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2022-225-E-Sheriff Dept-Southern Health Partners-Medical Services for Inmates
DocuSign Envelope ID: E9DOCDAB-7830-4405-94B8-CO2D52F79427 ORANGE COUNTY—DEPARTMENT USE ONLY Party/Vendor Name: Southern Health Partners Party/Vendor Contact Person: Jeannette Rodrijzuez Contact Phone: 423-553-5635 ext.922 Party/Vendor Address:2030 Hamilton Place Blvd,Ste 140 City Chattanooga State:TN Zip: 37421 Department: BOCC Amount: $390,017.64 Purpose: Medical Services for Inmates Budget Code(s): 10715020-63000 Vendor#59271 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New❑ Renewal ® Amendment ❑ Effective Date July 1,2022 Approved by Board Yes ®No❑ Agenda Date:June 7,2022 This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement: D�ocu"S'igned by: S�" " 66 C�nRe A �Q�i,�a '�ssd 6/14/2022 Department Director's Signature aBBAECFSD62944B... Date: Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency o ms VVhk& it�fidards,specifications,and requirements: aura. 6/14/2022 Office of the Risk Management Officer 7FDCF9176800498... Date: Financial Services This instrument has been pre-audited in the 4e? gkyd by the Local Government Budget and Fiscal Control Act: 01.� 6/15/2022 Office of the Chief Financial Officer uNC-1 e9 Date: Legal Services This agreement is approved as to lea f�lS f Mfficiency: b Outs 6/16/2022 Office of the County Attorney EA------------- Date: Clerk to the Board Received for record retention: All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov Do,p ned b The following signature block is for and o� pi�s�ony and is not required for Docusign contracts: 6/16/2022 Office of the Clerk to the Board DO BUAD28C12411... Date: Revised 07/20 DocuSign Envelope ID: E9DOCDAB-7830-4405-94B8-0O2D52F79427 Southern Health Partners March 11, 2022 Sheriff Charles Blackwood Orange County Sheriff's Office 106 East Margaret Lane Hillsborough, NC 27278 Re: Health Services Agreement Dear Sheriff Blackwood: Southern Health Partners values the long-standing partnership developed with Orange County and it is a privilege to work with you and the Detention Center staff. We work hard to keep the cost of our program at Orange County as low as reasonably possible. We do, however, continue to experience rising costs associated with doing business and providing medical services, most remarkably in the following areas: • Pay rates — These have soared significantly in a highly competitive market due to the national nursing shortage. o Competitive pay rates-Given the current climate in the health care field we need to be competitive in what we are paying staff and in providing an attractive employee benefits plan. This is crucial to maintain the support and environment needed to promote staff stability in retaining good quality team members. o Unfavorable working shifts - The pay rates for night and weekend shifts are at a much greater increased cost than for other favorable work shifts. • Inflationary costs — Supply lines and core business insurance (professional liability, general liability) costs have substantially escalated and outpaced our average operating expenses. With these factors in mind, the new rates reflect an increase of$1,547.69 per month on the base fee and $0.07 on the per diem for the 2022-2023 contract period. Contract Period: July 1, 2022 through June 30, 2023 Base annualized fee: $390,017.64 ($32,501.47 per month) Per diem greater than 140: $1.52 Annual outside cost pool limits: $60,000.00 (first tier); $140,000.00 (second tier) For the historical contract record and to confirm the renewal of our Health Services Agreement with Orange County, I will ask you to keep this letter and return a signed copy tome on or before April 29, 2022 by email geanette.rodriguez@southernhealthpartners.com) or by fax (423-305-6964). If this letter is not signed in a timely manner, then billing will be prorated back to the contract inception date. Except as modified above, or as may be further amended or modified by mutual agreement between the parties, all provisions of the contract will remain in full force and effect during the renewal period. Please call me at 423-553-5635, ext. 922 with any questions or concerns. We appreciate your understanding and investment in working with SHP to deliver a program of high-quality patient care services for Orange County. Sincerely, SOUTHERN HEALTH PARTNERS, INC. ORANGE COUNTY, NC ocuSigned by: Jeanette Rodriguez Renee Price Contracts Administrator Board Chair Place2030 Hamilton Blvd,Ste.140 .... 423.553.5635(phone)423.553. .- DocuSign Envelope ID: E9DOCDAB-7830-4405-94B8-CO2D52F79427 DATE(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 76/14/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Jen Cassullo Arthur J. Gallagher Risk Management Services, Inc. PHONE FAX 200 Jefferson Park A/C No Ext: 973-921-8194 A/C No:973-921-2876 Whippany NJ 07981 ADDRESS: Jen cassullo@ajg.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Ironshore Specialty Insurance Co 25445 INSURED SOUTHEA-18 INSURER B:Westchester Surplus Lines Insurance Co 10172 Southern Health Partners 2030 Hamilton Place Boulevard, Suite 140 INSURERC: National Indemnity Company 20087 Chattanooga TN 37421 INSURER D:Crum&Forster Specialty Insurance Co 44520 INSURERE: Sunz Insurance 34762 INSURER F: COVERAGES CERTIFICATE NUMBER:1088821772 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DDIYYYY B X COMMERCIAL GENERAL LIABILITY G72568436 001 3/13/2022 3/13/2023 EACH OCCURRENCE $1,000,000 TED CLAIMS-MADE � OCCUR PREMISES(Ea o DAMAGE TO ccurrence) $100,000 MED EXP(Any one person) $0 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY❑ PRO- JECT ❑ LOC PRODUCTS-COMP/OP AGG $2,000,000 X OTHER: $ C AUTOMOBILE LIABILITY 73APS105001 3/13/2022 3/13/2023 COMBINED SINGLE LIMIT $1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident B UMBRELLA LIAB X OCCUR G72568424001 3/13/2022 3/13/2023 EACH OCCURRENCE $4,000,000 D SEO-117603 3/13/2022 3/13/2023 X EXCESS LIAB CLAIMS-MADE AGGREGATE $4,000,000 DED RETENTION$ $ E WORKERS COMPENSATION WC053-00001-022 6/1/2022 6/1/2023 PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Professional Liability HC6CAB5JNNO02 12/13/2021 12/13/2022 Each Claim $1,000,000 Aggregate $5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ORANGE COUNTY JAIL 125 COURT STREET AUTHORIZED REPRESENTATIVE HILLSBOROUGH NC 27278 i L yk ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD