Contract Information

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Agency Contract ID

Vendor Name

Dollar Value Range

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Effective Date Range

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Contract Status

Commodity/Service Type

FLAIR ID:

Z0005

Long Title:

Two Spirit Health Services, Inc.

Total Amount:

$979,259.75

Paid to Date:

$928,023.87

Agency Contract ID:

Z0005

Vendor Name:

TWO SPIRIT HEALTH SERVICES, INC

Total Budget:

$979,259.75

Date of Execution:

06/12/2017

General Description:

The federal Victim Assistance Antiterrorism and Emergency Assistance Program Grant

Main Details

Short Title:

Two Spirit

Contract Type:

Grant Disbursement Agreement

Contract Status:

Closed or Expired

Begin Date:

06/12/2017

Original End Date:

09/30/2018

Statutory Authority:

960.05, Florida Statutes

Financial Assistance:

Federal

Recipient Type:

Sub recipients (Federal Financial Assistance Only)

CFDA:

16.575 .. Crime Victim Assistance

CSFA:

None

Procurement Details

Advance Payment Authorized:

Procurement Method:

Request for Application, method of competitively awarding State Federal grants to non-profits and other governmental entities

Agency Reference Number:

Z0005

Budget Summary

Fiscal Year	Budget Type	Budgeted Amount	Account Code	Effective Date	Amendment
2017-2018	Recurring	$979,259.75	41202261021411004000010413300	07/01/2017

Vendor Summary

Name	Address	Minority Vendor Designation
TWO SPIRIT HEALTH SERVICES, INC	ORLANDO	U

