or provide funding beyond the terms specified in this Agreement. 9. LIABILITY AND INDEMNIFICATION: Provider shall indemnify and hold harmless the City and its officers, employees, agents, and contractors, from and against any and all actions (whether at law or in equity), claims, liabilities, losses, expenses, or damages, including, without limitation, attorneys' fees and costs of defense, for personal, economic, or bodily injury, wrongful death, or loss of or damage to property, which the City or its officers, employees, agents and contractors may incur as a result of claims, demands, suits, causes of action or proceedings of any kind or nature arising out of, relating to, or resulting from the performance of this Agreement by Provider or its officers, employees, agents, servants, partners, principals or contractors. Provider shall pay all claims and losses in connection therewith and shall investigate and defend all claims, suits, or actions of any kind or nature in the name of the City, where applicable, including appellate proceedings, and shall pay all costs, judgments, and attorneys' fees which may issue thereon. Provider expressly understands and agrees that any insurance protection required by this Agreement, or otherwise provided, shall in no way limit its obligation, as set forth herein, to indemnify, hold harmless, and defend the City or its officers, employees, agents, and contractors as herein provided. The provisions of this section shall only be applicable to the extent and within the limitations of Section 768.28, Florida Statutes. Provider shall not be held liable to pay a personal injury or property damage claim or judgment by any one person which exceeds the sum of$200,000, or any claim or judgment or portions thereof, which, when totaled with all other claims or judgments paid by the government entity arising out of the same incident or occurrence, that exceed the sum of $300,000 from any and all personal injury or property damage claims, liabilities, losses or causes of action which may arise as a result of the negligence of Provider entity. 10. ASSIGNMENT: Provider shall not be permitted to assign this Agreement, and any purported assignment will be void, and shall be treated as an event of default pursuant to this Agreement. 11.COMPLIANCE WITH LAWS: Provider agrees to abide by and be governed by all applicable Federal, State, County and City laws, including but not limited to Miami- Dade County's Conflict of Interest and Code of Ethics Ordinance, as amended, which is incorporated herein by reference as if fully set forth herein, and Chapter 2, Article VII of the City Code, as amended, which is incorporated herein by reference as if fully set forth herein. 3 of 12 DocuSign Envelope ID:4431E74A-9236-4241-B807-D1A4CD568E84 12.DEFAULT/TERMINATION PROVISIONS: In the event Provider fails to comply with any of the provisions of this Agreement, the City Manager or the City Manager's designee may terminate this Agreement and withhold or cancel all or any unpaid installments of the Project funds upon giving five (5) calendar days written notice to Provider, and the City shall have no further obligation to Provider under this Agreement. Further, in the event of termination for cause, Provider shall be required to immediately repay to the City all portions of the Project funds which have been received by Provider and which have not been expended in accordance with the terms of this Agreement as of the date that the written demand is received. These provisions shall not waive or preclude the City from pursuing any other remedies that may be available to it under the law. 13.FLORIDA PUBLIC RECORDS LAW: A. Provider shall comply with Florida Public Records law under Chapter 119, Florida Statutes, as may be amended from time to time. B. The term "public records" shall have the meaning set forth in Section 119.011(12), which means all documents, papers, letters, maps, books, tapes, photographs, films, sound recordings, data processing software, or other material, regardless of the physical form, characteristics, or means of transmission, made or received pursuant to law or ordinance or in connection with the transaction of official business of the City. C. Pursuant to Section 119.0701 of the Florida Statutes, if Provider meets the definition of"Contractor" as defined in Section 119.0701(1)(a), Provider shall: Keep and maintain public records required by the City to perform the service; ii. Upon request from the City's custodian of public records, provide the City with a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided in Chapter 119, Florida Statutes or as otherwise provided by law; iii. Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed, except as authorized by law, for the duration of the contract term and following completion of the Agreement if Provider does not transfer the records to the City; iv. Upon completion of the Agreement, transfer, at no cost to the City, all public records in possession of Provider or keep and maintain public 4 of 12 DocuSign Envelope ID:4431E74A-9236r4241-BB07-D1A4CD568E84 records required by the City to perform the service. If Provider transfers all public records to the City upon completion of the Agreement, Provider shall, subject to Chapter 119, Florida Statutes, destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If Provider keeps and maintains public records upon completion of the Agreement, Provider shall mcct all applicable requirements for retaining public records. All records stored electronically must be provided to the City, upon request from the City's custodian of public records, in a format that is compatible with the information technology systems of the City. For the avoidance of doubt, Public Records shall not include the personal information of any minors participating in the Program. D. REQUEST FOR RECORDS; NONCOMPLIANCE A request to inspect or copy public records relating to the City's contract for services must be made directly to the City. If the City does not possess the requested records, the City shall immediately notify Provider of the request, and Provider must provide the records to the City or allow the records to be inspected or copied within a reasonable time. ii. Provider's failure to comply with the City's request for records shall constitute a breach of this Agreement, and the City, at its sole discretion, may: (1) unilaterally terminate the Agreement; (2) avail itself of the remedies set forth under the Agreement; and/or (3) avail itself of any available remedies at law or in equity. iii. If Provider fails to provide the public records to the City within a reasonable time may be subject to penalties under Section 119.10. E. CIVIL ACTION If a civil action is filed against Provider to compel production of public records relating to the City's contract for services,the court could assess and award against Provider the reasonable costs of enforcement, including reasonable attorneys' fees, if: a. The court determines that Provider unlawfully refused to comply with the public records request within a reasonable time; and b. At least eight (8) business days before filing the action, the plaintiff provided written pre-suit notice in accordance with and subject to the limitations set forth in Sections 119.0701 and 119.12, Florida Statutes. 5 of 12 DocuSign Envelope ID:4431E74A-9236-4241-BB07-D1A4CD568E84 F. IF Provider HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO Provider's DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS AGREEMENT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT: CITY OF MIAMI BEACH ATTENTION: RAFAEL E. GRANADO, CITY CLERK 1700 CONVENTION CENTER DRIVE MIAMI BEACH, FLORIDA 33139 E-MAIL: RAFAELGRANADO@MIAMIBEACHFL.GOV PHONE: 305-673-7411 14. WRITTEN NOTICES: Any notices required under this Agreement will be effective when delivered to the City in writing and addressed to the City Contract Administrator. Any notices required under this Agreement will be effective when delivered to Provider in writing and addressed to Provider's Contract Administrator. 15. CITY CONTRACT ADMINISTRATOR: All contract related questions, reports and requests for reimbursements to be submitted to the City Contract Administrator listed below. Dr. Leslie Rosenfeld Chief Learning Development Officer City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 E-Mail: leslierosenfeld(a�miamibeachfl.gov 16.INSPECTOR GENERAL AUDIT RIGHTS: A. Pursuant to Section 2-256 of the Code of the City of Miami Beach, the City has established the Office of the Inspector General which may,on a random basis, perform reviews, audits, inspections and investigations on all City contracts, throughout the duration of said contracts. This random audit is separate and distinct from any other audit performed by or on behalf of the City. B. The Office of the Inspector General is authorized to investigate City affairs and empowered to review past, present and proposed City programs, accounts, records, contracts and transactions. In addition, the Inspector General has the power to subpoena witnesses, administer oaths, require the production of witnesses and monitor City projects and programs. Monitoring of an existing City project or program may include a report concerning whether the project is on time, within budget and in conformance with the contract documents and applicable law. The Inspector General shall have the power to audit,investigate, monitor,oversee, inspect and review operations, activities, performance and procurement process 6 of 12 DocuSign Envelope ID:4431E74A-9236-4241-BB07-D1A4CD568E84 including but not limited to project design, bid specifications, (bid/proposal) submittals, activities of Provider, its officers, agents and employees, lobbyists, City staff and elected officials to ensure compliance with the contract documents and to detect fraud and corruption. Pursuant to Section 2-378 of the City Code,the City is allocating a percentage of its overall annual contract expenditures to fund the activities and operations of the Office of Inspector General. C. Upon ten (10) days written notice to Provider, Provider shall make all requested records and documents available to the Inspector General for inspection and copying. The Inspector General is empowered to retain the services of independent private sector auditors to audit, investigate, monitor, oversee, inspect and review operations activities, performance and procurement process including but not limited to project design, bid specifications, (bid/proposal) submittals, activities of Provider, its officers, agents and employees, lobbyists, City staff and elected officials to ensure compliance with the contract documents and to detect fraud and corruption. D. The Inspector General shall have the right to inspect and copy all documents and records in Provider's possession, custody or control which in the Inspector General's sole judgment, pertain to performance of the contract, including, but not limited to original estimate files,change order estimate files,worksheets, proposals and agreements from and with successful subcontractors and suppliers, all project- related correspondence, memoranda, instructions, financial documents, construction documents, (bid/proposal) and contract documents, back-change documents, all documents and records which involve cash, trade or volume discounts, insurance proceeds, rebates, or dividends received, payroll and personnel records and supporting documentation for the aforesaid documents and records. E. Provider shall make available at its office at all reasonable times the records, materials, and other evidence regarding the acquisition (bid preparation) and performance of this Agreement, for examination, audit, or reproduction, until three (3) years after final payment under this Agreement or for any longer period required by statute or by other clauses of this contract. In addition: If this Agreement is completely or partially terminated, Provider shall make available records relating to the work terminated until three (3) years after any resulting final termination settlement; and ii. Provider shall make available records relating to appeals or to litigation or the settlement of claims arising under or relating to this Agreement until such appeals, litigation, or claims are finally resolved. F. The provisions in this section shall apply to Provider, its officers, agents, employees, subcontractors and suppliers. Provider shall incorporate the provisions 7 of 12 DocuSign Envelope ID:4431E74A-9236-4241-BB07-D1A4CD568E84 in this section in all subcontracts and all other agreements executed by Provider in connection with the performance of this Agreement. G. Nothing in this section shall impair any independent right to the City to conduct audits or investigative activities. The provisions of this section are neither intended nor shall they be construed to impose any liability on the City by Provider or third parties. 