HomeMy WebLinkAboutResolutions - 2016.02.04 - 22188REPORT (MISC. #16021) February 4, 2016
BY: Human Resources Committee, Bob Hoffman, Chairperson
IN RE: DEPARTMENT OF HEALTH & HUMAN SERVICES/HEALTH DIVISION - MICHIGAN FITNESS
FOUNDATION SNAP-ED GRANT ACCEPTANCE
To the Oakland County Board of Commissioners
Chairperson, Ladies and Gentlemen:
The Human Resources Committee, having reviewed the above referenced resolution on February 4,
2016, reports with the recommendation that the resolution be adopted.
Chairperson, on behalf of the Human Resources Committee, I move the acceptance of the foregoing
report.
HUMAN RESOURCES COMMITTEE VOTE:
Motion carried unanimously on a roll call vote.
MISCELLANEOUS RESOLUTION#16021 February 4,2016
BY: General Government Committee, Christine Long, Chairperson
IN RE: DEPARTMENT OF HEALTH AND HUMAN SERVICES/HEALTH DIVISION — MICHIGAN FITNESS
FOUNDATION SNAP-ED GRANT ACCEPTANCE
To the Oakland County Board of Commissioners
Chairperson, Ladies and Gentlemen:
WHEREAS the Michigan Fitness Foundation (MFF) has awarded the Health Division a grant titled
"Supplemental Nutrition Assistance Program Education" (SNAP-ED) to provide nutrition education and food
demonstrations to food stamp recipients in Pontiac and Waterford to improve the likelihood of making healthy
food choices on a limited budget; and
WHEREAS this agreement begins October 1, 2015 through September 30, 2016; and
WHEREAS grant funding is in the amount of $42,592 with no match required; and
WHEREAS the SNAP-ED grant will fund one (1) Special Revenue (SR) Part-time Non-eligible (PTNE) Public
Health Educator II position for this project; and
WHEREAS this grant agreement has been submitted through the County Executive's Contract Review
Process and is recommended for approval.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners accepts the
Michigan Fitness Foundation's agreement in the amount of $42,592, beginning October 1, 2015 through
September 30, 2016.
BE IT FURTHER RESOLVED to create one (1) SR 1,000 hours per year PTNE Public Health Educator II
position in the Health Division, Community Health Promotion & Intervention Services Unit (1060233).
BE IT FURTHER RESOLVED that acceptance of this grant does not obligate the County to any future
commitment and continuation of the special revenue position in the grant is contingent upon continued future
levels of grant funding.
BE IT FURTHER RESOLVED that the Board Chairperson is authorized to execute the Grant Agreement and
approve changes and extensions not to exceed fifteen percent (15%).
Chairperson, on behalf of the General Government Committee, I move the adoption of the foregoing
resolution.
GENERAL GOVERNMENT COMMITTEE
GENERAL GOVERNMENT COMMITTEE
Motion carried unanimously on a roll call vote with Fleming and Woodward absent.
FISCAL NOTE (NTSC . #15021) February 4, 2016
BY: Finance Committee, Tom Middleton, Chairperson
IN RE: DEPARTMENT OF HEALTH AND HUMAN SERVICES/HEALTH DIVISION — MICHIGAN FITNESS
FOUNDATION SNAP-ED GRANT ACCEPTANCE
To the Oakland County Board of Commissioners
Chairperson, Ladies and Gentlemen:
Pursuant to Rule XII-C of this Board, the Finance Committee has reviewed the above-referenced resolution
and finds:
1. The Michigan Fitness Foundation (MFF) has awarded the Oakland County Health Division funding in
the amount of $42,592 under a grant titled Supplemental Nutrition Assistance Program Education
(SNAP-ED).
2. The purpose of this grant is to provide nutrition education and food demonstrations to food stamp
recipients in Pontiac and Waterford to improve the likelihood of making healthy food choices on a
limited budget.
3. The funding period is October 1,2015 through September 30, 2016,
4. One (1) Special Revenue Part-Time Non-Eligible Public Health Educator II position will be created
within the Community Health Promotion & Intervention Services unit of the Health Division.
5. The future level of service, including personnel, will be contingent upon the level of funding available.
6. The FY 2016 budget is amended as follows:
HEALTH COMMUNITIES PLANNING FUND (#28320)
GR0000000562 / Budget Reference 2016 activity: GLB analysis: GLB
FY2016
Revenues
1060233-133350-610313 Federal Operating Grants
Total Revenues
Expenditures
1060233-133350-702010 Salaries
1060233-133350-722740 Fringe Benefits
1060233-133350-730926 Indirect Costs
1060233-133350-730982 Interpretation Fees
1060233-133350-731115 Licenses and Permits
1060233-133350-731346 Personal Mileage
1060233-133350-731941 Training
1060233-133350-732018 Travel and Conference
1060233-133350-731388 Printing
1060233-133350-750294 Materials & Supplies
1060233-133350-750462 Provisions
1060233-133350-750567 Training-Educational Supplies
1060233-133350-750448 Postage-Standard Mailing
1060233-133350-774677 Insurance
Total Expenditures
$ 42,592
$ 42,692
$ 18,702
1,075
2,590
1,250
972
627
172
399
7,637
1,084
4,155
1,500
2,254
175
$ 42,592
FINANCE COMMITTEE VOTE:
Motion carried unanimously on a roll call vote.
PLEASE NOTE: A revised grant agreement is attached with changes to the signature page
noted below.
GRANT REVIEW SIGN OFF Health Division
GRANT NAME: FY 2016 USDA Food Stamp Program Supplemental Nutrition Assistance Program —
Education (SNAP-Ed)
FUNDING AGENCY: Michigan Fitness Foundation
DEPARTMENT CONTACT PERSON: Rachel Shymkiw / 452-2151
STATUS: Grant Acceptance
DATE: January 12, 2016
Pursuant to Misc. Resolution #13180, please be advised the captioned grant materials have completed
internal grant review. Below are the returned comments.
The captioned grant materials and grant acceptance package (which should include the Board of
Commissioners' Liaison Committee Resolution, the grant agreement/contract, Finance Committee Fiscal
Note, and this Sign Off email containing grant review comments) may be requested to be placed on the
appropriate Board of Commissioners' committee(s) for grant acceptance by Board resolution.
DEPARTMENT REVIEW
Department of Management and Budget:
Approved.
Thought I would mention that I noticed that Jeff Matis' name is included on the signature page for the
Health Division — should probably be changed to Mike Gingell and correct his title to Board Chair.
— Laurie Van Pelt (I/04/2016)
Department of Human Resources:
1-IR Approved (Needs HR Committee) — Lori Taylor (1/07/2016)
Risk Management and Safety:
Approved by Risk Management based upon the marked-up changes identified to section 4.11. Insurance
Coverage.
Attached you will find a copy of the requested certificate of self-insurance to be submitted with the signed
agreement. — Robert Erlenbeck (1/06/2016)
Corporation Counsel:
Approved. —Bradley G. Bean (4/11/2016)
From:
To:
Cc:
Subject:
Date:
Van Pelt, Laurie M
West Catherine.A; - $4 ; Taylor Lori; Davis. Patricia Ci
Shymkiw. Rachel M; McKav-Chlasson, Lisa; Forzlev, Kathleen C; Pisacreta, Antonio S; McLemon, Kathleen M
RE: GRANT REVIEW: Health 81. Human Services/Health Division - FY 2016 USDA Food Stamp Program
Supplemental Nutrition Assistance Program - Education (SNAP-Ed) - Grant Acceptance
Monday, January 04, 2016 10:15:29 AM
Approved.
Thought I would mention that I noticed that Jeff Mats' name is included on the signature page for
the Health Division should probably be changed to Mike Gingell and correct his title to Board
Chair.
From: West, Catherine A
Sent: Monday, January 4, 2016 10:08 AM
To: Secontine, Julie L; Van Pelt, Laurie M; Taylor, Lori; Davis, Patricia G
Cc: Shymkiw, Rachel M; McKay-Chiasson, Lisa; Forzley, Kathleen C; Pisacreta, Antonio S; McLernon,
Kathleen M
Subject: GRANT REVIEW: Health & Human Services/Health Division - FY 2016 USDA Food Stamp
Program Supplemental Nutrition Assistance Program — Education (SNAP-Ed) - Grant Acceptance
GRANT REVIEW FORM
TO: REVIEW DEPARTMENTS - Laurie Van Pelt - Lori Taylor -Julie Secontine - Pat Davis
RE: GRANT CONTRACT REVIEW RESPONSE - Health & Human Services/Health Division
FY 2016 USDA Food Stamp Program Supplemental Nutrition Assistance Program -
Education (SNAP-Ed)
Michigan Fitness Foundation
Attached to this email please find the grant document(s) to be reviewed. Please provide your
review stating your APPROVAL, APPROVAL WITH MODIFICATION, or DISAPPROVAL, with
supporting comments, via reply (to all) of this email.
Time Frame for Returned Comments: January 11, 2016
GRANT INFORMATION
Date: January 4, 2016
Operating Department: Health & Human Services/Health Division
Department Contact: Rachel Shymkiw
Contact Phone: 2-2151
Document Identification Number: FY16 OCHD
REVIEW STATUS: Acceptance- Resolution Required
From:
To:
Cc:
Subject:
Date:
Taylor, Lori
West; Catherine_A; Sac.otine, Julie L; Van Pelt. Laurie 11.; Davis. Patricia G
Shyrnkiw. Rachel M; tilcKav-Chiasson, Lisa; Forziev, Kathleen C; plsacreta, Antonio S; McLemon, Kathleen M
RE: GRANT REVIEW: Health & Human Services/Health Division - FY 2016 USDA Food Stamp Program
Supplemental Nutrition Assistance Program - Education (SNAP-Ed) - Grant Acceptance
Thursday, January 07, 2016 4:20:23 PM
Revised:
HR Approved (Needs HR Committee)
From: Taylor, Lori
Sent: Thursday, January 07, 2016 11:31 AM
To: West, Catherine A; Secontine, Julie L; Van Pelt, Laurie M; Davis, Patricia G
Cc: Shymkiw, Rachel M; McKay-Chiasson, Lisa; Forzley, Kathleen C; Pisacreta, Antonio S; McLernon,
Kathleen M
Subject: RE: GRANT REVIEW: Health & Human Services/Health Division - FY 2016 USDA Food Stamp
Program Supplemental Nutrition Assistance Program - Education (SNAP-Ed) - Grant Acceptance
HR Approved (Needs Committee) New organizational Unit and transfer of position
From: West, Catherine A
Sent: Monday, January 04, 2016 10:08 AM
To: Secontine, Julie L; Van Pelt, Laurie M; Taylor, Lori; Davis, Patricia G
Cc: Shymkiw, Rachel M; McKay-Chiasson, Lisa; Forzley, Kathleen C; Pisacreta, Antonio S; McLernon,
Kathleen M
Subject: GRANT REVIEW: Health & Human Services/Health Division - FY 2016 USDA Food Stamp
Program Supplemental Nutrition Assistance Program - Education (SNAP-Ed) - Grant Acceptance
GRANT REVIEW FORM
TO: REVIEW DEPARTMENTS — Laurie Van Pelt— Lori Taylor—Julie Secontine — Pat Davis
RE: GRANT CONTRACT REVIEW RESPONSE — Health & Human Services/Health Division
FY 2016 USDA Food Stamp Program Supplemental Nutrition Assistance Program -
Education (SNAP-Ed)
Michigan Fitness Foundation
Attached to this email please find the grant document(s) to be reviewed. Please provide your
review stating your APPROVAL, APPROVAL WITH MODIFICATION, or DISAPPROVAL, with
supporting comments, via reply (to all) of this email.
Time Frame for Returned Comments: January 11, 2016
GRANT INFORMATION
From:
To:
Cc:
Subject:
Date:
Attachments:
Erlenbeck, Robert C
West, Catherine A; Secontine, Julie L; Van Pelt Laurie M; Taylor Lori; Davis Patricia G
Shymkiw, Rachel M; McKay-Chlasson, Lisa; Forzley, Kathleen C; plsacreta, Antonio S; SvIcLernon Kathleen
RE: GRANT REVIEW: Health & Human Services/Health Division - FY 2016 USDA Food Stamp Program
Supplemental Nutrition Assistance Program - Education (SNAP-Ed) - Grant Acceptance
Wednesday, January 06, 2016 9:09:44 AM
Certificate of Self-Insurance.pdf
Approved by Risk Management based upon the marked-up changes identified to section 4.11.
Insurance Coverage. R.E, 1/6/16
Attached you will find a copy of the requested certificate of self-insurance to be submitted with the
signed agreement.
From: Johnson, Sandra K
Sent: Monday, January 04, 2016 11:29 AM
To: West, Catherine A; Secontine, Julie L; Van Pelt, Laurie M; Taylor, Lori; Davis, Patricia G
Cc: Shymkiw, Rachel M; McKay-Chiasson, Lisa; Forzley, Kathleen C; Pisacreta, Antonio S; McLernon,
Kathleen M
Subject: RE: GRANT REVIEW: Health & Human Services/Health Division - FY 2016 USDA Food Stamp
Program Supplemental Nutrition Assistance Program - Education (SNAP-Ed) - Grant Acceptance
Please be advised that your request for Risk Management's assistance has been assigned to Bob
Erlenbeck (ext. 8-1694). If you have not done so already, please forward all related and future
information, documentation, and correspondence to Terri Easterling and Sandy Johnson.
Also, please include Risk Management's assignment number RM16-0115 regarding this matter.
Thank you.
From: West, Catherine A
Sent: Monday, January 04, 2016 10:08 AM
To: Secontine, Julie L; Van Pelt, Laurie M; Taylor, Lori; Davis, Patricia G
Cc: Shymkiw, Rachel M; McKay-Chiasson, Lisa; Forzley, Kathleen C; Pisacreta, Antonio S; McLernon,
Kathleen M
Subject: GRANT REVIEW: Health & Human Services/Health Division - FY 2016 USDA Food Stamp
Program Supplemental Nutrition Assistance Program - Education (SNAP-Ed) - Grant Acceptance
GRANT REVIEW FORM
TO: REVIEW DEPARTMENTS - Laurie Van Pelt - Lori Taylor -Julie Secontine - Pat Davis
RE: GRANT CONTRACT REVIEW RESPONSE - Health 84 Human Services/Health Division
FY 2016 USDA Food Stamp Program Supplemental Nutrition Assistance Program -
Education (SNAP-Ed)
Michigan Fitness Foundation
Attached to this email please find the grant document(s) to be reviewed. Please provide your
review stating your APPROVAL, APPROVAL WITH MODIFICATION, or DISAPPROVAL, with
From: Bean, Bradley G
To: West. Catherine A; Shymkiw, Rachel NI
Subject: 2016-0003 2016 USDA Food Stamp Program Supplemental Nutrition Assistance Program - Education (SNAP-Ed) -
Grant Acceptance (Michigan Fitness Foundation)
Date: Monday, January 11, 2016 1:24:24 PM
Approved.
Bradley G. Benn
Assistant Corporation Counsel
Department of Corporation Counsel
1200 N. Telegraph Road Bldg 14 East
Courthouse West Wing Extension, 3rd Floor
Pontiac, Ml 48341-0419
Phone: (248) 858-0558
Fax: (248) 858-1003
Email: bennWoakgov.com
PRIVILEGED AND CONFIDENTIAL. — ATTORNEY CLIENT COMMUNICATION
This e-mail is intended only for those persons to whom it is specifically addressed. It is confidential and is
protected by the attorney-client privilege and work product doctrine, This privilege belongs to the County of
Oakland, and individual addressees are not authorized to waive or modify this privilege in any way. Individuals are
advised that any dissemination, reproduction or unauthorized review of this information by persons other than
those listed above may constitute a waiver of this privilege and is therefore prohibited. If you have received this
message in error, please notify the sender immediately. If you have any questions, please contact the Department
of Corporation Counsel at (248) 353-0550. Thank you for your cooperation.
FY 2016 MFF SNAP-Ed Subrecipient Agreement
FY 2016 MFF SNAP-Ed Subrecipient Agreement
Institution/Organization ("MFF")
Name: Michigan Fitness Foundation
Address: P.O. Box 27187
Lansing, MI 48909
Institution/Organization ("SUBCONTRACTOR")
Name: Oakland County
Address: 1200 N. Telegraph Bldg 34E
Pontiac, MI 48341
BIN No: 38-6004876
Prime Contract No. ADMIN-15-99011
ADMIN-16-99011
Subaward No, FY16 OCHD
Awarding Agency
Michigan Department of Health and Human
Services
USDA Food Nutrition Service
CFDA Title and No.
Food Stamp Program 10.561
Subrecipient Period of Performance
10/1/15 to 09/30/16
Maximum Amount Funded
$42,592
Project Title Supplemental Nutrition Assistance Program — Education (SNAP-ED)
Taste and Try Challenge
The undersigned have the lawful authority to bind the Subcontractor and MFF to the terms set forth in this
Agreement. Section 291 of the fiscal year 2013 Omnibus Budget, PA 200 of 2012, requires verification that all
new employees of the Subcontractor and all new employees of any approved subcontractor, working under
this Agreement, are legally present to work in the United States. The Subcontractor shall perform this
verification using the E-verify system (http://www.uscis ,gov/portal/site/uscis). The Subcontractor's signature
on this Agreement is the Subcontractor's certification that verification has and will be performed. The
Subcontractor's signature also certifies that the Subcontractor is not an Iran linked business as defined in MCL
129,312,
Michigan Fitness Foundation (MFF) hereby awards a cost reimbursable Subrecipient Agreement, as described
above, to Subcontractor. The statement of work and budget for this Agreement, herein referred to as the Project
Summary and Budget Summary, are included as Attachments 1 and 2 and hereby made a part of this
Agreement. In this Agreement Subcontractor is represented as an independent entity and not as an employee
or agent of the Michigan Fitness Foundation.
1. PROGRAM REQUIREMENTS
1.1. Services shall be targeted to current SNAP participants and applicants. Clients who have not
applied for SNAP may participate in nutrition education programs administered at homeless
shelters; low-income schools; Women, Infants, and Children (WIC) clinics; public housing
sites; and other appropriate venues or as otherwise specified in the USDA 2016 SNAP-Ed
Guidance or where approval is received by USDA FNS.
Subcontractor agrees to follow the specific eligibility criteria outlined in the USDA 2016
SNAP-Ed Guidance. Subcontractor agrees to reach participants who are pre-established in
Subcontractor's Project Summary and included in the FY 2016 Michigan SNAP-Ed Plan of
Work.
Page 1 of 20
FY 2016 MFF SNAP-Ed Subrecipient Agreement
1 SUBCONTRACTOR RESPONSIBILITIES
2.1. Fiscal Requirements
The Subcontractor shall install and maintain an accounting system to identify and support all
expenditures billed to MFF under this Agreement as described in 2 CFR Part 200 Uniform
Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, or
elsewhere referred to as OMB Uniform Grant Guidance or UGG, or as provided by applicable law.
The accounting system must record all income and expenses for the Subcontractor's total program
of which services provided under this Agreement are a part. The accounting system, as a minimum,
shall consist of a chart of accounts, cash receipts journal, cash disbursements journal, and general
ledger. All expenditures and income must be supported by appropriate source documentation
including vouchers and receipts that detail the reason for the transaction.
The Subcontractor shall establish and maintain salary and fringe benefits accounts and payroll and
activity records for all employees that break out positions, hospitalization, retirement, workmen's
compensation, and other fringe benefits. The Subcontractor shall maintain payroll records to
support amounts billed to MFF in accordance with the federal timekeeping requirements described
in the OMB Uniform Grant Guidance (UGG).
2.2. Billing Method
As used in this Agreement, ''Cost Documentation" refers to the FY 2016 SNAP-Ed Budget Summary
attached hereto as Attachment 2.
The Actual Cost Reimbursement Method shall be used in claiming reimbursement under this
Agreement. The Cost Documentation is hereby made a part of this Agreement. The Subcontractor
certifies that the FY 2016 SNAP-Ed Budget Summary ("Budget" or "Budget Summary") has been
prepared in accordance with the Budget Completion Instructions provided by MFF. This document
details the amount and object of expenditures for which the Subcontractor shall use funds paid
under this Agreement. The Subcontractor is authorized to expend funds only for those resources
indicated in the Budget Summary that are allowable, properly allocated and reasonable, as defined
in the Budget Summary, and utilized to deliver approved programming.
The Subcontractor shall follow and adhere to the Budget Summary. However, expenditures up to a
5% increase or $1,500, whichever is greater, above the direct cost line item budget categories are
permissible provided the sum of all expenditures does not exceed the total amount of the
Agreement. The Subcontractor shall not be reimbursed for any expenditure incurred in Budget
Summary line items that do not include dollar amounts. The Subcontractor must obtain prior
written approval from MFF to increase any line item budget category by more than 5% or $1,500,
whichever is greater. The MFF representative authorized to approve budget revisions is the
Program Contact identified in Attachment 3, The Subcontractor's request for MFF approval must
contain sufficient information to allow MFF to identify which Budget Summary line item categories
are to be increased and which line item categories are to be decreased, staying within the originally
approved budget total and include programming rationale to support the budget revision.
For travel costs, including mileage, meals, and lodging, incurred related to services provided under
this Agreement, the Subcontractor may bill MFF up to the State of Michigan's Select City rate, or
Subcontractor's usual reimbursement rate for employees, whichever is less, as defined in MFF's
SNAP-Ed travel rate document found on the MNN website at
http://www.michigannutritionnetwork.org
Page 2 of 20
FY 2016 MFF SNAP-Ed Subrecipient Agreement
The Subcontractor shall follow and adhere to the MFF SNAP-Ed travel guidelines outlined in the FY
2016 MFF SNAP-Ed Programming and Operations Manual. The Subcontractor cannot charge MFF
more for a provision of service than is charged to other entities for whom the Subcontractor
provides services,
2.3. Billing Procedure
The Subcontractor shall submit a Monthly Invoice to MFF. The invoice shall indicate actual
expenditures incurred broken out by category of expense in the performance of this Agreement for
the period being billed and the units of service delivered. The invoice shall be submitted to MFF
within 15 days from the end of the monthly billing period. MFF may not make a payment to the
Subcontractor for billings submitted more than 90 days after the end of a billing period.
Monthly and year-end billing procedures are outlined in Section 2.11.1 - Reporting. Obligations
incurred prior to or after the period covered by this Agreement shall be excluded from the
Subcontractor's Monthly Invoice.
2.4. Federal Guidelines for Use of Federal Funds
In order for MFF to comply with the Federal Funding Accountability and Transparency Act (FFATA),
the Subcontractor shall provide the following information: The names and total compensation of the
five most highly compensated officers of the entity if the entity in the preceding fiscal year received
80 percent or more of its annual gross revenues in federal awards; and $25,000,000 or more in
annual gross revenues from federal awards; and the public does not have access to this information
about the compensation of the senior executives of the entity through periodic reports filed under
section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. §§ 78m(a), 78o(c1]) or
section 6104 of the Internal Revenue Code of 1986. See FFATA § 2(b)(1).
The information may be mailed to the address below or FAX to (517) 347-8145.
Michigan Nutrition Network
Michigan Fitness Foundation
PO Box 27187
Lansing, MI 48909
2.5. Su oi_pp...larged on the Monthly Invoice
Upon request of MFF, the Subcontractor shall submit employee activity sheets to support the
amount of wages charged on the Monthly Invoice. MFF will identify a specific Monthly Invoice and
request the Subcontractor to submit all employee activity sheets for employees who were charged
in whole or in part to MFF, along with any other schedules or work papers necessary to support the
amount of wages charged in accordance with the OMB Uniform Grant Guidance.
The Subcontractor shall provide the requested information no later than 10 days after the request.
If, after review of the information, MFF determines that the Subcontractor is in substantial
compliance with documentation requirements related to compensation, MFE will communicate
with the Subcontractor that no further action is necessary. In the event the Subcontractor cannot
support the amount of wages charged on the Monthly Invoice, MFF may, at its discretion, request
recoupment for the difference between the amount charged and the amount that can be supported
by the activity sheets.
Page 3 o120
FY 2016 MFF SNAP-Ed Subrecipient Agreement
2.6. Fees and Other Sources of Funding
The Subcontractor guarantees that any claims made to MFF under this Agreement shall not be
financed by any source other than MFF under the terms of this Agreement. If funding is received
through any other source, the Subcontractor agrees to deduct from the amount billed to MFF the
greater of either the fee amounts, or the actual costs of the services provided.
2.7. Recoupment of Funding and Repayment of Debts
Recoupment of Funding
If the Subcontractor fails to comply with requirements as set forth in this Agreement, or fails
to submit a revised Monthly Invoice within allotted time frames established by MFF in
consultation with the Subcontractor, MFF may, at its discretion, recoup or require the
Subcontractor to reimburse payments made under this Agreement which MFF has
determined that the Subcontractor has been overpaid. The Subcontractor is liable for any
cost incurred by MFF in the recoupment of any funding.
Upon notification by MFF that repayment is required, the Subcontractor shall make payment
directly to MFF within 30 days or MFF may withhold current or future payments made
under this or any other agreements, current or future, between MFF and the Subcontractor.
If the Subcontractor fails to; (1) correct noncompliance activities identified by MFF, (2)
submit revised billings as requested as part of a Corrective Action Plan when required; or (3)
remit overpayments or make arrangements to have the overpayments deducted from future
payments within 30 days, such failure shall constitute grounds to terminate immediately any
or all of MFF's agreements with the Subcontractor. MFF shall also report noncompliance of
the Subcontractor to the Michigan Department of Health and Human Services. Such report
may result in the Subcontractor's debarment from further contracts with the state of
Michigan.
2.7.2. Repayment of Debts and Other Amounts due MFF
By entering into this Agreement, the Subcontractor agrees to honor all prior repayment
agreements established by MFF with the Subcontractor or Subcontractor's predecessors. If
the Subcontractor has an outstanding debt due to MFF but does not have a repayment
agreement, the Subcontractor agrees to make monthly payments to MFF at an amount not
less than 5% of any outstanding balance and to begin on the date this Agreement is executed.
If the Subcontractor fails to honor prior repayment agreements, or the Subcontractor fails to
begin repayment on an obligation due MFF that is not subject to a repayment agreement,
MFF will initiate the administrative process to reduce payments to the Subcontractor under
this Agreement to recoup the debt. The payment reduction will be made at the amount
originally established in the repayment agreement or at an amount not less than 5% of any
outstanding balance effective on the date this Agreement is executed.
2.8. Credentials
The Subcontractor shall assure that only appropriately credentialed or trained staff and volunteers
under its control, including Subcontractor employees and/or subcontractors, shall perform
functions or provide services under this Agreement.
By signing this Agreement, Subcontractor certifies that the Subcontractor, Subcontractor's
employees, volunteers and subcontractors shall obtain and maintain institutional or applicable
Page 4 of 20
FY 2016 MFF SNAP-Ed Subrecipient Agreement
certification in safe food handling procedures and food service sanitation before performing
activities on this project that require such credentials or training.
2.9. Subcontracts and Vendor Agreements
The Subcontractor shall not assign this Agreement or subcontract this Agreement to other parties
without obtaining prior written approval of MFF. MFF, as a condition of granting such approval,
shall require that such assignees or Subcontractors shall be subject to all conditions and provisions
of this Agreement including Criminal Record and Central Registry background checks when
applicable. The Subcontractor shall be responsible for the performance of all assignees or
Subcontractors.
Subcontractor shall be exclusively restricted to purchases of those services and/or commodities
that are reasonable and necessary to the provision of services identified herein. Subcontractor shall
make purchases, in accordance with the UGG and the Subcontractor's agency-wide written
procurement procedures,
210. Audit Requirements
2.10.1, Suhrecipient Relationship
This Agreement constitutes a subrecipient relationship with MFF. The Subcontractor is
required to comply with all federal regulations related to the accounting and auditing of the
federal award used to fund this Agreement. This includes, but is not limited to, compliance
with OMB Uniform Grant Guidance.
Regulations applicable to funding sources are included in the Catalog of Federal Domestic
Assistance (CFDA). The Federal Program Title, CFDA number and federal financial
participation (FFP) rate MFF will use for this Agreement are
Federal Program Title CFDA # FFP%
Food Stamp Program (Supplemental Nutrition
Assistance Program - Education)
10.561 100
However, the awarding agency may change the CFDA number and/or FFP rate during the
course of this Agreement. Any change to the CFDA number and/or FFP rate during the
course of this agreement will be reported to Subcontractor by M FF.
Subcontractor agrees to participate in audit cost related to the audit as described in other
sections of this Agreement such as Section 2.10.4 and the Subcontractor's Budget Summary
in Attachment 2.
2.10.2. Audit Reports that Contain a Going Concern Statement
If an audit firm conducts an audit of the Subcontractor and issues an audit report with a
finding of a Going Concern, the Subcontractor must submit this audit report to MFF within 10
days from the date of the audit report. The submission of this audit report to MFF is required
regardless of whether an audit is required under this Agreement.
A Subcontractor receiving a Going Concern must submit a financial plan to MFF no later than
25 days from the date of the audit report issued by the audit firm. The financial plan must be
approved by MFE Failure of the Subcontractor to either timely submit the audit report with
the Going Concern, or timely submit a financial plan, or MFF's rejection of the Subcontractor's
Page 5 04'20
FY 2016 MFF SNAP-Ed Subrecipient Agreement
financial plan, are grounds for immediately terminating this Agreement.
Mailing address for all audit information:
Michigan Nutrition Network
Michigan Fitness Foundation
PO Box 27187
Lansing, MI 48909
2.10.3. Audit Reporting Requirements
The Subcontractor must immediately report to MFF accounting irregularities including
noncompliance with provisions of this Agreement.
If the Subcontractor is required to have a single audit performed as defined in the OMB
Uniform Grant Guidance (UGG), the Subcontractor must submit the reporting package and an
audit transmittal letter to MFF at the address that follows and in accordance with the time
frame established in the UGG.
The reporting package includes:
a. Financial statements and schedule of expenditures of federal awards
b. Summary schedule of prior audit findings
c. Auditor's report(s)
d. Corrective action plan, if applicable
Mailing address for all information:
Michigan Nutrition Network
Michigan Fitness Foundation
PO Box 27187
Lansing, MI 48909
2.10.4. Audit Cost
Cost of the single audit can only be charged to this Agreement if there is a provision within
this Agreement that allows payment for the single audit cost. No audit cost may be charged to
this Agreement if the Subcontractor is not required by federal requirements to have a single
audit,
No audit costs may be charged to MFF when audits required by this Agreement have not
been performed or have not been performed in accordance with the OMB Uniform Grant
Guidance. Late submission (as defined in OMB Uniform Grant Guidance) of the single audit
report is considered non-compliance with this section and may be grounds to impose
sanctions.
2.10.5. Sanctions
MFF may impose sanctions if the Subcontractor fails to adhere to any of the audit
requirements or reported issues of non-compliance in this Agreement. In cases of continued
inability or unwillingness on the part of the Subcontractor to comply with audit
requirements or reported issues of non-compliance, MFF may impose sanctions such as:
a. Withholding a percentage of the federal awards until the audit is completed
satisfactorily.
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b. Withholding or disallowing overhead costs.
c. Suspending federal awards until the audit is conducted.
d. Terminating the federal award.
e. Recouping the federal payments made to the Subcontractor under this or any other
agreements between MFF and the Subcontractor.
2.11. Reporting
2.11.1. Monthly Invoices
Monthly Invoices are due to NO LATER THAN the fifteenth (15th) of the following month.
Year-end encumbrance and final invoice due dates will be determined by DHHS. The due
date for the FINAL invoice for actual costs will be sent out by MFF to Subcontractors once
MFF is notified of year-end deadlines by DHHS. A closing statement of cumulative costs
incurred and/or encumbered, must be submitted to MFF by the announced due date.
Subsequently final invoice for actual costs, not to exceed encumbered costs submitted, must
be submitted to MFF, by announced due date, and shall constitute Subcontractor's final
financial report. In no case may any funds under this agreement be expended after the end of
the period of performance or the termination of this Agreement's term.
2.11.2. Monthly program highlights
Monthly program highlights should be submitted to MFF NO LATER THAN the fifteenth
(15th) of the following month. Program highlights should include a two to three paragraph
summary of the activity defined in Attachment 1 and implemented during that monthly
period. Further clarification is found in the FY 2016 MFF SNAP-Ed Programming and
Operations Manual and on the MNN website.
2.11.3. Mid-year, Year-end reports and EARS data
A mid-year progress report, in narrative form, as directed on the MNN website, is due NO
LATER THAN April 29, 2016.
A final progress report, including information required to complete USDA Education and
Administrative Reporting System (EARS), as directed on the MNN website, is due NO LATER
THAN October 31, 2016.
2.11.4. Evaluation
Evaluation of SNAP-Ed intervention outcomes and impacts is an important responsibility of
the Subcontractor. Each component of SNAP-Ed programming (e.g. nutrition education in
schools, nutrition education for adults, promotion of physical activity) should be evaluated to
assess the effectiveness of the Subcontractor's interventions in achieving the SMART
objectives in the Subcontractor's proposal. A narrative summary of the Subcontractor's
evaluation progress will be expected in the mid-year and year-end progress reports. Refer to
the FY 2016 MFF SNAP-Ed Programming and Operations Manual and MNN website for
further guidance.
2.11.5. Data
All data collected in support of this agreement including evaluation data and IRE approval if
obtained shall be returned to MFF by October 31, 2016.
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2.12. Multi-Media Release
The Subcontractor will comply with program requirements and ensure the privacy and/or sufficient
parental/guardian release for all children and adults who participate in activities under this
agreement. See FY 2016 MFF SNAP-Ed Programming and Operations Manual for example of multi-
media release.
2.13. Evaluation
Because concurrent research and evaluation may impact evaluation of the work of this contract, all
related evaluation efforts must be disclosed. MFF must receive a written scope of work and budget
for other research and/or evaluation in areas related to this project's statement of work, as defined
in Attachment 1, within the project target population.
Contractor will participate in statewide evaluation protocol as determined by MFF and agreed to in
the funding proposal.
Protection of the rights of human subjects shall be considered in all evaluation. If IRB approval is
obtained, a copy must be submitted to MFF.
Should MFF, DHHS or USDA determine that additional specific evaluation or reporting components
are required at any point in the contract year, the Subcontractor shall comply with these
requirements.
2.14. Overlapping Program Assurances
Subcontractor shall provide the following assurances when more than one SNAP-Ed program is
serving the same geographically located target audience represented in this agreement:
2.14.1. A system is in place to account for reach numbers, including documentation of a strategy
to assure unduplicated reach.
2.14.2. A memo is written on behalf of all agencies involved substantiating the program
agreements; ensuring complimentary programming by all agencies and not duplication
of effort.
2.14.3. Memo referenced in Section 2.14.2 is sent to MFF/MNN for file.
2.15. Pre-Approvals
Subcontractor assures that required pre-approvals outlined in the FY 2016 MFF SNAP-Ed
Programming and Operations Manual will be obtained prior to conducting, developing, ordering,
and seeking reimbursement for products, materials and/or services. It is the Subcontractor's
responsibility to obtain and document required pre-approvals necessary to support these
expenditures even through they are documented in the Project Summary and Budget.
Subcontractor assures that required pre-approvals will be obtained for any and all work not defined
in the Project Summary and Budget. If the Subcontractor fails to obtain the required pre-approval,
reimbursement for expenditures may be denied.
2.16. Communication
Subcontractor assures it will notify and invite MFF to participate in any formal or informal visits
from members of DHI-15 and USDA.
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FY 2016 MFF SNAP-Ed Subrecipient Agreement
Z16.1. Logo
Subcontractor agrees to follow established guidelines for using the Michigan SNAP-Ed logo,
MFF logo, DHHS logo, and USDA logo were and when applicable. Guidelines for logo use can
be found on MNN's website at: http://www.michigannutritionnetworkorg .
2.16.2. USDA Civil Rights and Nondiscrimination Statement
Subcontractor assures it will adhere to the most current civil rights and nondiscrimination
statement requirements as defined in the FY2016 MFF SNAP-Ed Programming and
Operations manual or to updates posted on the MNN website at:
http://www.michigannutritionnetwork.org .
2.16.3. Resources, publications, materials and data
In accordance with the USDA 2016 SNAP-Ed Guidance, Federal Royalty Rights (7 CFR
272.5(a) (4)), the funding entities reserve a royalty-free, non-exclusive, irrevocable license to
reproduce, distribute, publish, use or authorize others to use native de-identified data files up
to and including: video, audio and motion graphic files, graphics including photos and
illustrations, computer programs and related source code including websites, databases,
desktop applications, web applications and interactive media, literature, evaluation data
and/or other products produced with SNAP-Ed funds for government purposes. The
Subcontractor may sell or reproduce such items described above to other States for SNAP-Ed
purposes at the cost of reproduction, plus shipping and handling. Further expectations are
clarified in the 2016 USDA SNAP-Ed Guidance.
Michigan Fitness Foundation professional staff that contributes effort to electronic and/or
printed materials and publications shall be included as authors.
2.16.4. Required Communication Pre-Approvals
All materials, manuscripts, communications (printed, electronic, or other media venues),
reports, or other products of this project, to be used beyond local programming for broad
dissemination regionally, state-wide or nationally must be provided to Michigan Fitness
Foundation for a 30 business day review period prior to use or distribution.
Media releases of statewide significance (including promotional literature and commercial
advertisements) pertaining to the Agreement or project to which it relates must not be made
without prior written MFF approval, and then only in accordance with the explicit written
instructions of MFF.
2.17. Criminal Background Checks
As a condition of this Agreement, the Subcontractor certifies that the Subcontractor shall, prior to
any individual performing work under this Agreement, conduct or cause to be conducted for each
new employee, employee, subcontractor, subcontractor employee, or volunteer who works directly
with:
Clients under this Agreement, or who has access to client information, an Internet
Criminal History Access Tool (ICHAT) check and a National and State Sex Offender
Registry check
• Information about ICHAT can be found at http://apps.michigan.gov/ichat.
• The Michigan Public Sex Offender Registry website address is
http://www.mipsor.state.mi.us .
The National Sex Offender Public website address is http://www.nsopw.gov .
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Children under this Agreement, a Central Registry (CR) check.
• Information about CR can be found at
http://www.mi. tv\E_DliffIS
/0,1607,7-124-5452_7119 48330-180331--,00.html.
The Subcontractor shall require each new employee, employee, subcontractor, subcontractor
employee, or volunteer who works directly with clients or who has access to client information
under this Agreement to notify the Subcontractor in writing of criminal convictions (felony or
misdemeanor), and/or pending felony charges, or placement on the Central Registry as a
perpetrator, at hire or within 10 days of the event after hiring.
Additionally, the Subcontractor shall require each new employee, employee, subcontractor,
subcontractor employee, or volunteer who works directly with clients under this Agreement or who
has access to client information and who has not resided or lived in Michigan for each of the
previous 10 years to sign an affidavit attesting to the fact that they have never been convicted of a
felony or identified as a perpetrator, or if they have, the nature and recency of the felony.
For school-based programs, any subcontract with a public school may use the school's normal
process for completing criminal history checks, required by Michigan Law 380.1230 (state check)
and 1230a (federal check), in place of the ICHAT, National and State Sex Offender Registry, and
Central Registry checks.
The Subcontractor further certifies that the Subcontractor shall not submit claims for or assign
duties under this Agreement to any new employee, employee, subcontractor, subcontractor
employee, or volunteer based on a determination by the Subcontractor that the results of a positive
ICHAT and/or a CR response or reported criminal felony conviction or perpetrator identification
make the individual ineligible to provide the services.
The Subcontractor must have a written policy describing the criteria on which its determinations
shall be made and must document the basis for each determination. The Subcontractor may
consider the recency and type of crime when making a determination. Failure to comply with this
provision may be cause for immediate cancellation of this Agreement, In addition, the Subcontractor
must further have a written policy regarding acceptable screening practices of new staff members
and volunteers who have direct access to clients and/or client's personal information, which serve
to protect the organization and its clients that is clearly defined.
If DHHS and/or MFF determines that an individual provided services under this Agreement for any
period prior to completion of the required checks as described above, DHHS and/or MFF may
require repayment of that individual's salary, fringe benefits, and all related costs of employment for
the period that the required checks had not been completed.
3. MFF RESPONSIBILITIES
3.1. Payment
MFF shall make payments to the Subcontractor within 60 days, after Subcontractor's Monthly
Invoice is reviewed, approved and appropriate documentation is attached. Subcontractor's Monthly
Invoice should detail budgeted program expenditures as set forth in the Cost Documentation
attached to this Agreement.
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3.2. Maximum Amount of Agreement
MFF hereby agrees to pay the Subcontractor an amount not to exceed $42,592 for services
performed in accordance with the terms of this Agreement exclusively during the period October 1,
2015 to September 30, 2016.
3.3. Compliance/Monitoring Criteria
The services provided by the Subcontractor under this Agreement shall be evaluated by MFF on the
basis of the following criteria:
3.3.1. Timely submission of all reports as defined in Section 2.11. - Reporting.
3.3.2. Satisfactory compliance reviews as defined in the FY2016 MFF SNAP-Ed Programming
and Operations Manual.
3.3.3. Program delivery and expense reporting as defined in the Project Summary and Budget
Summary in Attachments 1 and 2.
3.3.4. Attendance at SNAP-Ed University (SNAP-Ed-U) and as applicable attendance at the
SNAP-Ed Finance Webinar.
3.3.5. Adherence to all contractual requirements as defined in this Agreement.
3.3.6. Past performance delivering the same SNAP-Ed grant.
3.4. Compliance/Monitoring Requirements
DHHS and MFF reserve the right to perform scheduled and unscheduled on-site visits during
normal business hours, to monitor the Subcontractor's activities under this Agreement at any time,
either during the term, or within four years after termination of the Agreement. The Subcontractor
shall cooperate with DHHS and MFF during the monitoring process by making available all records,
facilities, and other resources necessary to perform the review.
