HomeMy WebLinkAboutResolutions - 2002.07.18 - 26825MISCELLANEOUS RESOLUTION 102168 July 18, 2002
BY: PUBLIC SERVICES COMMITTEE, HUGH D. CRAWFORD, CHAIRPERSON
IN RE: 52-4 DISTRICT COURT DRUG COURT PROGRAM - FY 2002 TEMPORARY
ASSISTANCE FOR NEEDY FAMILIES (T.A.N.F.) CONTRACT GRANT ACCEPTANCE
To the Oakland County Board of Commissioners
Chairperson, Ladies and Gentlemen:
WHEREAS the Michigan Department of Community Health, Office of Drug Control Policy has
awarded grant funding to the 52-4 Troy District Court under the U.S. Department of Justice and U.S.
Department of Health and Human Services for the period of October 1, 2001 through September 30, 2002
for drug court treatment funding; and
WHEREAS this is a one time award to enhance the existing grant programs; and
WHEREAS the Michigan Department of Community Health approved the grant application as
submitted, and awarded Oakland County a federal pass-through grant totaling $35,000 under the federal
program title of Temporary Assistance for Needy Families (T.A.N.F.), there is no match requirement for
T.A.N.F. funds; and
WHEREAS the grant award provides enhanced funding of the Fiscal Year 2002 programs which
support the 52-4 District Court's Drug Court Program; and
WHEREAS this program funds $35,000 of T.A.N.F. funds that can be used for support for work
activities, child care, transportation, education and training, mental health/substance abuse, domestic
violence, developmental and learning disabilities, enhancing or supplementing family income or assets,
and family formation and pregnancy prevention; and
WHEREAS the grant agreement has been processed through the County Executive Contract
Review Process and the Board of Commissioners Grant Acceptance Procedures.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners
accepts grant funding from the Michigan Department of Community Health, Office of Drug Control
Policy in the amount of $35,000, requiring no county matching dollars, for the period of October 1, 2001
through September 30, 2002
BE IT FURTHER RESOLVED that the Chairperson of the Board of Commissioners is
authorized to execute the grant agreement and to approve any grant extensions or changes, within fifteen
percent (15%) of the original award, which is consistent with the original agreement as approved.
BE IT FURTHER RESOLVED that acceptance of this grant does not obligate the County to any
future commitment, and continuation of the Drug Court program is contingent upon continued future
levels of grant funding.
Chairperson, on behalf of the Public Services Committee, I move the adoption of the foregoing
resolution.
PUBLIZ SERVICES COMMITTEE
Public Services Committee Vote:
Motion carried unanimously on a roll call vote with Obrecht and Garfield absent.
,Prerltiss Malone, Jr.
From: Greg Givens [givensg@co.oakland.mi.us ]
Sent: Tuesday, June 25, 2002 9:42 AM
To: VanLeuvenj; Malone, Prentiss; VerPloeg, James
Cc: VVilliamsd; Frederick, Candace
Subject: CONTRACT REVIEW— 52-4 DISTRICT COURT
RE: CONTRACT REVIEW - 52-4 DISTRICT COURT
GRANT NAME: Temporary Assistance for Needy Families (TANF) -
Drug Court Program
FUNDING AGENCY: Michigan Office of Drug Control Policy - Dept of
Community Health
DEPARTMENT CONTACT PERSON: Jim VerPloeg - Phone 528-0406
STATUS: Acceptance
DATE: June 25, 2002
Pursuant to Misc. Resolution #01320, please be advised the captioned
grant materials have completed internal contract review. Below are the
comments returned by review departments.
Department of Management and Budget:
Approved. - Laurie Van Pelt (June 20, 2002)
Personnel Department:
I approve - Judy Eaton (June 13, 2002)
Risk Management and Safety:
Approved. Be advised when you enter into contracts with providers you
will need to obtain professional liability from medical providers and
general
liability from any residential vendors including sexual acts. We are
ready
to assist you if this is needed. - Stan Fayne (June 18, 2002)
Corporation Counsel:
After reviewing this grant contract, there appear to be no legal issues
that
require additional action or resolution.
I would draw your attention to two issues, however. In Section H of the
General Provisions, we are asked to agree to notify the Department of
Community Health, in writing, of any action by a funding source that
would
require significant modification in the provision of services or
funding. Given current economic uncertainties and the State's
anticipated budget shortfalls, if funding for the drug court is reduced,
it will be important to remember to notify the Department of Community
Health.
Also, if there are any subcontracts for any type of services, we are
required
to pass through the provisions on lobbying, non-discrimination,
debarment,
confidentiality, research involving persons, etc., to the
subcontractor. We also agree to provide, on request, a copy of any
executed subcontract to
Community Health. If you have any subcontractors, please be sure that
they are operating under an unexpired contract and that these provisions
1
r r f • 1 ' 'art .
. included -- or we can do an amendment to include these provisions. Our
office can assist you. Just let us know. - Karen Agacinski (June 24,
2002)
Please note the comments from both Risk Management and Corporation
Counsel. These issues should be considered before submission to the
Board for acceptance. Once this is done, 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 email
containing grant review comments) may be requested to be placed on the
appropriate Board of Commissioners' committee(s) for grant acceptance by
Board resolution.
Greg Givens, Supervisor
Grants Administration Unit
Fiscal Services Division
Contract #20021822
P.O. #391B2002468
Agreement Between
Michigan Department of Community Health
hereinafter referred to as the "Department"
and
County of Oakland
52-A Judicial District Court
500W. Big Beaver Rd.
Troy, MI 48084
Federal 1.D. #38-6004876
hereinafter referred to as the "Contractor"
for
Drug Court, 60008-1K01
Part I
1. Period of Agreement: This agreement shall commence on October 1, 2001 and continue
through September 30, 2002. This agreement is in full force and effect for the period specified.
9. Program Budget and Agreement Amount
A. Agreement Amount
The total amount of this agreement is $35,000.00. The Department under the terms
of this agreement will provide funding not to exceed $35,000.00, as outlined below.
The federal funding provided by the Department is approximately $35,000.00; the
Catalog of Federal Domestic Assistance (CFDA) number is 93.558 and the CFDA
Title is Temporary Assistance for Needy Families (T.A.N.F.); the federal agency
name is U.S. Department of Health and Human Services; the federal grant award
number is G-0201 MITANF and federal program title is Temporary Assistance for
Needy Families. There is no match requirement for T.A.N.F. Funds.
B. Equipment Purchases and Title
Any contractor equipment purchases supported in whole or in part through this
agreement must be detailed in the supporting detail schedule. Equipment means
tangible, non-expendable, personal property having useful life of more than one (1)
year and an acquisition cost of $5,000 or more per unit. Title to items having a unit
acquisition cost of less than $5,000 shall vest with the Contractor upon acquisition.
The Department reserves the right to retain or transfer the title to all items of
equipment having a unit acquisition cost of $5,000 or more, to the extent that the
Department's proportionate interest in such equipment supports such retention or
transfer of title.