17. E-VERIFY: A. Provider shall comply with Section 448.095, Florida Statutes, "Employment Eligibility" ("E-Verify Statute"), as may be amended from time to time. Pursuant to the E-Verify Statute, commencing on January 1, 2021, Provider shall register with and use the E-Verify system to verify the work authorization status of all newly hired employees during the Term of the Agreement. Additionally, Provider shall expressly require any approved subcontractor performing work or providing services pursuant to the Agreement to likewise utilize the U.S. Department of Homeland Security's E-Verify system to verify the employment eligibility of all new employees hired by the subcontractor during the contract Term. If Provider enters into a contract with an approved subcontractor, the subcontractor must provide the Provider with an affidavit stating that the subcontractor does not employ, contract with, or subcontract with an unauthorized alien. Provider shall maintain a copy of such affidavit for the duration of the Agreement or such other extended period as may be required under this Agreement. B. TERMINATION RIGHTS 1. If the City has a good faith belief that Provider has knowingly violated Section 448.09(1), Florida Statutes, the City shall terminate this Agreement with Provider for cause, and City shall thereafter have or owe no further obligation or liability to Provider. 2. If the City has a good faith belief that a subcontractor has knowingly violated the foregoing Subsection 22(A), but the Provider otherwise complied with such section, the City will promptly notify the Provider and order the Provider to immediately terminate the contract with the subcontractor. Provider's failure to terminate a subcontractor shall be an event of default under this Agreement, entitling City to terminate the Provider's contract for cause. 3. A contract terminated under the foregoing Subsections (B)(1) or (B)(2) is not in breach of contract and may not be considered as such. 4. The City or Provider or a subcontractor may file an action with the Circuit or County Court to challenge a termination under the foregoing Subsections(B)(1)or (B)(2) no later than 20 calendar days after the date on which the contract was terminated. 5. If the City terminates the Agreement with Provider under the foregoing Subsection 22(A), Provider may not be awarded a public contract for at least 1 year after the date of termination of this Agreement. 8 of 12 DocuSign Envelope ID'4431E74A-9236-4241-BB07-D1A4CD568E84 6. Provider is liable for any additional costs incurred by the City as a result of the termination of this Agreement under this Section 17. 18. PUBLIC PURPOSE: The Project funds awarded herein is the result of a finding by the City, based on representatives, documents, materials and other information supplied by Provider, that Provider is performing a public purpose through the programs, projects, and/or services recommended for support. As such, use of Project funds for any program component not meeting this condition will be considered a breach of the terms of this Agreement and will allow the City to seek remedies including, but not limited to, those outlined in this Agreement. 19.NO DISCRIMINATION: Provider also accepts and agrees to comply with the following Special Conditions: A. Provider hereby agrees that it will comply with Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d et seq.) prohibiting discrimination on the basis of race, color, national origin, handicap, or sex. B. Provider hereby agrees that it will comply with City of Miami Beach Human Rights Ordinance as codified in Chapter 62 of the City Code, as may be amended from time to time, prohibiting discrimination in employment, housing and public accommodations on account of actual or perceived race, color, national origin, religion, sex, intersexuality, gender identity, sexual orientation, marital and familial status, age, disability, ancestry, height, weight, domestic partner status, labor organization membership, familial situation, or political affiliation. C. The City endorses, and Provider shall comply with, the clear mandate of the Americans with Disabilities Act of 1990 (ADA) to remove barriers, which prevents qualified individuals with disabilities from enjoying the same employment opportunities that are available to persons without disabilities. D. The City also endorses the mandate of the Rehabilitation Act of 1973 and Section 504 and prohibits discrimination on the basis of disability and requires that Provider provides equal access and equal opportunity and services without discrimination on the basis of any disability. 