If DHHS and/or MFF detect noncompliance with this Agreement and/or questioned costs during the
course of its review, these items shall be identified and conveyed to the Subcontractor in an exit
conference. MFF or DHHS shall provide the Subcontractor with a detailed written report of these
findings within 30 days of the exit conference. The Subcontractor is required to address each item in
MFF's or DH1IS' report by providing a Corrective Action Plan (CAP) to eliminate or correct each
issue of noncompliance. The Subcontractor shall submit the Corrective Action Plan to MFF or DHHS
within 30 days from issuance of the report,
If DHHS or MFF identifies questioned costs that cannot be substantiated, MFF may, at its discretion,
and after consultation with the Subcontractor, require the Subcontractor to submit a revised
Monthly Invoice to reflect adjustment for disallowed costs. Submission of revised billings to MFF
shall be made within a time schedule established by MFF and the Subcontractor. If the
Subcontractor fails to comply with monitoring requirements as set forth in this Agreement, and
within allotted time frames mutually established, MFF may, at its discretion, invoke sanctions on the
Subcontractor, which may include, but are not limited to, actions to collect disallowed costs and/or
cancellation of the Agreements.
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FY 2016 MFF SNAP-Ed Subrecipient Agreement
4. GENERAL PROVISIONS
4.1. Amendments
4.1.1. Federal or State Laws or Regulations
The Subcontractor shall, upon request of MFF and receipt of a proposed amendment, amend
this Agreement, if and when required in the opinion of MFF, due to the revision of federal or
state laws or regulations. If the Subcontractor refuses to sign such amendment within 15
days after receipt, this Agreement shall terminate upon such refusal. This Agreement may
otherwise be amended only by the written consent of all the parties hereto.
4.12. Change Requests
MFF reserves the right to request from time to time any changes to the requirements and
specifications of this Agreement and the work to be performed by the Subcontractor under
this Agreement. During the course of ordinary business, it may become necessary for MFF to
discontinue certain business practices or create additional services/deliverables. At a
minimum, to the extent applicable, MFF will require the Subcontractor to provide a detailed
outline of all work to be done, including tasks necessary to accomplish the
services/deliverables, timeframes, listing of key personnel assigned, estimated hours for
each individual per task, and a complete and detailed cost justification.
If the Subcontractor does not so notify MFF, the Subcontractor has no right to claim
thereafter that it is entitled to additional compensation in accordance with this agreement
for performing that service or providing that deliverable. Changes to the Agreement should
be made no later than August 15, 2016.
Change Requests:
a. By giving Subcontractor written notice within a reasonable time, MFF must be entitled to
accept a Subcontractor proposal for change, to reject it, or to reach another agreement
with Subcontractor. Should the parties agree on carrying out a change, a written
amendment must be prepared and issued under this Agreement, describing the change
and its effects on the services and any affected components of this Agreement.
b. No proposed change must be performed until the proposed change has been specified in a
duly executed amendment issued by MFF.
c. If MFF requests or directs the Subcontractor to perform any activities that Subcontractor
believes constitute a change, the Subcontractor must notify MFF that it believes the
requested activities are a change before beginning to work on the requested activities. If
the Subcontractor fails to notify MFF before beginning to work on the requested activities,
then the Subcontractor waives any right to assert any claim for additional compensation
or time for performing the requested activities. If the Subcontractor commences
performing work outside the scope of this Agreement and then ceases performing that
work, the Subcontractor must, at the request of MFF, retract any out-of-scope work that
would adversely affect this Agreement.
4.2. Confidentiality
4.2.1. The Subcontractor and MFF each acknowledge that the other possesses and will
continue to possess confidential information that has been developed or received by it.
As used in this section, "confidential information" of the Subcontractor must mean all
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non-public proprietary information of the Subcontractor (other than confidential
information of MFF as defined below) which is marked confidential, restricted,
proprietary or with a similar designation. Confidential information of MFF must mean
any information which is retained in confidence by MFF and/or DHHS (or otherwise
required to be held in confidence by MFF and/or DHHS under applicable federal, state
and local laws and regulations) or which, in the case of tangible materials provided to
the Subcontractor by MFF under its performance under this Agreement, is marked as
confidential, proprietary or with a similar designation by MFF. Confidential information
includes information made privileged or confidential under federal and state laws and
excludes any information (including this Agreement) that is publicly available under the
Freedom Of Information Act, 1976 Public Act 442, as amended, MCL 15.231, et seq.
4.2.2. MFF and the Subcontractor will each use at least the same degree of care to prevent
disclosing to third parties the confidential information of the other as it employs to
avoid unauthorized disclosure, publication or dissemination of its own confidential
information of like character, but in no event less than reasonable care. Neither the
Subcontractor nor MFF will (i) make any use of the confidential information of the other
except as contemplated by this Agreement, (ii) acquire any right in or assert any lien
against the confidential information of the other, or (iii) if requested to do so, refuse for
any reason to promptly return the other party's confidential information to the other
party. Each party will limit disclosure of the other party's confidential information to
employees and subcontractors who must have access to fulfill the purposes of this
Agreement. At MFF's request, any employee of the Subcontractor having access or
continued access to MFF and/or DHHS's confidential information may be required to
execute an acknowledgement that the employee has been advised of the Subcontract
and the Subcontractor's obligations under this section and of the employee's obligation
to the Subcontractor to protect the confidential information from unauthorized use or
disclosure.
Promptly upon termination or cancellation of this Agreement for any reason, the
Subcontractor must return to MFF all confidential information or data. Should the
Subcontractor or MFF determine that returning confidential information or data is not
feasible, Subcontractor must certify to MFF that it has destroyed all MFF and/or DHHS
confidential information or data.
4.3. Compliance with Rules and Regulations
4.3.1. Conflicts and Ethics
Subcontractor will uphold ethical standards and is prohibited from:
a. Holding or acquiring an interest that would conflict with this Agreement.
b. Doing anything that creates an appearance of impropriety with respect to the award or
performance of this Agreement.
c. Attempting to influence or appearing to influence any State employee by the direct or
indirect offer of anything of value; or
d. Paying or agreeing to pay any person, other than employees and consultants working for
Subcontractor, any consideration contingent upon the award of this Agreement.
Subcontractor must immediately notify MFF of any violation or potential violation of
these standards. This Section applies to Subcontractor, any parent, affiliate, or
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FY 2016 MFF SNAP-Ed Subrecipient Agreement
subsidiary organization of Subcontractor and any subcontractor that performs
Agreement Activities in connection with this Agreement.
4.3.2. Compliance with Laws
Subcontractor must comply with all federal, state and local laws, rules and regulations,
including but not limited to:
a, FY 2016 MFF SNAP-Ed Programming and Operations Manual
b, 2016 USDA SNAP-Ed Guidance
c. OMB Part 200 - Uniform Administrative Requirements, Cost Principles, and Audit
Requirements for Federal Awards
4.3.3. Nondiscrimination
Under the Elliot-Larsen Civil Rights Act, 1976 PA 453, MCL 37.2101, et seq., and the
Persons with Disabilities Rights Act, 1976 PA 220, MCL 37.1101, et seq., Subcontractor
and its subcontractors agree not to discriminate against an employee or applicant for
employment with respect to hire, tenure, terms, conditions, or privileges of
employment, or a matter directly or indirectly related to employment, because of race,
color, religion, national origin, age, sex, height, weight, marital status, or mental or
physical disability. Breach of this covenant is a material breach of this Agreement.
4.3.4. Unfair Labor Practice
Under MCL 423.324, MFF may void any Agreement with a Subontractor or
subcontractor who appears on the Unfair Labor Practice register compiled under MCL
423.322.
4.3.5. Governing Law
This Agreement is governed, construed, and enforced in accordance with Michgan law,
excluding choice-of-law principles, and all claims relating to our arising out of this
Agreement are governed by Michigan law, excluding choice-of-law principles. Any
dispute arising from this Agreement must be resolved in Michigan Court of Claims.
Subcontractor consents to venue in Ingham County, and waives any objections, such as
lack of personal jurisdiction or forum non conveniens, Subcontractor must appoint
agents in Michigan to receive service of process,
4.4. Examination and Maintenance of Records
MFF or DFIHS or its designee may audit Subcontractor to verify compliance with this Agreement.
Subcontractor must retain, and provide to MFF or DHHS or its designee and the auditor general
upon request, all financial and accounting records related to this Agreement through the term of this
Agreement and for four (4) years after the latter of termination, expiration, or final payment under
this Agreement or any extension ("Audit Period"). If an audit, litigation, or other action involving the
records is initiated before the end of the Audit Period, Subcontractor must retain the records until
all issues are resolved.
Within 10 calendar days of providing notice, MFF or DHHS and its authorized representatives or
designees have the right to enter and inspect Subcontractors premises or any other places where
Agreement Activities are being performed, and examine, copy, and audit all records related to this
Agreement. Subcontractor must cooperate and provide reasonable assistance. If any financial
errors are revealed, the amount in error must be reflected as a credit or debit on subsequent
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FY 2016 MFF SNAP-Ed Subrecipient Agreement
invoices until the amount is paid or refunded. Any remaining balance at the end of this Agreement
must be paid or refunded within 45 calendar days.
This Section applies to Subcontractor, any parent, affiliate, or subsidiary organization of
Subcontractor, and any subcontractor that performs Agreement Activities in connection with this
Agreement.
4.5. Agreement Inclusiveness
This Agreement contains all the terms and conditions agreed upon by the parties. No other
understanding, oral or otherwise, regarding the subject matter of this Agreement shall be deemed to
exist or to bind any of the parties hereto.
4.6. Certification Regarding Debarment, Suspension, and Other Responsibility Matters
The Subcontractor certifies to the best of its ability and knowledge that they and their principals:
4.6.1, Are not presently debarred, suspended, proposed for debarment, declared ineligible,
sentenced to a denial of federal benefits by a state or federal court, or voluntarily
excluded from covered transactions by any federal or state department or agency.
4.6.2. Have not within a three-year period preceding this Agreement been convicted of or had
civil judgment 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 transaction; violation of federal or state
antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or
destruction of records, making false statements, or receiving stolen property.
4.6.3. Are not presently indicted for or otherwise criminally or civilly charged by a
governmental entity (federal, state, or local) with commission of any of the offenses
enumerated in 28 CFR 67, et sec.
4.6.4. Have not within a three-year period preceding this Agreement had one or more public
transactions (federal, state or local) terminated for cause and default.
Where the parties are unable to certify to any of the statements in this certification, the
Subcontractor shall attach an explanation to this Agreement.