DCH-0665 FY 2002 2101 (W)
1
A cleviatcri ',..11ow2ncs- modn n estatlished bu.at category by S5,000 or 159/,
whichever reater, is permissible v,.(ithoL:t witen approval of the Department.
Any modification or deyia.ions in excess cpf this provision flcluding any adjustment to
the total amount of this agreement must be made in writing and executed by all
parties to this agreement before the modifications can be implemented. This
deviation allowance does not authorize new categories, subcontracts, equipment
items or positions not shown in the attached Program Budget Summary and
supporting detail schedules.
3. Purpose : Through a collaborative efforts that includes the Judiciary, treatment providers,
Prosecution, Defense Counsel, Law Enforcement, health and social service related
organizations, and probation and parole who come together in an effort to reduce substance
abuse and criminal activity and increase public safety and the community's well-being. •
4. Statement of Work : The Contractor agrees to undertake, perform and complete the
services described in Attachment A which is attached and hereby made a part of this
agreement through reference.
5. Financial Requirements : The reimbursement process shall be followed as described in
Part II of this agreement and Attachments B and D, which are hereby made a part of this
agreement through reference.
6. Performance/Progress Report Requirements : The progress reporting methods, as
applicable, shall be followed as described in Attachment C, hereby made a part of this
agreement through reference.
7. General Provisions : The Contractor agrees to comply with the General Provisions outlined
in Part II, hereby made part of this agreement through reference.
8. Administration of the Agreement:
The person acting for the Department in administering this agreement (hereinafter referred to
as the Contract Manager and Location/Building) will be :
Betsy Pash Administrator (517) 373-4700
Name Title Telephone No.
9. Contractor's Financial Contact for the Agreement :
The person acting for the Contractor on the financial reporting for this agreement will be:
Name
10. Special Conditions :
Title Telephone No.
A. This agreement is valid upon approval by the State Administrative Board as
appropriate and approval and execution by the Department.
B. This agreement is conditionally approved subject to and contingent upon the
availability of funds.
C. The Department will not assume any responsibility or liability for costs incurred by the
Contractor prior to the signing of this agreement.
DCH-0665 FY 2002 2/01 OM 2
Snecial reritTgat:on
The individual or officer signing this agreement certifies by his or her signature that he or she
is authorized to sign this agreement on beinaif of the responsible governing board, official or
Contractor.
12. Signature Section :
For the MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
Mary Jane Russell, Director, Budget & Contracts Division Date
For the CONTRACTOR
Name and Title
Signature Date
DCH-0665 FY 2002 2101 (W) 3
Version: All Other
Programs
MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
FY 01102 AGREEMENT ADDENDUM A
1. This addendum modifies the following sections of Part II, General Provisions:
Part II
I. Responsibilities-Contractor
I. Year 2000 Compatibility. This section will be deleted in its
entirety and replaced with the following language:
The Michigan Department of Community Health and the County of
Oakland will work together to determine and avoid potential Year 2000
computer systems problems.
III. Assurances
A. Compliance with Applicable Laws. This first sentence of this
paragraph will be stricken in its entirety and replace with the
following language:
The Contractor will comply with applicable Federal and State laws,
and lawfully enacted administrative rules or regulations, in carrying
out the terms of this agreement.
VIII. Liability. Paragraph A. will be deleted in its entirety and replaced with
the following language.
A. Except as otherwise provided for in this Contract, all liability, loss,
or damage as a result of claims, demands, costs, or judgments
arising out of activities to be carried out pursuant to the obligations
of the Contractor under this Contract shall be the responsibility of
the Contractor and not the responsibility of the Department, if the
liability, loss, or damage is caused by, or arises out to the actions
or failure to act on the part of the Contractor, its employees,
officers or agents. Nothing therein shall be construed as a waiver
of any governmental immunity for the Contractor, its agencies,
employees, or Oakland County, as provided by statute or modified
by court decisions.
Version: A )ther
Pr.Dgrams
2. Special Certification:
The individual or officer signing this agreement certifies by his or her signature
that he or she is authorized to sign this agreement on behalf of the responsible
governing board, official or Contractor.
3. Signature Section:
For the MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
Peter L. Trezise, Chief Operating Officer Date
For the CONTRACTOR
Name and Title
Signature Date
A.
Responsibilities - Contractor
The (-2ontractcr in accordance with the cenerel ourccs sa7d c.,,blectives of this agreement
Publication Rights
1. Where activities supported by this agreement produce books, films, or other such
copyrightable materials issued by the Contractor, the Contractor may copyright such
but shall acknowledge that the Department reserves a royalhy-free, non-exclusive and
irrevocable license to reproduce, publish. and use such materials and to authorize
others tc reproduce and use such materials. This cannot include service recipient
information or personal identification data.
2. Any copyrighted materials or modifications bearing acknowledgment or the Department's
name must be approved by the Department prior to reproduction and use of such
materials.
Any publication (written, visual, or sound, but excluding press releases, newsletters, and
issue analyses) issued by the Contractor, or by a Subcontractor describing programs or
projects funded in whole or in part with Federal funds, shall contain the following
statement:
"This project was supported by grant project # , awarded by
the Bureau of Justice Assistance, Office of Justice Programs, U.S. Department of
Justice. Points of view or opinions contained within this document are those of
the author and do not ,iL..esscitily represent the official position or policies of the
U.S. Department 01 Justice.."
3. The Contractor shall give recognition to the Department in any and all publications
papers and presentations arising from the program and service contract herein; the
Department will do likewise.
B. Fees
Make reasonable efforts to collect 1 st and "Sti party fees, where applicable, and report these
as outlined by the Department's fiscal procedures. Any underrecoveries of otherwise
available fees resulting from failure to bill for eligible services will be excluded from
reimbursable expenditures.
C. Program Operation
Provide the necessary administrative, professional, and technical staff for operation of the
program.
D. Reporting
Utilize all report forms and reporting formats required by the Department at the effective date
of this agreement, and provide the Department with timely review and commentary on any
new report forms and reporting formats proposed for issuance thereafter.
E. Record Maintenance/Retention
Maintain adequate program and fiscal records and files including source documentation to
support program activities and all expenditures made under the terms of this agreement, as
required.
Assure that all terms of the agreement will be appropriately adhered to and that records and
detailed documentation for the project or program identified in this agreement will be
maintained for a period of not less than three (3) years from the date of termination, the date
of submission of the final expenditure report or until litigation and audit findings have been
resolved.
DOH-0665 FY 2002 2/01 OM 4
E.::: 7, El IC: ; `:1-7";=::.-S, access by a..ttnit-..irized
i-epresc..--intatives of The Department, Fae:a to titerioy : Comptrdiier (3...nen:I of the
United' S-tates and State ..;:=:_iditcr Geherai, or any of their dui'," authorized representatives, to
the extent authorized by appiicable state or :iaw, rule c: regulation, to records, files,
and documentation related to this agreement.
