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HomeMy WebLinkAboutResolutions - 2017.01.26 - 22749MISCELLANEOUS RESOLUTION #17008 January 26, 2017
BY: Commissioner Christine Long, Chairperson, General Government Committee
IN RE: DEPARTMENT OF HEALTH AND HUMAN SERVICES/HEALTH DIVISION - FISCAL YEAR
201612017 MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY (MDEQ) REIMBURSEMENT
AGREEMENT GRANT ACCEPTANCE
To the Oakland County Board of Commissioners
Chairperson, Ladies and Gentlemen:
WHEREAS the Michigan Department of Environmental Quality (MDEQ), has awarded a reimbursement
agreement to the Oakland County Health Division beginning October 1, 2016 through September 30, 2017, for
services related to Non-community — Type II Water Supply, Long-Term Drinking Water Monitoring, Public
Swimming Pool Inspections, Septage Waste, Campground Inspection, and Medical Waste Regulation
Inspections; and
WHEREAS all the services referenced above are on-going; and
WHEREAS the Fiscal Year 2015/2016 MDEQ Reimbursement Agreement reflected a total potential funding
amount of $247,282; and
WHEREAS the Fiscal Year 2016/2017 MDEQ Reimbursement Agreement reflects a total potential funding
amount of $256,498, which is an increase of $9,216 in potential funding from the previous agreement; and
WHEREAS no personnel changes have been requested for the reimbursement programs at this time; and
WHEREAS this Reimbursement 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 Department of Environmental Quality Agreement in the total potential amount of $256,498, beginning
October 1, 2016 through September 30, 2017.
BE IT FURTHER RESOLVED that the Board Chairperson is authorized to execute the Reimbursement
Agreement and approve changes and extensions not to exceed fifteen percent (15%), which is consistent with
the agreement as originally approved.
Chairperson, on behalf of the General Government Committee, I move the adoption of the foregoing
resolution.
Commissioner Christine Long, District
Chairperson, General Government Co ittee
GENERAL GOVERNMENT COMMITTEE VOTE:
Motion carried unanimously on a roll call vote with Long and Gershenson absent.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES/HEALTH
DIVISION
FY 2016/2017 MICHIGAN DEPARTMENT OF ENVIRONMENTAL
QUALITY REIMBURSEMENT AGREEMENT ACCEPTANCE
Each year the Oakland County Health Division (OCHD) enters into a contract with the Michigan
Department of Environmental Quality (MDEQ) to carry out the following activities:
Noncommunitv Water Supply (Type 11)
The OCHD monitors water supplies that are not community owned but supply water to the
general public through the course of doing business.
Long-term Drinking Water Monitoring
The OCHD collects water samples to monitor drinking water supplies in areas of known or
suspected contamination as identified by DEQ. Testing is conducted in DEQ lab.
Swimming Pool Program
The OCHD makes inspections, monitors water sampling activities, mails results, and
investigates complaints of swimming pools and spas that are open to the public in Oakland
County.
Septage Waste Program
The OCHD inspects land septage disposal sites annually and septage waste motor vehicles as
licenses are renewed.
Campground Inspections
The OCHD inspects public campgrounds and facilities yearly for license renewal.
Medical Waste Regulatory Inspections
•The OCHD inspects a random sample of registered medical waste producers that
function as small, relatively low volume producers of medical waste.
GRANT REVIEW SIGN OFF — Health Division
GRANT NAME: FY 2017 MDEQ — Local Health Department Agreement
FUNDING AGENCY: Michigan Department of Environmental Quality
DEPARTMENT CONTACT PERSON: Rachel Shymkiw 2-2151
STATUS: Grant Acceptance
DATE: January 5, 2017
Pursuant to Misc. Resolution 413180, 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 place on the
appropriate Board of Commissioners' committee(s) for grant acceptance by Board resolution.
DEPARTMENT REVIEW
Department of Management and Budget:
Approved. — Laurie Van Pelt (12/21/2016)
Department of Human Resources:
HR Approved (No Committee) — Lori Taylor (12/21/2016)
Risk Management and Safety:
Approved by Risk Management. — Robert Erlenbeck (1/3/2017)
Corporation Counsel:
I see no legal issues with the grant and 1 approve. — Bradley G. Benn (1/5/2017)
DE611
LOCAL HEALTH DEPARTMENT GRANT AGREEMENT
BETWEEN
MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY
AND OAKLAND COUNTY HEALTH DIVISION
This Grant Agreement ("Agreement") is made between the Michigan Department of Environmental Quality,
(MDEQ), Office of Drinking Water and Municipal Assistance (ODWMA) ("State"), and Oakland County
Health Division (''Grantee").
The purpose of this Agreement is to provide funding in exchange for work to be performed for the project
named below. The State is authorized to provide grant assistance pursuant to Michigan Safe Drinking
Water Act, 1976, PA 399, as amended; Natural Resources and Environmental Protection Act, 1994, PA
451, as amended, Parts 117 and 201; Public Health Act, 1978, PA 368, as amended; and Federal Water
Pollution Control Act, 33 U.S.C. 1251 et seq. Legislative appropriation of Funds for grant assistance is set
forth in Public Act 268 of 2016. This Agreement is subject to the terms and conditions specified herein.
Project Name: Local Health Department Grant
Amount of Grant State: $ 240,750.00
Start Date: October 1,2016
GRANTEE CONTACT:
Kathy Forzley, Health Officer
Name/Title
Oakland County Health Division
Organization
1200 N Telegraph Road
Address
Pontiac, Michigan 48341-1032
Address
(248) 858-1312
Telephone number
(248) 452-9758
Fax number
forzleyk@oakgov.com
E-mail address
38-6004876
Federal ID number
Grantee DUNS number
Amount of grant: $ 256,498.00
Amount of Grant Federal: $ 15,748.00
End Date: September 30, 2017
STATE'S CONTACT:
Christina Campbell,
Name/Title
Office of Drinking Water and Municipal Assistance
Division/Bureau/Office
P.O. Box 30241
Address
Lansing, Michigan 48909-7741
Address
(517) 284-6501
Telephone number
(517) 373-4797
Fax number
campbellc@michigan.gov
E-mail address
The individuals signing below certify by their signatures that they are authorized to sign this Agreement on
behalf of their agencies and that the parties will fulfill the terms of this Agreement, including any attached
appendices, as set forth herein.
FOR THE GRANTEE:
Signature
Name/Title
FOR THE STATE:
Signature
Bryce Feighner, Chief, Office of Drinking Water and Municipal
Assistance
Name/Title
Date
Date
I. PROJECT SCOPE
This Agreement and its appendices constitute the entire Agreement between the State and the
Grantee and may be modified only by written agreement between the State and the Grantee.
(A) The scope of this project is limited to the activities specified in Appendix A and such activities
as are authorized by the State under this Agreement. Any change in project scope requires prior
written approval in accordance with Section III, Agreement, in this Agreement.
(B) By acceptance of this Agreement, the Grantee commits to complete the project identified in
Appendix A within the time period allowed for in this Agreement and in accordance with the terms
and conditions of this Agreement.
II. AGREEMENT PERIOD
Upon signature by the State, the Agreement shall be effective from the Start Date until the End
Date on page one, The State shall have no responsibility to provide funding to the Grantee for
project work performed except between the Start Date and the End Date specified on page one.
Expenditures made by the Grantee prior to the Start Date or after the End Date of this Agreement
are not eligible for payment under this Agreement.
III. CHANGES
Any changes to this Agreement shall be requested by the Grantee or the State in writing and
implemented only upon approval in writing by the State. The State reserves the right to deny
requests for changes to the Agreement or to the appendices. No changes can be implemented
without approval by the State.
IV. GRANTEE DELIVERABLES AND REPORTING REQUIREMENTS
The Grantee shall submit deliverables and follow reporting requirements specified in the
Program Specific Requirements - Appendix A and in the Program Descriptions' of this
Agreement.
(A) The Grantee must complete and submit quarterly financial and/or progress reports according
to a form and format prescribed by the State and must include supporting documentation of
eligible project expenses. These reports shall be due according to the following:
Reporting Period Due Date
January 1 - March 31 April 30
April 1 - June 30 July 31
July 1 - September 30 Before October 10*
October 1 - December 31 January 31
*Due to the State's year-end closing procedures, there will be an accelerated due date for the
report covering July 1 - September 30. Advance notification regarding the due date for the
quarter ending September 30 will be sent to the Grantee. If the Grantee is unable to submit a
report in early October for the quarter ending September 30, an estimate of expenditures through
September 30 must be submitted to allow the State to complete its accounting for that fiscal year.
The forms provided by the State shall be submitted to the program contact listed in the program
description.
(B) The Grantee shall provide a final project report in a format prescribed by the State,
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(C) The Grantee must provide all products and deliverables in accordance with Appendix A.
V. GRANTEE RESPONSIBILITIES
(A) The Grantee agrees to abide by all applicable local, state, and federal laws, rules, ordinances,
and regulations in the performance of this grant.
(B) All local, state, and federal permits, if required, are the responsibility of the Grantee. Award of
this grant is not a guarantee of permit approval by the State.
(C) The Grantee shall be solely responsible to pay all applicable taxes and fees, if any, that arise
from the Grantee's receipt or execution of this grant.
(D) The Grantee is responsible for the professional quality, technical accuracy, timely
completion, and coordination of all designs, drawings, specifications, reports, and other services
submitted to the State under this Agreement. The Grantee shall, without additional
compensation, correct or revise any errors, omissions, or other deficiencies in drawings,
designs, specifications, reports, or other services.
(E) The State's approval of drawings, designs, specifications, reports, and incidental work or
materials furnished hereunder shall not in any way relieve the Grantee of responsibility for the
technical adequacy of the work. The State's review, approval, acceptance, or payment for any
of the services shall not be construed as a waiver of any rights under this Agreement or of any
cause of action arising out of the performance of this Agreement.
(F) The Grantee acknowledges that it is a crime to knowingly and willingly file false information
with the State for the purpose of obtaining this Agreement or any payment under the
Agreement, and that any such filing may subject the Grantee, its agents, and/or employees to
criminal and civil prosecution and/or termination of the grant.
VI. USE OF MATERIAL
Unless otherwise specified in this Agreement, the Grantee may release information or material
developed under this Agreement, provided it is acknowledged that the State funded all or a
portion of its development.
The State, and federal awarding agency, if applicable, retains a royalty-free, nonexclusive and
irrevocable right to reproduce, publish, and use in whole or in part, and authorize others to do so,
any copyrightable material or research data submitted under this grant whether or not the material
is copyrighted by the Grantee or another person. The Grantee will only submit materials that the
State can use in accordance with this paragraph.
VII. ASSIGNABILITY
The Grantee shall not assign this Agreement or assign or delegate any of its duties or obligations
under this Agreement to any other party without the prior written consent of the State. The State
does not assume responsibility regarding the contractual relationships between the Grantee and
any subcontractor.
VIII. SUBCONTRACTS
The State reserves the right to deny the use of any consultant, contractor, associate, or other
personnel to perform any portion of the project. The Grantee is solely responsible for all
contractual activities performed under this Agreement.
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Further, the State will consider the Grantee to be the sole point of contact with regard to
contractual matters, including payment of any and all charges resulting from the anticipated Grant.
All subcontractors used by the Grantee in performing the project shall be subject to the provisions
of this Agreement and shall be qualified to perform the duties required.
IX. NON-DISCRIMINATION
The Grantee shall comply with the Elliott Larsen Civil Rights Act, 1976 PA 453, as amended,
MCL 37.2101 et seq., the Persons with Disabilities Civil Rights Act, 1976 PA 220, as amended,
MCL 37.1101 et seq., and all other federal, state, and local fair employment practices and equal
opportunity laws and covenants that it shall not discriminate against any employee or applicant
for employment, to be employed in the performance of this Agreement, with respect to his or her
hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly
related to employment, because of his or her race, religion, color, national origin, age, sex,
height, weight, marital status, or physical or mental disability that is unrelated to the individual's
ability to perform the duties of a particular job or position. The Grantee agrees to include in
every subcontract entered into for the performance of this Agreement this covenant not to
discriminate in employment. A breach of this covenant is a material breach of this Agreement.