20.GOVERNING LAW AND EXCLUSIVE VENUE: This Agreement shall be governed by, and construed in accordance with, the laws of the State of Florida, both substantive and remedial, without regard to principles of conflict of laws. The exclusive venue for any litigation arising out of this Agreement shall be Miami Dade County, Florida, if in State court, and the U.S. District Court, Southern District of Florida, if in federal court. BY ENTERING INTO THIS AGREEMENT, THE CITY AND Provider EXPRESSLY WAIVE ANY RIGHTS EITHER PARTY MAY HAVE TO A TRIAL BY JURY OF ANY CIVIL LITIGATION RELATED TO, OR ARISING OUT OF, THIS AGREEMENT. 9 of 12 DocuSign Envelope ID:4431 E74A-9236-4241-BB07-D1 A4CD568E84 21.NO WAIVER: No waiver of any breach or failure to enforce any of the terms, covenants, conditions or other provisions of this Agreement by either party at any time shall in any way affect, limit, modify or waive either party's right thereafter to enforce or compel strict compliance with every term, covenant, condition or other provision hereof. 22.CAPTIONS USED IN THIS AGREEMENT: Captions, as used in this Agreement, are for convenience of reference only and should not be deemed or construed as in any way limiting or extending the language or provisions to which such captions may refer. 23.CONTRACT REPRESENTS TOTAL AGREEMENT: This Agreement, including its special conditions and exhibits, represents the whole and total agreement of the parties. No representations, except those contained within this Agreement and its attachments, are to be considered in construing its terms. No modifications or amendments may be made to this Agreement unless made in writing signed by both parties. Any modification to the Project Amount shall require approval by the Mayor and City Commission. IN WITNESS THEREOF, the Parties hereto have caused this MOU to be executed by their respective and duly authorized officers as of the day and year first written above. ATTEST Borinquen Health Care Center Inc. CITY OF MIAMI BEACH, a Florida not for profit Corporation a Municipal Corporation of the State of Florida By: P , ,^, By: Paul Carl Velez A' a T. Hudak APPROVED AS TO FORM & LANGUAGE FOR EXECUTION 4 tI- — 0140L City Attorney Fil Date 10 of 12 DocuSign Envelope ID:4431E74A-9236-4241-BB07-D1A4CD568E84 EXHIBIT A Borinquen Medical Centers, through contract with The Children's Trust (and in collaboration with MDCPS and DOH) has implemented a school health program that provides comprehensive and coordinated on-site health services- including first aid, nursing assessment and counseling to public school children. Staffed by registered nurses, licensed practical nurses, medical assistants, social workers, and mental health professionals. Borinquen Medical Centers is operating 31 school sites in Central Miami- Dade County. The School Health Program, through funding and partnership with the City of Miami Beach and Borinquen Medical Centers, has also implemented the provision of additional services in the form of flu vaccines. As the school health Provider, Borinquen Medical Centers (BMC) will be providing flu vaccines on-site to those students who have not received their flu shot. Miami Beach public school sites for flu shot administration: Miami Beach Senior High School Miami Beach Nautilus Middle School Miami Beach Fienberg Fisher K-8 Miami Beach South Pointe Elementary North Beach Elementary Biscayne Beach Elementary Flu shot range per administration: Cost of Fluarix per box of 10 prefilled syringes is $160.00 (Fluarix covers 3yrs and up) Cost of Flucelvax per box of 10 prefilled syringes $179.58 (also 3yrs and up) Additional Supply Cost of supply per unit per supporting administration administration Spot Bandaid $0.01 Eclipse Needle with Safety $0.22 Gloves (1 pair) $0.13 Alcohol Pad $0.01 Total $0.37 Administration fee per child at the school site clinic: $5.00. Range of cost per shot: $16.37 to $23.33. 