Contract Information

Summary

Agency Name: DEPARTMENT OF HEALTH	Agency Contract ID: HSA01
Long Title: HealthCare Services for Immunizations	Vendor Name: MAXVAX
Total Contract Amount: $250,000.00	Total Budgetary Amount: $250,000.00
Total Payment To Date: $182,400.00	Date of Execution: 05/20/2022
General Description: Provide COVID-19 vaccines/testing, and vaccinations as required by Rule 65C-22.000.

Details
Deliverables
Payments
Documents
Audits

Main Information

Agency Contract ID: HSA01

FLAIR Contract ID: HSA01

Short Title: IMM

Long Title: HealthCare Services for Immunizations

Contract Type: Master Agreement

Contract Status: Closed or Expired

Date of Execution: 05/20/2022

Date of Beginning: 05/20/2022

Original End Date: 06/30/2022

New Ending Date:

Agency Service Area: 48

Statutory Authority: 20.43 and 154 Florida Statutes

Contract Involves State or Federal Financial Assistance: No

Recipient Type:

Provide for Administrative Cost: No

Provide for Periodic Increase: No

Procurement Information

Authorized Advanced Payment: No

Method of Procurement: Exempt, health services including examination, diagnosis, treatment, prevention, medical consultation, or administration [s. 287.057(3)(e)5., F.S.]

State Term Contract ID:

Contract’s Exemption Justification: The Department is using this health exemption in order to maintain the continuity of operation as we continue our outreach, testing and vaccination efforts as a result of COVID-19.

Agency Reference Number: HER21-073

Business Case Study Done: No

Legal Challenges to Procurement: No

Outsourcing / Capital Improvements

Was the Contracted Function Previously Performed by the State: No

Was the Contracted Function Considered for Insourcing back to the State: No

Did the Vendor Make Capital Improvements on State Property: No

Budget Information

Original Contract Amount: $250,000.00

Total Contract Amount: $250,000.00

Total Recurring Budgetary Amount: $0.00

Total Non-Recurring Budgetary Amount: $250,000.00

Total Budgetary Amount: $250,000.00

Total Unfunded Amount: $0.00

As of Date: 5/27/2022

Download Budget Information

No Recurring Budgetary records found for this contract.

Non-Recurring Budgetary Amount	Account Code	Fiscal Year Effective Date	FY	Cost Accumulator	Agency Amendment Reference
$250,000.00	64-20-2-141001-64200700-48-105153-00	05/20/2022	2021-2022	ICR21

Contract Change

No Contract Changes found for the contract.

Vendor

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Name Line 1	Name Line 2	City State Zip	Minority Vendor Designation
MAXVAX		JACKSONVILLE BEA FL 322500000	Non-Minority

CFDA

No CFDA Codes found for the contract.

CSFA

No CSFA Codes found for the contract.

Expand All Deliverables Download Deliverables

Deliverable Number

Commodity/Service Type

Major Deliverable

Method of Payment

Vaccination services

Provider shall provide vaccination and testing services in the time and manner specified in Services...

Fixed Fee / Unit Rate

Major Deliverable: Provider shall provide vaccination and testing services in the time and manner specified in Services Tasks a - h. a. Provide qualified staffing to administer vaccines (COVID-19 and other vaccines as per Rule 64D-3.046, F.A.C.) and conduct COVID-19 testing, within 48 hours of request from Department. b. Administer vaccines and conduct COVID-19 testing at various locations as directed by the Department. c. Collect and record all information into the Florida Shots software application as provided by the state, following the predetermined standards established by the Department. Before administering a vaccine, the Provider shall review the client’s record in Florida Shots to avoid duplication of services. d. The Provider's plan for performing the Services has been or shall be reviewed and approved by a physician licensed to practice medicine in the State of Florida who is in good standing with the Board of Medicine. Provider shall ensure that all nurses administering vaccinations are property licensed to practice in the State of Florida and will follow the national Centers for Disease Control and Prevention ("CDC") protocols for administering vaccinations. e. To administer the services according to the recommendations and guidance issued by the CDC and applicable vaccine manufacturers. f. Provider shall administer all vaccines requested by a medically eligible student's parent/guardian or any resident of Orange County, regardless of age or insurance.