X. UNFAIR LABOR PRACTICES
The Grantee shall comply with the Employers Engaging in Unfair Labor Practices Act, 1980 PA
278, as amended, MCL 423.321 et seg.
XI. LIABILITY
(A) The Grantee, not the State, is responsible for all liabilities as a result of claims, judgments, or
costs arising out of activities to be carried out by the Grantee under this Agreement, if the liability
is caused by the Grantee, or any employee or agent of the Grantee acting within the scope of their
employment or agency.
(B) Nothing in this Agreement should be construed as a waiver of any governmental immunity by
the Grantee, the State, its agencies, or their employees as provided by statute or court decisions.
X11. CONFLICT OF INTEREST
No government employee, or member of the legislative, judicial, or executive branches, or
member of the Grantee's Board of Directors, its employees, partner agencies, or their families
shall benefit financially from any part of this Agreement.
XIII. ANTI-LOBBYING
If all or a portion of this Agreement is funded with federal funds, then in accordance with OMB
Circular A-21, A-87, or A-122, as appropriate, the Grantee shall comply with the Anti-Lobbying
Act, which prohibits the use of all project funds regardless of source, to engage in lobbying the
state or federal government or in litigation against the State. Further, the Grantee shall require
that the language of this assurance be included in the award documents of all subawards at all
tiers.
If all or a portion of this Agreement is funded with state funds, then the Grantee shall not use
any of the grant funds awarded in this Agreement for the purpose of lobbying as defined in the
State of Michigan's lobbying statute, MCL 4.415(2). "'Lobbying' means communicating directly
with an official of the executive branch of state government or an official in the legislative branch
of state government for the purpose of influencing legislative or administrative action."
4
The Grantee shall not use any of the grant funds awarded in this Agreement for the purpose of
litigation against the State. Further, the Grantee shall require that language of this assurance
be included in the award documents of all subawards at all tiers.
XIV. DEBARMENT AND SUSPENSION
By signing this Agreement, the Grantee certifies that it has checked the federal
debarment/suspension list at www.SAM.gov to verify that it, its agents, and its subcontractors:
(1) Are not presently debarred, suspended, proposed for debarment, declared ineligible or
voluntarily excluded from covered transactions by any federal department or the state.
(2) Have not within a three-year period preceding this Agreement been convicted of or had
a 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, as defined in 45 CFR 1185;
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.
(3) 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 subsection
(2).
(4) Have not within a three-year period preceding this Agreement had one or more public
transactions (federal, state, or local) terminated for cause or default.
(5) Will comply with all applicable requirements of all other state or federal laws, executive
orders, regulations, and policies governing this program.
XV. AUDIT AND ACCESS TO RECORDS
The State reserves the right to conduct a programmatic and financial audit of the project, and the
State may withhold payment until the audit is satisfactorily completed. The Grantee will be
required to maintain all pertinent records and evidence pertaining to this Agreement, including
grant and any required matching funds, in accordance with generally accepted accounting
principles and other procedures specified by the State. The State or any of its duly authorized
representatives must have access, upon reasonable notice, to such books, records, documents,
and other evidence for the purpose of inspection, audit, and copying. The Grantee will provide
proper facilities for such access and inspection. All records must be maintained for a minimum of
five (5) years after the final payment has been issued to the Grantee by the State.
XVI INSURANCE
(A) The Grantee must maintain insurance or self-insurance that will protect it from claims that
may arise from the Grantee's actions under this Agreement.
(B) The Grantee must comply with applicable workers' compensation laws while engaging in
activities authorized under this Agreement.
XVII OTHER SOURCES OF FUNDING
The Grantee guarantees that any claims for reimbursement made to the State under this
Agreement must not be financed by any source other than the State under the terms of this
Agreement.
If funding is received through any other source, the Grantee agrees to delete from Grantee's
billings, or to immediately refund to the State, the total amount representing such duplication of
funding.
5
XVIII COMPENSATION
(A) A breakdown of costs allowed under this Agreement is identified in Appendix A. The State
will pay the Grantee a total amount not to exceed the amount on page one of this Agreement, in
accordance with Appendix A, and only for expenses incurred. All other costs necessary to
complete the project are the sole responsibility of the Grantee.
(B) Expenses incurred by the Grantee prior to the Start Date or after the End Date of this
Agreement are not allowed under the Agreement, unless otherwise specified in Appendix A.
(C) The State will approve payment requests after approval of reports and related documentation
as required under this Agreement.
(D) The State reserves the right to request additional information necessary to substantiate
payment requests.
(E) Payments under this Agreement may be processed by Electronic Funds Transfer (EFT).
The Grantee may register to receive payments by EFT at the Contract & Payment Express Web
Site (http://wvvw.cpexpress.state.mi.us ).
XIX CLOSEOUT
(A) A determination of project completion, which may include a site inspection and an audit, shall
be made by the State after the Grantee has met any match obligations, satisfactorily completed
the activities, and provided products and deliverables described in Appendix A.
(B) Upon issuance of final payment from the State, the Grantee releases the State of all claims
against the State arising under this Agreement. Unless otherwise provided in this Agreement or
by State law, final payment under this Agreement shall not constitute a waiver of the State's
claims against the Grantee.
(C) The Grantee shall immediately refund to the State any payments in excess of the costs
allowed by this Agreement.
XX CANCELLATION
This Agreement may be canceled by the State, upon 30 days written notice, due to Executive
Order, budgetary reduction, other lack of funding, upon request by the Grantee, or upon mutual
agreement by the State and Grantee. The State may honor requests for just and equitable
compensation to the Grantee for all satisfactory and eligible work completed under this
Agreement up until 30 days after written notice, upon which time all outstanding reports and
documents are due to the State and the State will no longer be liable to pay the Grantee for any
further charges to the grant.
XXI TERMINATION
(A) This Agreement may be terminated by the State as follows.
(1) Upon 30 days written notice to the Grantee:
a. If the Grantee fails to comply with the terms and conditions of the Agreement, or with
the requirements of the authorizing legislation cited on page one or the rules
promulgated thereunder, or other applicable law or rules.
b. If the Grantee knowingly and willingly presents false information to the State for the
purpose of obtaining this Agreement or any payment under this Agreement.
6
c. If the State finds that the Grantee, or any of the Grantee's agents or representatives,
offered or gave gratuities, favors, or gifts of monetary value to any official, employee,
or agent of the State in an attempt to secure a subcontract or favorable treatment in
awarding, amending, or making any determinations related to the performance of this
Agreement.
d. If the Grantee or any subcontractor, manufacturer, or supplier of the Grantee appears
in the register of persons engaging in unfair labor practices that is compiled by the
Michigan Department of Licensing and Regulatory Affairs or its successor.
e. During the 30 day written notice period, the State shall withhold payment for any
findings under subparagraphs a through d, above and the Grantee will immediately
cease charging to the grant and stop earning match for the project (if applicable).
(2) Immediately and without further liability to the State if the Grantee, or any agent of the
Grantee, or any agent of any subcontract is:
a. Convicted of a criminal offense incident to the application for or performance of a
State, public, or private contract or subcontract;
b. Convicted of a criminal offense, including but not limited to any of the following:
embezzlement, theft, forgery, bribery, falsification or destruction of records, receiving
stolen property, or attempting to influence a public employee to breach the ethical
conduct standards for State of Michigan employees;
c. Convicted under State or federal antitrust statutes; or
d. Convicted of any other criminal offense that, in the sole discretion of the State,
reflects on the Grantee's business integrity.
e. Added to the federal or state Suspension and Debarment list.
(B) If a grant is terminated, the State reserves the right to require the Grantee to repay all or a
portion of funds received under this Agreement.
XXII, IRAN SANCTIONS ACT
By signing this Agreement the Grantee is certifying that it is not an Iran linked business, and that
its contractors are not Iran linked businesses, as defined in MCL 129.312.
)001. QUALITY ASSURANCE/QUALITY CONTROL
A project-specific Quality Assurance Project Plan (QAPP) must be submitted to the State in
accordance with guidance provided by the DEQ project administrator. Monitoring conducted prior
to final DEQ approval of the QAPP will not be reimbursed.
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PROGRAM SPECIFIC SECTION
)0(IV. FEDERAL FUNDING REQUIREMENTS
A maximum of $ 15,748.00 or .06% of total disbursements is funded with Federal Funding, See
Program Funding Section XXV for funding by individual program. By accepting this Agreement,
the Grantee agrees to comply with the requirements of the Statutory Authority and the
requirements found in the Regulatory Authority found in the Program Funding Section XXV.
These regulations include, but are not limited to the following:
(A) The Grantee agrees to fulfill conditions that the Federal Government has imposed on the
State as a condition of Federal funding as indicated herein and in all appendices.
(B) The Grantee will comply with the Hatch Political Activity Act, as amended, 5 USC §§
1501-1508, and the Intergovernmental Personnel Act of 1970 as amended by Title (6) of the
Civil Service Reform Act, 42 USC § 4728, which states that employees working in programs
financed with federal grants may not be a candidate for elective public office in a partisan
election, use official authority or influence to affect the result of an election, or influence a state
or local officer to provide financial support for a political purpose.
(C) Payment to Consultants. USEPA participation in the salary rate (excluding overhead)
paid to individual consultants by recipients or by a recipient's contractors or subcontractors shall
be limited to the maximum daily rate for a Level IV of the Executive Schedule, to be adjust
annually. This limit applies to consultation services of designated individuals with specialized
skills who are paid at a daily or hourly rate. As of January 1, 2016, the limit is $616.54 per day
and $77.07 per hour. This rate does not include transportation and subsistence costs for travel
performed (the recipient will pay these in accordance with their normal travel reimbursement
practices).
Subrecipients with firms for services which are awarded using the procurement requirements in
Subpart D of 2 CFR 200, are not affected by this limitation unless the terms of the Agreement
provided the recipient with responsibility for the selection, direction, and control of the
individuals who will be providing services under the Agreement at an hourly or daily rate of
compensation. See 2 CFR 1500.9.
(D) Minority Business Enterprises (MBE)/Women's Business Enterprises (WBE)
Requirements and Disadvantage Business Enterprise Rule (DBE). The Grantee agrees to
make a good faith effort to include minority-owned and women-owned businesses in bidding
processes.
(E) Civil Rights. The Grantee agrees to comply fully with applicable civil rights statues.
(F) Subawards. The Grantee agrees to:
(1) Establish all subaward agreements in writing;
(2) Ensure that any subawards comply with the standards in Subpart D of 2
CFR 200 and are not used to acquire commercial goods or services for
the recipient;
(3) Ensure that any subawards are awarded to eligible subrecipients and that
proposed subaward costs are necessary, reasonable, and allocable;
(4) Ensure that any subawards to 501(c)(4) organizations do not involve
lobbying activities;
(5) Monitor the performance of their recipients and ensure that they comply
with all applicable regulations, statutes, and terms and conditions which
flow down in the subaward;
8
(6) Obtain DEQ's consent before making a subaward to a foreign or
international organization, or a subaward to be performed in a foreign
country; and
(7) Obtain approval from DEQ for any new subaward work that is not outlined
in the approved work plan.
(8) Be responsible for selecting its subrecipients and, if applicable, for
conducting subaward competitions.
(G) Single Audit. Grantees spending $750,000 or more in federal funds in their fiscal year
shall have a single audit performed in compliance with 2 CFR 200,.501(a). This audit must be
performed and copies provided to the appropriate agencies within nine months from the end of
the grantee's fiscal year or 30 days after receiving the report from the auditors. The Grantee
must submit a copy of the Audit Report to the Michigan Department of Environmental Quality at
the following address:
Michigan Department of Environmental Quality
Administration Division-Federal Aid Section
525 West Allegan
Constitution Hall, e Floor South Tower
Lansing, MI 48909
Or the grantee may also submit the single audit report electronically to the Michigan Department
of Treasury website (http://www.michicran.eovitreasury/0,1607,7-121-1751 31038---.00.html).
It is the responsibility of the Grantee to report the expenditures related to this grant on the
Grantee's annual Schedule of Expenditures of Federal Awards.
(H) Conflict of Interest Notification. Grantees will contact their DEQ project administrator
within 5 days of becoming aware of a conflict of interest. A conflict of interest is an actual or
potential situation that undermines or may undermine, the impartiality of an individual or entity
because their self-interest conflicts, or may conflict, with their duty and obligations in performing
a grant. The term also includes situations that create, or may create, an unfair competitive
advantage, or the appearance of such, for an applicant in competing for a grant.
