HomeMy WebLinkAboutResolutions - 1987.08.13 - 17953MISCELLANEOUS RESOLUTION 87196
BY: FINANCE COMMITTEE, DR. G. WILLIAM CADDELL, CHAIRPERSON
IN RE: HEALTH DIVISION - 1986-87 CONTREHENSIVE PLANNING, BUDGETING AND
'CONTRACTING (CPBC) ACCEPTANCE
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Mr. Chairperson, Ladies and Gentlemen:
UEREAS Miscellaneous Resolution 1186186 requires the Finance Committee
to review acceptance of all grants or reimbursement contracts that vary
less than fifteen (15) percent from the original grant/reimbursement
contract application; and
WHEREAS the Finance Committee has reviewed the 1986-87 CPBC contract
as approved by the Michigan Department of Public Health and finds the
Contract award in the amount of $4,224,493, the same as the original
Contract application for the period October 1, 1986, through. September 30,
1987; and
WHEREAS this Contract award has been reviewed and approved as to form
by the Office of Corporation Counsel; and
WHEREAS application or acceptance of the Contract award does not
obligate the County to any future commitment.
NOW TrEEP-,EFOI:I., BE IT RESOLVED that the Board of Commissioners accept
the 1986-87 CPBC Contract in the amount of $4,224,493.
BE IT FURTHER RESOLVED that the Chairperson of the Oakland County
Board of Commissioners be and is hereby authorized to execute said
Contract.
BE IT FURTHER RESOLVED that the Chairperson of this Board is hereby
authorized to approve minor changes and Contract extensions, not to exceed
a fifteen percent variance, which are consistent with the Contract as
approved.
BE IT FURTHER RESOLVED that the necessary budget amendments are hereby
authorized as detailed in the attached schedule.
Mr. Chairperson, on behalf of the Finance Committee, I move the
adoption of the foregoing resolution.
FINANCE COMMITTEE
H • - APPROVE THE FOREGOING RESOLUTION
-- y tylecutivel .04 Daniert Murphy
1986
Award
Amount
$2,261,161
-0--
243,560
343,666
714,639
8,000
635,896
70,320
COMPARISON OF
1986 - 87 CPBC AWARD
WITH 1987 BUDGET
Cost Sharing
Preventive Health Block Grant
Maternal & Child Health
Block Grant
Family Planning Grant
Early Periodic Screening
Detection & Treatment
(EPSDT) Grant
Sudden Infant Death Syndrome
-*man, Infants & Children Grant
Hypertension Control Grant
Service to Crippled Children Grant 157,255
Prenatal, Post Partum Care Grant 119,784
1986-87
Application
Amount
$2,210,880
32,772
209,741
250,210
480,579
8,000
610,6/1/4
67,854
176,013
177,800
Variance
Increase
(Decrease)
$( 50,281)
32,772
(33,819)
(93,456)
(234,060)*
-0-
(25,252)
(2,466)
18,758
58,016
TOTAL GRANT $4,554,281 $4,224,493 $(329,788)
EDT Fee Revenue -0- 233,285 233,285
TOTAL $4,554,281 $4,457,778 $ (96,503)
The EPSDT Grant is included in the CPBC application for the first time
thLs year. It is comprised of two components: EPSDI Clinic and EPSDT
Outreach. Outreach is classified as a categorical grant for the entire
fiscal period in the amount of $123,243. However, for the clinic, only
the first six months is a categorical grant in de amount of $357,336;
the second six 'months is on a straight fee-for-service basis with fees
estimated to be $233,285 - this offsets a portiaacf the $234,091 variance
shvn for the EPSDT Grant. Thus, in addition to the above budget
amendments, the Health Division's charge for Services Revenue Account
slould be amended to reflect the estimated increase of $233,285 in fees.
