HomeMy WebLinkAboutResolutions - 1991.04.11 - 18358MISCELLANEOUS RESOLUTION 91050 March 14, 1991
BY: GENERAL GOVERNMENT COMMITTEE, RICHARD G. SKARRITT,
CHAIRPERSON
IN RE: DEPARTMENT OF INSTITUTIONAL AND HUMAN SERVICES/HEALTH
DIVISION-1990/1991 VENEREAL DISEASE REIMBURSEMENT
AGRELMiNT ACCEPTANCE
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Mr. Chairperson, Ladies and Gentlemen:
WHEREAS pursuant to Miscellaneous Resolution #89105 the Health
Division applied to the Michigan Department of Public Health (MDPH)
for $65,946 to reimburse the County for venereal disease testing
for the period October 1, 1990 through September 30, 1991; and
WHEREAS the MDPH has awarded the Oakland County Health
Division a 1990/1991 reimbursement agreement in the .amount of
$55,000, $10,946 or 17% below the application amount; and
WHEREAS the award is in the amount that was anticipated in the
1991 Budget, therefore no budget amendments or additional County
resources are required to perform this approved function; and
WHEREAS the Office of Corporation Counsel has reviewed this
agreement and approved it as to legal sufficiency; and
WHEREAS acceptance of this agreement does not obligate the
County to any future commitment.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of
Commissioners approves the 1990/1991 Venereal Disease Reimbursement
Agreement with the Michigan Department of Public Health in the
amount of $-55,000 and that the Chairperson of the Board is
authorized to execute the reimbursement agreement and to approve
amendments and extensions up to a fifteen percent (15%) variance from
the award which are consistent with the agreement as originally approved.
Mr. Chairperson, on behalf of the General Government
Committee, I move the adoption of the foregoing resolution.
GENERAL GOVERNMENT COMMITTEE
.PROGRAM BUDGET SUMMARY
Contract No. 1Rev.
Venereal Disease Reimbursement 10/1/90 To 9/30/91 I 12/19/90
Origibal
Budget
Amended
Budget
1 Agency •
,Oakland County Health Division
mendment
umber._
Slate ZPOode
MI 48241
Employer Identification Nc
P38 6004876W
LOCAL BUDGET
>0 City
1200 N. Telegraph Road, Pontiac
CA I EGORY
1 1 Salaries & Wages
2 Fringe Benefits
TOTAL
BUDGET
47,508
18,438
CURRENT YEAR I SUBSEQUENT CURRENT SUBSEQUENT
PORTION YEAR PORTION YEAR 19 I YEAR 19
3 I Travel
4 I Supplies & Materials
Contractual (Sub-Contracts)
1 of Page
AGREEMENT BUDGET
Ararn Code ludget Period 00Ie Prepared
Other
Expenses: 7
TOTAL DIRECT
Indirect Costs
Other Cost
Distributions
TOTAL EXPENDITURES
Less:' Fees & Collections
FUNDS REQUIRED
8
9
10
11
12
-13
Equipment
14 I State Agreement
Local
Federal
1 17 Other
18 TOTAL FUNDING
SOURCE OF FUNDS
CERTIFICATION: I certify that I am authorized to sign on behalf of the local agency. This budget represents cost necessary for the
administration and operation of the program. Adequate documentation and records will be maintained to support all required program
expenditures.
NAME: TITLE: DATE:
Completion is a Condition of Funding. Aulhoniy. P.A-3613 ol 1973
PROGRAM BUDGET POSITION SCHEDULE Page 2 3or .
: tt4
Code T _ Budget Period
- 10/1/90
Original --S,
Budget
TOTAL
SALARY
16,933
30,575
POSITION DESCRIPTION
Typist II
Medical Technologist
,POSITIONS v ANNUAL
• REQUIRED .1"\ SALARY
47,508
Authonty: P.A.368 ol 1975
mm
n 'nereal Disease Reimbursement
n akland County Health Division
Date Prepared
To 9/31/91 112/19/90
Amended n Amendment
Budget Number
COMMENTS
Completion 15 a Condition of Funding
3 ot PROGRAM BUDGET - COST DETAIL SCHEDULE Page
code Budget Period Date Prepared
venereal Disease Reimbursement 10/1/90 TO 9/30/91 12/19/90
,,. AGENCY Original Amended 1 I Amendment
akland County Health Division BudgetI Budget I Number
_
I SUB-CATEGORY/
DESCMPTION QUANTITY aEm CATEGORY , TOTAL , TOTAL
1 FRINGE BENEFITS . _ .
Worker's Compensation 481
Hospitalization Insurance 3,647
Life & Accident Insurance 146
Retirement 8,979
Social Security 3,634
Salary Continuation Insurance 399
Unemployment Insurance ' . 54
Dental Insurance 1,038
Optical Insurance 60 _
. TOTAL FRINGE BENEFITS 18,438
.. . . , .
,
'
..,
-
n!'4 ,A15
Completion is a Condition of Funding. Authenty: P A.368 of 197a.
Agreement Between
Michigan Department of Public Health
hereinafter referred to as the "Department"
and
Oakland County Health Department
hereinafter referred to as the "Agency"
Federal ID #38-6004876
for
Venereal Disease
for the period
October 1, 1990 through September 30, 1991
1. Purpose
To provide funding and resource support to the Agency Venereal Disease
Program in order to maintain and enhance existing clinical/prevention
services which will contribute to the comprehensive Sexually
Transmitted Disease (STD) Control strategy in Michigan.
2. Objectives
To continue to develop and maintain in the Agency a comprehensive
sexually transmitted disease control program designed to interrupt the
transmission and prevent complications of sexually transmitted
diseases.
3. Methodology and Program Content
State contract funding, in addition to the assignment of state-employed
disease intervention specialists (detailed in section 6 of this
agreement), will support the Agency in developing, maintaining, and
evaluating activities in the following areas:
a, Diagnostic, treatment, and patient-care services..
b. Early syphilis epidemiology.
c. Reactive syphilis surveillance and follow-up.
d. Gonorrhea epidemiology, with emphasis on resistant strains.
e. Gonorrhea screening and follow-up.
f. Surveillance and case intervention activities directed toward private
1 •
sector case reports.
g. Professional and public information/educational programs with emphasis
on patient behavior modification, to contribute to the overall
reduction in the prevalence of STDs.
Ii. Staff training.
i. HIV and other STD activities, as deemed appropriate and agreed upon
between the Agency and the Department.
A. Program Budget and Agreement Amount
The Department, under the terms of this agreement, will provide funding
not to exceed $55,000. This amount must be supported by a completed and
signed Program Budget Summary and supporting detail schedules hereby made
part of this agreement.
Any equipment purchases supported in whole or in part through this
agreement must be detailed in the supporting detail schedule. Equipment
means tangible, nonexpendable, personal property having a useful life of
more than one (1) year and an acquisition cost of $500 or more per unit.
Title to equipment or other nonexpendable personal property having a unit
acquisition cost of less than $1,000 shall vest with the Agency upon
acquisition. The Department reserves the right to retain or transfer the
title to all items of equipment and nonexpendable personal property having
a unit acquisition cost of $1,000 or more, to the extent that the
Department' s proportionate interest in such equipment and personal property
supports such retention or transfer of title.
A deviation allowance increasing an established budget category by $1,000
is permissible without prior written approval of the Department. Any
modifications or deviations in excess of this provision including any
adjustment to the total amount of this agreement must be made in writing
and executed by all parties to this agreement before the modifications can
be implemented. This deviation allowance does not. authorize new
categories, subcontracts, equipment items or positions not shown in the
attached Program Budget Summary and supporting detail schedules.
This agreement is conditionally approved subject to the availability of
funds.
All funds provided under this agreement must be used for the intent and
purposes stated in this agreement and must not result in the supplanting
or reduction of existing funding. Any modification to this agreement must
be made in writing and executed by all parties to this agreement before
the modification can be implemented.