0. Single Audit
Provide, consistent with regulations set forth in the Single Audit Act Amendments of 1996, 31
USC 7501 et seq, and Office of Management and Budget Circular (0fV1B) A-133, "Audits of
States, Local Governments, and Non-Profit Organizations", a copy of the annual audit
reporting package of the Contractor to the Department. The audit reporting package and
management letter are due within nine months after the end of the Contractor's fiscal year.
The audit reporting package and management letter are required to be filed with the
Department even if there are no findings reported in the audit pertaining to Department
programs.
The federal OMB Circular A-133 requires either a single audit or program-specific audit
(when administering one federal program) of agencies that expend 5300,000 or more of
federal grant funding during the Contractor's fiscal year. Contractors that fall below the single
audit threshold, are exempt from the single audit requirements. However, for Contractors
receiving S300,000 or more of total Department grant funding, a copy of the financial audit
prepared in accordance with generally accepted auditing standards must be submitted as a
minimum requirement of the Department.
The Department or federal agencies, may also conduct or arrange for "agreed upon
procedures" or additibrial audits to meet their needs. The Contractor's records must also be
available for review or audit by appropriate officials of the Department or federal agencies
(i.e., federal awarding agency or General Accounting Office).
The Contractor must also assure that each of its subcontractors comply with the above audit
requirements, as applicable, and provide for other subrecipient monitoring procedures, as
deemed necessarj.
A copy of the audit reporting package or financial audit should be forwarded to:
Michigan Department of.Community Health
Rate Development, Revenue Reimbursement
and Payment Settlement Bureau
P.O. Box 30479
Lansing, MI 48909-7979
H. Notification of Modifications
Provide timely notification to the Department, in writing, of any action by its governing board
or any other funding source which would require or result in significant modification in the
provision of services or funding or compliance with operational procedures.
Year 2000 Compatibility
The Contractor must ensure year 2000 compatibility for any software purchases related to
this agreement. This shall include, but is not limited to: data structures (databases, data files,
etc.) that provide 4-digit date century; stored data that contain date century recognition,
including but not limited to, data stored in databases and hardware device internal system
dates; calculations and program logic (e.g., sort algorithms, calendar generation, event
recognition, and all processing actions that use or produce date values) that accommodates
same century and multi-century formulas and date values; interfaces that supply data to and
receive data from other systems or organizations that prevent non-compliant dates and data
from entering any State system; user interfaces (i.e., screens, reports, etc.) that accurately
show 4-digit years; and assurance that the year 2000 shall be correctly treated as a leap year
within all calculation and calendar logic.
DCH-0665 FY 2002 2/01 mo 5
The Contractor ac -.--„titt, to ••-..z'.]tyl-Et human sudje.ots .:ch is conducted in
proorams Sponsor-7:j prooTams rave funding from or
through the State ttf .',1ichican, to the Deoartneeht S HLZr:::::-n Subjects Committee for 2.;.c,FOVF.21
prior to the initi:ation of the research.
IL Responsibilities - Department
The Department in accordance with the general purposes and objectives of this agreement will:
A. Reimbursement
Provide reimbursement in accordance with the terms and conditions of this agreement based
upon appropriate reports, records, and documentation maintained by the Contractor. Failure
to comply with performance reports as scheduled will result in action to withhold release of
funds to the grantee for this grant and other grants to grantee.
B. Report Forms
Provide any report forms and reporting formats required by the Department at the effective
date of this agreement, and to provide the Contractor with any new report forms and reporting
formats proposed for issuance thereafter at least ninety (90) days prior to required usage to
afford the Contractor an opportunity for review and commentary.
Assurances
The following assurances are hereby given to the Department:
A. Compliance with Applicable Laws
The Contractor will comply with applicable federal and state laws, guidelines, rules and
regulations in carrying cut the terms of this agreement. The Contractor will also comply with
ail applicable general administrative requirements such as OMB Circulars covering cost
principles, grant/agreement principles, and audits in carrying out the terms of this agreement.
B. Anti-Lobbying -Act
The Contractor will comply with the Anti-Lobbying Act, 31 USC 1352 as revised by the
Lobbying Disclosure Act of 1995, 2 USC 1601 at seq, and Section 503 of the Departments of
Labor, Health and Human Services and Education, and Related Agencies Appropriations Act
(Public Law 104-208). Further, the Contractor shall require that the language of this
assurance be included in the award documents of all subawards at all tiers (including
subcontracts, subarants, and contracts under grants, loans and cooperative agreements) and
that all subrecipients shall certify and disclose accordingly.
C. Non-Discrimination
1. In the performance of any contract or purchase order resulting herefrom, the
Contractor agrees not to discriminate against any employee or applicant for
employment or service delivery and access, with respect to their hire, tenure, terms,
conditions or privileges of employment, programs and services provided or any
matter directly or indirectly related to employment, because of race, color, religion,
national origin, ancestry, age, sex, height, weight, marital status, physical or mental
, disability unrelated to the individual's ability to perform the duties of the particular job
or position. The Contractor further agrees that every subcontract entered into for the
performance of any contract or purchase order resulting herefrom will contain a
provision requiring non-discrimination in employment, service delivery and access, as
herein specified binding upon each subcontractor. This covenant is required
pursuant to the Elliot Larsen Civil Rights Act, 1976 PA 453, as amended, MCL
37.2201 et seq, and the Persons with Disabilities Civil Rights Act, 1976 PA 220, as
amended, MCL 37.1101 et seq, and any breach thereof may be regarded as a
material breach of the contract or purchase order.
DCH-0665 FY 2002 2/01 OM 6
maCe
to, iCentiti Z•17d `,h6: n-tincrity owned, women, owned. and
handicaoper owned businesses in oct. solicitations. The Contractor shall
incorporate landdiace, in contracts corded: (1) prohibiting discrimination against
minority owned, women oi.vined. and handicapper owned businesses in
subcontracting; and (2) making discrimination a material breach of contract.
D. Debarment and Suspension
Assurance is hereby given to the Department that the Contractor will comply with federal
regulation 45 CFR Part 78 and certifies to the best of its knowledge and belief that it,
including its employees and subcontractors:
Are not presently debarred, .,:spended, proposed for debarment, declared ineligible,
or voluntarily excluded from covered transactions by any federal department or
contractor;
2. Have not within a 3 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; 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
section 2, and;
Have not within a 3 yea:- period preceding this agreement had one or more public
transactions (federal, state or local) terminated for cause or default.
E. Federal Requirement: Pro-Children Act
1. Assurance is hereby given to the Department that the Contractor will comply with
Public Law 103-227, also known as the Pro-Children Act of 1994, 20 USC 6081 et
seq, which requires that smoking not be permitted in any portion of any indoor facility
owned or leased or contracted by and used routinely or regularly for the provision of
health, day care, early childhood development services, education or library services
to children under the age of 18, if the services are funded by federal programs either
directly or through state or local governments, by federal grant, contract, loan or loan
guarantee. The law also applies to children's services that are provided in indoor
facilities that are constructed, operated, or maintained with such federal funds. The
law does not apply to children's services provided in private residences; portions of
facilities used for inpatient drug or alcohol treatment; service providers whose sole
source of applicable federal funds is Medicare or Medicaid; or facilities where
Women, Infants, and Children (WIC) coupons are redeemed. Failure to comply with
the provisions of the law may result in the imposition of a civil monetary penalty of up
, to 51,000 for each violation and/or the imposition of an administrative compliance
order on the responsible entity. The Contractor also assures that this language will
be included in any subawards which contain provisions for children's services.
2. The Contractor also assures, in addition to compliance with Public Law 103-227, any
service or activity funded in whole or in part through this agreement will be delivered
in a smoke-free facility or environment. Smoking shall not be permitted anywhere in
the facility, or those parts of the facility under the control of the Contractor. If
activities or services are delivered in facilities or areas that are not under the control
of the Contractor (e.g., a mall, restaurant or private work site), the activities or
services shall be smoke-free. This provision is not applicable to this agreement.
DCH-0665 FY 2002 2/01 (w) 7
" . .
r and the
'oteicoverrnnentn,1 P7.-so -7 77:IACt of I F.-73. aT en:de: TitleVi S.,--ry'ce Reform
Putt.io Law 4723 F'sn:F..-.o, funds oarinot Ca used for pciiticai
purposes of any kind O; any pa:son or organ:zatIbn invcived in the administration of federally-
assisted programs.
G. Home Health Servic:.=i,s
If the Contractor provides Horne Hea:th Services (as defined in Medicare Part B), the
following requirements apply:
The Contractor shall not use categorical grant funds provided under tois acreement
to unfairly compete for home health services available from private or -cyders of the
same type of services in the Contractor's service area.
2. For purposes of this agreement, the term "unfair competition" shall be defined as
offering of home health services at fees substantially less than those generally
charged by private providers of the same type of services in the Contractor's area,
except as allowed under Medicare customer,/ charge regulations involving sliding fee
scale discounts for low-income clients based upon their ability to pay.
3. If the Department finds that the Contractor is not in compliance with its assurance not
to use state local public health operations and categorical grant funds to unfairly
compete, the Department shall follow the procedure required for failure by local
health departments to adequately provide required services set forth in Sections
2497 and 2498 of 1978, PA 368, as amended (Public Health Code), MCL 333.2497
and 2498, NISA 14.15 (2497) and (2498).
H. Subcontracts
Assure for any subcontracted service, activity or product:
1. That a writtan subcontract is executed by all affected parties prior to the initiation of
any new subcontract activity. Exceptions to this policy may be granted by the
Department upon written request within 30 days of execution of the agreement.
2. That any executed subcontract to this agreement shall require the subcontractor to
comply with all applicable terms and conditions of this agreement. In the event of a
conflict between this agreement and the provisions of the subcontract, the provisions
of this agreement shall prevail.
A conflict between this agreement and a subcontract, however, shall not be deemed
to exist where the subcontract:
a. Contains additional non-conflicting provisions not set forth in this agreement;
t b. Restates provisions of this agreement to afford the Contractor the same or
substantially the same rights and privileges as the Department; or
c. Requires the subcontractor to perform duties and/or services in less time
than that afforded the Contractor in this agreement.
3. That the subcontract does not affect the Contractor's accountability to the
Department for the subcontracted activity.
4. That any billing or request for reimbursement for subcontract costs is supported by a
valid subcontract and adequate source documentation on costs and services.
5. That the Contractor will submit a copy of the executed subcontract if requested by the
Department.
DC1-140665 FY 2002 2/01 (W) 8
1.
•.: 7a• ::".: •
tr,2I shall be conducted
cci.niv and comeetltivy ln accordance of 0%1E-3 Circular
(es
me a,ssociatet "Common
Rule" as promulga-:ed by responstie federal contractcr(s), or eMB Cirailar A-110, as
and that records suffiCient to document the significant history of all purchases are
maintained for a minimum of three years after the end of the agreement period.
J. Health Insurance Portability and Accountability Act
To the extent that this act is pertinent to the services that the Contractor provides to the
Department, the Contractor assures that it is in compliance with the Health Insurance
Portability and Accountability Act (HIPAA) requirements.
IV. Financial Requirements
A. Reimbursement Method
The Contractor will be reimbursed in accordance with the staffing grant reimbursement
mechanism as follows:
Reimbursement from the Department based on the understanding that Department funds will
be paid up to the total Department allocation as agreed to in the approved budget.
Department funds are first source after the application of fees and earmarked sources unless
a specific local match condition exists.
B. Financial Status Report Submission
Financial Status Reports (FSRs) shall be prepared and submitted to the Michigan
Department of Community Health, Budget and Finance/Administration, Accounting Division,
EXpenditure Operations Section, P.O. Box 30720, Lansing, Michigan 48909, on a monthly
basis, no later than thirty (30) days after the close of each calendar month. The monthly
FSRs must reflect total actual program expenditures. reaardless of the source of funds.
Attachment D contains the FSR form. Instructions for completing the FSR form are available
through your Contract Manager or the Department's web site.
C. Final Obligations and Financial Status Report Requirements
A report of estimated total agreement expenditures must be submitted during the first week of
October using the format requested by the Department. The Department will provide
additional information regarding this report in September. Final FSRs are due sixty (60) days
following the end of the fiscal year or agreement period. The final FSR must be clearly
marked "Final". Final FSRs not received by the due date may result in a loss of funding
requested per the report of estimated total agreement expenditures and may result in the
potential reduction in the subsequent year's agreement amount.
D. Unobligated Funds
Any unobligated balance of funds held by the Contractor at the end of the agreement period
will be returned to the Department or treated in accordance with instructions provided by the
Department.
V. Agreement Termination
The Department may cancel this agreement without further liability or penalty to the Department for
any of the following reasons:
A. This agreement may be terminated by either party by giving thirty (30) days written notice to
the other party stating the reasons for termination and the effective date.
B. This agreement may be terminated on thirty (30) days prior written notice upon the failure of
either party to carry out the terms and conditions of this agreement, provided the alleged
defaulting party is given notice of the alleged breach and fails to cure the default within the
. thirty (30) day period.
DCH-0665 FY 2002 2/01 (W) 9
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agreenment dunna nn :his
-
inSecdcn HO. of this
thereaf.
Finai Reporting Upon Ter-hind:ion
Should this agreement be terminated by either party, within thirty (30) days after the termination, the
Contractor shall provide the Department with all financial performance, and other reports required as
a condition of this agreement. The Department will make payments to the Contractor for allowable
reimbursable costs not covered by previous payments or other state or federal programs. The
Contractor shall immediately refund to the Department any funds not authorized for use and any
payments or funds advanced to the Contractor in excess of allowable reimbursable expenditures.
Any dispute arising as a result of this agreement shall be resolved in the State of Michigan.
VII. Severability
If any provision of this agreement or any provision of any document attached to or incorporated by
reference is waived or held to be invalid, such waiver or invalidity shall not affect other provisions of
this agreement.
VIII. Amendments
Any changes to this agreement will be valid only if made in writing and accepted by all pates to this
agreement.
IX. Liability
A. All liability to third parties, loss, or damage as a result of claims, demands, costs, or
judgments arising out of activities, such as direct service delivery, to be carried out by the
Contractor in the performance of this agreement shail be the responsibility of the Contractor,
and not the responslbility c; the Department, if the liability, loss, or damage is caused by, or
arises out of, the actions or failure to act on the part of the Contractor, any subcontractor,
anyone directly or indirectly employed by the Contractor, provided that nothing herein shall be
construed as a waiver of any governmental immunity that has been provided to the
Contractor or its employees by statute or court decisions.
.B. All liability to third parties, loss, or damage as a result of claims, demands, costs, or
judgments arising out of activities, such as the provision of policy and procedural direction, to
be carried out by the Department in the performance of this agreement shall be the
responsibility of the Department, and not the responsibility of the Contractor, if the liability,
loss, or damage is caused by, or arises out of, the action or failure to act on the part of any
Department employee or agent, provided that nothing herein shall be construed as a waiver
of any governmental immunity by the State, its agencies (the Department) or employees as
provided by statute or court decisions.
C. In the event that liability to third parties, loss, or damage arises as a result of activities
conducted jointly by the Contractor and the Department in fulfillment of their responsibilities
under this agreement, such liability, loss, or damage shall be borne by the Contractor and the
Department in relation to each party's responsibilities under these joint activities, provided
that nothing herein shall be construed as a waiver of any governmental immunity by the
Contractor, the State, its agencies (the Department) or their employees, respectively, as
provided by statute or court decisions.
X. Conflict of Interest
The Contractor and the Department are subject to the provisions of 1968 PA 317, as amended, MCL
15.321 et seq, MSA 4.1700(51) et seq, and 1973 PA 196, as amended, MCL 15.341 et seq, MSA
4.1700 (71) et seq.
XI. State of Michigan Agreement This is a State of Michigan Agreement and is governed by the laws
of Michigan. Any dispute arising as a result of this agreement shall be resolved in the State of
Michigan.
OCH-0665 FY 2002 2/01 MO 10
cair, tne Liepartment 'end the Contractorist,E.1 1 tO„.dt medical services to and ioforrn.ticn
contained in medicai records of persons served under this acreement, or other such recorded
information -,i.cquired to be neici confidential by federai or state iavt, rule or reculation, in connection
with the provision of sen.ioes or ctoer activity _inder this agreement shall be privileged
communication, shall be held confidential, and shall not be divulged without the written i.,uileut of
either the patient or a person responsible for the patient, except as may be otherwise required by
applicable law or regulation. Such information may be disclosed in summary, statistical, or other form
which does not directly or indirectly identify particular individuals.
11 DCH-0665 FY 2002 2101 OM
ATTACHMENT A
STATEMENT OF WORK
The Contractor agrees to comply with the Key Components of Drug Courts as specified
by the U.S. Department of Justice, Drug Courts Program Office and the National
Association of Drug Court Professionals.
In addition, the Contractor will comply with the following requirements:
1. Drug court participants must be employed, seeking employment or engaged in
activities to enable them to be employed. Juvenile drug court participants should
be engaged in educational and/or vocational endeavors.
2. A plea by participants is required; no deferred prosecution.
3. Both adult and juvenile drug courts should provide treatment and rehabilitative
services based upon a comprehensive assessment of participant needs.
Participation in 12-step and other faith-based programs is encouraged.
4. Participants are to be required to make some payment toward drug court costs.
Payment may be on a sliding scale, ability to pay basis.
The Contractor will make available Temporary Assistance for Needy Families (TANF)
services to participants in the drug court program. The purposes for which participants
meeting the income criteria qualify for TANF are the following:
• To allow children to be cared for in their own homes or in the homes of relatives.
• To end the dependence of needy parents on government benefits by promoting job
preparation.
• To prevent and reduce the incidence of out of wedlock pregnancies.
• To encourage the formation and maintenance of two-parent families.
The TANF Guidance Document is incorporated as part of Attachment A and is the basis
for determination of eligibility of participants and services.
The Contractor is required to maintain document sufficient to support client eligibility,
TANF eligible services provided, and income eligibility of clien.s for TANF services.
•
T 1-TT\ & JC1 1' i"--\ T iro TrV
'kJ 3.1,1-11 Li LVIL I
INTRODUCTION
The Temporary Assistance for Needy Families (T.A.N.F.) program has given States new
opportunities to develop and implement creative and innovative strategies and approaches
to remove families from a cycle f dependency on public assistance and into work. There ,
is a large population not working, or in entry-level jobs, with incomes that are too low or
too erratic to raise their families above poverty. Under T.A.N.F., States have the
flexibility and resources to develop programs that reach all families and promote success
at work. The T.A.N.F. program provides funding for employment and training activities,
supportive services, and benefits that will enable clients to get a job, keep a job, and
improve their economic circumstances.
Drug and alcohol addiction plays an ever-increasing role in family dysfunction as well as
economic and social dependency. In order to better address this underlying cause of
dependency, programs must be established or enhanced to provide prevention and
treatment services for youth and adults where drua and. alcohol abuse threatens their
ability to become economically self-sufficient and to care for children in their own home.
DEFINITIONS
Medical Services: • Services to diagnose treat or prevent disease. Disease refers to any
condition of physical or mental ill health, regardless of cause. Typically, medical
services are covered by the Medicaid program, other health insurance plan or a
community publie health agency and not by T.A.N.F..
Family: A minor child living with a caretaker relative; a pregnant woman.
Minor Child: A child under age 18, or a child 18 and attending high school full-time.
Care Taker: A parent or other relative who acts as a parent to a child by providing
physical care and supervision of the child.
Relative: Relationships established by blood, marriage, or adoption.
Needy Parent/Individual/Family = 200% of Poverty Guidelines
2001 Poverty Guidelines for the 48 Contiguous States and the District of Columbia
Size of Family Unit: 1 $8,590 200% = $17,180
2 $11,610 200°20 = $23,220
3 $14,630 200% = $29,260
4 $17,650 200% = $35,300
5 $20,670 200% = $41,340
C S2.3,690 200e/0 = S47,3,80
7 $26,710 200% = S53,420
8 $29,730 200% = $59,460
Family units with more than 8 mernber•. add S3,780 for 100% of Poverty Guidelines, or -
$7,560 for 200% of Poverty Guidelines for each additional member.,
CRITERIA TO QUALIFY FOR TA.N.F
Under T.A.N.F., allowable expenditures for particular activities, benefits, or services
consist of those that are "in any manner reasonably calculated to accomplish" any one of
the four purposes of the T.A.N.F. program. Activities, benefits, or services that are
reasonably calculated to accomplish a T.A.N.F. purpose are those that directly lead to (or
can be expected to lead to) achievement of a T.A.N.F. purpose. This language includes
all activities that are obviously related to a purpose. It also includes activities whose
relationship to a purpose may not be obvious, but for which there is evidence that it
achieves a purpose. For example, there is a clear statistical relationship between
substance abusing populations having more unprotected sex than non-substance abusing
populations. The same would be true for a statistical relationship between staying in
school and lower teen pregnancy rates, which would conclude that special initiatives to
keep teens in school, and away from drugs are reasonably related to the third purpose of
T.A.N.F. — to reduce out of wedlock pregnancies.
