Contract Information
FLAIR ID:
Z0005
Long Title:
Two Spirit Health Services, Inc.
Total Amount:
$979,259.75
Paid to Date:
$484,362.67
Agency Contract ID:
Z0005
Vendor Name:
TWO SPIRIT HEALTH SERVICES, INC, TWO SPIRIT HEALTH SERVICES
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:
Active
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:
No
Procurement Method:
Request for Application, method of competitively awarding State Federal grants to non-profits and other governmental entities
State Term Contract ID:
Exemption Justification:
Agency Reference Number:
Z0005
Budget Summary
Fiscal Year Budget Type Budgeted Amount Account Code Effective Date Amendment
2017-2018Recurring$979,259.7520-2-261021-41100400-00-104133-0007/01/2017

Vendor Summary
Name Address Minority Vendor Designation
TWO SPIRIT HEALTH SERVICES, INC, TWO SPIRIT HEALTH SERVICESORLANDO FL 32803 0000Non-Profit, Minority Community Served

1Local 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:Aid Financing
 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 Documention Page Number:
2Equipment 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:Aid Financing
 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 Documention Page Number:
3Indirect Costs requested at the 10% de minimus rate
 Commodity/Service Type:Aid Financing
 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 Documention Page Number:
4The 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:Aid Financing
 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 Documention Page Number:
5The 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:Aid Financing
 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 Documention Page Number:
6The 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:Aid Financing
 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 Documention Page Number:
7The 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:Aid Financing
 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 Documention Page Number:
8Advance 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:Aid Financing
 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 Documention Page Number:
9Patient Concierge/Health Educator to provide direct services to Pulse victims. Cost to include salary and fringe benefits. Timesheets will be provided.
 Commodity/Service Type:Aid Financing
 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 Documention Page Number:
11Consultant to provide Community Resiliency Model Training for Pulse impacted communities. Timesheet to be submitted.
 Commodity/Service Type:Aid Financing
 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 Documention Page Number:
12Conference 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:Aid Financing
 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 Documention Page Number:

Documentation
Num Posted Date Title Document
1.08/04/2017Original Contract DocumentTwo Spirit Health Sevices, Inc._Redacted.pdf

Contract Change
Num Type Change Amount Execution Date Effective Date End Date Description

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