5. Responsibilities - Agency .
2
1
'
The Agency,'in accordance with the general purpose and objective of this
agreement, will:
a. Maintain adequate program and fiscal records and files including
source documentation to support program activities and all
expenditures made under the terms of this agreement, as required.
b. Permit upon reasonable notification and at reasonable times,
authorized representatives of the Department, Federal Grantor
Agency, Comptroller General of the United States, and any of their
duly authorized representatives, to the extent authorized by
applicable state or federal law, rule or regulation, to review all
records, files, and documentation related to this agreement.
c. Provide, consistent with regulation set forth by the federal Office
of Management and Budget, a copy of the annual audit of the Agency
to the Michigan Department of Public Health, Office of Budget and
Finance within 180 days after the ending date of the agreement.
This audit submission requirement pertains to all agencies which
receive $25,000 or more in aggregate state and federal funding.
Agencies receiving $100,000 or more in aggregate state/federal funds
are subject to an organization-wide financial and compliance audit
requirement (including a review of the internal control structure).
Agencies receiving State/Federal funds of $25,000 to $100,000 (or
non-profit organizations receiving $100,000 or more under only one
program) have the option of submitting an audit of the individual
award(s) in accordance with the laws and regulations governing the
program(s) in which they participate.
d. Submit examples of all proposed subcontracts to the Department as
part of the original plan and budget, for authorization under this
master agreement. Signed copies of all subcontracts will be
attached to the master agreement and retained for review at the
Agency. The Agency furthermore shall:
(1) require the contractor to comply with all applicable terms and
conditions of this master agreement. In the event of a
conflict' between this master agreement and provisions of a
subcontract, the provisions of this master agreement shall
prevail;
(2) assume all responsibility for any work performed under a
subcontract including appropriate compliance with all terms and
conditions of the master agreement;
(3) assure that any billing or request for reimbursement for
subcontract costs is supported by a valid subcontract and
adequate source documentation on costs and services.
3
g.
h.
e. Assure that all terms of the agreement will be appropriately adhered
to; and, that records and detailed documentation for the project or
program identified in this agreement will be maintained for a period
of not less than three (3) years from date of termination, the date
of submission of the final expenditure report, or until audit findings
have been resolved.
f. Assure that all purchase transactions, whether negotiated or advertised
shall be conducted openly and competitively in accord with the
principles and requirements of OMB Circular A-102 common rule or A-
110 as applicable, and that records sufficient to document the
significant history of all purchases are maintained for a minimum of
three (3) years after the end of the agreement period.
Inform the Department of any employee assigned to the Venereal Disease
Program who has retired from State of Michigan employment under Acts
2 and 3 of P.A. 1984 (Early Retirement Program). A monthly report
shall be required on the first of each month reporting the names of
State early retirants who performed work in the 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.
Assure that the requirements of the federal single audit act of 1984
are complied with.
i. Provide timely notification to the Department, in writing, of any
action by its governing board or any other funding source which would
require or result in significant modification in the provision of
services or funding or compliance with operations procedures.
Meet or make reasonable progress toward attainment of established
program standards of performance and Objectives in the following
program components:
(1) Diagnostic, treatment, and patient-care services.
Syphilis casefinding, prevention, and management.
(a) 95 percent of syphilis cases interviewed. This is achieved
by dividing the number of primary, secondary and early latent
cases interviewed by the total number of early cases reported.
(b) Sex partner index - 1.95. This number is achieved by dividing
the total number of sex partners initiated for investigation
by the total number of interviews performed.
(c) Bring to examination 85 percent of new contacts, cluster
suspects, and associates within 7 days. This is achieved by
1 •
(2 )
4
dividing the new examined contacts, suspects, and associates
by the total new initiated contacts, suspects, and associates.
Examine 90 percent of new initiated contacts, suspects
associates. This is achieved by dividing the number of
exams by the total number of new initiations.
(e) New treatment index - .65. This index is achieved by dividing
the total number of patients receiving medicine (i.e.,
"infected, brought-to-treatment" and "preventively treated")
by the total number of interviews performed.
Disease intervention index - .60. This number is achieved by
dividing the number of cases with new treatment by the total
number of cases interviewed.
(g) Cluster index - .65. This number is achieved by dividing the
total number of cluster suspects and associates initiated for
investigation by the total syphilis interviews performed.
(3) Gonorrhea casefinding, prevention, and management.
(a) Sex partner index - 1.00.