*(1.4) County CHAMPS Development *(3.1C) County ppc
"(l-4) Grant CHAMPS Developtent **(3.1C) Grant PPC
* Cost Sharing Element
** Categorical Grant Element or Reimbursement Element
MDPH
7/8/87 Page 1
AGREEMENT BETWEEN
THE MICHIGAN DEPARTMENT OF PUBLIC HEALTH
(hereinafter referred to as the "Department")
and
OAKLAND COUNTY
• (hereinafter referred to as the Local Governing Entity)
on Behalf of OAKLAND COUNTY Health Division
(hereinafter referred to as the "Agency")
Federal Identification Number (Local Governing Entity) P38 -6004876 W
for
THE DELIVERY OF SPECIALLY DESIGNATED HEALTH SERVICES
• FOR THE PERIOD
October 1, 1986 through September 50. 1987
In the total amount of $ 4,224,493
I. Purpose
This agreement Is entered Into for the purpose of ensuring the provision
of health services by the Agency to specified populations in accordance:.
with the Michigan Public Health Code (P.A. 368 of 1978, amended), ruies.
promulgated under the Code, and all applicable Federal, State and local
laws and regulations.
This agreement supersedes the 1986 Comprehensive Health Services agree—.
ment for the final three months of that agreement from October 1, 1986 .
through Det.ember 31, 1986..
The following program elements are covered under this agreement:
* * *(1.) Office of the Director
*(1.) Word Processing
*(5.1) Health Education
*(1.) Central Services
*(1.) Accounting
*(5.2) Nutrition
Laboratory
X--Ray
Prev. Health Block Grant
General Env. Health
*(2.1) Food Services
*(2.5A) On-Site Sewage Disp.
*(2.6A) Private Grnd Water
*(2.6B) Supervising Water System
*(2.6) Super Public Swim Pools
Animal Control
*(4.1C) Other Inf Dis-TB Control
*(4.1B) Sexually Transmitted Disease
*(4.1C) Other Inf Dis - County Aids
**(4.1C) Other Inf Dis - Grant Aids
Other Inf. Diseases
*(4.20) Chronic pis Prey & Control
*(4.2A) Gen & Meta Dis Prev & Cont
*(4.2B) County Hypertension Prev & Cont
**(4.2B) Grant Hypertension Promotion:-
*(4.2C) Dental Health
*(4.2C) Substance Abuse County
**(4.2G) Substance Abuse Grant
*(4.21-j) Serv Crip Children County
**(4.2H) Serv Crip Children Grant
*(4.2E) Mental- Health Promotion
21.62..1E/LILEatal _
-*(6.1E) Nursing Home Review
Jail Health
**(3.2H) Sudden Infant Death
Syndrome
*(3.2F) County WIC
**(3.2F) Grant WIC
*(4.1C) County TB Outreach
**(4.1C) Grant TB Outreach
Clinic
*(4.1A) Immunization
II. Attachments'
-
Program elements (continued):
*(3.2A) County MOB Block Cr
**(3.2A) Grant MCH Block Gr
*(3.1B) County Family Ping
**(3.1B) Grant Family Ping '
*(3.1A) Maternal Inf Child Hlth
*(3.2A) Inf Child Health Care
*(3.2I) EPSDT County
**(3.2I) EPSDT 3/31/87
**(3.2I) EPSDT Clinic
**(3.2I) EPSDT Outreach
*(3.2B) Adolescent Hlth Prom.
*(3.2C) Hearing
*(3.2D) Vision
*(3.3A) Gerontological Hlth
*(3.20) School Hlth. Serv.
Field Nursing
PPHS Admin
*(6.1C) Emergency Medical Services
*(1.6) Disaster Control
This agreement incorporates by reference the following attachments:
Attachment 1 Program Budget Summary
Attachment 11 Program Plan
Attachment 111 Program Specific Assurances and Requirements
Attachment IV Performance Contracting Provisions (as applicable)
* Cost Sharing Element
** Categorical Grant Element or Reimbursement Element
Page 2 ,
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7/8/87
11 s-
III. Objectives and MetholcoLogy. . . . . . . •
The individual program objectives to be achieved by the Agency under .,
this agreement, and the methodologies to be used In achieving those
objectives, are those described In all the attachments to this
agreement. .
IV. Agency Responsibilities and Assurances .
The Agency agrees:
A. To abide by the terms of this agreement including all attachments:,
B. To comply with requirements of the federal Single Audit Act of 1984 O,'
and provide to The Department copies of any audits performed for or ..:
of the agency on any program elements covered by this agreement. HI
C. To utilize all report forms and reporting formats required by the ...
Department.
D. To permit upon reasonable notification and at reasonable times, ,
'authorized representatives of the Department, Federal Grantor .