(I) Copyrighted Material. In accordance with 2 CFR 200.315, the USEPA has the right to
reproduce, publish, use, and authorize others to reproduce, publish, and use copyrighted works
or other data developed under this assistance agreement for Federal purposes.
Examples of a Federal purpose include but are not limited to. : (1) Use by the USEPA and
other Federal employees for official Government purposes; (2) Use by Federal contractors
performing specific tasks for the Government; (3) Publication in USEPA documents provided the
document does not disclose trade secrets (e.g. software codes) and the work is properly
attributed to the recipient through citation or otherwise; (4) Reproduction of documents for
inclusion in Federal depositories; (5) Use by State, tribal and local governments that carry out
delegated Federal environmental programs as "co-regulators" or act as official partners with the
USEPA to carry out a national environmental program within their jurisdiction; and (6) Limited
use by other grantees to carry out Federal grants provided the use is consistent with the terms
of the USEPA's authorization to the grantee to use the copyrighted works or other data.
Under Item 6, the grantee acknowledges that USEPA may authorize another grantee(s) to use
the copyrighted works or other data developed under this grant as a result of:
a. The selection of another grantee by USEPA to perform a project that wiLl involve
the use of the copyrighted works or other data or;
b. Termination or expiration of this agreement.
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In addition, USEPA may authorize another grantee to use copyrighted works or other data
developed with Agency funds provided under this grant to perform another grant when such use
promotes efficient and effective use of Federal grant funds.
(J) Electronic and Information Technology Accessibility. Grantees developing electronic
and information technology products, which includes but is not limited to information kiosks and
World Wide Websites, must meet accommodation standards in Section 508 of the Rehabilitation
Act, 36 CFR Part 1194, unless such causes undue hardship to the entity involved.
(K) Drug-Free Workplace. The recipient organization of this USEPA assistance agreement
must make an ongoing, good faith effort to maintain a drug-free workplace pursuant to the
specific requirements set forth in Title 2 CFR Part 1536 Subpart B. Additionally, in accordance
with these regulations, the recipient organization must identify all known workplaces under its
federal awards, and keep this information on file during the performance of the award.
(L) Hotel-Motel Fire Safety. Pursuant to 15 USC 2225a, the recipient agrees to ensure that all
space for conferences, meetings, conventions or training seminars funded in whole or in part
with federal funds complies with the protection and control guidelines of the Hotel and Motel Fire
Safety Act (PL 101-391, as amended). Recipients may search the Hotel-Motel National Master
List at http://www.usfa.dhs.00v/aDolications/hotel/ to see if a property is in compliance.
(M) Recycled Paper. When directed to provide paper documents, the recipient agrees to use
recycled paper and double sided printing for all reports which are prepared as a part of this
agreement and delivered to the USEPA. This requirement does not apply to reports prepared
on forms supplied by the USEPA, or to Standard Forms, which are printed on recycled paper
and are available through the General Services Administration.
(N) Procurement of Recycled Products. Consistent with goals of Section 6002 of RCRA (42
U.S.C. 6962), State and local institutions of higher education, hospitals and non-profit
organization recipients agree to give preference in procurement programs to the purchase of
specific products containing recycled materials as identified in 40 CFR Part 247.
Consistent with section 6002 of RCRA (42 U.S.C. 6962) and 2 CFR 200.322, State agencies or
agencies of a political subdivision of a State and its contractors are required to purchase certain
items made from recycled materials, as identified in 40 CFR Part 247, when the purchase price
exceeds $10,000 during the course of a fiscal year or where the quantity of such items acquired
in the course of the preceding fiscal year was $10,000 or more. Pursuant to 40 CFR 247.2 (d),
the recipient may decide not to procure such items if they are not reasonably available in a
reasonable period of time; fail to meet reasonable performance standards; or are only available
at an unreasonable price.
(0) Trafficking. Grantees, contractors, and subcontractors may not engage in severe forms of
trafficking in persons, procure a commercial sex act, or use forced labor in the performance of
the grant or subcontracts.
(P) Acknowledgement Requirements for Non-Office of Research Development
Assistance Agreements. The Grantee agrees that any reports, documents, publications, or
other materials developed for public distribution supported by this assistance agreement shall
contain the following statement: "This project has been funded wholly or in part by the United
States Environmental Protection Agency under assistance agreement FS975487-15 to DEQ.
The contents of this document do not necessarily reflect the views and policies of the
Environmental Protection Agency, nor does the EPA endorse trade names or recommend the
use of commercial products mentioned in this document."
10
)0CV PROGRAM FUNDING
Program A - Noncommunity (Type II) Public Drinking Water Supply:
1. Standard/Operator Assistance - Amount $ 154,023.00; Funding Source: State Restricted
for Standard; Amount $ 146,825.00; Federal Funding for Operator Assistance; Amount $
7,198.00. The Catalog of Federal Domestic Assistance (CFDA) title is "State Drinking
Water Revolving Loan Fund Program", and the CFDA number is 66.468. The Federal
Grant Number is FS975487-15 and the grant is funded with Federal funds from the EPA
awarded in 2016. By accepting this Agreement, the grantee agrees to comply with the
requirements of the Safe Drinking Water Act, Sec. 1419(d) Amended 1996, PL 104-182
and the requirements found in the regulatory authority 40 CFR PART 31.
2. Capacity Development—Amount $ 3,150.00; Funding Source: Federal Funding. The
Catalog of Federal Domestic Assistance (CFDA) title is "State Drinking Water Revolving
Loan Fund Program", and the CFDA number is 66.468. The Federal Grant Number is
FS975487-15 and the grant is funded with Federal funds from the EPA awarded in 2016.
By accepting this Agreement, the grantee agrees to comply with the requirements of the
Safe Drinking Water Act, Sec. 1419(d) Amended 1996, PL 104-182 and the
requirements found in the regulatory authority 40 CFR PART 31.& 35, subpart L.
3. Source Water Assessment — Amount $ 5,400.00; Funding Source: Federal Funding.
The Catalog of Federal Domestic Assistance (CFDA) title is "State Drinking Water
Revolving Loan Fund Program", and the CFDA number is 66.468. The Federal Grant
Number is FS975487-15 and the grant is funded with Federal funds from the EPA
awarded in 2016. By accepting this contract, the grantee agrees to comply with the
requirements of the Safe Drinking Water Act, Sec. 1419(d) Amended 1996, PL 104-182
and the requirements found in the regulatory authority 40 CFR PART 31.84 35, subpart L.
Program B - Drinking Water Long-Term Monitoring:
Amount $ 35,000.00; Funding Source: State Restricted
Program C - Great Lakes Beach Monitoring:
Amount $ 0.00; Funding Source: Federal Funding. The Catalog of Federal Domestic
Assistance (CFDA) title is "Beach Monitoring and Notification Program Grant", and the CFDA
number is 66.472. The Federal Grant Number is CU-00E99307-0 and the grant is funded with
Federal Funds from the EPA awarded in 2016. By accepting this Agreement, the grantee
agrees to comply with the requirements of the Beaches Environmental Assessment and Coastal
Health Act of 2000, PL 106-284 and the requirements found in the regulatory authority 40 CFR
PART 31.
Program D - Public Swimming Pools:
Amount $ 30,000.00; Funding Source: State Restricted
Program E - Septage Waste:
Amount $ 3,400.00; Funding Source: State Restricted
.Program H - Campgrounds:
Amount $ 525.00; Funding Source: State Restricted
Program I - Medical Waste:
11
Amount $ 25,000.00; Funding Source: State Restricted
12
PROJECT-SPECIFIC REQUIREMENTS — APPENDIX A
Title to equipment or other nonexpendable personal property supported in whole or in part by
the State with categorical funding and having a unit acquisition cost of less than $5,000 shall
vest with the Grantee upon acquisition. The State reserves the right to retain or transfer the title
to all items of equipment and nonexpendable personal property having a unit acquisition cost of
$5,000 or more to the extent that it is determined that the State's proportionate interest in such
equipment and personal property supports such retention or transfer of title.
The Grantee, if a Local Health Department, shall comply with the local public health
accreditation standards and follow the accreditation process and schedule established by the
Michigan Department of Health and Human Services (MDHHS) to achieve full accreditation
status. A Grantee designated as "not accredited" may have their State allocations reduced for
costs incurred in the assurance of service delivery.
13
MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY
OFFICE OF DRINKING WATER AND MUNICIPAL ASSISTANCE
LOCAL HEALTH DEPARTMENT GRANT AGREEMENTS FUNDING BY PROGRAM
OCTOBER 1,2016 THROUGH SEPTEMBER 30, 2017
Local Health Department Program A Program B Program C Program D Program E Program H Program I Total Contract
NonCoFnmunity
Water
Drinking Water
Monitoring
Beach
Monitoring Swimming Pools Septage Campground Medical Waste
Allegan County LHD $4,000 $5,000 $2,795 $1,380 $750 $0 $63,840
Barry-Eaton Distric LHD $51,161 $3,500 $0 $2,305 $1,130 $800 $5,000 $63,896
Bay County LHD $2,216 $0 $5,000 $1,620 $500 $200 $0 $9,536
Benzie-Leelanau District LHD $42,636 $800 $0 $1,270 $3,050 $750 $0 $48,506
Berrien County LHD $26,991 $3,000 $9,323 $5,500 $1,900 $450 $0 $47,164
Branch-Hillsdale-St Joseph District LHD $51,817
$34,377
$1,400
$2,600
$0
$0
$1,225
$2,245
$2,310
$0
$1,550
$325
$5,000
$0
$63,302
$39,547 Calhoun County LHD
Central Michigan District LHD $121,458 $3,000 $8,706 $2,710 $6,080 $2,400 $0 $144,354
Chippewa County LHD $22,088 $0 $6,853 $1,080 $3,180 $650 $0 $33,851
Delta-Menominee District LHD $20,070 $0 $5,000 $700 $3,730 $575 $0 $30,075
City of Detroit - Dept. of Health & Weliress $0
$9,271
$0
$50
$2,500
$0
$2,860
$580
$0
$730
$0
$600
$0
$0
$5,360
$11,231 Dickinson-Iron District LHD
District Health Department No. 2 $56,761 $4,500 $10,558 $940 $3,350 $1,475 $0 $77,584
Health Department No. 4 iDistrict $55,749 $2,500 $8,706 $3,005 $6,410 $1,500 $0 $77,870
District Health Department No, 10 $170,358 $4,200 $11,485 $5,155 $12,340 $6,150 $5,000 $214,688
Genesee County LHD $85,074 $500 $0 $4,845 $0 $225 $0 $90,644
Grand Traverse County LHD $29,729 $900 $0 $3,000 $500 $525 $0 $34,654
Huron County LHD $17,770 $400 $9,014 $790 $1,400 $700 $0 $30,074
Ingham County LHD $24,535 $700 $0 $5,370 $0 $250 $0 $30,855
Ionia County LHD $23,765 $500 $0 $520 $100 $250 $0 $25,135
Jackson County LHD $44,238 $800 $0 $1,630 $900 $775 $0 $48,343
County of Kalamazoo - Human Svcs Dept. $37,306 $3,700 $0 $5,580 $0 $225 $0 $46,811
Kent County LHD $69,381 $1,900 $0 $11,155 $0 $500 $10,000 $92,936
Lapeer County LHD $45,253 $0 $0 $875 $0 $500 $0 $46,628
Lenawee County LHD $33,724 $500 $0 $865 $1,360 $450 $0 $36,899
Livingston County LHD $105,154 $10,400 $0 $1,805 $1,200 $250 $5,000 $123,809
Luce-Mackinac-Alger-Schoolcraft District $48,215 $50 $5,000 $2,230 $2,170 $1,775 $0 $59,440
Macomb County LHD $21,029 $600 $5,000 $11,140 $850 $100 $0 $38,719
Marquette County LHD $12,394 $100 $0 $1,270 $830 $450 $0 $15,044
Marquette, City of $0
$63,604
$0
$2,000
$5,000
$0
$0
$1,570
$0
$5,720
$450
$2,800
$1 350
$0
$500
$200
$450
$575
So
$5,000
$0
$0
$5,000
$5,000
$78,694
$10,041
$29,691
$59,372
Mid-Michigan District LHD
Midland County LHD $7,171
$18,896
$37,238
$800
$500
$3,500
$0
$5,000
$9,014
$1,420
$2,045
$2,695
Monroe County LHD
Muskegon County LHD
Northwest Michigan Community $96,071 $6,500 $14,573 $5,560 $8,250 $1,300 $0 $132,254
Oakland County LHD $162,573 $35,000 $0 $30,000 $3,400 $525 $25,000 $256,498
Ottawa County LHD $41,906 $900 $7,779 $6,300 $1,750 $525 $0 $59,160
Saginaw County WO $7,306 $500 $0 $3,270 $1,830 $200 $0 $13,106
Saint Clair County LHD $16,091 $0 $9,632 $2,080 $1,130 $350 $0 $29,283
Sanilac County L.HD $14,360
$29,442
$200
$3,500
$5,000
$0
$310
$580
$0
$830
$300
$200
$0
$0
$20,170
$34,552 Shlawassee County LHD
Tuscola County LHD $16,577 $1,100 $0 $310 $150 $225 $0 $18,362
Van Buren-Cass District LHD $45,216 $0 $5,000 $2,245 $2,310 $1,550 $0 $56,321
Washtenaw County LHD $53,691 $3,200 $0 $9,670 $600 $275 $0 $67,436
Watershed Ctr - Grand Traverse Bay $0 $0 $9,014 $0 $0 $0 $0 $9,014
VVayne County LHD $2,518 $0 $2,500 $17,000 $1,600 $150 $0 $23,768
Western UP District $21,495 $150 $8,397 $1,060 $800 $925 $0 $32,827
$1,946,589 $108,450 $173454 $171,180 $88 370 $33,700 $65005
.P137:Toto 2 06 440.
MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY
OFFICE OF DRINKING WATER AND MUNICIPAL ASSISTANCE
NONCOMMUNITY (TYPE II) PUBLIC DRINKING WATER SUPPLY PROGRAM
PROGRAM A
OCTOBER 1, 2016 THROUGH SEPTEMBER 30, 2017
A. Statement of Purpose
This agreement is intended to establish responsibilities for both the Grantee and the State of
Michigan (State) in the conduct of complete noncommunity water supply program services
required under the Safe Drinking Water Act, 1976 PA 399, as amended, and the Administrative
Rules, hereinafter referred to as "Act 399."
B. Program Budget and Agreement Amount
The Grantee will be paid on a quarterly basis for work in the noncommunity drinking water
program. The agreement amount maximum is provided in the Program A Allocation Schedule.
All requests for payment must be submitted by the Grantee to the State as described in F.
Reimbursement Schedule.
C. Requirements-Grantee
The Grantee shall perform the following services, including but not limited to:
1. Conduct sanitary surveys, issue water well permits, and have inspections for compliance or
enforcement purposes performed by qualified individuals classified as sanitarians or
equivalent.
2. Assign one individual to be responsible for operational training and reporting aspects of this
agreement and to coordinate communication with the assigned State staff.
3. Maintain a current inventory of all noncommunity public water supplies within its jurisdiction
using the WaterTrack (WT) data system and revised total coliform rule tracking required for
federal reporting.
4. Provide program oversight for required water quality monitoring and reporting at
noncommunity public water supplies in accordance with Act 399. The water supply owner
shall be advised of the applicable monitoring requirements at the time of completion of a
sanitary survey, final approval of a water well permit, or the effective date of the
requirement. Notices of violation of required monitoring, maximum contaminant level (MCL)
violations, or the occurrence of unregulated compounds shall be provided to the owner and
the State in a timely manner. Notices of violation shall include the contaminant, public
health effects information, specific precautionary measures, and public notice requirements,
where applicable, as required in Act 399.
5. Ensure that repeat samples are collected promptly where initial sample results indicate a
potential violation of state drinking water standards; or where the sample analyses are
unreliable due to overgrowth, excessive transit time, or where the presence of organic
chemical contamination is indicated.
6. All noncommunity water supplies shall undergo a sanitary survey at least once every five
years in accordance with the procedures and regulations established by the State. An
accurate and complete sanitary survey form, water well record where available, and
transmittal letter to the owner outlining compliance status and monitoring requirements shall
be considered a completed sanitary survey as required in Act 399. Upon completion, all
sanitary survey and well record data is required to be entered into the program database.
7. Provide a notification to the owners of a noncommunity public water supply found to be in
noncompliance that includes the deficient items, outlines corrective action, establishes a
specific time schedule for making corrections, and establishes an appropriate monitoring
schedule, interim precautionary measures, or public notice requirements, where applicable.
8. Conduct a reinspection within 10 days of the expiration date of the compliance schedule to
ensure that all violations have been corrected, and provide documentation of the results of
the reinspection to the owner. If compliance has not been achieved, initiate enforcement in
accordance with procedures established by the State.
9. Consult with the State in situations where the noncommunity public water supply provides
treatment for public health purposes, utilizes a surface water source, or is found to be
providing water that exceeds an MCL or contains unregulated organic compounds. Assist
treatment operators, review operation reports, and conduct surveillance visits as required.
10. Take prompt action to protect the public health and pursue compliance with applicable
construction, public notice, and water quality standards when an inspection establishes that
sewage, surface water, chemicals, or other serious contamination can gain entrance into the
noncommunity public water supply; when there is a confirmed MCL violation; or when a
Level 2 Assessment is required at a noncommunity water supply.
11 Review permit applications and issue permits prior to the construction of any new or altered
noncommunity water well(s) as required in Act 399 and in accordance with procedures
established by the State. Noncommunity well permits shall be issued on forms provided by
the State.
12. Complete a review of the Capacity Development Application to determine if each new
nontransient noncommunity water system (NTNCWS) demonstrates adequate technical,
managerial, and financial capacity in accordance with procedures established by the State
prior to authorizing construction of the water system. Withhold the construction permit if the
owner does not demonstrate adequate capacity in accordance with procedures established
by the State.
13. Perform at least one post-construction inspection of all new noncommunity water wells for
which a permit has been issued. Final inspection and authorization for use of the
noncommunity public water supply by the public shall be accomplished in accordance with
Act 399 and procedures established by the State.
14. Provide the well owner with notification of the results of the final inspection report and status
of compliance and establish the appropriate future monitoring schedule as required in Act
399.
15. Obtain requests for deviations from suppliers of water where necessary and evaluate and
approve or deny deviations prior to the construction in accordance with procedures
established by the State and as required in Act 399.
16. Provide technical assistance and program oversight to noncommunity water supply owners
and technical assistance to certified operators of noncommunity systems to maintain
compliance with operator certification requirements where applicable.
17. Local entities interested in providing continuing education for certified operators shall:
a. Obtain initial prior approval from the State.
b. Use the State prepared training modules.
c. Distribute and collect evaluation forms from the operators at each session.
d. Submit the evaluation forms and participant rosters to the State after each
training session is completed.
18. Maintain appropriate noncommunity program records, including sanitary surveys, water well
permits, records of water sampling, and correspondence as required in Act 399. Maintain
individual noncommunity public water supply files indexed according to water supply serial
number for each inventoried noncommunity water supply.
19. Maintain records for reporting water quality monitoring violations, sanitary survey inspections
and compliance status, issuance of water well permits, MCL violations, and issuance of
public notices. Requests for payment shall be submitted upon completion of violation
determinations and required WT data entry no later than 15 days following the end of the
quarter.
20. Notify noncommunity public water supply owners regarding monitoring requirements that
includes language clearly stating that they may use any certified drinking water laboratory,
including the DEQ laboratory, for compliance monitoring.
21. Local entities interested in performing Source Water Assessments (SWAs) of NTNCWSs
shall:
a. Participate in an SWA training event hosted by the DEQ.
b. Utilize the State prepared form and assessment tools.
c. Perform an on-site visit and complete the assessment worksheet with the
NTNCWS.
d. Submit the completed assessment documents to the State after each
assessment is completed, and no later than 15 days after the end of each
quarter.
D. Requirements-State
The State shall perform the following services including, but not limited to:
1. Provide noncommunity public water supply data and WT data system information upon
request of the Grantee.
2. Provide designated local entities with slide presentations and master copies of materials to
be used if they choose to present certified operator continuing education. Provide "train the
trainer" workshops and ongoing assistance as needed. Notify operators of the local entities
that are continuing education providers. Provide local entities with operator lists upon
request. Provide additional training opportunities, if needed, to insure statewide coverage.
3. Provide training and guidance to the Grantee in the form of procedural manuals, rules,
policies, handouts, training meetings, joint inspections, and consultations.
4. Provide necessary forms or a data management program for sanitary survey reports, water
well permits, capacity development, water quality monitoring, reporting of violations, and
maintaining survey frequencies.
5. Provide program consultation and direct staff assistance where necessary in pursuing
compliance with applicable construction, monitoring, treatment, public notice, and water
quality standards.
6. Provide administrative oversight of the Grantee's noncommunity program to determine
whether the work performed is satisfactory according to the terms and conditions of the
agreement.
7. Assess the status of the Grantee's noncommunity water supply program relative to meeting
the agreement requirements and overall program goals, and provide a report outlining the
assessment with an opportunity for Grantee input.
8. Provide for the analyses of water samples at the DEQ Laboratory. Payment of laboratory
fees for the analyses of water samples required through the provisions of this agreement will
be the responsibility of the water supply owner.
9. Provide a listing of all laboratories certified to perform drinking water analyses in Michigan.
10. Provide materials to designated local entities to be used if they choose to perform SWAs at
NTNCWS. Provide training to local entities and ongoing assistance as needed. Complete
the SWA by performing final data entry and determining system susceptibility. Return
completed assessment to the NTNCWS and local entity.
11. State contact for drinking water supply certified operator continuing education is Scott
Schmidt, Environmental Quality Analyst. He may be contacted by telephone at 517-284-
5431; by e-mail at schmidts(a.michicon.clov; or by mail at DEQ-ODWMA, Operator
Certification Unit, P.O. Box 30241, Lansing, Michigan 48909-7741. Completed evaluation
forms and participant rosters shall be e-mailed to DEQ-EHamichiclanslov.
12. State contact for Source Water Assessments is Jason Berndt, Environmental Quality
Analyst. He may be contacted by telephone at 989-705-3420; by e-mail at
berndtil Amichician.gov ; or by mail at DEQ-ODWMA, Environmental Health Section, 2100
West M-32, Gaylord, Michigan 49735-9282. Completed SWA documentation shall be e-
mailed to DEQ-EHAmichigan.gov .
13. State contact for Program A is Dana DeBruyn, Noncommunity Water Supplies Unit Chief.
She may be contacted by telephone at 517-930-6463; by e-mail at
debruyndAmichigarLgov; or by mail at DEQ-ODWMA, Environmental Health Section, P.O.
Box 30241, Lansing, Michigan 48909-7741,
E. Performance/Progress Report Requirements
At the end of each quarter, the Grantor is responsible for quarterly reporting. This includes
completion of violation determinations, documentation of enforcement and follow-up actions on
violations, sanitary survey updates, and other required WaterTrack data entry. Deadline is no
later than 15 days following the end of the quarter. After WaterTrack data entry is reviewed by
the State, a payment request will be processed (see F. Reimbursement Schedule below),
F. Reimbursement Schedule
Program Activity Allocation Basis Payment Request
Standard
(STANDARD AMT)
Inventory based on active
transient and nontransient
noncommunity water supplies
(TNCWS & NTNCWS) in
WaterTrack (WT).
E-mail request for payment to
address below.*
Payment subject to DEQ
performance review
verification.
Treatment Operator
Assistance
(OPER ASST)
Inventory based on active
TNCWS & NTNCWS required to
submit monthly operation
reports.
Request for payment is
included with Standard Activity
request.* Additional requests
are not required, as this is
reviewed on an annual basis
as part of the Minimum
Program Requirement Annual
Review.
Capacity Development
(CAP DEV MAX)
Service based on $150 per
completed assessment for new
NTNCWS.
E-mail request for payment
and submit WT report of
completed capacity
assessments to address
below.*
Source Water
Assessments (SWA)**
Service based on $100 per
completed SWA for NTNCWS,
up to 38% of the NTNCWS
inventory.