1	Local mileage travel costs associated to individuals directly serving victims of the Pulse shooting within the course of normal duties. State of Florida Travel Voucher will be provided to support travel expenses.
	Commodity/Service Type:
	Deliverable Price:	$0.00
	Non Price Justification:	Price cannot be determined until the work has been completed
	Method of Payment:	Cost Reimbursement
	Performance Metrics:	N/A
	Financial Consequences:	If the provider does not meet the deliverables as outlined in Attachment F without an approved justification, the OAG will impose a corrective action plan, reduce payment for the invoice by 5% of the total amount requested or an amount commensrate with the failrure to meet he deliverable, whichever is greater, and/or terminate this Agreement.
	Source Documentation Page Number:
10	Consultant to provide Community Resiliency Model Training for Pulse impacted communities. Timesheet to be submitted.
	Commodity/Service Type:
	Deliverable Price:	$650.00
	Non Price Justification:
	Method of Payment:	Cost Reimbursement
	Performance Metrics:	N/A
	Financial Consequences:	If the provider does not meet the deliverables as outlined in Attachment F without an approved justification, the OAG will impose a corrective action plan, reduce payment for the invoice by 5% of the total amount requested or an amount commensrate with the failrure to meet he deliverable, whichever is greater, and/or terminate this Agreement.
	Source Documentation Page Number:
11	Conference registration and travel costs for staff to attend national victim services conferences. State of Florida Travel Voucher will be provided to support travel expenses.
	Commodity/Service Type:
	Deliverable Price:	$0.00
	Non Price Justification:	Price cannot be determined until the work has been completed
	Method of Payment:	Cost Reimbursement
	Performance Metrics:	N/A
	Financial Consequences:	If the provider does not meet the deliverables as outlined in Attachment F without an approved justification, the OAG will impose a corrective action plan, reduce payment for the invoice by 5% of the total amount requested or an amount commensrate with the failrure to meet he deliverable, whichever is greater, and/or terminate this Agreement.
	Source Documentation Page Number:
2	Equipment costs required by staff as staff will be making home visits and conducting intensive outreach requiring mobile phones and laptops. Costs include 3 laptop computers, 3 cell phones, and 1 printer
	Commodity/Service Type:
	Deliverable Price:	$0.00
	Non Price Justification:	Price cannot be determined until the work has been completed
	Method of Payment:	Cost Reimbursement
	Performance Metrics:	N/A
	Financial Consequences:	If the provider does not meet the deliverables as outlined in Attachment F without an approved justification, the OAG will impose a corrective action plan, reduce payment for the invoice by 5% of the total amount requested or an amount commensrate with the failrure to meet he deliverable, whichever is greater, and/or terminate this Agreement.
	Source Documentation Page Number:
3	Indirect Costs requested at the 10% de minimus rate
	Commodity/Service Type:
	Deliverable Price:	$0.00
	Non Price Justification:	Price cannot be determined until the work has been completed
	Method of Payment:	Cost Reimbursement
	Performance Metrics:	N/A
	Financial Consequences:	If the provider does not meet the deliverables as outlined in Attachment F without an approved justification, the OAG will impose a corrective action plan, reduce payment for the invoice by 5% of the total amount requested or an amount commensrate with the failrure to meet he deliverable, whichever is greater, and/or terminate this Agreement.
	Source Documentation Page Number:
4	The agency will provide medical treatment, labs and medication for Pulse victims. Cost associated per medical patient. Patient log will be provided to include, client identifier and date of service.
	Commodity/Service Type:
	Deliverable Price:	$266.53
	Non Price Justification:
	Method of Payment:	Cost Reimbursement
	Performance Metrics:	N/A
	Financial Consequences:	If the provider does not meet the deliverables as outlined in Attachment F without an approved justification, the OAG will impose a corrective action plan, reduce payment for the invoice by 5% of the total amount requested or an amount commensrate with the failrure to meet he deliverable, whichever is greater, and/or terminate this Agreement.
	Source Documentation Page Number:
5	The agency will provide mental health treatment to Pulse victims. Cost associated per mental health treatment patient. Patient log will be provided, to include client identifier and date of service.
	Commodity/Service Type:
	Deliverable Price:	$66.71
	Non Price Justification:
	Method of Payment:	Cost Reimbursement
	Performance Metrics:	N/A
	Financial Consequences:	If the provider does not meet the deliverables as outlined in Attachment F without an approved justification, the OAG will impose a corrective action plan, reduce payment for the invoice by 5% of the total amount requested or an amount commensrate with the failrure to meet he deliverable, whichever is greater, and/or terminate this Agreement.
	Source Documentation Page Number:
6	The agency will provide Vocational Rehabilitiation for 100 victims at $500 per Pulse victim. Rehabilitation log will be provided to include, client identifier and date of service.
	Commodity/Service Type:
	Deliverable Price:	$500.00
	Non Price Justification:
	Method of Payment:	Cost Reimbursement
	Performance Metrics:	N/A
	Financial Consequences:	If the provider does not meet the deliverables as outlined in Attachment F without an approved justification, the OAG will impose a corrective action plan, reduce payment for the invoice by 5% of the total amount requested or an amount commensrate with the failrure to meet he deliverable, whichever is greater, and/or terminate this Agreement.
	Source Documentation Page Number:
7	The agency will provide lab services for HIV/STI/HEP testing for 30 individuals. Lab service log will be provided, to include client identifier and and date of service.
	Commodity/Service Type:
	Deliverable Price:	$0.00
	Non Price Justification:	Price cannot be determined until the work has been completed
	Method of Payment:	Cost Reimbursement
	Performance Metrics:	N/A
	Financial Consequences:	If the provider does not meet the deliverables as outlined in Attachment F without an approved justification, the OAG will impose a corrective action plan, reduce payment for the invoice by 5% of the total amount requested or an amount commensrate with the failrure to meet he deliverable, whichever is greater, and/or terminate this Agreement.
	Source Documentation Page Number:
8	Advance Registered Nurse Practitioner (ARNP) to conduct health assessments and provide supervision to Patient Concierge and Health Educator. Costs include salary and fringe benefits. Timesheets will be provided.
	Commodity/Service Type:
	Deliverable Price:	$0.00
	Non Price Justification:	Price cannot be determined until the work has been completed
	Method of Payment:	Cost Reimbursement
	Performance Metrics:	N/A
	Financial Consequences:	If the provider does not meet the deliverables as outlined in Attachment F without an approved justification, the OAG will impose a corrective action plan, reduce payment for the invoice by 5% of the total amount requested or an amount commensrate with the failrure to meet he deliverable, whichever is greater, and/or terminate this Agreement.
	Source Documentation Page Number:
9	Patient Concierge/Health Educator to provide direct services to Pulse victims. Cost to include salary and fringe benefits. Timesheets will be provided.
	Commodity/Service Type:
	Deliverable Price:	$0.00
	Non Price Justification:	Price cannot be determined until the work has been completed
	Method of Payment:	Cost Reimbursement
	Performance Metrics:	N/A
	Financial Consequences:	If the provider does not meet the deliverables as outlined in Attachment F without an approved justification, the OAG will impose a corrective action plan, reduce payment for the invoice by 5% of the total amount requested or an amount commensrate with the failrure to meet he deliverable, whichever is greater, and/or terminate this Agreement.
	Source Documentation Page Number:

Documentation

Num	Posted Date	Title	Document
1	08/04/2017	Original Contract Document	Two Spirit Health Sevices, Inc._Redacted.pdf

Contract Change

Num	Type	Change Amount	Execution Date	Effective Date	End Date	Description
A1	Extension	$0.00	09/07/2018	09/07/2018	09/30/2019	Article 2. SCOPE OF WORK and Article 3. TIME OF PERFORMANCE, were deleted and replaced. Contract extended through 9/30/2019.