' Agency, and Comptroller General of the United rStates to review all e. r
records of the Agency and Its subcontractors and recipients to
satisfy audit and monitoring purposes.
E. To immediately notify the Department, in writing of any action by •
Its governing board or any other funding source.. which would require •
or result In modification in the provision of services or funding Oro. '
compliance with operational procedures. • -
F. Inform the Department of any employee assigned to programs covered .
under this agreement who has retiree from State of Michigan employ-
ment under Acts 2 and 3 of P.A. 1984 (Early Retirement Program).
monthly report shall be required on the first of each month report-
ing the names of State early retirants who performed work in the o
previous month on the program(s) covered under.this agreement. Such .
reports are not required for any State early retirant who reaches
the age of 62 years.
G. To assure that ell reasonable efforts will be made to collect 1st e
and 3rd party fees, where applicable, and report these as outlined .
by the Departments fiscal procedures. .
H. To assure that all applicable federal and state laws, rules and
regulations effective during the contract period and policies issUed.:
by the Department through June 30, 1987 will be complied with In e_ .
carrying out the terms of this agreement. Minimum program require-..H .
ments Issued to the Agency after June 30, 1987 will be promulgated :..
In accordance with the standards development process approved by the .
CPBC Advisory Committee. .
I. To maintain adequate program and fiscal records and flies including • '
source documentation to support program activities and expenditures
mace under the terms of this agreement.
Page 3
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7/8/87
II ree,
V. ___..L.—Dearimen t.2.1.1.21...P 1-11.111MLs
The Department agrees:
A. To abide by the terms of this agreement including all attachments.
B. Provide any report forms and reporting formats required by the
Department.
C. To make technical assistance available to the Agency for the
Implementation of this agreement.
-
D. To notify the Agency In writing of modificatione.to Federal or State.
laws, rules and regulations affecting this agreement.
E. To identify for the Agency relevant laws„.rules, regulations,
policies, procedures, guidelines and State 'and Federal manuals.
F. To notify the Agency in writing within thirty (30) calendar days of
any modifications in agreement funding commitments made necessary by':
action of the Federal Government. the Governor the Legislature or
the Department of Management and Budget on behalf of the Governor or,'
the Legislature.
G. To comply with, enforce, and carry out all applicable provisions
contained In Federal grant awards and their attendant rules, regu
1-Tons and requirements.
H. To reimburse local agencies for costs based upon timely, accurately
completed Financial Status Reports within 30 calendar days of
receipt In good order of such reports.
VI. Frogramn Budget_agLiia_mtlagli_a r eern n t
A. IrAtILJEklg.ki
The total budget and agreement amount for the period covered by this •
agreement shall be The Department and the Agency;'
under the terms of this agreement shall, subject to availability and '
other applicable conditions, provide funding as'.shown In Attachment -
1, the Program Budget Summary.
The Agency E x is] [ is not] operating under the "performence"•
option. If operating under the performance option, the Agency shall
comply with the provisions of Attachment IV. r
Agencies shall comply with maintenance of effort requirements for cos+,
sharing as defined by statute, and Family Planning In accordance With '
federal requirements,.
B. kulattir_a_nafimjnsLAautpe_ati
1. The Agency Is authorized to transfer any amount between budget '
categories ithin any program element which Is supported by
• other than state/federal categorical funding sources, Transfer
Page 4
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7/8/87
of funds between program elements not funded by state/federal
categorical funding sources and local funding increases or
decreases in these program elements are also authorized without
Department approval, but adjustments in excess of $100,000 or
twenty-five percent (25%), whichever is less, of the affected,
element must be reported to the Department as such adjustments
affect cost sharing allocations and rates. '
2. Transfers between categories within any program element budget o
supported In whole or In part by state/federal categorical
sources of funding shall be limited to increases in a budget
category by $1,000 or fifteen percent (15%) Whichever is greater.'
unless otherwise stated In the program-specific requirements
contained in Attachment III. This transfer authority does not
authorize purchase of additional equipment items with state/
federal categorical funds without prior written approval of the '
Department. .
3. Any transfers or adjustments affecting categorical program
elements or cost sharing net allowable costs, other than those
covered by the above provisions, including any related adjust-
ment to the total state amount of the budget, must be made in
writing through a formal amendment executed by all parties to . •
this agreement before they can be implemented. In no case,
however, Is the Agency prohibited from making transfers or
adjustments that do'not affect categorical program elements or
that do not materially affect cost sharing funds obligated under
this agreement.