11 of 12 DocuSign Envelope ID.4431 E74A-9236-4241-BB07-D1 A4CD568E84 Activity Description Flu Vaccination Provision of health-related services in the school setting. Flu vaccination is provided to support student health and to promote a healthy school environment that is conducive to student well-being. Flu Vaccination Consents will be disseminated through coordination with MDCPS. Coordination Parents will be informed via use of"ConnectEd" messaging and notification sent home with student. Parents will also be informed via promotion/advertisement by City of Miami Beach partners. Flu vaccination supplies with be purchased by City of Miami Beach partner. Flu vaccination supplies will be ordered by BMC. Flu Vaccination Flu vaccination will be administered to students with a signed consent form. Administration BMC Provider (SHP APRN) will be on site to order and document vaccine administration. Nurse will administer vaccine to student. 12 of 12 DocuSign Envelope ID 4431E74A-9236-4241-B807-DIA4CD568E84 RESOLUTION NO. 2021-31777 A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA, APPROVING THE DISTRIBUTION OF FLU VACCINES TO MIAMI BEACH YOUTH RESIDENTS DURING THE 2021-22 SCHOOL YEAR THROUGH A MEMORANDUM OF UNDERSTANDING WITH BORINQUEN HEALTH CENTERS, IN AN AMOUNT NOT TO EXCEED $15,000, SUBJECT TO THE CITY COMMISSION APPROPRIATING THE FUNDS; AND FURTHER, APPROVING THE DISTRIBUTION OF FLU VACCINES EACH SUBSEQUENT SCHOOL YEAR, SUBJECT TO AND CONDITIONED UPON THE CITY COMMISSION'S APPROPRIATION OF FUNDING FOR EACH SUBSEQUENT YEAR, AT A COST TO THE CITY IN AN AMOUNT NOT TO EXCEED $15,000 ANNUALLY; AND FURTHER, AUTHORIZING THE CITY MANAGER TO NEGOTIATE AND EXECUTE ANY AGREEMENTS NECESSARY TO EFFECTUATE THE DISTRIBUTION OF FLU VACCINES. WHEREAS,on February 24, 2020,the City entered into a Memorandum of Understanding (MOU) with Borinquen Health Services to provide for funding and implementation of a Flu Shot Program at Miami Beach public schools with additional support from partnership with The Children's Trust; and WHEREAS, the program was funded through the general fund at a cost of $15,000 and a term of March 1, 2020 to October 31, 2020; and WHEREAS, at the October 14, 2020 Commission Meeting, in light of the closure of public schools and the public health concern of the COVID-19 pandemic,the City Commission approved amending the original MOU to use remaining allocated funds to expand the flu shot program to extend to all Miami Beach youth residents under the age of 18, with flu shots administered at City parks or recreational facilities; and WHEREAS, on November 4, 2020, the term of the agreement was extended to March 1, 2021; and WHEREAS, the City's efforts in 2020-21 resulted in 201 youth receiving the flu vaccine; and WHEREAS, according to the Centers for Disease Control and Prevention (CDC)the best way to prevent flu is with the seasonal flu vaccine and thus the CDC recommends that everyone 6 months and older get a seasonal flu vaccine each year by the end of October; and WHEREAS, as long as flu viruses are circulating, vaccination should continue throughout flu season, even in January or later; and WHEREAS, the CDC cautions that the seasonal flu is still of grave concern; though reports of influenza-like illness (ILI) for 2020-21 were lower than average, ILI surveillance has been affected by the COVID-19 pandemic and should be interpreted with caution; and DocuSign Envelope ID 4431 E74A-9236-4241-BB07-D1A4CD568E84 WHEREAS, precautions taken to guard against the spread of COVID-19 likely helped stem the transmission of seasonal flu; therefore relaxation of these precautions will likely see an increase in transmission of seasonal flu; and WHEREAS, given the ongoing public health concerns of the seasonal flu in tandem with the COVID-19 pandemic, the City acknowledges the continued need to ensure that all resident youth who, with parent permission, wish to receive a flu shot, can do so at no cost; and WHEREAS, as such, the City Administration recommends that the City of Miami Beach, funds a program for Miami Beach youth residents to receive flu vaccines during the 2021-2022 through a Memorandum of Understanding with Borinquen Health Centers school year, in an amount not to exceed $15,000 annually, and further recommends that the City Commission authorize the distribution of flu vaccines to Miami Beach youth residents for each subsequent fiscal year, and authorize the City Manager to execute any and all documents or agreements