T.A.N.F. funding is directed by the four purposes outlined in Sec. 401 of the Social
Security Act: .
To allow children to be cared for in their own homes or in the homes of
relatives:: Spending, to achieve this purpose covers only needy families so
children may live with their parents or other relatives. It does not cover
children • living with non-relatives. A needy family is one that meets the
income and/or resource standards of less than 200% of Poverty Guidelines
established by the State.
To end the dependence of needy parents on government benefits by
promoting job preparation, work, and marriage: Under this purpose, a
State can help any needy parent, including non-custodial parent or a working
parent, by providing employment, job preparation, or training services.
Examples of potential services include but are not limited to job or career
advancement activities, marriage counseling, child care services, and
employment services designed to increase the non-custodial parent's ability to
pay child support. The needy parent must meet the income andfor resource
standards of less than 200% of Poverty Guidelines established by the State.
To prevent and reduce the incidence of out of wedlock pregnancies:
Neither this purpose nor the following purpose is limited to needy families or
individuals. A State may use Federal T.A.N.F. funds to serve non-needy
H-1 ;es Cr :nclivi.Lais for either of these tW ,D 71.1170SeS. A Sate must
establish objective criteria for the delivery of services to the non-needy.
Activities to accomplish this specific purpose can include and are not limited
to abstinence programs, visiting nurse services, programs and services for
7.uth such as counsel:ng, teen pregnancy prevention, and after school
programs that provide supervision when school is not in session.
To encourage the formation and maintenance of two-parent families: A
significant share of T.A.N.F. families consist of unmarried mothers with low
skills who live with their children apart from lowskilled, under-employed
fathers. Many of these fathers are involved in the lives of their children and
provide some financial support, but would like to do much more. This
purpose offers the opportunity to address these issues. Some activities that are
appropriate to accomplish this purpose may include parenting 'skills training,
premarital and marriage counseling,-, mediation services, activities to promote
parental access and visitation, job placement and training services for non-
custodial parents, initiative to promote responsible fatherhood and increase the
capacity of fathers to provide emotional and financial support for their
children, and crisis intervention services.
The T.A.N.F. program gives States broad flexibility to make program and funding_
decisions they believe will best support the goals of the program and their individual
circumstances. In support of these goals, States may use their funds to fill gaps in the
service delivery system, in:e.g.rate program services, and supplement or enhance the
services available through other programs.
The following are additional examples of some possible uses of T.A.N.F. funding:
Support for Work Activities
Provide job search, job placement, transportation, and childcare
services to T.A.N.F. applicants from the beginning of the T.A.N.F.
application process.
• Provide work experience and case management to individuals with
employment barriers, such as little or no work history.
• Help unemployed needy non-custodial parent by providing job
skills training., re-training, job search, employment placement
services, or other work-related services.
• Provide job retention services or post-employment follow-up
services, such as ,counseling. employee assistance, or other
supportive services.
• Pay rcal2e. services providers to provide linguistically and
culturally appropriate services that help refugee T.A.N.F.
recipients obtain employment or participate in work activities.
Child Care
Counsel needy parents about health, safety, educational, social, and
emotional development issues to consider in selecting child care.
Provide full-day/full-year high quality child care services for
young children in needy families by expanding or extending the
hours of programs with high educational and developmental
standards.
• Increase childcare subsidy levels, especially for infant and toddler
care, to expand the availability of care for needy families.
• Fund after-school and summer recreation ,activities that provide
supervision and developmental services for children and youth
while their needy parents work.
T ransportatif.m
• Provide transportation allowances to cover incic'en`.al expenses and
participation —related expenses for unemployed families.
• Provide tonsit passes or tokens.
Reimburse clients for mileage, auto repairs, or auto insurance to
facilitate finding employment and job retention activities.
Subsidize costs of transporting needy children to childcare.
Education and Training
• Train employed recipients, former recipients, and noncustodial
parents in job-related vocational and literacy skills needed for
regular, full-time employment.
• Fund education or job training activities at colleges and secondary
and technical schco,ls that promote advancement to higher paying
jobs and self-sufficiency.
• Share with employers the costs of \n-site education.
. Provide classes for new, unskilled, and semi-skilled workers to
teach new skills or enhance eisting skills in order to improve their
chance of job retention and advancement.
Mental Health/Substance Abuse
Provide appropriate counseling services (e.g. mental health
services, anger management counseling, non-medical substance
abuse counseling services) to family members with barriers to
employment and self-sufficiency.
• Provide non-medical substance or alcohol abuse services,
including room and board costs at residential treatment programs
(no detoxification or methadone treatment covered).
• Use State MOE funds that have not been commingled with Federal
T.A.N.F. funds to pay for medical services (e.g. for treatment of
substance or alcohol abuse not paid by Medicaid) or to provide
medical coverage for families that lack medical benefits (e.g. for
families inelizible far cransi:::cnal Medicaid or for adults whose
children are served by Medicaid).
DmsicYi3lente
• [-Ielp victims of domestic violence relocate somewhere else in the
State or cut.:ide the State where employment or safe housing is
secured..
Collaborate with domestic violence service providers to screen and
identify victims; develop safety and services plans; provide
appropriate counseling, referrals and other related services;
determine the need for waivers of T.A.N.F. program requirements;
establish procedures that will maintain confidentiality of case-
record information and ensure safety; and develop appropriate staff
training.
Developmental and Learning Disabilities
• Provide cash assistance during the waiting period for SSI benefits
for a disabled parent or disabled child in the family.
• Arrange for the State's vocational rehabilitation agency or similar
provider to provide assessment, evaluation, assistive technology
and equipment, and vocational rehabilitation services to needy
individuals who have physical or mental disabilities, but would not
otherwise receive services i"; dch services may also he important to
parents or caretakers who receive SSI, while their children receive
T.A.N.F.)
Enhancing or Supplementing the Family Income or Assets
• Provide stipends to needy parents who combine education/training
and work.
. Provide rental assistance, including security deposits, application '
fees, and payments of back rent to prevent eviction.
• Provide moving allowance — employed in another geographical
area.
Family Formation and Pregnancy Prevention
Fund responsible fatherhood initiative that will improve the
capacity of needy fathers to provide financial and emotional
support for children.