The Subcontractor shall promptly notify MFF of any criminal litigation, investigations or proceeding
which may have arisen or may arise involving the Subcontractor or any of the Subcontractor's
contractors, or any of the foregoing entities' then current officers or directors during the term of this
Agreement and three years thereafter.
All notices shall be provided in writing to MFF within 15 business days after the Subcontractor
learns about any such criminal or civil investigations and within 15 days after the commencement of
any proceeding, litigation, or arbitration, as otherwise applicable. Details of settlements, which are
prevented from disclosure by the terms of the settlement, shall be annotated as such. However, the
Subcontractor shall disclose if any terms of such settlement would impede the Subcontractor's
performance of this Agreement The Subcontractor may rely on similar good faith certifications of its
contractors, which certification shall be available for inspection at the option of MFF.
The Subcontractor certifies to the best of its knowledge that within the past three years, the
Subcontractor has not;
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a. Failed to substantially perform a state contract or subcontract according to its terms,
conditions, and specifications within specified time limits.
b. Refused to provide information or documents required by a contract including, but not
limited to information or documents necessary for monitoring contract performance.
c. Failed to respond to requests for information regarding contract compliance, or
accumulated repeated substantiated complaints regarding performance of a contract.
d. Failed to perform a state contract or subcontract in a manner consistent with any
applicable state or federal law, rule, regulation, order, or decree.
The Subcontractor shall include Section 4.6. - Certification Regarding Debarment, Suspension, and
Other Responsibility Matters, language as written above in all subcontracts with other parties.
The Subcontractor shall require each primary contractor, whose subcontract will exceed $25,000, to
disclose to the Subcontractor, in writing, whether as of the time of the award of the subcontract, the
subcontractor, or its principals, is or is not debarred, suspended, or proposed for debarment by the
state of Michigan. The Subcontractor shall then inform MFF of the subcontractor's status and reasons
for the Subcontractor's decision to use such subcontractor, if the Subcontractor so decides.
If it is determined that the Subcontractor knowingly rendered an erroneous certification under this
provision, in addition to the other remedies available to the state, MFF may immediately terminate
this Agreement.
If the state finds that grounds to debar exist, it shall send notice to the Subcontractor of proposed
debarment indicating the grounds for proposed debarment and the procedures for requesting a
hearing. If the Subcontractor does not respond with a written request for a hearing within 20
calendar days, the state shall issue the decision to debar without a hearing. The debarment period
may be of any length up to eight years. After the debarment period expires, the Subcontractor may
reapply for inclusion on bidder lists through the regular application process by authority of Executive
Order 2003-1.
4.7. Severability
Each provision of this Agreement shall be deemed to be severable from all other provisions of this
Agreement and, if one or more of the provisions of this Agreement shall be declared invalid, the
remaining provisions of this Agreement shall remain in full force and effect.
4.8. Disputes
The Subcontractor shall notify MFF in writing of intent to pursue a claim against MFF for breach of
any terms of this Agreement. No suit may be commenced by the Subcontractor for breach of this
Agreement prior to the expiration of 90 days from the date of such notification. Within this 90 day
period, the Subcontractor, at the request of MFF, must meet with the Administrator of MFF or
designee for the purpose of attempting resolution of the dispute.
4.9. Termination/Cancellation
4.9.1. Notice and Right to Cure
If the Subcontractor breaches this Agreement, and MFF, in its sole discretion, determines that
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the breach is curable, then MFF must provide the Subcontractor with written notice of the
breach and a time period (not less than 30 days) to cure the breach. The notice of breach and
opportunity to cure is inapplicable for successive or repeated breaches or if MFF determines,
in its sole discretion, that the breach poses a serious and imminent threat to the health and
safety of any person or the imminent loss, damage, or destruction of any real or tangible
personal property.
4.9.2. Stop Work Orders
MFF may suspend any or all activities under this Agreement at any time. MFF will provide
Subcontractor a written stop work order detailing the suspension. Subcontractor must
comply with the stop work order upon receipt. Within 90 calendar days, or any longer period
agreed by the Subcontractor, MFF will either: (a) issue a notice authorizing Subcontractor to
resume work, or (13) terminate this Agreement. MFF will not pay for Agreement Activities,
Subcontractor's lost profits, or any additional compensation during a stop work period..
4.9.3. Termination for Cause
MFF may terminate this Agreement, for cause, in whole or in part, if Subcontractor, as
determined by MFF:
a. Endangers the value, integrity, or security of any location, data or personnel;
b. Becomes insolvent, petitions for bankruptcy court proceedings, or has any
involuntary bankruptcy proceeding filed against it by any creditor;
c. Engages in any conduct that may expose MFF to liability;
d. Breaches any of its material duties and obligations; or
e. Fails to cure a breach within the time stated in a notice of breach.
Any reference to specific breaches being material breaches within this Agreement will not be
construed to mean that other breaches are not material.
If MFF terminates this Agreement under this Section, MFF will issue a termination
notice specifying whether Subcontractor must (a) cease performance immediately, or
(b) continue to perform for a specified period. If it is later determined that
Subcontractor was not in breach of this Agreement, the termination will be deemed to
have been a Termination of Convenience, effective as of the same date, and the rights
and obligations of the parties will be limited to those provided in Section 4.9.4. -
Termination for Convenience.
MFF will only pay for amounts due to Subcontractor for Agreement Activities accepted
by MFF on or before the date of termination, subject to MFF's right to set off any
amounts owed by the Subcontractor for MFF's reasonable costs in terminating this
Agreement. The Subcontractor must pay all reasonable costs incurred by MFF in
terminating this Agreement for cause, including administrative costs, attorneys' fees,
court costs, transition costs, and any costs MFF incurs to procure the Agreement
Activities from other sources.
Page 17 of 20
FY 2016 MFF SNAP-Ed Subrecipient Agreement
4.9.4. Termination for Convenience
MFF may immediately terminate this Agreement in whole or in part without penalty and for
any reason, including but not limited to, appropriation or budget shortfalls. The termination
notice will specify whether Subcontractor must: (a) cease performance of the Agreement
Activities immediately, or (b) continue to perform the Agreement Activities in accordance
with Section 4.9.5 - Transition Responsibilities. If MFF terminates this Agreement for
convenience, MFF will pay all reasonable casts, as administered by MFF, for MFF approved
Transition Responsibilities.
The Subcontractor may terminate this Agreement upon 30 days written notice to MFF
at any time prior to the completion of the Agreement Period.
4.9.5. Transition Responsibilities
If MFF terminates this Agreement, for convenience or cause, or if this Agreement is otherwise
dissolved, voided, rescinded, nullified, expires or rendered unenforceable, the Subcontractor
agrees to comply with direction provided by MFF to assist in the orderly transition of
equipment, services, software, leases, etc. to MFF or a third party designated by MFF. If this
Agreement expires or terminates, the Subcontractor agrees to make all reasonable efforts to
effect an orderly transition of services within a reasonable period of time.
The Subcontractor must work with MFF, or a specified third party, to develop a transition
plan setting forth the specific tasks and schedule to be accomplished by the parties to effect
an orderly transition, The Subcontractor must allow as many personnel as practicable to
remain On the job to help MFF, or a specified third party, maintain the continuity and
consistency of the services required by this Agreement.
The Subcontractor must deliver to MFF any remaining owed reports, documentation and
deliverables still in Subcontractor's possession subject to appropriate payment by MFF.
If the transition results from a termination for any reason, reimbursement must be governed
by the termination provisions of this Agreement.
4.9.6. Disclosure of Litigation or other Proceeding
Subcontractor must notify MFF within 14 calendar days of receiving notice of any litigation,
investigation, arbitration, or other proceeding (collectively, "Proceeding") involving
Subcontractor, a subcontractor, or other officer or director of Subcontractor or
subcontractor, that arises during the term on this Agreement including:
a. A criminal Proceeding;
b. A parole or probation Proceeding
c. A Proceeding under the Sarbanes-Oxley Act;
d. A civil Proceeding involving:
1) A claim that might reasonably be expected to adversely affect Subcontractor's
viability or financial stability; or
2) A governmental or public entity's claim or written allegation of fraud; or
Page 18 of 20
FY 2016 TAFF SNAP-Ed Subrecipient Agreement
e. A Proceeding involving any license that Subcontractor is required to possess in
order to perform under this Agreement.
4.10. Closeout Responsibilities
4.10.1, Closeout
When this Agreement is concluded or terminated, for any reason, the Subcontractor shall
provide MFF, within 30 days of conclusion or termination, or unless otherwise directed by
MFF as year-end deadlines, with all financial, performance and other reports required as a
condition of this Agreement. MFF shall within the limit of this Agreement reimburse the
Contactor for allowable costs not previously reimbursed. The Subcontractor shall
immediately refund to MFF any payments in excess of allowable reimbursable expenditures.
4.10.2. Continuing Responsibilities
Termination, conclusion, or cancellation of this Agreement shall not be construed as
terminating the ongoing responsibilities of the Subcontractor or rights of MFF contained in
Section 4.4. - Examination and Maintenance of Records and Section 4.10.1. - Closeout of this
Agreement.
4.11. Insurance Coverage
self-insurance
The Subcontractor shall provide and maintain generalT--eyber;--professienal;med4cal, workers
compensation, andfor-automobile liability including non-owned auto-ingur-ariee-in-s.uth-ametints as
necessary to cover all claims which may arise out of the Subcontractor's operations under the terms
of this Agreement. The Subcontractor shall provide proof to MFF of such insurance coverage fore-the
standard Aceerd-form)--to-MFF-prior-teethe-effec-tive-d-ate-ef-this AgreomeFor-private-non-profit
and-proprietagenciesthe-rninirntim-affinunt-is4-1300 0;00 0:0 0 -(o e
Subeentraetor-agrees-to--previde-evidenee-that--Lill-reqn4red-insur-anee-pelieies-relateel--to-the
Subcontractor-Is-negligence arisingn- 6 6 • - &f-this Agreement will not caufie-poliey-to
be-c-a-neelled, materially change: - he-ut-30-day prior written notice40-MFF,-The
Subeo- FFas-unradditional-insured-on-th- - • cc.;
The Subcontractor shall require all of its subcontractors under the Agreement to purchase and
maintain the insurance coverage as described above for the Subcontractor in connection with the
performance of work by those subcontractors. As used in this paragraph, subcontractor means a
company the Subcontractor delegates performance of a portion of the services to, but does not
include independent contracts engaged by the Subcontractor solely in a staff augmentation role.