in connection with the program, at a cost not to exceed $15,000 annually. NOW, THEREFORE, BE IT DULY RESOLVED BY THE MAYOR AND CITY COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA, that the Mayor and City Commission hereby approve the distribution of flu vaccines to Miami Beach youth residents during the 2021-22 School year through a Memorandum of Understanding with Borinquen Health Centers, in an amount not to exceed $15,000, subject to the City Commission appropriating the funds; and further, approve the distribution of flu vaccines each subsequent school year, subject to and conditioned upon the City Commission's appropriation of funding for each subsequent year, at a cost to the City in an amount not to exceed $15,000 annually; and further, authorizing the City Manager to negotiate and execute any agreements necessary to effectuate the distribution of flu vaccines. . PASSED and ADOPTED this day of July, 2021. ATTEST: Dan Gelber, Mayor S/ /2cnP Raf el E. ranad. , ity Clerk (sponsored by Commissioner Mark Samuelian) , ,, APPROVED AS TO �'a 1j c' FORM a LANGUAGE '`S` \Jr a ', &FOR EXECUTION If! OR ED' H{Z•„,� CityAtlomey �{' Date , 2 DocuSign Envelope ID 4431E74A-9236-4241-BB07-D1A4CD568E84 Resolutions-C7 Q MIAMI BEACH COMMISSION MEMORANDUM TO: Honorable Mayor and Members of the City Commission FROM: Alina T. Hudak, City Manager DATE: July 28,2021 SUBJECT:A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA, APPROVING THE DISTRIBUTION OF FLU VACCINES TO MIAMI BEACH YOUTH RESIDENTS FOR FISCAL YEAR 2021-2022 AND EACH SUBSEQUENT FISCAL YEAR, SUBJECT TO AVAILABILITY AND FUNDING APPROVAL BY THE CITY'S BUDGETARY PROCESS FOR EACH SUBSEQUENT YEAR, AT A COST TO THE CITY IN THE AMOUNT NOT TO EXCEED $15,000 ANNUALLY; AND FURTHER AUTHORIZING THE CITY MANAGER TO EXECUTE ANY AGREEMENTS AND DOCUMENTS NECESSARY TO EFFECTUATE THE DISTRIBUTION OF THE VACCINES. RECOMMENDATION Administration is recommending the approval of this Resolution to provide Flu vaccinces to Miami Beach youth. BACKGROUND/HISTORY On February 24, 2020, the City entered into a Memorandum of Understanding (MOU) with Borinquen Health Services to provide for funding and implementation of a Flu Shot Program at Miami Beach public schools with additional support from partnership with The Children's Trust. The project was funded through the general fund at a cost of $15,000 and a term of March 1, 2020 to October 31, 2020. In light of the closure of public schools and the public health concern of the COVID-19 pandemic, at the October 14, 2020 Commission Meeting, the City Commission approved amending the original MOU to use remaining allocated funds to expand the flu shot program to extend to all Miami Beach youth residents under the age of 18, with flu shots administered at City parks or recreational facilities. On November 4, 2020, the term of the agreement was extended to March 1,2021. The City's efforts in 2020-21 resulted in 201 youth receiving the flu vaccine. ANALYSIS According to the Centers for Disease Control and Prevention(CDC)the best way to prevent flu is with the seasonal flu vaccine. The CDC recommends that everyone 6 months and older get a seasonal flu vaccine each year by the end of October. However, as long as flu viruses are circulating,vaccination should continue throughout flu season,even in January or later. Page 504 of 2012 DocuSign Envelope ID.4431 E74A-9236-4241-BB07-D1A4CD568E84 The CDC cautions that the seasonal flu is still of grave concern. Though reports of influenza-like illness (I L I) for 2020-21 were lower than average, ILI surveillance has been affected by the COVI D-19 pandemic and should be interpreted with caution. Precautions taken to guard against the spread of COVI D-19 likely helped stem the transmission of seasonal flu. Relaxation of these precautions,therefore,will likely see an increase in transmission of seasonal flu. Given the ongoing public health concerns of the seasonal flu in tandem with the COVID-19 pandemic, the City acknowledges the continued need to ensure that all resident youth who, with parent permission,wish to receive a flu shot, can do so at no cost. SUPPORTING SURVEY DATA 49.1 % of Miami Beach residents are satisfied and very satisfied with public schools in Miami Beach. FINANCIAL INFORMATION FY22 $15,000 Applicable Area Citywide Is this a"Residents