Payments

Fiscal Year	Voucher Num	Agency Num	Vendor Name	Amount	Account Code	CFI	Voucher Date
2018-2019	D9000559732	V0085620001	TWO SPIRIT HEALT	$37,139.28	41202261021411004000010413300		05/28/2019
2018-2019	D9000495728	V0076460002	TWO SPIRIT HEALT	$38,354.60	41202261021411004000010413300		04/19/2019
2018-2019	D9000495728	V0076460001	TWO SPIRIT HEALT	$30,349.22	41202261021411004000010413300		04/19/2019
2018-2019	D9000451391	V0069370001	TWO SPIRIT HEALT	$34,455.99	41202261021411004000010413300		03/26/2019
2018-2019	D9000376013	V0058550001	TWO SPIRIT HEALT	$24,119.70	41202261021411004000010413300		02/12/2019
2018-2019	D9000325750	V0051130001	TWO SPIRIT HEALT	$23,885.26	41202261021411004000010413300		01/14/2019
2018-2019	D9000300033	V0047020001	TWO SPIRIT HEALT	$26,863.02	41202261021411004000010413300		12/26/2018
2018-2019	D9000227838	V0036320001	TWO SPIRIT HEALT	$18,082.61	41202261021411004000010413300		11/09/2018
2018-2019	D9000169715	V0027700001	TWO SPIRIT HEALT	$32,730.67	41202261021411004000010413300		10/04/2018
2018-2019	D9000121404	V0019950001	TWO SPIRIT HEALT	$75,098.93	41202261021411004000010413300		09/10/2018
2018-2019	D9000069959	V0011470001	TWO SPIRIT HEALT	$20,017.66	41202261021411004000010413300	C	08/10/2018
2017-2018	D8000639281	V0100880001	TWO SPIRIT HEALT	$30,391.15	41202261021411004000010413300		06/21/2018
2017-2018	D8000636167	V0100400001	TWO SPIRIT HEALT	$26,150.92	41202261021411004000010413300		06/20/2018
2017-2018	D8000625506	V0098920001	TWO SPIRIT HEALT	$17,192.72	41202261021411004000010413300		06/15/2018
2017-2018	D8000625506	V0098920002	TWO SPIRIT HEALT	$29,814.93	41202261021411004000010413300		06/15/2018
2017-2018	D8000622282	V0098490001	TWO SPIRIT HEALT	$24,048.52	41202261021411004000010413300		06/14/2018
2017-2018	D8000622282	V0098490002	TWO SPIRIT HEALT	$11,270.03	41202261021411004000010413300		06/14/2018
2017-2018	D8000292431	V0048950001	TWO SPIRIT HEALT	$25,479.85	41202261021411004000010413300		12/15/2017
2017-2018	D8000263553	V0044170001	TWO SPIRIT HEALT	$33,596.75	41202261021411004000010413300		11/30/2017
2017-2018	D8000196711	V0032350001	TWO SPIRIT HEALT	$10,957.38	41202261021411004000010413300		10/23/2017
2017-2018	D8000149823	V0024670001	TWO SPIRIT HEALT	$93,776.08	41202261021411004000010413300		09/27/2017
2017-2018	D8000065258	V0010910001	TWO SPIRIT HEALT	$86,567.75	41202261021411004000010413300		08/09/2017
2019-2020	D0000230824	V0036670001	TWO SPIRIT HEALT	$41,467.68	41202261021411004000010413300		11/13/2019
2019-2020	D0000228283	V0036200001	TWO SPIRIT HEALT	$-41,467.67	41202261021411004000010413300		11/15/2019
2019-2020	D0000228283	V0036200001	TWO SPIRIT HEALT	$41,467.67	41202261021411004000010413300		11/12/2019
2019-2020	D0000145703	V0023590001	TWO SPIRIT HEALT	$38,602.31	41202261021411004000010413300		09/24/2019
2019-2020	D0000092331	V0014530001	TWO SPIRIT HEALT	$33,243.62	41202261021411004000010413300		08/23/2019
2019-2020	D0000046850	V0006690001	TWO SPIRIT HEALT	$31,067.54	41202261021411004000010413300	C	07/30/2019
2019-2020	D0000024868	V0003010001	TWO SPIRIT HEALT	$33,299.70	41202261021411004000010413300	C	07/18/2019

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Contract Information

Main Details

Procurement Details

Budget Summary

Vendor Summary

Documentation

Contract Change

Payments