.0 .Eoulement PurcheMaILAEISULLLQ •
Any equipment purchases supported In whole or in part by the Depart-.
Mont with categorical funding must be detailed In an attachment to
the Program Budget Summary whenever the equipment item has a single. • ..
unit value of $300.0r more and a useful life of More than one (1)
year. Title to equipment or other nonexpendabie personal property . .. ,
having a unit acquisition cost of less than $1,000 shall vest with
the Agency upon acquisition, except as noted le .the special require-'' .: ..
ments of Attachment III. The Department reserves, the right to . . . .
retain or transfer the title to all Items of equipment and • ' . .
nonexpendabie personal property having a unit acquisition cost of . -•:, .-
$1,000 or more. - . . . . . . . . .
D. aatina
I. Funding for this agreement shall be provided from the applicable
and available Department appropriations for the 1986-87 flscal.:.
year. The Department-provided funds shall be as stated in the
approved Program Budget Summary (Attachment 1), the Program -
Specific Assurances and Requirements (Attachment 111), and as
outlined In this section.
2. The funding provided through the Department .for this agreement ":
shall not exceed the amount shown for each federal and state
categorical. program element except as adjusted by amendment.
• Page 5
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7/8/87
Total MPH funding $4,224,493
I/ if
The Agency must advise the Department In writinglly June 1. .
1987, If the amount of Department funding may not be used in its-: •
entirety or appears to be insufficient for any program element.
3. The Department, In response to legislative intent, may periodi-
cally red1stribute4unds between agencies during the agreement
period based upon expenditure patterns and demonstrated need in:
order to minimize funding lapses. Such redistributions will be .
based upon projections obtained in consultation with the
agencies, will be In accordance with allocation procedures
established after review of funding policies with MALPH, and
will provide for an appeal process for individual agencies . .
affected by such redistributions. •
Emgram Element
Cost Sharing
Preventive Health Block Grant
MCH Block Grant
Family Planning
EPSDT 10/1/86 - 3/31/87
EPSDT Outreach
SIDS
WIC
Hypertension
Services to Crippled Children
PPC
Allocation Totaj MDPH Fundinci-
$2,210,880
32,772
209,741
250,210
357,336
123,243
8,000
610,644
67,854
176,013
177,800
Page 6
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7/8/87
I /1
VII. General Provisions
A. Amendments
I. This agreement Including attachments may be amended by mutual
written consent of.the Agency and the DepartMent. When sub°
elitting a proposed agreement/budget amendment, the Agency must
also'revise or amend its Program Plan, and submit copies of the
revised sheets and a summary description of the changes.
2. In the event that circumstances occur that are not reasonably
' foreseeable, or are beyond the Agency's or Department's control,
which reeuce or otherwise Interfere with the Agency's or
Department's ability to provide or maintain specified services
or operational procedures, Immediate notification must be
provided to The other party and an amendment To this agreement •
negotiated.
3. Amendments to this agreement shall be made as follows:
a. An amendment affecting the scope of work under a program
element; the agreement period; the Department funding
amount; or the total funding amount of an element shall be:
Initiated by the Agency, immediately upon determining the
need for any such change. •
b. Other amendments of a routine nature are to be submitted to e
the Department only during the first fifteen (15) calendar
days Of February, May and August. Such amendments induce •
applicable changes In budget categories; modified indlrect.
rates, and similar conditions which do not modify the
agreement scope, amount of -funding to be provided by the
Department or, the Total amount of the bieoget.
B. Agreement Compliance/Termination
I. This agreement or any portion related to a particular program
element may be terminated by either party by giving ninety (90)
aays written notice to the other party stating the reasons for
termination and effective date. It may also be terminated upon'
the failure of either party to carry out the terms of the
agreement, by giving thirty (30) days written notice to the
other party stating cause and effective date.
2. Upon any such termination, the Agency shall be reimbursed for
all authorized and necessary expenditures Incurred up to the .
effective date of termination. Any funds in the Agency's
possession as of the effective date of termination, which are In
excess of the amount required to reimburse the Agency for
authorized expenditures, shall be returnee to the Department.