(b) 90 percent of new exams < 7 days.
(c) New treatment index - .55.
(d) Disease intervention index - .50.
(4) Information, education, and training.
The Venereal Disease Section of the Department has endorsed (and
distributed to all major STD clinics in Michigan) the CDC Quality
Assurance Guidelines for STD clinics as the standard for sexually
transmitted disease services. In addition, the Department's VD Section
has endorsed the following CDC Quality Assurance Guidelines as a
standard for program operations:
o Guidelines for STD Control Program Operations
o Guidelines for Managing the Performance of Disease Intervention
Specialists in STD Control
o Guidelines for STD Education .
o Guidelines on the Detection, Management, and Control of
Antibiotic-Resistant Strains of Gonorrhea
o Guidelines on the Control and Management of Congenital Syphilis
o Chlamydia Trachomatis Infections: Policy Guidelines for
(d) and
new
(f)
9.
p.
Prevention and Control
o 1989 Sexually Transmitted Disease Treatment Guidelines
The use of these guidelines proides a model base for developing
quality assurance systems that can have a positive impact upon disease
management and control efforts.
k. Provide the Venereal Disease Section of the Department, through
designated channels, source information records, reports, and data
required for program evaluation.
1. Provide the Venereal Disease Section of the Department the amount of
local and state cost-sharing funds to be used in support of venereal
disease program activities during this agreement period.
Provide the Venereal Disease Section of the Department budget data on
the expenditure of the $55,000 funded through this agreement only.
This information should be prepared and submitted on the attached
budget pages (FIN Forms 110, 114, and 115).
Provide the necessary administrative, professional, technical, and
clerical staff for the operation of the program.
Utilize standard reporting forms prescribed by the Department.
Assure that all applicable federal and state laws, guidelines, rules,
and regulations will be complied with in carrying out the terms of this
agreement, including submission of a copy of any audit report related
in whole or part to this program.
6, Responsibilities - Department
The Department in accordance with the general purposes and objectives of
this agreement will:
(a) Provide funds to supplement local resources during this agreement
period in an amount not to exceed $55,000, subject to the special
budgetary restriction provision indicated in section 4 of this
agreement, and based upon appropriate reports, records, and
documentation maintained by the Agency.
Provide any special report forms and reporting formats required by
the Department for operation of the program.
(c) Provide the following direct support in lieu of cash:
(1) Gonorrhea culture media required to meet established program
objectives.
(2) Timely feedback of statistical and other data related to on-going
program evaluation.
(3) Primary recommended drugs utilized in the treatment of STDs.
(b)
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(4) available information, education, training, and other
program materials;
(5) assistance in meeting training needs of program personnel;
(6) consultation, direction, and assistance in development of
STD program and educational activities;
(7) assignment of state departmental representatives will be
based on program need and availability of staff. The work
schedule will be established by the Agency to best fit its
program needs; responsibilities will be primarily STD
intervention and casefinding, with other program activities
agreed upon by Agency and Department.
d. Conduct an annual formal program review of the Agency's STD
services. The purpose of the review will be to evaluate the
degree of success achieved by the Agency in meeting or making
reasonable progress toward attainment of the professional
protocols, procedures and/or standards referenced under section
5, Responsibilities of the Agency. The written results of this
annual program review will be provided to the directors of both
the Department and Agency within ninety (90) days following the
end of this agreement period.
e. Provide •to the Agency all applicable federal and state laws,
guidelines, rules, and regulations.
7. Assura nces
The following assurances are hereby given to the Michigan Department
of Public Health:
a. The Agency will comply with the Anti-Lobbying Act, Public Law
101-121, Section 319, and the OMB Interim Final Guidance, the
"Governmentwide Guidance for New Restrictions on Lobbying",
dated December 18, 1989. Further, the Agency shall require that
the language of this assurance be included in the award
documents of all subawards at all tiers (including subcontracts,
subgrants, and contracts under grants, loans and cooperative
agreements) and that all subrecipients shall certify and
disclose accordingly.
b. The agency assures that in accordance with Title VI of the Civil
Rights Act of 1964 (42 U.S.C. 2000d et seq.), Section 504 of the
Rehabilitation Act of 1973, as amended (29 U.S.C. 794), Title IX
of the Education Amendment of 1972, as amended (20 U.S.C.