Right Does this item utilize G.O. to Know" item.pursuant to Bond Funds? City Code Section 2-14? No No Strategic Connection Prosperity-Be known for(K-12)educational excellence. Legislative Tracking Organizational Development Performance Initiatives Sponsor Commissioner Mari( Samuelian Page 505 of 2012 DocuSign Envelope ID:4431E74A-9236-4241-BB07-D1A4CD568E84 DocuSign Envelope ID:98309089-5CF6-49D3-87AE-6FC48AE85339 AMENDMENT NO. 1 MEMORANDUM OF UNDERSTANDING BETWEEN THE CITY OF MIAMI BEACH AND BORINQUEN HEAL TH CARE CENTER, INC. TO IMPLEMENT A FLU PROGRAM FOR SCHOOL YEAR 2019/2020 THIS Amendment No. 1 to the MEMORANDUM OF UNDERSTANDING TO IMPLEMENT A FLU PROGRAM FOR SCHOOL YEAR 2019/2020 dated on or about February 24, 2020 between the CITY OF MIAMI BEACH, a municipal corporation existing under the laws of the State of Florida ( he "City"), Borinquen Health Care Center, Inc. (the "Consultant"), is made and entered this day of NOVEMBER, 2020. RECITALS WHEREAS, the Parties have determined that a program to provide Flu immunizations attending public schools is in the best interest of the health and public welfare of the City of Miami Beach; and WHEREAS, Provider, through contract with The Children's Trust (and in collaboration with MDCPS and DOH) has implemented a school health program that provides comprehensive and coordinated on-site health services- including first aid, nursing assessment and counseling to public school children. Staffed by registered nurses, licensed practical nurses, medical assistants, social workers, and mental health professionals. Borinquen Medical Centers is operating 31 school sites in Central Miami- Dade County; and WHEREAS, the School Health Program, through funding and partnership with the City of Miami Beach and Bonnquen Medical Centers, has also implemented the provision of additional services in the form of flu vaccines; and WHEREAS, as the school health provider, Borinquen Medical Centers of Miami- Dade is providing flu vaccines on-site at Miami Beach Public School Locations to those students who have not received their flu shot in an amount not to exceed $15,000 ("City Funding"); and WHEREAS, at the October 14, 2020 City Commission Meeting, the City Commission approved expanding the flu shot program to extend to Miami Beach residents under the age of 18, which flu shots program shall be administered at a City park or recreational facility, subject to the City's prior approval. NOW, THEREFORE, the parties hereto, and in consideration of the mutual promises, covenants, agreements, terms, and conditions herein contained, and other good and valuable consideration, the respect and adequacy are hereby acknowledged, do agree as follows: 1. ABOVE RECITALS The above recitals are true and correct and are incorporated as a part of this Calvin Giordano&Associates,Inc.,Amendment No.3 DocuSign Envelope ID:4431E74A-9236-4241-BB07-D1A4CD568E84 DocuSign Envelope ID:983090B9-5CF6-49D3-87AE-6FC48AE85339 Amendment No. 1 2. MODIFICATIONS • a) The Flu Shot Program, as defined in the Agreement and the attached Exhibit 1, shall be amended to expand the Flu Shot Program to include administering Flu Vaccination at City park or recreational facilities, subject to the City's prior approval, to City of Miami Beach residents under the age of 18("Expanded Service"). b) The term, as provided in Article 1 of the Agreement shall be amended to provide that the term shall be from March 1, 2020 to March 1, 2021. c) Nothing contained herein shall amend, increase, or decrease the City Funding, as provided in the Agreement. 3. OTHER PROVISIONS. All other provisions of the Agreement, as amended, are unchanged. IN WITNESS WHEREOF, the parties hereto have caused this Amendment No. 1 to be executed in their names by their duly authorized officials as of the date first set forth above. ATTEST: CITY OF MIAMI BEACH, FLORIDA ,—DocuSigned by: p DocuSigned by: a9 pAGAI/' — i —as ''�''1�` L e. arkA,c k ,�lwtwt� 11Mr'AtLt.s �� C\ `-24A05C13ADDC465.. `-28CA1 194070496 Rafael E. Granado, City Clerk Jimmy L. Morales, City Manager 11/4/2020 11:29 AM EST APPROVED AS TO FORM& LANGUAGE 8 FOR EXECUTION co,/maney if Date ATTEST: PROVIDER Borinquen Health Care Center, Inc. DocuSzgned by: PAUL CAA W ` 9.)E35EBreA7484... Paul Carl Velez 11/2/2020 1 1:09 PM PST Calvin Giordano&Associates,Inc.,Amendment,Vo.3