Deliverable Price: $3,200.00

Non Price Justification: Price cannot be determined until the work has been completed

Performance Metrics: All deliverables and related tasks must be completed 100% as specified.

Financial Consequences: a. The Department will perform a weekly sample audit of the administered vaccines. Failure to record all vaccines/immunizations in Florida Shot will result in a payment reduction of $5.00 per occurrence. b. The Department will perform a weekly sample audit of the administered vaccines. For every duplicated vaccine/immunization will result in a payment reduction of $5.00 per occurrence.

Source Documentation Page Reference: 3

Deliverable Number: 1

Vaccination services

Provider shall provide vaccination and testing services in the time and manner specified in Services...

Fixed Fee / Unit Rate

Major Deliverable: Provider shall provide vaccination and testing services in the time and manner specified in Services Tasks a - h. g. Vaccines: 1) To supply all vaccines required for the services. Provider shall have exclusive ownership and control over its vaccine supply. 2) Transport, store, and handle the vaccines in accordance with the Vaccine Storage and Handling Recommendations and Prevention for Storage and Handling of selected Biologicals promulgated by the United States Department of Health and Human Services and the CDC. 3) Handle the vaccines in accordance with the vaccine package inserts. 4) Supply all other needed medical supplies for the services, including any sharps biohazard containers required for proper and safe disposal of medical supplies. Provider acknowledges that vaccines, syringes, and needles cannot be reused. 5) Only provide Services to any person who has delivered a signed vaccination consent form (or in case of any student underage of eighteen (18), their parent or guardian shall have signed a vaccination consent form. The consent form must be available in English, Spanish and Haitian Creole. 6) Furnish a current Vaccine Information Statement (VIS) to each person receiving a vaccine and answer questions about the benefits and risks of vaccination along with Consent. 7) As appropriate, print the completed 680 Form and provide the parent/guardian with the updated form. h. DATA SECURITY AND CONFIDENTIALLITY. The Provider, its employees, subcontractors, and agents must comply at all times with all Department data security procedures and policies in the performance of this agreement as specified in the Data Security and Confidentiality form, Attachment II.

Deliverable Price: $3,200.00

Non Price Justification:

Performance Metrics: All deliverables and related tasks must be completed 100% as specified.

Source Documentation Page Reference: 3

Deliverable Number: 1

Vaccination services

All vaccines administered shall be recorded in Florida Shots.

Fixed Fee / Unit Rate

Vaccination services

Florida Shots records will be reviewed before vaccines are administered and vaccines will not be dup...

Fixed Fee / Unit Rate

Displaying 1 to 4 of 4

Payments are also referred to as expenditures (creating or incurring a legal obligation to disburse money) or disbursements (the payment of expenditures). Payments include disbursements and accounting adjustments made on a contract. Payments are always positive amounts while accounting adjustments may be positive or negative depending on the type of adjustment.

Payment Details

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"Date" in the listing below indicates the date the payment voucher was recorded in the system, not the date the payment was issued.

Fiscal Year

Total Amount

2022-2023

$182,400.00

If a payment or adjustment to a contract was made before July 1, 2012, the information may not be posted in this system.

Contract Documents

Click on the pdf icon or Agency Document Link to view the document

Document Type	Document Reference #	Executed Date	Document Add Date	Agency Document Link	View
Original Contract	Original Contract - HSA01	05/20/2022	5/26/2022 11:49:14 AM

Audit results posted prior to June 30, 2012, appear in a summarized form. As of July 1, 2012, the audit reporting process was expanded to include additional questions and comments from the Bureau of Auditing. As audits are captured in electronic format, they will be posted to this system. If you are interested in seeing audit reports by Fiscal Year and Agency Action Plans, please click here to navigate to the Transparency Florida Contract Audit page.

No audits have been conducted on this contract at this time.

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Contract Information

Summary

Main Information

Procurement Information

Outsourcing / Capital Improvements

Budget Information

Contract Change

Vendor

CFDA

CSFA

Payment Details

Contract Documents