E-mail the assessment
worksheets as they are
completed to address below.**
Payment subject to DEO
performance review
verification. Service is
reimbursed quarterly.
*E-mail requests for payment to DEQ-WaterTrack©michigan.gov within 15 days after the end of each quarter.
Treatment Operator Assistance reimbursement is inventory-based and will be included with the standard amount
payment allocation. Capacity Development reimbursement is prompted by the e-mail, including the NTNCWS
facility that has completed Capacity Development Assessments in WT.
'Source Water Assessment reimbursement is prompted by an e-mail documenting the NTNCWS facility and
date the SWA was performed. An SWA at an NTNCWS shall be reimbursed only if an SWA has not been
completed and reimbursed within the last five years. E-mail requests for payment to IDECI-EHrnichician,gpv as
they are completed, but no later than 16 days after the end of each quarter.
The Fourth Quarter payment will be made by the State upon the Grantee's fulfillment of its
responsibilities under this agreement.
G. Accountability
The Grantee shall maintain adequate accounting and employee activity records to reflect that all
funds granted under this contract have been expended for the program activities as approved
by the State. These records shall be made available upon request for audit by the State.
Records will be retained by the Grantee until an audit has been completed by the State or
permission has been granted by the State to dispose of those records.
PROGRAM A - ALLOCATION SCHEDULE
NONCOMMUNITY WATER SUPPLY
IBER 1. 2016 THROUGH SEPTEMBER 30. 2017
LOCAL ENTITY TN NT
STANDARD
AMT BW D F OPER ASST
CONTRACT
AMOUNT
QUARTER
STD PAYMT
CAP DEV
MAX SWA Max
ALLEGAN •187 4 $ 46,421 $ 1,094 $ 47,515 $ 11,879 $ 900 $ 1,500
BARRY-EATON •220 $ 48,236 IIIIMENI $ 875 $ 49,111 $ 12,278 $ 750 $ 1,300
BAY BEE $ 1,966 MEM $ - $ 1,966 $ 491 $ 150 $ 100
BENZIE-LEELANAU E11189I $ 38,105 mow $ 3,281 $ 41,386 $ 10,347 $ 450 $ 800
600 BERRIEN iiimm80 $ 25,554 $ 536 $ 26,091 $ 6,523 $ 300
BRANCH-HILLSDALE-ST. 199 48 $ 47,329 $ 2,188 $ 49,516 $ 12,379 $ 900 $ 1,400
CALHOUN Hill 32 $ 32,208 $ 219 $ 32,426 $ 8,107 $ 750 1,200
CENTRAL MICHIGAN IIMIE $ 114,920 10 $ 2,188 $ 117,107 $ 29,277 1,650 $ 2,700
CHIPPEWA 119 $ 21,169 somalla $ 469 $ 21,638 $ 5,410 $ 150 $ 300
500 DELTA-MENOM1NEE 78 14 $ 18,145
$ 8,921
EEO $ 1,125
$ -
$ 19,270
$ 8,921
$ 4,818
$ 2,230
$ 300
DICKINSON-IRON $ 150 200
DISTRICT 2 •296 $ 55,192 $ 219 $ 55,410 $ 13,853 $ 450 $ 900
DISTRICT 4 280 25 $ 53,680 asim $ 469 $ 54,148 $ 13,537 $ 600 1,000
DISTRICT 10 •829 84 $ 163,458 sumum $ 1,750 $ 165,208 $ 41,302 $ 1,950 3,200
GENESEE 59 $ 73,790 gig 40 $ 7,734 $ 81,525 $ 20,381 $ 1,350 2,200
GRAND TRAVERSE $ 28,579 111111.111111 EKE - $ 28,579 $ 7,145 450 $ 700
HURON NW $ 15,726 $ 1,594 $ 17,320 $ 4,330 $ 150 $ 300
$ 800 INGHAM 831183 $ 22,530 111111111E111
ME
$ 755 $ 23,286 $ 5,821 $ 450
IONIA 80 mom 163
NE $ 22,077 $ 438 $ 22,514 $ 5,629 $ 450 $ 800
JACKSON $ 42,188 imems. $ - $ 42,188 $ 10,547 $ 750 $ 1,300
KALAMAZOO $ 35,081 Emmill $ 875 $ 35,956 $ 8,989 $ 450 900
KENT 284 50 $ 65,625 $ 656 $ 66,281 $ 16,570 $ 1,200 1,900
LAPEER 232 17 $ 42,792 1 $ 1,411 $ 44,204 $ 11,051 $ 450 600
LENAWEE 26 $ 31,905 miliEBIE um
simaim
$219
$ 4,255
$ 32,124 $ 8,031 600 $ 1,000
LIVINGSTON 259
260
120
14
$ 93,599
$ 45,665 $ 1,750
$ 97,854
$ 47,415
$ 24,464
$ 11,854
$ 2,700 $ 4,600
LMAS $ 300
450
$ 500
MACOMB II
43
22
NM
10
$ 18,448 $ 1,531 $ 19,979 $ 4,995 $ 600
MARQUETTE $ 11,038
$ 6,502 liEl
MIMI
IIIIME 11
III
$ 656
$ 219
$ 11,695
$ 6,721
$ 2,924
$ 1,680
$ 300
$ 150
$ 400
MIDLAND $ 300
MID-MICHIGAN 43 $ 60,786 $ 318 $ 61,104 $ 15,276 $ 900 1,600
MONROE 80 $ 16,633 $ 1,563 $ 18,196 $ 4,549 $ 300 400
MUSKEGON 172
408
542
22
65
43
$ 36,988
$ 91,633
$ 146,825
$
$ 438
$ 7,198
$ 35,988
$ 92,071
$ 154,023
$ 8,997
$ 23,018
$ 38,506
$ 450
$ 1,500
$ 3,150
$ 800
NWMCHA 2,500
OAKLAND $ 5,400
OTTAWA 29 $ 39,768 ENIMEIN $438 $ 40,206 $ 10,051 $ 600 $ 1,100
SAGINAW 28 $ 6,956 al Emingsm 1111111
Eno $ _ $ 6,956 $ 1,739 $ 150 $ 200
SAINT CLAIR 89 $ 15,272 $ 469 $ 15,741 $ 3,935 $ 150 $ 200
SANILAC 62
114
$ 13,004
$ 27,218
$ 906
$ 974
$ 13,910
$ 28,192
$ 3,478
$ 7,048
$ 150 300
SHAWASSEE 450
300
$ BOO
TUSCOLA 75 I. $ 15,877 minmENI $ - $ 15,877 $ 3,969 $ 400
VAN BUREN-CASS Enna 25 $ 43,397 NEE01.1 $ 219 $ 43,616 $ 10,904 $ 600 $ 1,000
WASHTENAW $ 48,992
$ 2,268
Ellosomi Emommo
5
$ 1,849 $ 50,841 $ 12,710 $ 1,050 1,800
WAYNE $ - $ 2,268 $ 567 $ 150
50
$ 100
WESTERN UP 1.6 3 $ 18,901 $ 2,344 $ 21,245 $ 5,311 $ 100
TOTAL 8102 1299 $ 1,814,369 12 210 13 $ 53,219 $ 1,867,588 $ 466,897 29,700 $ 49,300
Allocation Amounts
151.21 2017 Fiscal Year Reimbursement per Unit
98.96 BW = Number of systems under Arsenic bottled water agreement
218.75 D = Number of systems with limited treatment classification at D level
468.75 F = Number of systems with complete treatment classification at F level
100.00 SWA = (Source Water Assessments Maximum Allocation) = NT*38%; $100 minimum for active local entities
150.00 CAP DEV MAX (Capacity Development Maximum Allocation) = NT*15%; $150 minimum for active local entities
9401 Total Active Systems in WaterTrack as of: 9118/2016
TN = Transient Noncommunity System NT = Nontransient Noncommunity System
Standard Amount Calculation = (Transient Systems)*(3xNontransient Systems)*Fiscal Year Reimbursement per Unit
Operator Assistance Calculation = BW Allocation + D Allocation + F Allocation
Contract Amount = Standard Amount + Operator Assistance
MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY
OFFICE OF DRINKING WATER AND MUNICIPAL ASSISTANCE
DRINKING WATER LONG-TERM MONITORING PROGRAM
PROGRAM B
OCTOBER 1,2016 THROUGH SEPTEMBER 30, 2017
A. Statement of Purpose
This agreement is intended to establish responsibilities for both the Grantee and the State in the
conduct of completing work for drinking water long-term monitoring. Funding is approved under
Part 201, Environmental Remediation, of the Natural Resources and Environmental Protection
Act, 1994 PA 451, as amended.
B. Program Budget and Agreement Amount
The Grantee will be reimbursed at a rate of $40 for each water well sampled per sample event
and associated work, The State will also reimburse the Grantee for all reasonable costs
associated with transmitting the water samples/forms to the Department of Environmental
Quality (DEQ), Drinking Water Laboratory (Laboratory). The agreement amount maximum is
provided in the Program B Allocation Schedule. All requests for payment must be submitted by
the Grantee to the State as described in F. Reimbursement Schedule.
C. Requirements - Grantee
The Grantee shall perform the following services including, but not limited to:
1. Provide qualified staff for completion of all of the required activities.
2. Collect samples from the drinking water wells identified by the State on the Drinking Water
Monitoring List (List). The samples must be collected within the sample collection period
prescribed by the State while maintaining a minimum time period between collections. The
minimum time periods between collections are as follows:
MONITORING PERIOD MINIMUM TIME BETWEEN COLLECTIONS
Quarterly (3 months) 1 month
Triannual (4 months) 2 months
Semiannual (6 months) 3 months
Annual (1 year) 6 months
Biennial (2 years) 12 months
3, To ensure that data is available to determine funding needs for the next fiscal year (FY), the
following minimum sample collections are to be collected prior to July 1, 2017:
• All samples listed as an annual collection event.
• At least one round of samples listed as semiannual.
• At least one round of samples listed as triannual.
• At least two rounds of samples listed as quarterly.
If Grantee's schedule does not allow for this minimum sample collection timetable, please
contact the DEQ, Source Water Unit, Contamination Investigation Program (SWU CIP)
designated representative.
4. Complete the Laboratory's Request for Water Analysis forms or the analysis forms for other
laboratories designated by the State.
5. Transport water samples and completed forms for submission to the Laboratory or other
laboratory designated by the State. All eligible laboratory costs accrued under Program B
will be the responsibility of the State. Use appropriate preservation and handling techniques
for transport of sample(s).
6. All work must follow the sampling plan detailed on the List. Grantee shall follow sampling
protocol provided by the Laboratory, or other United States Environmental Protection
Agency certified drinking water laboratories as designated by the State. The Laboratory's
protocol for collection, transport, and submission of drinking water samples can be reviewed
on the Internet at
http://www.michigan.qovideq/0,1607,7 -135-3307 4131 4155---,00. htrni
or contact the SWU CP designated representative for assistance in understanding the
Laboratory's protocol.
7. Generate and send health advisory letters after each sampling event to the water well owner
and to the water well users, if the property is being rented (if known). The letters will meet
form and content criteria acceptable to the State. Advisory letters are to be sent within 6
weeks of receipt of all sample results for a specific site monitoring event. A copy of each
advisory letter must be sent to the SWU CIP designated representative. The name of the
SWU CIP designated representative appears on the List (see "DEQ CIP Contact"). A copy
of each advisory letter and sample result must also be sent to the respective DEQ,
Remediation and Redevelopment Division, district office unless otherwise indicated by that
district office or to other DEQ program staff as directed by SWU CIP staff.
D. Requirements - State
The State shall perform the following services including, but not limited to:
1. Provide the Grantee the List(s). This includes the location of drinking water wells to be
monitored and the sample collection frequency for each address. These are organized by
drinking water monitoring sites (Site) by Site name.
2. Provide assistance to the Grantee in drafting health advisory letters.
3. Provide instruction to the Grantee staff on sample collection protocol when requested.
4. Provide the Grantee with changes for any Site in the long-term drinking water monitoring
program. Documented notification of changes, such as additions and deletions of Sites or
sample locations within a Site, and changes to sample collection frequency will be made by
mail, fax, or electronic mail.