1681-1683 and 1685-1686), the Age Discrimination Act of 1975, as
amended (42 U.S.C. 6101 et seq.), the Regulations issued
thereunder by the U.S. Department of Health and Human Services
(45 CFR Parts 80, 84, 86, and 91), the Michigan Handicapper's
Civil Rights Act (1976, PA 220), and the Michigan 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.
7
Additionally, in accordance with the Governor's Executive Directive
1989-1, assurance is given to the Department of Public Health that
appropriate affirmative action will be taken to identify and encourage
the participation of minority, women, and handicapper owned business
in contract solicitations. The Agency shall incorporate language in
all contracts awarded: (1) prohibiting discrimination against
minority, women and handicapper owned business in subcontracting; (2)
requiring contracts to demonstrate efforts they have made to enter into
subcontracts with such business; and (3) making discrimination a
material breach of contract.
8. Payment and Reporting Procedures
Payment shall be in equal quarterly installments to be paid on or about
the fifteenth of the first month of each quarter following the execution
of this document.
Final payment will be withheld until all required reports and documents
are received according Co the terms of this agreement.
Reporting on the use of these funds shall be accomplished quarterly by
inclusion in the quarterly cost-sharing expenditure reports (Financial
Status Report for Local Health Services, FIN-134).
9. Agreement Period
This agreement is in full force and effect from October 1, 1990 through
September 30, 1991. This agreement may be terminated by either party by
giving sixty (60) days written notice to the other party stating the
reasons for termination and effective date or upon the failure of either
party to carry out the terms of the agreement, by giving ten (10) days
written notice to the other party stating cause and effective date.
Upon any such termination, any funds not authorized for use shall be
returaled to the Department.
The Department may also terminate this agreement upon fifteen (15) days
notice if the name of the Agency, or the name of the subcontractor,
manufacturer, or supplier of the Agency subsequently appears in the
register complied by the Michigan Department of Labor pursuant to Section
2 of Act 278 P.A. 1980. The Act prohibits the State from entering into
contract with certain employers who engage in unfair labor practices; to
prohibit those employers from entering into certain contracts with others;
to provide for the compilation and distribution of a register of those
employers and to provide for the voiding of certain contracts.
In the event that a new agreement is not signed by the expiration date of
this agreement, the terms, conditions, and funding level contained herein
8
shall remain in effect, subject to legislative appropriation and a written
authorization from the Department, for a period not to exceed ninety (90)
days, unless otherwise specifically provided for. This continuation may
be extended as determined necessary.
10. Amendments
Any changes to this agreement will be valid only if made in writing and
accepted by all parties to this agreement,
11. Debarment and Suspension
Assurance is hereby given to the Department that the Agency will comply
with federal regulation 45 CFR Part 76 and certifies to the best of its
knowledge and belief that it and its subcontractors:
a. are not presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from covered transactions by any
Federal Department or Agency;
b. have not within a 3 year period preceding this agreement been
convicted of or had a civil judgement rendered against them for
commission of fraud or a criminal offense in connection with obtaining,
attempting to obtain, or performing a public (federal, state, or local)
transaction or contract under a public commission of embezzlement,
theft, forgery, bribery falsification or destruction of records, making
false statements, or receiving stolen property;
are not presently indicted or otherwise criminally or civilly charged
by a government entity (federal, state or local) with commission of
any of the offenses enumerated in section b, and;
d. have not within a 3 year period preceding this agreement had one or
more public transactions (federal, state or local) terminated for cause
or default.
12. Liability
a. All liability to third parties, loss, or damage as a result of claims,
demands, costs, or judgments arising out of activities, such as direct
service delivery, to be carried out by the Agency in the performance
of this agreement shall be the responsibility of the Agency, and not
the responsibility of the Department. If the liability, loss, or
damage is caused by, or arises out of, the actions or failure to action
on the part of the Agency, any subcontractor, anyone directly or
indirectly employed by the Agency, provided that nothing herein shall
be construed as a waiver of any governmental immunity that has been
provided to the Agency or its employees by statute or court decisions.