4.12. Indemnification
To-the exterit-allowable-under--the-laws-of-the-State-of-Miehigan-the Sul3eantracter-shall-inde-mnify;
save and hold-nannies. MFF-against-any-armi-a11-exp-ensc and-liability-of-any kinel-whieh-M-FF--may
sustairiticur-or be required-to--pay-nrising-out-of-this--Agreementl-previdedhoweverl--that--the
fif0124SIBES-Of-th4s paragraph shall-not-apply-te4ia-13ilities-or-expenses-caused-by-er-resulting-from-the
commission-or-emission-of-williol ar-negligent-acts-ur omissions-of-MFF-of-any-of its-offieers-or
employeesr-Farther, in the event-the-Suheontreetor--bec-ornes--involved--in-ur--is---tltreateneith
litigationithe Subeentractor-sberli-i-nmediately-notify-M-FF and-M-FF-may-enter-into-such-liti-gation-to
preteet-the-interest of-M-FF:
Page 19 of 20
FY 2016 MFF SNAP-Ed Subrecipient Agreement
IN WITNESS WHEREOF, MFF and the Subcontractor have caused this Agreement to be executed by their
respective officers duly authorized to do so.
The Undersigned has the lawful authority to bind the Subcontractor to the terms set forth in this Agreement.
OAKLAND COUNTY MICHIGAN FITNESS FOUNDATION
By: By:
(Signature) (Signature)
Michael Gingell, Chair James J. Tighe, President and CEO
(Print Name)
Date: Date:
Page 20 of 20
Attachment 1
Michigan Fitness Foundation Project Summary
Oakland County Health Division - Taste and Try Challenge
1. SMART Objectives
a. By September 30, 2016, 25% of adults sampled will have received a minimum of
4 face-to-face nutrition interactions at a market point-of-access location and will
report a 35% increase in their servings of fruits and vegetables consumed.
b. By September 30, 2016, 75% of children participating in an 11-week Cooking
with Kids curriculum will report a 10% increase in preferences for fruits and
vegetables and 5% cooking self-efficacy post-test in comparison to pre-test.
2. Focus on Taraet Audience
Delivery
Site
Number
of Sites
Category
and
Age and
Gender
SNAP
Eligible
Reach
(direct/indir
ect)
Total Reach
(direct/indire
ct)
SNAP Eligible
Contacts
(direct/indirect)
Total
Contacts
(direct/indirect) Description
OLHSA 1
Category
C
Census
Tract 1417
Adults and
children
male &
female
40/12,035 40/12,035 720/13,355 720/13,355
All Saints
Episcopal
Church
1
Category
C
Census
Tract 1421
Adults, male
& female &
families
50/12,070 50/12,070 900113,940 900/13,940
Summer
Feeding
Site
2
Category
C
Children K-6
and adult
parents
210/368 210/368 2,310/4,043 2,310/4,043
After
School
Program
2
Category
C
Census
Tract 1416
and 1417
Children K-6
and adult
parents
100/175 100/175 1,100/1,920 1,100/1,920
3. Program Description: The Taste and Try Challenge is comprised of two components. The
first provides eighteen nutrition education sessions onsite at two produce markets twice per
month, from January thru September 2016. One monthly session will include food
demonstration (including preparation) and recipes that will focus on three messages: 1) Tips
for making healthy meals with less stress and cost, 2) Fill half your plate with fruits and
vegetables, and 3) Trying new produce may change preferences for fruits and vegetables.
The second monthly session will include tastings to highlight a seasonal fruit or vegetable
being sold at the market. The second component is providing the 11-week, evidence-based
Cooking with Kids curriculum at four sites, two summer feeding sites and two after-school
locations in an effort to increase knowledge about nutrition and provide a recreational
activity to help children continue learning about health practices while not in school. The
curriculum will be offered from January thru September 2016 to children in grades K-6.
4. Summary of Research: The research supporting the Taste and Try Challenge includes the
Social-Ecological Model, Social Cognitive Theory, and the Theory of Planned Behavior
(TPB). The Social-Ecological Model focuses on five spheres of influence, framing individual
behavior change within the context of larger social changes (McLeroy, 1988). The Taste and
Try Challenge is a comprehensive public health intervention that includes education at the
individual level and a supporting environmental change at the community level and builds
self-efficacy through observational learning opportunities. Central to the Theory of Planned
Behavior (TPB) (Ajzen, 1985; Godin & Kok, 1996) is the concept that perceived behavioral
control is a predictor of behavior. Participants will perceive that they have control over
preparing and eating meals consisting of fresh fruits and vegetables. Cooking with Kids is an
evidence-based curriculum based on both existing research and continual field testing.
Research shows, utilizing hands-on experiences with food is an engaging and effective
strategy to teach healthy eating behaviors (Walters & Stacey, 2009).
5. Program Modifications: Increasing length of time within the year that the programing is
offered and expanding the Cooking with Kids program to after-school program sites.
6. Education Materials (new, revised and existin
Title/Description Source/Author Justification
(for new or revised materials only)
Choose MyPlate USDA
10 Tips: Liven up Your Meals with
Vegetable and Fruits
USDA
10 Tips: Build a Healthy Meal USDA
10 Tips: Eating Better on a Budget USDA
Michigan Availability Guide Fruits and
Vegetables
MSUE
10 Tips: Kid-Friendly Veggies & Fruits USDA
Storing Fruits & Veggies Produce for Better
Health Foundation
Various Recipes — to be determined USDA SNAP ED
Website
Cooking with Kids Curriculum/Materials Cookingwithkids.net
Eat Smart to Play Hard with MyPlate
Poster
USDA
Chop Chop Magazine Chopchopmag.org
7. Evaluation Approach, Scope and Measures: Evaluation plans will include utilization of
valid and reliable research-based measurement tools and participation in the statewide
evaluation. In addition, continual process evaluation through review of daily field notes,
consistent evaluation implementation, and prompt result analysis will ensure program
improvement and effectiveness. Key performance measure is to increase consumption of
fruits and vegetables. The evaluation methods and tools that will be used include tracking
cards, pre and post evaluations, and surveys.
B. Key Performance Measures
Increase the consumption of fruits and vegetables
Attachment 2
Oakland County Health Division
FY2016 SNAP-Ed Budget Summary
....M.P.M.6.,,.....3.nA:e..i2Cfigii,1
: State/Lacal:MatCh • SNAP-Ed Grant Award (CFDA #10.561)
Salary and Benefits : :SO: Salary and Benefits $19,587
EMPLOYEE* EmPLoYEEs
1 Part Time Nutrition Educator!, TBD $19,587
2
3
4 4
a 5
10 0
CONTRACTED STAFF CONTRACTED STAFF
1
2
a 3
4
5 5
PaetarjeandShinping. i-1:-:]:::
1
Postage and Shipping
Postage
$2,254
$2,254 1
2 2
3 a
Supplies 4, filatle'&CUrrI6nlinrctiBaa10,5';000
1
Supplies / Mat Is & Curriculum / Equip < $5,000
Printing: nutrition ed. materials, eval, promotional
$15,419
$3,915 1
2 2 Printing of direct mailers $3722
a a Food tasting consumable supplies $493
4 4 Food for tastings $4,155
s s Food demoltaste test equipment $500
6 6 Nutrition education materials $1,500
7 7 Food safety $1,144
a a
5
10 13
11 11
Travel:: :.•Sti;
I
Travel
Local Program Travel
$1,026
$627 Local Program Travel
2 Conference /Workshop Travel 2 Conference 1 Workshop Travel $399
Contracts (3rd AgreeMente:::::,
1
Contracts/ 3rd Party Subrecipient Agreements
Translation
$1,250
$1,250 1
2 2
a 3
4 4
5 5
3 6
7
SpatiaMledelleineons I Adniirdetrative .:$0 Space / Miscellaneous /Administrative $3,056
1 1 Liability insurance $250
2 2
3 3
4
13.83% indirect on salary only $2,806
4
5 5
Space:
7 Spare:
8 Space:
TOTAL STATEOCAL.-MATORDIRECT $9, TOTAL GRANT AWARD DIRECT $42,592
Indirect Rate Ip,....uprevi.d foquired) (add rale In
the na..1:c.i .0.0. IS) 8.3°,:.
Indirect Rate (pre-approve€ roquIred) add raie in
the noi,1 calf 04181 $0
.:: '.TOTAL.:STATMOCAL:: MATCH • :$0 TOTAL GRANT AWARD $42,592
Percent of Stale/Local Match to Grant Award (this cell will
calculate once dale is entered above) 0%
Attachment 3
FY16 SNAP-Ed Subrecipient Agreement
Contact List for MFF and Subcontractor
Michigan Fitness Foundation Contacts Subcontractor Contacts
Administrative Contact
Name: Marci Scott
Address: Michigan Fitness Foundation
PO Box 27187
Lansing, MI 48909
Telephone: (517) 908-3862
Fax: (517) 347-8145
Email: mscott@michiganfitness.org
Authorized Official
Name: Michael Gingell
Address: Oakland County Health Division
1200 N. Telegraph Bldg 34E
Pontiac, Ml 48341
Telephone: (248)-858-4076
Fax:
Email: gingellm@oakgov.com
Programming Contact
Name: Kathleen Cullinen
Address: Michigan Fitness Foundation
PO Box 27187
Lansing, MI 48909
Telephone: (517) 908-3868
Fax: (517) 347-8145
Email: kcullinen@michiganfitness.org
Programming Contact
Name: Jennifer Kirby
Address: Oakland County Health Division
1200 N. Telegraph Bldg 34E
Pontiac, MI 48341
Telephone: 248-858-1467
Fax: 248-858-5428
Email: kirbyj@oakgov.com
Financial Contact
Name: Tammy Sullivan
Address: Michigan Fitness Foundation
PO Box 27187
Lansing, MI 48909
Telephone: (517) 908-3866
Fax: (517) 347-8145
Email: tsullivan@michiganfitness.org
Evaluation Contact
Name: Lisa McKay-Chiasson
Address: 1200 N. Telegraph Bldg 34 E
Pontiac, MI 48341
Telephone: 248-858-1395
Fax: 248-858-5428
Email: mckay-chiassonl@oakgov.com
Authorized Official
Name: Marci Scott
Address: Michigan Fitness Foundation
PO Box 27187
Lansing, MI 48909
Telephone: (517) 908-3862
Fax: (517) 347-8145
Email: mscott@michiganfitness.org
Financial Contact
Name: Kathy McLernon
Address: Oakland County Fiscal Services
2100 Pontiac Lake Road
Waterford, MI 48328
Telephone: 248-858-1216
Fax:
Email: lanek@oakgov.com
Attachment 4
Invoice Signature Authorization Form
Please identify two individuals from your organization who are authorized to sign the Monthly
Michigan Fitness Foundation SNAP-Ed Invoices sent to Michigan Fitness Foundation on behalf of the
FY16 SNAP-Ed Subrecipient Agreement attached hereto.