5. Provide payment in accordance with the terms and conditions of this agreement based upon
appropriate reports, records, and documentation maintained by the Grantee. Review of the
documentation and approval of payment will be made by the SWU CIP designated
representative on a quarterly basis. The program contact person is Lois Elliott Graham, who
may be reached at 517-284-6530; at grahaml@michigan.gov; or at DEQ — Contamination
Investigation, P.O. Box 30241, Lansing, Michigan 48909-7741.
6. Provide any report forms and reporting formats required by the State at the effective date of
this agreement, and with any new report forms and reporting formats proposed for issuance
thereafter, at least 90 days prior to required usage, to afford the Grantee an opportunity for
review and comment.
7. 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 10 years from the date of termination, the date of
submission of the final expenditure report, or until audit findings have been resolved.
E. Performance/Progress Report Requirements
The Grantee shall adhere to the terms and conditions of this agreement as demonstrated by
appropriate reports, records, and documentation maintained by the Grantee. Reports shall
include a list of water wells sampled by Site name and date along with total payment requested,
including postage, and copies of the advisory letters if not previously provided.
F. Reimbursement Schedule
Reimbursement may be requested on a quarterly basis by submittal of required reports and
request for payment. The final payment for the FY will be made by the State upon the grantee's
fulfillment of its responsibilities under this agreement.
All requests for payment must be submitted to the SWU CIP designated representative (see D.
Requirements — State, Number 5) no later than Tuesday, October 3, 2017, to allow time for
processing before the State's FY end closing.
G. Accountability
The Grantee shall maintain adequate accounting and employee activity records to reflect that all
funds granted under this contract have been expended for the program activities as approved
by the State. These records shall be made available upon request for audit by the State.
Records will be retained by the Grantee until an audit has been completed by the State or
permission has been granted by the State to dispose of the records.
PROGRAM B - ALLOCATION SCHEDULE
DRINKING WATER LONG-TERM MONITORING PROGRAM
OCTOBER 1, 2016 THROUGH SEPTEMBER 30, 2017
Grantee No. of Counties Allocation
Allegan 1 $4,000
Barry-Eaton District 2 $3,500
Bay 1 $0
Benzie-Leelanau District 2 $800
Berrien 1 $3,000
Branch-Hillsdale-St. Joseph Community Health 3 $1,400
Calhoun 1 $2,600
Central Michigan District 6 $3,000
Chippewa 1 $0
Delta & Menominee District 2 $0
Detroit, City of - Dept. of Health & Wellness 0 $0
Dickinson-Iron District 2 $50
District #2 4 $4,500
District #4 4 $2,500
District #10 10 $4,200
Genesee 1 $500
Grand Traverse 1 $900
Huron 1 $400
Ingham 1 $700
Ionia 1 $500
Jackson 1 $800
Kalamazoo 1 $3,700
Kent 1 $1,900
Lapeer 1 $0
Lenawee 1 $500
Livingston 1. $10,400
Luce-Mackinac-Alger-Schoolcraft District 4 $50
Macomb 1 $600
Marquette 1 $100
Midland 1 $800
Mid-Michigan District 3 $2,000
Monroe 1 $500
Muskegon 1 $3,500
Northwest Michigan Community Health Agency 4 $6,500
Oakland 1 $35,000
Ottawa 1 $900
Saginaw 1 $500
Saint Clair 1 $0
Sanilac I $200
Shiawassee 1 $3,500
Tuscola 1 $1,100
Van Buren/Cass District 2 $0
Washtenaw 1 $3,200
Wayne 1 $0
Western Upper Peninsula District 5 — , $150
Totals 83 (+ 1 City) _ $108,450
MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY
OFFICE OF DRINKING WATER AND MUNICIPAL ASSISTANCE
PUBLIC SWIMMING POOL PROGRAM
PROGRAM D
OCTOBER 1,2016 THROUGH SEPTEMBER 30, 2017
A. Statement of Purpose
This agreement is intended to establish responsibilities for both the Grantee and the State in the
conduct of completing work within the Grantee's jurisdiction in the Public Swimming Pool
Program in accordance with Section 12532 of the Public Health Code, 1978 PA 368, as
amended.
B. Program Budget and Agreement Amount
The Grantee will be paid on an annual basis for work in the Public Swimming Pool Program.
The agreement amount is provided in item F. Reimbursement Schedule and in Program D
Allocation Schedule. All requests for payment must be submitted by the Grantee to the State as
described in item F. Reimbursement Schedule.
C. Requirements - Grantee
The Grantee will conduct an inspection of all public swimming pools under its jurisdiction during
the calendar year 2017, investigate complaints, conduct meetings, and/or conferences relative
to compliance issues, and complete a Public Swimming Pool Inspection Report (Form
EQP 1735), as provided by the State, or other report form approved by the State. Only public
swimming pools that have submitted a license application and paid appropriate licensing fees
for the calendar year 2017 should be inspected.
The Grantee will review the list of public swimming pools from their jurisdiction provided by the
State, as in item D. Requirements State, make modifications and adjustments, and return the
list to the address in item E. Performance/Progress Report Requirements, within 30 days.
Indoor pools should be inspected during the months of January, February, March, or April 2017
with the exception of public swimming pools located at schools. It is acceptable to inspect pools
at schools during September or October 2017. Outdoor pools should be inspected during the
operating season of May, June, July, or August 2017.
It is acceptable for the Grantee to inspect indoor pools any month of the calendar year. Pool
inspections during the months of October, November and December should be avoided as
much as possible. In no case should inspections be completed later than December 31, 2017.
Completed inspection reports should be forwarded to the State within 2 to 4 weeks following the
inspection, but in no case later than January 9, 2018.
D. Requirements - State
By January 29, 2017, the State will provide the Grantee with a list of public swimming pools
from their jurisdiction that have paid the license fees, and have been inspected for the calendar
year 2016. This list is the basis for reimbursement to the Grantee and must be submitted to the
State as provided under item F. Reimbursement Schedule. If the list needs modification, the
State will provide the Grantee a 30-day period to request any adjustments.
The State will provide technical assistance and periodic oversight to the Grantee relative to
public swimming pool compliance issues when requested. The program contact person
is Jeremy Hoeh, who may be reached at 517-284-6528; at hoehj@michigan.gov ; or at DEQ,
Drinking Water and Environmental Health Section — Swimming Pools, P.O. Box 30241, Lansing,
Michigan 48909-7741.
E. Performance/Progress Report Requirements
Inspection reports and lists from item D. Requirements — State should be sent to: DEQ,
Drinking Water and Environmental Health Section — Swimming Pools, P.O. Box 30241, Lansing,
Michigan 48909-7741 or emailed to DEQ-EH@michigan.gov .
F. Reimbursement Schedule
The State will reimburse the Grantee on a lump sum basis according to the license criteria listed
below for those public swimming pools inspected during the year ending
December 31, 2016, by the Grantee's staff or designated representative:
Initial license for a public swimming pool* $100
License renewal prior to December 31 $30
License renewal after December 31 $45
License renewal after lapse beyond April 30 without a license $70
*Applies only to those local jurisdictions that are certified by the Department of
Environmental Quality to conduct the initial inspections.
Payments will be made for those public swimming pools that have all fees paid in full for the
2016 licensing year and an inspection report dated during the calendar year 2016 has been
submitted by January 8, 2017.
G. Accountability
The State will furnish periodic status reports to each Grantee indicating the number of license
applications, fees, and inspection reports received.
PROGRAM D - ALLOCATION SCHEDULE
PUBLIC SWIMMING POOL PROGRAM
OCTOBER 1, 2016 THROUGH SEPTEMBER 30, 2017
Grantee No. of Counties Allocation
Allegan 1 $2,795
Barry-Eaton District 2 $2,305
Bay 1 $1,620
Benzie-Leelanau District 2 $1,270
Berrien 1 $5,500
Branch-Hillsdale-St. Joseph Community Health 3 $1,225
Calhoun 1 $2,245
Central Michigan District 6 $2,710
Chippewa 1 $1,080
Delta & Menominee District 2 $700
Detroit, City of - Dept. of Health & Wellness 0 $2,860
Dickinson-Iron District 2 $580
District #2 4 $940
District #4 4 $3,005
District #10 10 $5,155
Genesee 1 $4,845
Grand Traverse 1 $3,000
Huron 1 $790
Ingham 1 $5,370
Ionia 1 $520
Jackson 1 $1,630
Kalamazoo 1 $5,580
Kent 1 $11,155
Lapeer 1 $875
Lenawee 1 $865
Livingston 1 $1,805
Luce-Mackinac-Alger-Schoolcraft District 4 $2,230
Macomb 1 $11,140
Marquette 1 $1,270
Midland 3 $1,420
Mid-Michigan District 1 $1,570
Monroe 1 $2,045
Muskegon 1 $2,695
Northwest Michigan Community Health Agency 4 $5,560
Oakland 1 $30,000
Ottawa 1 $6,300
Saginaw 1 $3,270
Saint Clair 1 $2,080
Sanilac 1 $310
Shiawassee 1 $580
Tuscola 1 $310
Van Buren/Cass District 2 $2,245
Washtenaw 1 $9,670
Wayne I $17,000
Western Upper Peninsula District 5 $1,060
Total _ 83 (+2 Cities) $171,180
MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY
OFFICE OF DRINKING WATER AND MUNICIPAL ASSISTANCE
SEPTAGE WASTE PROGRAM
PROGRAM E
OCTOBER 1, 2016 THROUGH SEPTEMBER 30, 2017
A. Statement of Purpose
This agreement is intended to establish a payment schedule to the Local Entity for an initial
septage waste land site inspection, annual land site inspection, septage waste vehicle
inspection, and authorized receiving facility inspection in accordance with Section 324.11716 of
part 117, Septage Waste Servicers, of the Natural Resources and Environmental Protection Act,
1994 PA 451, as amended.
B. Program Budget and Agreement Amount
The Department of Environmental Quality (DEQ) will reimburse the Local Entity on an annual
lump sum basis according to the following criteria:
Initial inspection of a septage land disposal site (per site) $500.00
Annual DEQ authorized "active" land disposal site inspection (per site)
includes DEQ authorized septage waste storage facility inspection $430.00
Annual inspection of septage vehicles (per vehicle) $50.00
DEQ authorized receiving facility inspection $100,00
The payment for a new land application site and new vehicle shall satisfy the annual inspection
requirement. The annual payment for land disposal sites will be made for one inspection of each
site. Please note that each site may contain more than one disposal location otherwise known
as a "field". The disposal site inspection and reimbursement payment includes inspection of
the DEQ authorized septage waste storage facility (if applicable).
Annual payment for septage waste vehicle inspections will be based on the number of vehicles
inspected — one payment only per vehicle.
C. Requirements - Grantee
1. The Local Entity shall investigate complaints and conduct meetings and/or conferences
relative to compliance issues. The Local Entity will provide a timely and appropriate
response to all violations in a manner described in a DEQ Septage Waste Program
document entitled, "Fiscal Year 2017 Enforcement Policy".
2. The Local Entity shall conduct inspections of all DEQ licensed septage waste land disposal
sites and septage waste vehicles on an annual basis in accordance with Part 117 and as
established in a DEQ Septage Waste Program document entitled, "Fiscal Year 2017
Compliance Inspection Policy". The Local Entity shall use the DEQ online Septage Haulers
Directory prior to inspection and use current inspection forms provided by the DEQ posted
on the Septage Program webpage.
1
3. The DEQ shall notify the Local Entity to conduct inspections of new land application sites
and new vehicles. The Local Entity shall conduct inspections of new land application sites
and new vehicles and submit the material to the DEQ Septage Program within 2 weeks from
the date of receipt of DEQ notification. The inspections are conducted to verify that the new
sites, the new septage waste vehicles, and the servicing methods are in compliance with
part 117. The Local Entity shall use current inspection forms provided by the DEQ posted
on the Septage Program webpage. Payment shall not be made for inspections
performed and/or inspection forms submitted more than 2 weeks from the date the
inspection request is sent to the Local Entity by the DEQ.
4. The Local Entity shall conduct annual inspections of all DEQ authorized septage waste
receiving facilities in their jurisdiction using current inspection forms provided by the DEQ.
5. The Local Entity shall conduct inspections of all DEQ authorized septage waste storage
facilities on an annual basis. The Local Entity shall use current inspection forms provided by
the DEQ posted on the Septage Program webpage.