9
b. All liability to third parties, loss, or damage as a result of claims,
demands, costs, or judgments arising out of activities such as the
provision of policy and procedural direction, to be carried out by the
Department in the performance of this agreement shall be the
responsibility of the Department and not the responsibility of the
Agency if the liability, loss, or damage is caused by, or arises out
of, the action or failure to act on the part of any Department employee
or agent, provided that nothing herein shall be construed as a waiver
of any governmental immunity by the State, its agencies (the
Department) or employees as provided by statute or court decisions.
c. In the event that liability to third parties, loss, or damage arises
as a result of activities conducted jointly by the Agency and the
Department in fulfillment of their responsibilities under this
agreement, such liability, loss, or damage shall be borne by the Agency
and the Department in relation to each party's responsibilities under
these joint activities, provided that nothing herein shall be construed
as a waiver of any governmental immunity by the Agency, the State, its
agencies (the Department) or their employees, respectively, as provided
by statute or court decisions.
13. Conflict of Interest
The Agency and the Department are subject to the provisions of the 1968
P.A. 317, as amended, and the 1973 P.A. 196, as amended.
14, Confidentiality
Both the Department and the Agency shall assure that medical services to
and information contained in health records of persons served under this
agreement, or other such recorded information required to be held
confidential by federal or state law, rule or regulation, in connection
with the provision of services or other activity under this agreement shall
be privileged communication, shall be held confidential, and shall 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.
15. Compliance
The Agency will comply with all applicable general administrative
requirements such as OMB Circulars covering cost principles,
grant/agreement principles, and audits in carrying out the terms of this
agreement.
16. Special Certification
10
Signature Title Date
Signature Title Date
The individual or officer signing this agreement certifies by his or her
signature that he or she is authorized to sign this agreement on behalf
of the responsible governing board, official, or Agency.
FOR THE AGENCY:
FOR THE DEPARTMENT:
Signature Title
RECOMMENDED BY:
Signature Title Date
Da te
11
April 11, 1991
FISCAL NOTE (Misc. 91050)
BY: FINANCE COMMITTEE, DR. G. WILLIAM CADDELL, CHAIRPERSON
IN RE: DEPARTMENT OF INSTITUTIONAL AND HUMAN SERVICES/HEALTH
DIVISION-1990/1991 V,NLREAL DISEASE REIMBURSEMENT
AGREEMENT ACCEPTANCE-MISCELLANEOUS RESOLUTION #91050
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Mr. Chairperson, Ladies and Gentlemen:
Pursuit to Rule XI-G of this Board, the Finance Committee has
reviewed Miscellaneous Resolution #91050 and finds:
1) The Oakland County Health Division has been awarded a
$55,000 contract by the Michigan Department of Public Health
(MDPH) reimbursing the County for venereal disease testing
conducted between October 1, 1990 and September 30, 1991;
2) The 1991 Budget anticipated this $55,000 reimbursement for
County conducted services, therefore no budget amendments are
required.
FINANCE COMMITTEE
i:\tim\hlt\vdaccept.fn
Resolution # 91050 April 11, 1991
Moved by Skarritt supported by Jensen the resolution be adopted.
AYES: Ferrens, Gosling, Huntoon, Jensen, Johnson, Krause, Law,
McConnell,
McCulloch, McPherson, Millard, Moffitt, Oaks, Olsen, Palmer,
Pappageorge, Price, Rewold, Schmid, Serra, Skarritt, Wolf, Aaron, Crake. (24)
NAYS: None. (0)
A sufficient majority having voted therefor, the resolution was
adopted.
STATE OF MICHIGAN)
COUNTY OF OAKLAND
I, Lynn D. Allen, Clerk of the County of Oakland, do hereby certify that the foregoing
resolution is a true and accurate copy of a resolution adopted by the Oakland County
Board of Commissioners on April 11, 1991
with the original record thereof now-7emaining in my office.
In Testimony Whereof, I have hereunto set my hand and affixed the seal of the County
of Oakland at Pontiac, Michigan this 11th day 9S—) April 1991
Lynnfi. Allen, County Clerk