ORIGINAL
REQUEST FOR APPLICATIONS RFA # RW1-17
RYAN WHITE TREATMENT EXTENSION ACT PART A
APPLICATION COVER SHEET
—X.oniginat
ory
APPLICANT AGENCY Midway Specialy Care Center, no
AGENCY ADDRESS__92558 US Hwy 1, Fort Pierce, FL 34082
CONTACT PERSON___Kathyyn E Hayden, Dietior of Operations
PHONE, 772-742-0270 FAX_172.742.0070
‘AGENCY DUNS #;__40-1773987
WILL ANY PORTION OF THIS SERVICE BE SUBCONTRACTED OUT? __Yes _X_No
COUNTY To BE SERVED: _X HILLSBOROUGH, ___PINELLAS,__PASCO,_ HERNANDO.
AMOUNT OF FUNDS REQUESTED: _ $100,000.00
‘CURRENT OR PRIOR PART A PROVIDER: YES, No__XADDENDUM NUMBER: ONE
HILLSBOROUGH COUNTY HEALTH CARE SERVICES DEPARTMENT
601 EAST KENNEDY BLVD, 16" FLOOR
TAMPA, FLORIDA 33602
DATE: Qetober 4, 2017
“TO APPLICANT: This Addendum is an integral pat of the RFA Package under consideration by you a
J Applicant in connection with the subject mater net clow identified, Hilsborough County deems all
aoa ayrarications to have been proffered in recogallion and the entire RFA package ~
tion of
inoluaing all issued addenda. For purposes of opr eation, receipt of this present Addendum by an
‘Applicant should be evidenced by returning ft Gigned) as part of the Anplicant’s sealed ‘Application.
ADDENDUM TO; —_THE_PROVISION_OF OUTPATIENT AND AMBULATORY HEALTH AND
SUPPORT SERVICES, FOR INDIVIDUALS ‘WITH HIV DISEASE
RFA NUNBER: i
RFA SUBMISSION DEADLINE DATE AND TIME: Tuesday, Novernber 44, 2017, 6:00 PM, EST.
PLACE: bHeslth Care Services Department, 601.E, Kennet. Blvd AG" floor, Tampa, Florida
REASON FOR ISSUANCE OF THIS ADDENDUM: TTT INFORMATION INCLUDED HEREIN IS HEREBY.
INCORPORATED INTO THE. CONTRACT DOCUMENTS OF THIS PRESENT RFA MATTER. AND
SUPERSEDES ANY CONFLICTING CONTRACT DOCUMENTS OR PORTION THEREOF
PREVIOUSLY ISSUED:
4. “Shouldn't question #3 of Section 2.4 be Attachment number 18 and not 192” Yes, please
‘change question to read Attachment XVII
Seat copies of appropriate insurance coverage for service being proposed, submit as
9 IACHIMENT XVII you do not have the current nis listed under Exhibit G #1, please provide
acuncantation that your agency has the abil to provide ‘the appropriate insurance coverage
SReatve at the beginning of the contract period. Insurance fimits for each service category are
provided in Exhibit G.
2. "Shouldn't question #1 of Section 3-1 be Attachment number 19 and not 202” Yes, please
‘change question to read Attachment XIX
{Complete and include the Consition of Award Budget form attached as ATTACHMENT 0%,
Gomplete and include the budget narrative which Gescribes job duties for listed staff, and
Jeaetisons of other Hines. The line tem budget must Pe ‘completed. Administrative costs cannot
sect of the budget submited, which includes Fart ‘and utilities. Travel expenses must
Comply with COUNTY standards and allowance fot Part A funding, Mileage shall not exceed the
arnt rata for Part A. No out-ot-state travel Is allowable under this grant
3, “Please provide the formula for dividing 4p service category awards.”
Different service categories may require differing ‘award formulas. There are huge variances in
cleatfons, from as low as $25,000 up to $1,737,625 Per ‘county per service category. There are
aca variances within cattain categories, depending 0” the number of applicants, the amount
arrerefy allocated and the amount of funds requested iO" ‘with the numberof clients to be served,
oir of unit to bo provided, sub-populations, a8 Wel ‘ther possible considerations. Additionally,
Tealth Insurance Premiuin and Cost Sharing Assisia)ce for Low-income Individuals and AIDS
Pharmaceutical Assistance funding will not be divided to fund multiple agencies. With regard fo
‘Addenduin No. One (4)
RW1-17.
Page 1 of 2these two service categories, cient choice rot paramount, and administrative costs would be
significanly reduced by funding only one ack ‘along with other efficiencies. Therefore, asingle
Tenuta will not be employed. Instead, because iano ware many facirs to be considered, he |
REPARTMENT, with input from the scoring tears hese make the best possibie decisions for the |
OE INTY and residents so that no harm s brouaht to the existing Ryan White Program. |
4. Attach are the fina allocations from she Gare Council meeting. |
{tis attached as Attachment | |
5, “May wo got a copy of the Scoring Form that wil be used by the scoring team?
Yes, it js attached as Attachment I
Receipt of this Addendum Is hereby acknowledged by the undersigned Applicant. \
ATTEST: fi ita
‘Adthoriedd Siar
- tue
nA Mecelin gf Obst