6. The Local Entity shall submit inspection tracking reports on a quarterly basis using the form
provided by the DEQ. The inspection forms shall be submitted along with the quarterly
report form unless previously submitted. These and other program forms can be
downloaded from the program website by clicking on Health Department Information located
under Downloads on the Septage Waste Program webpage at www.michican.00v/septage.
7. The Local Entity shall complete all inspections no later than August 31, 2017, and shall
submit the Request for Payment (RFP) to the Septage Waste Program no later than
September 15, 2017.
8. The Local Entity shall make the RFP in writing and include an alphabetical list of all licensed
septage waste businesses and inspection dates of the inspections made within their
jurisdiction using the Septage Program Quarterly Report form posted on the program
webpage described below.
Inspection requirement details are outlined in the document entitled, "Fiscal Year 2017
Compliance Inspection Policy". This policy, inspection checklists, reports and forms are posted
on the program website and can be downloaded by clicking on 'Health Department Information'
located under 'Downloads' on the program webpage.
D. Requirements - State
The DEQ shall provide a current list of permitted land disposal sites by jurisdiction. This
information is available by clicking on 'Septage Haulers Directory' located under 'Online
Services' on the program web page and searching by county.
1. The DEQ shall provide up to date license application materials on the program website
available under "downloads".
2. The DEQ shall perform a one time, detailed review of all new septage waste firm business,
vehicle, land site and cropping plan applications to ensure administrative completeness
before forwarding them to the local entity for inspection.
3, The DEQ shall provide current inspection forms on the program website. These forms can
be downloaded from the program website by clicking on 'Health Department Information'
located under 'Program Forms/Downloads'. The inspection forms include:
2
a. Existing Land Site Inspection form (EQP 5900);
b. New Land Site Inspection Form (EQP 5970);
C. Cropping Plan Review Form;
d. Septage Waste Program Vehicle Inspection Form (EQP 5901);
e. Septage Waste Receiving Facility Inspection Form (EQP 5911);
f. Septage Waste Storage Facility Inspection Form (EQP 5966).
4. The DEQ shall make available quarterly inspection status report forms. These forms can be
downloaded from the program website by clicking on 'Health Department Information'
located under 'Program Forms/Downloads'.
5. The DEQ will provide for the request and receipt of annual cropping plans for all existing
land application sites which shall be transmitted to the Local Entity. The DEQ will make
available detailed land application record review and inspection resources necessary to
assist the Local Entity in their consideration of cropping plans for existing sites within their
respective jurisdictions.
6. The DEQ will provide resources, technical assistance, regional training, and program
support as requested by the local entity. These resources include the Guidance Manual for
the Land Application of Septaqe Waste which can be downloaded from the program
website. It can be accessed by clicking on Land Application Information under Program
Forms/Downloads.
7. The DEQ shall provide program updates and information via the program webpage's
Septage Program FAQs' (Frequently Asked Questions) and informational mailings. The
Local Entity will be copied on memos and letter issued to licensed septage waste
businesses.
E. Performance/Progress Report Requirements
Quarterly reports and year end RFP submissions should be sent to: Drinking Water and
Environmental Health Section, Office of Drinking Water and Municipal Assistance, P.O. Box
30241, Lansing, MI 48909-7741. The contact person is the Septage Waste Program
Coordinator, Mr. Matthew Rockhold, who can be reached at 517-284-6540 (Lansing) or by e-
mail at rockholdrnAmichician.gov.
F. Reimbursement Schedule
Reimbursement will be based upon the remittance of standardized information in a spreadsheet
format summarizing inspections performed and the remittance of the appropriate checklists
referenced above (EQP 5900, EQP 5901, and EQP 5911).
The annual payment will be made by the State upon receipt of the RFP from the Local Entity
and based upon the Local Entity's fulfillment of its responsibilities under this agreement. The
RFP and inspection checklist copies are due by September 15. The reimbursement request
shall be sent to: Administration Section, Office of Drinking Water and Municipal Assistance,
DEQ, P.O. Box 30241, Lansing, MI 48909-7741.
3
G. Accountability
The Local Entity shall maintain adequate accounting and employee activity records to reflect
that all funding granted under this agreement have been expended for the Program activities, as
approved by the State. These records shall be made available upon request for audit by the
State.
Records will be retained by the Local Entity until an audit has been completed by the State or
permission has been granted by the State to dispose of the records.
4
PROGRAM E - ALLOCATION SCHEDULE
SEPTAGE WASTE PROGRAM
OCTOBER 1, 2016 THROUGH SEPTEMBER 30, 2017
Grantee No. of Counties Allocation
Allegan 1 $1,380
Barry-Eaton District 2 $1,130
Bay 1 $500
Benzie-Leelanau District 2 $3,050
Berrien 1 $1,900
Branch-Hillsdale-St. Joseph Community Health 3 $2,310
Calhoun* 1 $0
Central Michigan District 6 $6,080
Chippewa 1 $3,180
Delta-Menominee District 2 $3,730
Detroit, City of - Dept. of Health & Wellness* 0 $0
Dickinson-Iron District 2 $730
District #2 4 $3,350
District #4 4 $6,410
District #10 10 $12,340
Genesee* 1 $0
Grand Traverse 1 $500
Huron 1 $1,400
Ingham* 1 $0
Ionia 1 $100
Jackson 1 $900
Kalamazoo* 1 $0
Kent* 1 $0
Lapeer* 1 $0
Lenawee 1 $1,360
Livingston 1 $1,200
Luce-Mackinac-Alger-Schoolcraft District 4 $2,170
Macomb 1 $850
Marquette 1 $830
Midland 1 $450
Mid-Michigan District 3 $5,720
Monroe 1 $2,800
Muskegon 1 $1,350
Northwest Michigan Community Health Agency 4 $8,250
-Oakland 1 $3,400
Ottawa 1 $1,750
Saginaw 1 $1,830
Saint Clair I $1,130
Santlac* 1 $0
Shiawassee 1 $830
Tuscola 1 $150
Van Buren/Cass District 2 $2,310
Washtenaw 1 $600
Wayne 1 $1,600
Western Upper Peninsula District 5 $800
Total 83 (+ 1 City) $88,370
*Indicates LHDs that are not under contract with the DEQ.
Note that this does not include estimates for new businesses, trucks or land sites
MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY
OFFICE OF DRINKING WATER AND MUNICIPAL ASSISTANCE
CAMPGROUND PROGRAM
PROGRAM H
OCTOBER 1, 2016 THROUGH SEPTEMBER 30, 2017
A. Statement of Purpose
This agreement is intended to establish responsibilities for both the Grantee and the State in the
conduct of completing work within the Grantee's jurisdiction in the annual Campground Program
in accordance with Section 12510 of the Public Health Code, 1978 PA 368, as amended (Act
368).
This agreement is also intended to establish responsibilities for both the Grantee and the State
for the issuance of a temporary campground license within the Grantee's jurisdiction when fees
are collected by the Grantee in accordance with Section 12510 of Act 368.
B. Program Budget and Agreement Amount
The Grantee will be reimbursed on an annual basis for work in the Campground Program. The
agreement amount is provided in item F. Reimbursement Schedule and in Program H Allocation
Schedule. All requests for payment must be submitted by the Grantee to the State as described
in item F. Reimbursement Schedule.
Annual payments will be made for those campgrounds that have all fees paid in full and an
inspection report has been submitted.
The Grantee will reimburse the State on an annual basis for each temporary campground
license fee collected during the year by the Grantee's staff or designated representative. The
agreement amount is provided in item F. Reimbursement Schedule, The State requests for
reimbursement are as described in item F. Reimbursement Schedule.
C. Requirements — Grantee
The Grantee will conduct an inspection of all campgrounds under its jurisdiction that have
submitted a license application and paid in full the appropriate licensing fees. The Grantee will
investigate complaints, conduct meetings and/or conferences relative to compliance issues, and
complete a Campground Inspection Report (Form EQP 1715) as provided by the State, or other
report form approved by the State.
All campgrounds should be inspected when they are open during the months of May, June,
July, August, or September 2017. Completed inspection reports should be forwarded to the
State, item E. Performance/Progress Report Requirements, within 2 to 4 weeks following the
inspection, but in no case no later than the end date of this contract, September 30, 2017.
The Grantee will collect license fees for temporary campgrounds within its jurisdiction in
accordance with Section 12506a of Act 368, issue or deny the temporary campground licenses,
and forward a copy of the approved or denied license to the State. License copies should be
forwarded to the State within 2 to 4 weeks after the licensing period, but in no case no later than
the end date of this contract, September 30, 2017.
The Grantee will review the Campground and Temporary Campground lists provided by the
.State, item D. Requirements — State, make modifications and adjustments, and return the lists
to the address in item E. Performance/Progress Report Requirements, within 30 days.
D. Requirements - State
By January 31, 2017, the State will provide the Grantee with a list of campgrounds from their
jurisdiction that have been inspected for the year ending September 30, 2016, and have paid
the license fees. This list is the basis for reimbursement to the Grantee under item
F. Reimbursement Schedule. If the list needs modification, the State will provide the Grantee a
30-day period to request any adjustments.
The State will provide technical assistance and periodic oversight to the Grantee relative to
campground compliance issues when requested.
For temporary campground licenses, by March 1, 2017, the State will provide the Grantee with a
list of temporary campground license applications received from the Grantee's jurisdiction
during the year ending September 30, 2016. This list is the basis for the invoice intended for the
Grantee under item F. Reimbursement Schedule.
The contact person is Sarah Rottiers, who may be reached at 517-284-6520; at
rottierss@michigan.gov; or at DEQ, Drinking Water and Environmental Health Section -
Campgrounds, P.O. Box 30241, Lansing, Michigan 48909-7741.
E. PerformancelProgress Report Requirements
Inspection reports, temporary campground license copies, and lists from item
D. Requirements — State, should be sent to: DEQ, Office of Drinking Water and Municipal
Assistance, Environmental Health Section - Campgrounds, P.O. Box 30241, Lansing, Michigan
48909-7741 or scan and E-mail to DEQ-EH@michigan.gov .
F. Reimbursement Schedule
The State will reimburse the Grantee on a lump sum basis at $25 for each annually licensed
campground inspected during the year ending September 30, 2016, by the Grantee's staff or
designated representative.
Based on the list of temporary campground license applications received from the State for the
Grantee's jurisdiction during the year ending September 30, 2016, the State will send an invoice
for the appropriate lump sum charge in accordance with Act 368, less the $25 portion of the fee
intended for the Grantee.
G. Accountability
The State will furnish periodic status reports to each Grantee indicating the number of annual
license applications, fees, and inspection reports received.
PROGRAM H - ALLOCATION SCHEDULE
CAMPGROUND PROGRAM
OCTOBER 1, 2016 THROUGH SEPTEMBER 30, 2017
Grantee No. of Counties No. of CGs Allocation
Allegan 1 30 $750
Barry-Eaton District 2 32 $800
Bay 1 8 $200
Benzie-Leelanau District 2 30 $750
Berrien 1 18 $450
Branch-Hillsdale-St. Joseph Community Health 3 62 $1,550
Calhoun 1 13 $325
Central Michigan District 6 96 $2,400
Chippewa 1 26 $650
Delta & Menominee District 2 23 $575
Detroit, City of - Dept. of Health & Wellness 0 0
Dickinson-Iron District 2 24 $600
District #2 4 59 $1,475
District #4 4 60 $1,500
District #10 10 246 $6,150
Genesee 1 9 $225
Grand Traverse 1 21 $525
Huron 1 28 $700
Ingham 1 10 $250
Ionia 1 10 $250
Jackson 1 31 $775
Kalamazoo 1 9 $225
Kent 1 20 $500
Lapeer 1 20 $500
Lenawee 1 18 $450
Livingston 1 10 $250
Luce-Mackinac-Alger-Schoolcraft District 4 71 $1,775
Macomb 1 4 $100
Marquette 1 18 $450
Midland 1 8 $200
Mid-Michigan District 3 32 $800
Monroe 1 18 $450
Muskegon 1 23 $575
Northwest Michigan Community Health Agency 4 52 $1,300
Oakland 1 21 $525
Ottawa 1 21 $525
Saginaw 1 8 $200
Saint Clair 1 14 $350
Sanilac 1 12 $300
Shiawassee 1 8 $200
Tuscola 1 9 $225
Van Buren-Cass District 2 62 $1,550
Washtenaw 1 11 $275
Wayne 1 6 $150
Western Upper Peninsula District 5 37 $925 ..