Page 7
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7/8/87
C. Subcontracts
The Agency may subcontract for the provision of any of the services
specified In this agreement, but shall comply with the terms and
conditions for authorizing and approving subcontractors In
accordance with the provisions of subcontract administration
policies issued by the Department.
I, The Agency shall assure, for any subcontracted service, activity -
or product:
a. That a written subcontract Is executed by all parties prior
to The initiation of subcontract activity. Exceptions to
This policy may be granted by the Department upon written
request.
. That any executed subcontract becomes part of this agreement:
and shall require the subcontractor to Comply with all
applicable terms and conditions of this agreement. In the
event of a conflict between this agreement and the
provisions of the subcontract, the provisions of this
agreement shall prevail.
A conflict between this agreement and a subcontract, how-
ever, shall not be deemed to exist where the subcontract:
1) Contains additional non-conflicting provisions not set
forth in this agreement;
2) Restates provisions of this agreement to afford the
Agency the same or substantially the same rights anc
privileges as the Department; or
3) Requires the subcontractor to perform duties and/or
services in less time than that afforded the Agency in .
this agreement.
c. That the subcontract does not affect the Agency's
accountability to the Department for the subcontracted
activity.
d. That any billing or request for reimbursement for sub-
. contract costs is supported by a valid subcontract and
adequate source cocumentation on costs and services.
2. Subcontracts In support of programs or elements utilizing funds
provided by the Department, the State of Michigan or the federal
government In excess of $10,000 shall contain provisions or
conditions that will:
Allow the Agency or Department to seek administrative,
contractual or legal remedies in instances In which the
contractor violate* or breaches contractaterms, and provide'
for such remedial action as may be appropriate.
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7/8/87
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ci ) I)
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7/8/87
101 (
b. Provide for termination by the Agency, including the manner
by which termination will be effected and the basis for
settlement,
3. All subcontracts In support of programs or elements utilizing
funds provided by the Department, the State of Michigan or the
federal government of amounts in excess of $100,000 shall
contain a provision that requires compliance .wIth all applicable
standards, orders or regulations issued pursuant to the Clean
Air Act of 1970 (42 U.S.C. 1857 J seq.) and the federal Water
Pollution Control Act (33 U.S.C. 1251 et sec.) as amended.
4. All Subcontracts and subgrants in support of4trograms or
elements utilizing funds provided by the Department, The State
of Michigan or the federal government in excess of $2,000 for
. construction or repair, awarded by the Agency shall include a-
provision:
a. For compliance with the Copeland "Antl-kickback" Act (18
U.S.C. 874) as. supplemented in Department.of Labor
regulations (29 CFR, Part 3).
b. For compliance with the Davis-Bacon Act (40 U.S.C. 276a to
a-7) and as supplemented by Department of Labor regulations
(29 CFR, Part 5) (if required by Federal Program
Legislation).
c. For .compliance with Section 103 and 107 of the Contract Work
Hours and Safety Standards Act (40 U.S.C. 327-330) as
supplemented by Department of Labor regulations (29 CFR,
Part 5). This provision also applies to all other contracts .
In excess of $2,500 that involve the employment of mechanics .
or laborers.
D. Independent Qentractor.
The Agency shall be considered an independent contractor and not as ,
en. employee or agent of.the Department in carrying out the terms of
this agreement.
E. Civil Rights
Assurance is hereby given to the Michigan Department of Public
Health, that in accordance with Title VI of the Civil Rights Act of
1964 (42 U.S.C. 20000 el .), Section 504 of the Rehabilitation
Act of 1973 (29 U.S.C. 706), the Regulations issued thereunder by
the U.S. Department of Health and Human Services (45 CFR Parts 80,
84, 86 and 91), the Age Discrimination Act of 1975 (42 U.S.C. 6101
et seq.), the Michigan Handicappers' Civil Rights Act (1976 PA 220),
and the Elliott-Larson Civil Rights Act (1976 PA 453), no individual
shall, on the ground of race, creed, age, color, national origin or
ancestry, religion, sex, marital status, or handicap be excluded
from participation, be denied the benefits of, or be otherwise
subjected to discrimination under any program or activity provided
by this Agency.
Page 9
F. .ClEilAk2121111
• All Information as to personal facts and circumstances obtained by.