Name Name
Title Title
Organization Organization
Signature Signature
MICHIGAN FITNESS FOUNDATION
Michigan Nutrition Network
P.O. Box 27187
Lansing MI 48909
ATTACHMENT 5
Telephone 517-347-7891
Fax 517-347-8145
Email: mnn@michiganfitness.org
Subrecipient Single Audit Certification Request
The Federal Office of Management and Budget (OMB) Part 200 - UNIFORM ADMINISTRATIVE REQUIREMENTS, COST
PRINCIPLES, AND AUDIT REQUIREMENTS FOR FEDERAL AWARDS requires that recipients of Federal awards, who are
subject to the provisions of this guidance, ensure that Subrecipients of $750,000 or more comply with the
audit requirements in 5200.500.
For Michigan Fitness Foundation (MFF) to satisfy its own OMB Part 5200.500 requirements, we need a
certification from your institution, as a Subrecipient, that you are in compliance with these requirements
for your most recent fiscal year. Accordingly, please check the appropriate box(es) and provide any
required documents:
Check one-> We are:
an educational institution and subject to OMB Part §200.500 -> please complete part A
a not-for-profit organization and subject to OMB Part 5200.500 -> please complete part A
an educational institution and not subject to ONE Part §200.500 -> please complete part B
a not-for-profit organization and not subject to OMB Part .5200.500 -> please complete part B
a US for-profit organization and not subject to OMB Part 5200.500 -> please complete part B
a foreign (non-U.S.) entity and not subject to OMB Part 5200.500 -> please complete part B
Part A [ I We are subject to the ONB Part §200.500 (Complete one of the sections below):
1. [ ] Our single audit, for fiscal year ended , has not yet been completed. We expect
the audit to be completed by . Within thirty (30) days of completion, we will provide a
certification of either 52 or 53 as stated below.
Or
2. [ ] Our single audit, for fiscal year ended , has been completed. The administration
of our Federal projects has been audited in accordance with OMB Part 5200.500 and there were no
material instances of noncompliance with Federal laws and regulations or reportable conditions, and no
findings in the single audit report that are specifically related to subaward(s) from Michigan Fitness
Foundation.
Or
3. [ ] Our single audit, for fiscal year ended has been completed, and material
noncompliance issues and/or reportable conditions were noted. Enclosed is a copy of the audit report
and our response:
And, there E ] are / [ ] are not findings in the single audit report that are specifically related
to a subaward(s) from MFF. (Please provide a listing of subaward(s) as well as an explanation of
the finding(s) as they relate to each subaward(s) if there are material findings).
Part B [ I We are NOT subject to the OMB Part §200.500 (Complete one of the sections below):
1. [ ] We receive less than $750,000 in total Federal support during a fiscal year.
DOCUMENTATION REQUIRED: Therefore, in lieu of an single audit we have enclosed:
] An audited financial statement
E ] An independent auditor's management letter
Other (explain):
Or
2. [ ] We receive greater than $750,000 in total Federal support during a fiscal year.
Therefore, our "yellow-book" compliant copy of the audit for fiscal year ended , has
been completed, and material noncompliance issues and/or reportable conditions were noted.
DOCUMENTATION REQUIRED: Enclosed is a copy of the audit report and our response:
And, there [ I are / [ ] are not findings in the single audit report that are specifically related
to a subaward(s) from MFF. (Please provide a listing of subaward(s) as well as an explanation of
the finding(s) as they relate to each subaward(s) if there are material findings).
CERTIFICATION:
I certify, as an authorized representative for the institution that the boxes checked above are
appropriate and accurate:
Signature:
Date:
Name and Title:
Institution:
Tax Identification No:
E-mail:
Phone Number:
Please address your response/fax your signed response to the attention of: Tammy Sullivan, Director of
Grant Operations. We would appreciate a response as soon as possible. Thank you for your cooperation.
Michigan Fitness Foundation is an Affirmative-Action/Equal Opportunity Employer
MICHIGAN
Attachment 6 — ACH Credit Authorization
FITNESS
FOUNDATION
MFF SNAP-Ed Subrecipient,
We're pleased to be able to offer electronic fund transfers for reimbursement of
your monthly SNAP-Ed expenditures. The ACH Credit [electronic fund
transfer] is a requirement for all MFF Subrecipients unless other arrangements
have been pre-arranged. Please complete the information below and return it
to Tammy Sullivan at MFF with your signed contract.
AUTHORIZATION AGREEMENT FOR DIRECT PAYMENTS (ACH CREDITS)
Company Name:
I (we) hereby authorize Michigan Fitness Foundation, hereinafter called COMPANY,
to initiate credit entries to my (our) 0 Checking Account / El Savings Account (select
one) indicated below at the depository financial institution named below, hereafter
called DEPOSITORY, and to credit the same to such account. I (we) acknowledge
that the origination of ACH transactions to my (our) account must comply with the
provisions of U.S. law.
In the event that an error is made I (we) also authorize COMPANY to correct said
error by initiating the necessary additional debit or credit entry to my (our) Account
given below.
Depository
Name: Branch:
City: State: Zip
Routing Account
Number Number:
This authorization is to remain in full force and effect until COMPANY has received
written notification from me (or either of us) of its termination in such time and in such
manner as to afford COMPANY and DEPOSITORY a reasonable opportunity to act
on it.
Name(s)
(pInese punt)
Signature: Date
NOTE ALL CREDIT AUTHORIZATIONS MUST PROVIDE THAT TFIE RECEIVER MAY REVOKE THE
AUTHORIZATION ONLY BY NOTIFYING THE ORIGINATOR IN THE MANNER SPECIFIED IN TILE
AUTHORIZATION.
If you have any questions or need additional information, please contact
Tammy Sullivan, Director of Grant Operations at (517) 908-3866.
P.O. Box 27187 Lansing, MI 48909
800-434-8642 517-347-7891 Fax: 517-347-8145 www.michiganfitness.org
GOVERNOR
Rick Snyder
HONORARY CO-CHAIRS
Jim Hackett
Mark Hollis
GOVERNOR'S COUNCIL ON
PHYSICAL FITNESS
Peaches McCahill—Chair
Paul J. Barbeau
Doreen Bolhuis
Thomas Goodwin, Ph.D.
Lila Lazarus
Florine Mark
Thomas Minter
Nolan Moody
James Pivarnik, Ph.D.
Scott Przystas
Anuja Rajendra
Tori Sager
Raquel Thueme
Brian Townsend
Ronald Winter
MICHIGAN FITNESS
FOUNDATION BOARD
Peaches MoCahfll —Chair
Mary 7ati na—Vice Chair
Paul Barboau—Assoc/ate Vice Chair
Dale L. Shugars—Seeretary/Treasurer
Laura Appel
Doreen Boll-lois
Debbie Dingell
Patricia Herndon
Geraldine Jackson
Lila Lazarus
Florne Mark
Thomas Minter
Julie L. Novak
Lisa Padgett
Dawn Siggett
Ex Officio
Sandra H. KnoLlenberg
PRESIDENT AND CEO
James J. Tighe
_ ...._ fr _ AKLAND. 0 CERTIFICATE OF SELF-INSURANCE • .
ISSUED BY:
Robert Erlenbeck
Insurance and Safety Coordinator
Oakland County Risk Management & Safety
2100 Pontiac Lake Road — Building 41W
Waterford, MI 48328
ENTITY:
County of Oakland —
1200 N. Telegraph Road
Pontiac, MI 48341-0471
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE
CERTIFICATE HOLDER.
TERMS AND CONDITIONS
It should be expressly understood that the intent of the self-insurance evidenced herein follows the provisions of the policies
and regulations of the County of Oakland, which does not permit any assumption of liability which does not result from and is
not caused by the negligent acts or omissions of its representatives, employees or other persons under its direction and
control. The provisions under General Liability shall apply only with respect to claims arising out of the negligent acts or
omissions of the County of Oakland, its representative, employees or other persons under its direction and control.
_ _ .
TYPE OF INSURANCE EFFECTIVE_
DATE
EXPIRATION
DATE ' _
' LIMITS
GENERAL LIABILITY OAKLAND COUNTY IS
SELF INSURED FOR
GENERAL LIABIITY
1984 CONTINUOUS
GENERAL AGGREGATE $ Self
PRODUCTS COMP/OP AGG $ Insured
PERSONAL & ADV INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (ANY 1 FIRE) $ -
MED EXP (ANY 1 PERSON) $
WORKERS' COMP.
AND EMPLOYERS'
LIABILITY
OAKLAND COUNTY IS
SELF INSURED FOR
WORKERS'
COMPENSATION
1979 CONTINUOUS STATE STATUTORY LIMITS
DESCRIPTION AND LOCATION OF EVENT:
Taste and Try Challenge SR SNAP-Ed Program
DATE(S) / TIME(S) OF EVENT:
October 1,2015 to September 30, 2016
CERTIFICATE HOLDER CANCELLATION
Michigan Fitness Foundation
Attn: Marc i Scott
PO Box 27187
Lansing, MI 48909
Should any of the above described self-insured coverages
be modified or cancelled before the expiration date shown,
the County of Oakland will provide 30 days written notice to
the named Certificate holder. Failure to convey such notice
shall not be a bar to the change of coverages, limits, and
conditions implemented by the County of Oakland.
AUTHORIZED REPRESENTATIVE: ..
00,40.rfr,..,-..-..--
DATE: 1/6/16 ._...--- ,,,„ii„
------ --- --
Resolution #16021 February 4, 2016
Moved by Kochenderfer supported by Quarles the resolutions (with fiscal notes attached) on the amended
Consent Agenda be adopted (with accompanying reports being accepted).
AYES: Dwyer, Fleming, Gershenson, Gingell, Gosselin, Hoffman, Jackson, Kochenderfer, KowaII,
Long, McGillivray, Middleton, Quarles, Scott, Spisz, Taub, Weipert, Zack, Bowman, Crawford. (20)
NAYS: None. (0)
A sufficient majority having voted in favor, the resolutions (with fiscal notes attached) on the amended Consent
Agenda were adopted (with accompanying reports being accepted).
II HEREBY APPROVE THIS RESOLUTION
CHIEF DEPUTY COUNTY EXECUTIVE
ACTING PURSUANT TO MCL 45.559A (7)
STATE OF MICHIGAN)
COUNTY OF OAKLAND)
I, Lisa Brown, 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 February 4, 2016,
with the original record thereof now remaining in my office.
In Testimony Whereof, I have hereunto set my hand and affixed the seal of the County of Oakland at Pontiac,
Lisa Brown, Oakland County
Michigan this 4th day of February, 2016.