Totals 83 (+ 1 City) 1,348 $33,700
MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY
OFFICE OF WASTE MANAGEMENT AND RADIOLOGICAL PROTECTION
MEDICAL WASTE REGULATORY PROGRAM
PROGRAM I
OCTOBER 1, 2016 THROUGH SEPTEMBER 30, 2017
A. Statement of Purpose
This agreement is intended to establish responsibilities for both the Grantee and the State in the
conduct of completing work within the Grantee's jurisdiction under a pilot program for the
Medical Waste Regulatory Program (MWRP) in accordance with the Medical Waste Regulatory
Act (MWRA), Part 138 of the Michigan Public Health Code, 1978 PA 368, as amended and
associated Administrative Rules.
B. Program Budget and Agreement Amount
The State will reimburse the Grantee on a lump sum basis according to the following:
ACTIVITY AMOUNT
A. Performance of follow-up
remotely from work station or
perform a second inspection on-site
at failities inspected during either in
the 2014, 2015, or 2016 pilot that
have failed to register or may have
failed to comply with any other
noted violation as required.
Provide a 30-day deadline to
facilities to comply and refer
continued noncompliance to DEQ
staff at your discretion if deadline is
not met.
I. $50.00 for any 'no site visit'
contact consultations (mail, phone,
etc.) and documentation of
compliance verification or referral to DEQ as indicated for continued
noncompliance.*
II. $100.00 for a follow-up site visit
(announced or unannounced) and
documentation of compliance
verification or referral to DEQ as
indicated for continued
noncompliance. *
* Up to 20 follow-ups are allowed
with the exception of up to 100
follow-ups may be performed by
the Oakland County Health
Division (OCHD). This activity
would not be performed by the
Kent County Health Department as
it is not applicable during this grant
cycle.
B. Identification and compliance
inspections of new producing
facilities that are not registered as
required.
$100.00 per facility, up to 50 on-
site inspections are allowed, with
the exception that OCHD may
perform up to 250 of these
inspections, and Kent County may
perform up to 100 of these
inspections.
C. Outreach and recruitment of new
community service-based sharps
collection programs for Michigan
residents. This would include
recruitment and operation of a
sharps disposal program in your
area for residents.
$300.00 per successful
establishment of each new
program and subsequent relay of
program info/specifics to DEQ for
addition to the DEQ program Web
site. Up to 10 recruitments may be
performed by all LHDs.
D. Inspection of any type of
registered facility to be randomly
selected from an entire listing of
both small producers and large
producers provided by the DEQ.
LHDs will receive the most current
information from L2K for all facilities
registered in the district,
These will be, separate,
comprehensive listings that will be
updated as needed on a periodic
basis or at the request of LHD staff.
$100 per inspection of a small,
low-volume generator from the first
listing, and $200 per inspection of
a large, high volume generator
from the second listing. Up to 20
registered facilities not inspected in
previous pilot phases are allowed
with the exception that OCHD may
perform up to 100 of these
inspections, and Kent County may
perform up to 40 of these
inspections.
E. *This activity requires prior
authorization from the DEQ
and/or may be performed due to a
request initiated by the DEQ to
the LHD. The activity includes
initial response to incident or
complaint allegations, including
visiting the site, gathering
information, taking photos, and
remediation if verified. If complexity
exceeds inspectors ability to
remediate, or has potential to be
controversial in nature, referral of all
collected information may be made
to DEQ program staff.
$250 per response activity, to
include gathering necessary
information, evidence collection,
and follow-through to contain any
risks to public health or the
environment if possible prior to
referral to DEQ program staff as
needed. This activity is solely
reactive in nature and performed
on an as needed basis not to
exceed the total allocation
allotment for each participating
LHD.
F. Presentations and/or training of
professional organizations
representing any type of medical
waste producer and profession
regarding the requirements of the
Medical Waste Regulatory Act and
Rules. Examples would include the
Michigan Veterinary Association,
Michigan Funeral Directors
Association, Michigan Health and
Hospital Association, etc. This list is
not all-inclusive.
$200 per training activity and
documentation verifying
completion, such as emails, copies
of the presentation, names of
participants, etc. Up to 10
presentations may be given for
allocation not to exceed $2,000.00
for all participating LHDs.
C. Requirements - Grantee
1. The Grantee's activities may vary by jurisdiction and will be limited to the requirements
contained in this agreement not to exceed maximum allocation limit. Activities A-F may be
performed in any combination to meet the allocation limitation, at the discretion of each
participating LHD with the exception of Activity E.
2. The Grantee will designate staff person(s) to be trained and to conduct the activities
described under this agreement.
3. Grantee shall be provided with a complete, current listing of all facilities or businesses that
are both in their jurisdiction and registered as medical waste producers in their respective
jurisdiction. This listing will be used by the Grantee to perform identification of unregistered
facilities and applicable compliance activities as described under of this agreement.
4. Inspection of any facility (except as noted under Activity E.) shall be at the Grantee's
discretion and may be scheduled or unscheduled.
5. The activities above shall be performed in accordance with the addendum to the 2017
Medical Waste Pilot Program Activity Guide for Local Health Departments, Appendix I.
6. Activities shall be performed by May 31, 2017.
7. Grantee shall notify the State of facilities described above that were found to not be medical
waste producers with all other materials required for verification and allocation. The grantee
shall also notify the DEQ of follow-up inspections of facilities that were inspected during
either FY 14 ,FY 15, or FY 16 that do not comply with registration and other noted
compliance requirements within a 30-day period.
8. The Grantee shall submit copies of all completed inspection reports, and documentation of
any other activities sufficient for verification of fund allocation as described in the addendum
to the 2017 Medical Waste Pilot Program Activity Guide for Local Health Departments,
Appendix I., to the State by no later than June 30, 2017, for reimbursement.
D. Requirements - State
1. The State shall provide the current inspection form, "Medical Waste Producing Facility
Inspection Report" (EQP 1756), initial registration applications, and reference materials for
the MWRP on the Web page.
2. The State will provide any necessary guidance or training to the Grantee's designated staff
person(s) upon request regarding any of the activities described above.
3. The DEQ will, upon request, provide sample presentations for use by LHDs upon request as
described under Activity F., or the LHD may develop their own presentation and reference
documents for use in this activity.
4. The State shall provide updated listings of all registered generators of medical waste as
noted under Section D. to each participating Grantee initially and upon request to ensure
information is current for all related activities above.
5. The State will provide technical assistance and periodic oversight to the Grantee relative to
medical waste issues when requested. The program contact person is Andrew Shannon,
who may be reached at 517-230-9800; at shannona1@michigan.gov ; or at Department of
Environmental Quality, Office of Waste Management and Radiological Protection, Medical
Waste Regulatory Program, Grand Rapids District Office, 350 Ottawa Avenue NW, 6 th Floor
#10, Grand Rapids, Michigan 49503.
E. Performance/Progress Report Requirements
1. The submittal of completed inspection reports and/or documentation of other activities
completed by the Grantee separated by activity type shall be sufficient documentation of
activities performed under this pilot program.
2. The State and Grantee agree to meet to conduct a joint evaluation of whether the pilot
program demonstrated that contracting with local health departments can increase the
effectiveness of the DEQ/MWRP in terms of increasing the number of active facility
registrations and overall compliance, providing educational outreach, improving customer
service, and/or other factors that the State and Grantee determine will assist with the
evaluation.
F. Reimbursement Schedule
Following the completion of the activities on May 31, 2017, the Grantee shall submit a single
request for payment, including all completed inspection report forms and/or sufficient
documentation of other activities by type by June 30, 2017, to DEQ - Office of Waste
Management and Radiological Protection, Medical Waste Regulatory Program, Grand Rapids
District Office, 350 Ottawa Avenue NW, 6 th Floor #10, Grand Rapids, Michigan 49503.
Alternatively, the requests and required documentation may be sent electronically to the Andrew
Shannon at shannona1@michigan.gov .
G. Accountability
Inspection reports and any other verification documents as described in the 2017 Medical Waste
Pilot Program Activity Guide for Local Health Departments, Appendix I., will be retained by the
Grantee until submitted to the State. Referrals to DEQ as described in the Activities above will
be submitted as needed.
PROGRAM I - ALLOCATION SCHEDULE
MEDICAL WASTE REGULATORY PROGRAM
OCTOBER 1, 2016 THROUGH SEPTEMBER 30, 2017
Grantee No of Counties Allocation ,
Allegan 1 $0
Barry-Eaton District 2 $5,000
Bay 1 $0
Benzie-Leelanau District 2 $0
Berrien 1 $0
Branch-Hillsdale-St. Joseph Community Health 3 $5,000
Calhoun 1 $0
Central Michigan District 6 $0
Chippewa 1 $0
Delta & Menominee District 2 $0
Detroit, City of - Dept. of Health & Wellness 0 $0
Dickinson-Iron District 2 $0
District #2 4 $0
District #4 4 $0
District #10 10 $5,000
Genesee 1 $0
Grand Traverse 1 $0
Huron 1 $0
Ingham I $0
Ionia I $0
Jackson I $0
Kalamazoo 1 $0
Kent 1 $10,000
Lapeer 1 $0
Lenawee 1 $0
Livingston 1 $5,000
Luce-Mackinac-Alger-Schoolcraft District 4 $0
Macomb 1 $0
Marquette 1 $0
Midland I $0
Mid-Michigan District 3 $5,000
Monroe 1 $0
Muskegon 1 $5,000
Northwest Michigan Community Health Agency 4 $0
Oakland 1 $25,000
Ottawa 1 $0
Saginaw I $0
Saint Clair 1 $0
Sanilac 1 $0
Shiawassee I $0
Tuscola 1 $0
Van Buren/Cass District 2 $0
Washtenaw 1 $0
Wayne 1 $0
Western Upper Peninsula District 5 $0
Total 83 (+ 1 City) $65,000
FISCAL NOTE (MISC # 17008) January 26, 2017
BY: Commissioner Tom Middleton, Chairperson, Finance Committee
IN RE: DEPARTMENT OF HEALTH AND HUMAN SERVICES/HEALTH DIVISION - FISCAL YEAR
2016/2017 MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY (MDEQ) REIMBURSEMENT
AGREEMENT 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 Department of Environmental Quality (MDEQ) has awarded $256,498 to the Oakland
County Health Division for programs related to Non-Community (Type II) Public Drinking Water
Supply, Drinking Water Long-Term Monitoring, Public Swimming Pool, Septage Waste,
Campgrounds and Medical Waste Regulatory.
2. The grant award of $256,498 is a $9,216 increase from the previous year's agreement.
3. The grant period is October 1, 2016 through September 30, 2017.
4. The FY 2017 budget is amended as follows:
GENERAL FUND (#10100) FY 2017
Revenue
1060220-134190-610313
1060220-134060-615571
1060220-134190-615571
1060220-134210-615571
1060220-134220-615571
9010101-196030-665882
Federal Operating Grants-Public Water
State Operating Grants-Land Protection
State Operating Grants-Public Water
State Operating Grants-Swimming Sites
State Operating Grants-Water Pollution
Non-Dept. - Planned Use of Balance
Total Revenue
($11,267)
200
8,283
1,500
10,500
9,216)
$
4C-,-/---c--
ommissioner Toni Middleton, District #4
Chairperson, Finance Committee
FINANCE COMMITTEE VOTE:
Motion carried unanimously on a roll call vote with Long and Fleming absent.
Resolution #17008 January 26, 2017
Moved by Kochenderfer supported by McGillivray the resolutions (with fiscal notes attached) on the amended
Consent Agenda be adopted (with accompanying reports being accepted).
AYES: Crawford, Fleming, Gershensori, Gingell, Hoffman, Jackson, Kochenderfer, KowaII, Long,
McGillivray, Middleton, Spisz, Taub, Tietz, Weipert, Woodward, Zack, Berman, Bowman. (19)
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).
GERALD D, POISSON
CHIEF DEPUTY COUNTY EXECUTIVE
ACI1NO PzIMWANT TO MCL 45 ,S59A(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 January 26, 2017,
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,
Michigan this 26th day of January, 2017.
Lisa Brown, Oakland County