Agency personnel In connection with the provision of services or
other activity under this agreement shall be privileged communica-
tion, shall be held confidential, and shell not be divulged without •
the responsible person's written consent, except as may be otherwise
required by applicable law or regulation. Such Information may be :
disclosed In summary, statistical, or other form which does not •
directly or Indirectly Identify particular individuals
G. Conflict of Interest
The Agency will establish sateguards to prohibit employees from
- using their positions for a purpose that Is, or gives the appearance
of being a conflict of interest, or motivated by a desire for
private gain for themselves or others with whom they have family, -
business or other ties.
H. Continuation
In the event that a new agreement is not signed by the expiration
date of this agreement, the terms, conditions and funding levels for,
programs and service elements containea herein shall remain in
effect, subject to legislative appropriation and a written authori-
zation from the department for a period not to exceed ninety (90)
days, unless otherwise specifically provided for. By mutual consent
this continuation period may be extended.
1. Publical-101
Any program reports, articles, and publications that result from
information gathered through use of state or federal funds must
acknowledge receipt of that support from the Department and/or the
appropriate federal agencies.
J. Waiver
Any clause or condition of this agreement found .to be an Impediment
to the intended and effective operation of this agreement may be
waived In writing by the Department upon presentation of written
justification by the Agency. Such waiver may be temporary or for
the life of the agreement and may affect any or all program elements'
covered by this agreement.
K. SeverabliltY
If any provision of this agreement or any provision of any document e
attached to or Incorporated by reference is waived or held to be
Invalid, such waiver or Invalidity shall not effect other provisionS'e
of this agreement.
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.1=4:
MDPI-1
7/8/87
Financial Payment aaa_Bwortine
A. Monthly Reporting
Financial Status Reports (FSR/s) shall be prepared and submitted to
the Department on a monthly basis, not later than thirty (30) days
after the close of each calendar month. The monthly Financial
Status Report must reflect total actual program expenditures,
regardless of the source of funds. The Department will reimburse '
the Agency for expenditures reported in accordance with the terms .
and conditions Identified for each program element laentIfIed in
Attachment 19 the Program Budget Summary and other relevant -
conditions of this agreement.
The Agency should allocate costs to all program elements/projects
monthly and claim all appropriate reimbursements. Agencies, as a
minimum, must allocate costs to all program-elements on the
Financial Status Reports submitted for the last month of each
quarter, I.e., December, March, June and September.
Individual program FSRIs and quarterly cost sharing FSR/s shall be
used until a consolidate° reporting system has been implemented.
B. Operating Funds
An operating advance may be requested by the Agency. The monthly
Financial Status Report will be utilized to regularly replenish the .
Agency's operating funds.
C. Final Report
The Agency shall have an additional fifteen (15) clays to submit the .a . .
• Financial Status Report for the final month of the agreement period. The report must Include, accoraing To instructions, all
commitments and obligations incurred prior to the. endof the .
agreement period. Any delay in the submission of the final report ea -
shall result in the withholding of funds In the 'succeeding period.
Any unobligated balance of funds on hand in the Agency at the end of .
the agreement period will be returned to the Department or treated :
in accordance with instructions provided by the Department.
' • • IX. ContractIna Authority and Certification . .
. .
This agreement shall be subject to the written approval and signature of a '
the parties to the agreement and shall not be binding until so approved -a-.
and executed. Only the Department director or his/her delegate shall .
have the expressed, implied or apparent authority to alter, amend, . . modify or waive any clause or condition of this agreement. Furthermore,' -:'
any alteration, amendment, modification or waiver of any clause or
condition of this agreement or Its attachments is not effective or •
binding unless made In writing and signed by the responsible Department -
authority and the party authorized to sign such Instruments on the
behalf of the Local Governing Entity. ,
Page 11
• .
The individuals signing this agreement certify by their signatures that
they are authorized to sign this agreement on behalf of the responsible
Local Governing Entity and the Department respectively.
X. Signatures
LOCAL GOVERNING ENTITY:
Typed Name and Title
Signature
MICHIGAN DEPARTMENT OF PUBLIC HEALTH:
Date
Typed Name and Title
SignatOre
RECOMMENDED BY.