• Provide parenting classes, premarital and marriage counseling, and
mediation services.
• Provide .counseling services or classes that focus on teen
pregnancy prevention.
CC CLNTY LTH
ED 7, A111 LD(T ARY
PROGRAM I,_. ADR 1 :-.',UCC:ET ,'EF',ICD 'DATE PREP-=\RD
a:floe of Drug Control Policy iTANF FROM 10/1/01 TO 9i30/02
I I CONTRACTOR AMENDMENT NUMBER 51ORIGINAL AGREEMENT
52-4 District Court, County of Oakland, Troy
0 AMENDMENT
ADDRESS CITY STATE ZIP CODE PIZYEE IDENTIFICATION
500 W. Big Beaver Rd Troy MI 48084 38-6004876
EXPENDITURE CATEGORY TOTAL BUDGET ,
1 Salaries and Wages 0
2 Fringe Benefits 0
3 Travel 0
4 Supplies and Materials 0
5 Contractual (Subcontracts) 0
Equipment 0
7 Other Expenses 0
1 TANF I 35,000
I I 0 _
1 1
.
I 0 _
8 1TOTAL DIRECT EXPENDITURES $0 $0 $0 $35,000
9 Indirect Costs: Rate # 1 0
Indirect Costs: Rate # 2 % 0
10 Other Cost Distributions 0
,
11 TOTAL EXPENDITURES $0 $0 $0, $35,000
SOURCE OF FUNDS
12 Fees and Collections 0
13 State Agreement 35,000
14 Local , 0 -
15 Federal 0
16 Other 0
_
,
17 TOTAL FUNDING $0 $0 $0 $35,000
n A '"aati nc 161a -0-385FY20-02 6/0i Replaces FIN-110 (Excel)
•
1 .----\ •- 1 - - -
- bui...,c. r--.1..; .... 1DATE F RE.PARED I
Office of Drug Co ntrci Policy l i r-s, sr Iri-R;v1 lull i 3 1 Tc_. "3130;02
1
05/02/02
CONTRACTOR i E ORIGINAL BUDGET 0 AMENDMENT AMENDMENT NUMBER
52-4 District Court, Oakland Co. Troy
POSITIONS TOTAL
1. SALARY & WAGES - POSITION DESCRIPTION REQUIRED SALARY COMMENTS
I .
_
_ .
_.
TOTAL SALARIES AND WAGES0.0 $0 _ _
2. FRINGE BENEFITS: (Specify) COMPOSITE RATE %
0 FICA 0 LIFE INS. • DENTAL INS.
• UNEMPLOYMENT INS. 0 VISION INS. • WORK COMP.
• RETIREMENT 0 HEARING INS.
El HOSPITAL INS. 0 OTHER TOTAL FRINGE BENEFITS
3. TRAVEL (Specify if any item exceeds 10% of Total Expenditures)
TOTAL TRAVEL $0
4. SUPPLIES & MATERIALS (Specify if any item exceeds 10% of Total Expenditures)
TOTAL SUPPLIES & MATERIALS, $0
15. CONTRACTUAL (Subconuacts) I Name Address Amount
TOTAL CONTRACTUAL $0
6. EQUIPMENT (Specify)
TOTAL EQUIPMENT $0
7. OTHER EXPENSES (Specify if any item exceeds 10% of Total Expenditures)
Communication
Space Cost
Other (explain)
t TANF 35,000
TOTAL OTHER EXPENSES $35,000
8. TOTAL DIRECT EXPENDITURES (Sum of Totals 1-7) $35,000
9. INDIRECT COST CALCULATIONS
Rate #1 Base $ x Rate % 0
Rate #2 Base $ x Rate % 0
TOTAL INDIRECT $0
10. OTHER COST DISTRIBUTIONS (LOCAL HEALTH DEPARTMENTS ONLY)
TOTAL OTHER COST DISTRIBUTIONS, $0
' 11. TOTAL EXPENDITURES (Sum of line's 8-10) $35,000
-0186FY2002 6/2001 (EXCEL) LETION IS A CONDITION OF FUNDIN :
L., k rco-i i
Mogan Department of Community nealin
Office of Drug Control Pollcy
Byrne Memorial Formula Grant Program
Temporary Assistance for Needy Families (T.A.N.F.) Grant Program
INSTRUCTIONS:
• Use THIS form to provide a complete description of all project activities during this reporting
period. Attach additional pages as necessary.
• The Program Report is due in the Office of Drug Control Policy (ODCP) no later than 20 days
following the end of the report period.
• Failure to submit this report by the due date will cause ODCP to withhold the release of funds.
• Attach all narrative information to this form and mail to:
OFFICE OF DRUG CONTROL POLICY
MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
320 S WALNUT ST
LANSING MI 48913
TELEPHONE: (517) 373-4700
You may also fax it to:
(517) 373-2963
or e-Mail it to:
MDCH-ODCPNlichician.Gov
Grantee Name ODCP Project Number
Project Title
Project Start Date Project End Date
Report Quarter Report Period Ending Date
— Interim _ Final
Person Completing this Report (Name and Title) e-Mail Address:
*Signature (not required if e-Mailed) Date Telephone Number FAX Number
* Signature certifies that all services, as described on this document, are T.A.N.F. eligible and all other
information is true to my knowledge.
AUTHORITY: By Authority of the Anti-Drug Abuse Act of 1988.
COMPLETION: Is VOLUNTARY. Failure to provide this information is a
violation of grant contract terms and conditions.
The Department of Community Health is an
equal opportunity employer, services and
programs provider.
Continue on Next Page
- r^. .77. 7 -- A ; poses:
2,heck ALL that apply:
To allow children to be cared for in their own homes or in the homes of relatives.
D,
To end the dependence of needy parents on government benefits by promoting job
preparation.
13 To prevent and reduce the incidence of out-of-wedlock pregnancies.
D To encourage the formation and maintenance of two-parent families.
SECTION B Indicate the Methods Used:
1. Income Verification:
(Not to Exceed 200% of Poverty Guidelines Established by the State)
lJ Pay Check/Stub [DI W2 —Tax Documents
CI Bank Statements D Other (Specify):
2. T.A.N.F. Eligible Services Provided
(Check ALL that apply)
LI Substance Abuse Services !=1 Counseling Services
Zi Employment Services :I Other (Specify):
SECTION C — REQUESTED REIMBURSEMENT/ELIGIBLE CLIENTS:
1. Indicate Total Amount Requested for this Reporting Period: $
2. Indicate the Total Number of T.A.N.F. Eligible Participants during this reporting period:
SECTION D — T.A.N.F. NARRATIVE:
1. Briefly Describe T.A.N.F. Eligible Services Provided. Use additional pages as needed.
Continue on Next Page
Page 2 of 3
r-r`Tini\J pyrotz. f=
Use additional pages as needed.
1. Describe the Drug Court Activities During the Reporting Period and the Status of Accomplishing
the Objectives as set Forth in Your Grant Application for Funding.
Continue on Next Pa
Poi;--, 3 of 3
Pace Ct
1 c.:al ,Ace:-,cy Na,i,e Pr-2.gram uc ,_ , ,..-e I I— Street Address ' Report Period Date Prepared
Thru Final
City, State, ZIP Code Agreement Period FE ID Number
Thru
Category Expenditures Agreement
, Current Period ' • Agreement YTD • . Budget Balance
1. Salaries & Wages 1 , _
2. Fringe Benefits
3. Travel
4. Supplies & Materials
5. Contractual (Sub-Contracts)
6. Equipment
7. Other Expenses
1
8. TOTAL DIRECT
9. Indirect Costs: Rate %
10. Other Cost Distributions
1
11. TOTAL EXPENDITURES ......-- —
SOURCE OF FUNDS:
12. State Agreement
13. Local
14. Federal
15. Other
16. Fees & Collections
17. TOTAL FUNDING
CERTIFICATION: I certify that I am,authorized to sign on behalf of the local agency and that this is an accurate statement of expenditures and collections
for the report period. Appropriate documentation is available and will be maintained for the required period to support costs and receipts reported.
Authorized Signature Date Title
Contact Person Name Telephone Number
1
FOR STATE USE ONLY
Advance INDEX PCA 0E3J. CODE AMOUNT
Advance Outstanding
Advance Issued or Applied
Balance
Message
Authority: P.A. 368 of 1978 The Department of Community Health is an equal opportunity,
Completion: IS a Condition of Reimbursement employer, serv.cos, and programs provider.
DCH-0384 (Rev. 4101) (W) Previous Edition Obsoleta
; 6
k k %.;;;
MichigEln Department of Community Health
Office of Drug Control Policy
Byrne Memorial Formula Grant Program
Temporary Assistance for Needy Families (T.A.N.F.) Grant Program
INSTRUCTIONS:
• Use THIS form to provide a complete description of all project activities during this reporting
period. Attach additional pages as necessary.
e The Program Report is due in the Office of Drug Control Policy (ODCP) no later than 20 days
following the end of the report period.
• Failure to submit this report by the due date will cause ODCP to withhold the release of funds.
• Attach all narrative information to this form and mail to:
OFFICE OF DRUG CONTROL POLICY
MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
320 S WALNUT ST
LANSING MI 48913
TELEPHONE: (517) 373-4700
You may also fax it to:
(517) 373-2963
or e-Mail it to:
MDCH-ODCP@Michiaan.Gov
Grantee Name ' ODCP Project Number
Project Title
Project Start Date Project End Date
Report Quarter Report Period Ending Date
Interim -- Final ,
Person Completing this Report (Name and Title) e-Mail Address:
*Signature (not required if e-Mailed) Date Telephone Number FAX Number
* Signature certifies that all services, as described on this document, are T.A.N.F. eligible and all other
information is true to my knowledge,
AUTHORITY: By Authority of the Anti-Drug Abuse Act of 1988.
COMPLETION: Is VOLUNTARY. Failure to provide this information is a
violation of grant contract terms and conditions.
The Department of Community Health is an
equal opportunity employer, services and
programs provider.
Continue on Next Pary,
• a •
To PilnW children to be cared for in their own homes or in the homes of relatives.
(21 To end the dependence of needy parents on government benefits by promoting job
preparation.
To prevent and reduce the incidence of out-of-wedlock pregnancies.
CI To encourage the formation and maintenance of two-parent families.
SECTION B — Indicate the Methods Used:
1. Income Verification:
(Not to Exceed 209% of Poverty Guidelines Established by the State)
ID Pay Check/Stub l W2 — Tax Documents
Bank Statements Other (Specify):
2. T.A.N.F. Eligible Services Provided
(Check ALL that apply)
Substance Abuse Services Counseling Services
Employment Services Other (Specify):
SECTION C - REQUESTED REIMBURSEMENT/ELIGIBLE CLIENTS:
1. Indicate Total Amount Requested for this Reporting Period: $
2. Indicate the Total Number of T.A.N.F. Eligible Participants during this reporting period:
SECTION D — T.A.N.F. NARRATIVE:
1. Briefly Describe T.A.N.F. Eligible Services Provided. Use additional pages as needed.
ontint:e on Next Pago
Page 2 of 3
• #
/44,4 4°4. :.••• .4^ e ro. r.
C V 444, F4 4 4.4- • •4 • ' , ,,• - i is. e44.4.4 k .4.• L A V .
Us adi r,'0,-;es as needed.
1. Describe the Drug Court Activities During the Reporting Period and the Status of Accomplishing
the Objectives as set Forth in Your Grant Application for Funding.
Continue on Next Pasg--;
Page 3 if 3
0
3
July 18, 2002
FISCAL NOTE (MISC. #02168)
BY: Finance Committee, Sue Ann Douglas, Chairperson
IN RE: DISTRICT COURT DRUG COURT PROGRAM - FY 2002 TEMPORARY ASSISTANCE FOR
NEEDY FAMILIES (T.A.N.F.) CONTRACT 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 Community Health, Office of Drug Control
Policy, has awarded grant funding to the 52-4 District Court, under
the U.S. Department of Justice and U.S. Department of Health and
Human Services, for the period of October 1, 2001 through September
30, 2002 for drug court treatment funding.
2. The grant is to support the drug court youth program services, to
be provided on a contractual basis.
3. The amount of the grant award is $35,000 all from T.A.N.F., which
requires No County cash, match.
4. The funds can be used for support for work activities, child care, transportation, education
and training, mental health/substance abuse, domestic violence, developmental and learning
disabilities, enhancing or supplementing family income or assets, and family formation and
pregnancy prevention services as stated in the grant award.
5. The Fiscal Year 2002 Special Revenue budget be amended as follows:
Judicial Grants Fund FY 2002
1-279-32-100721-90000-0131 Grants Federal $35,000
2-279-32-200721-10000-3348 Professional Services $35,000
FINANCE COMMITTEE
Finance Committee Vote:
Motion carried on unanimous roll call vote with Causey-Mitchell absent
G. William Caddell, County Clerk
• , •
Resolution #02168 July 18, 2002
Moved by Dingeldey supported by Webster the resolutions on the Consent Agenda be adopted (with
accompanying reports being accepted).
AYES: Brian, Buckley, Causey-Mitchell, Coleman, Crawford, Dingeldey, Douglas, Galloway,
Garfield, Gregory, Law, McPherson, Melton, Middleton, Moffitt, Moss, Palmer, Patterson, Sever,
Suarez, Taub, Webster, Amos, Appel. (24)
NAYS: None. (0)
A sufficient majority having voted therefore, the resolutions on the Consent Agenda, were adopted (with
accompanying reports being accepted).
STATE OF MICHIGAN)
COUNTY OF OAKLAND)
I, G. William Caddell, 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 July 18, 2002,
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 18th day of July, 2002.