Date
Typed Name and Title
Signature Date
Page 12
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7/8/B7
REPORT TO THE CHAIRPERSON, OAKLAND COUNTY BOARD OF COMMISSIONERS
BY: DEPARTMENT OF MANAGEMENT AND BUDGET,
IN RE: HEALTH DIVISION - 1986-87 COKPREHENSIVE PLANNING, BUDGETING, AND
CONTRACTING (CPBC) APPLICATION ,
The Department of Management and Budget has reviewed the CPBC
application and finds:
1) This is an ongoing grant and reirbbrsement agreement funded by the
Michigan Department of Public Health. All categorical grants •
included in this contract are 100% funded except for the cost
sharing and sudden infant death syndrome agreements which are
reimbursement agreements.
2) The application covers the fiscal year October 1, 1986 through
September 30, 1987. This contract will supersede and amend last
year's contract which was for the• calendar. year January 1, 1986,
through December 31, 1986.
3) The amounts included in the application are detailed in the
attached schedule.
4) Included in the 1987 budget for cost sharing is $2,261,161 as
compared with this application Which amounts to $2,210,880 or .
$50,281 less. Further, the categorical grants will entail
appropriate budget amendments at the tipf acceptance.'
5) Since the grant period is well under way,prior to final grant
acceptance, the personnel changes have been brought before the
Personnel Committee as necessary.
6) Application or acceptance of the contract does not obligate the
County to any future commitment.
In accordance with Miscellaneous Resolution #86186, revised federal and
state grant application and reimbursement contract procedures, this report
is being submitted to the Chairperson of the Board of Commissioners.
Informational copies:
- Health and Human Services Cormuittee
- Finance Culunittee (copy of application to Committee Reporter)
Preventive Health Block Grant 32,772 32,772
COMPARISON OF:
1986 - 87 CPBC . APPLICATION
WITH 1986 AWARD '
Cost Sharing
1986 ' 1986-87 ' Variance
Award 'Application increase
Amount -Amount ' (Decrease)
$2,323,389• $2,210,880 ' $(112,509)
Maternal & Child Health
Block Grant
Family Planning Grant
243,560 209,741 (33,819)
248,666 250,210 1,544
Early Periodic Screening
Detection & Treatment
(EPSDT) Grant 714,670, 480,579 (234,091)*
Sudden Infant Death Syndrome 8,000 8,000 -0-
Women, Infants & Children Grant 635,896 610,64/1 (25,252)
Hypertension Control Grant 70,320 . 67,854 (2,466)
Service to Crippled Children Grant 157,255 ' 176,013 18,758
Prenatal, Post Part= Care Grant 119,784 177,800 58,016_
TOTAL $4,554,312 $4,224,493 $(329,819)
*The EPSDT Grant is included in the CPBC application for the first time
this year. In the past, it had been applied for separately, It is .
comprised of two components: EPSDT Clinic and EPSDT Outreach. Outreach
is classified as a categorical grant for the entire fiscal period in the
amount of $123,243. However, for the clinic, only the first six months is
a categorical grant in the amount of $357,336; the second six months is
on a 8traight fee-for-wvice basis with: fees estimated . to be $233,285 -
this offsets a portion of the $234,091 variance shown fOr the .EPSDT Grant.
()
ELLEN, Oakland County Clerk
Resol.
August 13, 1987 '
Moved by Caddell supported by Angus McPherson the reSolution be
adopted.
AYES R. Kuhn, S. Kuhn, Lanni, Luxon, McConnell, McDonald,
A. McPherson, R. McPherson, Moffitt, Nelson, Page, Perinoff, Pernick, Rewold,
Rowland, Skarritt, Wilcox, Aaron, Caddell, Calandro, Crake, Doyon, Gosling,
Hobart, Jensen. (25)
NAYS: None.
A sufficient majority having voted therefor, the resolution was
adopted.
STATE OF MICHIGAN)
COUNTY OF OAKLAND . • •
• • •
I, Lynn D. Allen, Oakland County .CTerk/Register of Deeds, do hereby certify that the
foregoing resolution is a true and accurate Copy of a resolution adopted by the
Oakland County Beard Of Commissioners on •August 13 .198.7 with the original
record now rematning in my office.- -
• _
In Testimony Whereof, I have hereunto set my hand and affixed the seal of the County
of Oakland, Pontiac; Michigan this 13th day of