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HomeMy WebLinkAboutResolutions - 2002.11.21 - 26943MISCELLANEOUS RESOLUTION #02272 November 21, 2002 BY: General Government Committee, William R. Patterson, Chairperson IN RE: DEPARTMENT OF HUMAN SERVICES/CHILDREN'S VILLAGE DIVISION — F.Y. 2002-2003 CHILDREN'S VILLAGE SCREENING PROJECT GRANT — ACCEPTANCE TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS Chairperson, Ladies and Gentlemen: WHEREAS in FY 2001-2002 the Michigan Department of Community Health (MDCH) awarded a grant to the Department of Human Services — Children's Village Division in the amount of $50,000 for the purpose of screening, compiling data, and treating at-risk adolescents for sexually transmitted diseases (STD's); and WHEREAS the MDCH has indicated its intent to continue the grant in the amount of $50,000 for FY 2002-2003, with funding commencing on November 1, 2002 and ending on September 30, 2002; and WHEREAS Children's Village and the Health Division have worked collaboratively in identifying, screening, and treating at-risk adolescents in special settings including juvenile detention, the county jail, teen health centers, and a community-based runaway shelter; and WHEREAS this grant is 100% federally funded with no County match; and WHEREAS there are no additional personnel requested; and WHEREAS acceptance of this grant award does not obligate Oakland County to future funding. NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners approves acceptance of the continuation of this grant award to the Department of Human Services — Children's Village Division. BE IT FURTHER RESOLVED that the Oakland County Board of Commissioners Chairperson is authorized to approve grant changes up to 15%. Chairperson, on behalf of the General Government Committee, I move the adoption of the foregoing resolution. GENERAL GOVERNMENT COMMITTEE Motion carried unanimously on a roll call vote with Taub, Moss, Middleton and Melton absent. G e/Arll ERAL GOV\IkENT MT TEE Mike Worrell From: Greg Givens [givensg@co.oakland.mi.us ] Sent: Thursday, October 24, 2002 2:49 PM To: VanLeuvenj; Worrell, Mike; Frederick, Candace; Pearson, Linda Subject: CONTRACT REVIEW - Children's Village RE: CONTRACT REVIEW - Children's Village GRANT NAME: Children's Village Screening Project FUNDING AGENCY: MDCH DEPARTMENT CONTACT PERSON: Mike Worrell / 81164 STATUS: Acceptance DATE: 24 Oct 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 (23 Oct. 2002) Personnel Department: I approve - Judy Eaton (21 Oct. 2002) Risk Management and Safety: Approved. - Stan Fayne (23 Oct. 2002) Corporation Counsel: On review of the grant contract, there appear to be no outstanding legal issues that require further action or resolution. However, please recall that the federal requirements regarding non discrimination, lobbying, and HIPPA must be passed through to any subcontractors. In addition, please review the reporting requirements which include advising the granting agency if any departmental issues arise that may make it difficult to fulfill the grant obligations. - Karen Agacinski (23 Oct 2002) Please note the comments from 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 Department of Human Services —Children's Village Division Children's Village Screening Project November 2002 • Utilizing federal funds from the U.S. Centers for Disease Control (CDC). The MDCH intends to continue a $50,000.00 grant to Children's Village originally funded in FY2000-2001 and continued in the FY2001-2002. The funds are intended to facilitate a third year of screening of adolescents for sexually transmitted infections. The grant total is $50,000 as summarized below: Salaries and Fringe Benefits Offset $42,108.30 Other Expenditures (include travel, equipment, and supplies) $7,891.70 There is no County match. • The grant objective is to continue to compile data and enhance disease detection and health services to high-risk adolescent (ages 13 through 19). Clinical experience and literature review reveals that adolescent females are at an increased risk for sexually transmitted diseases and unintended pregnancies due to their biological vulnerability, their risk-taking behavior and their perceived lack of consequences. Additionally, the sexually transmitted diseases are mostly asymptomatic, in the male adolescent. • The project presents significant opportunity for Children's Village to continue to collaborate with other service providers dealing with at-risk adolescents. In conjunction with the Health Division, we identified three sites in addition to Children' Village which serve at-risk adolescents within the age parameters described. These sites include the Oakland County Jail and Common Ground Sanctuary (each receiving services from the Health Division), as well as the Pontiac School District's Teen Health Centers. • During the first two years of funding over 1900 adolescents were screened under the auspices of the project. Positivity rates (5% for gonorrhea, 19% for chlarnydia) are significant and, 89% of those testing positive were treated prior to release from Children's Village and Oakland County Jail. All released adolescents, testing positive, receive confidential communications regarding test results and the follow-up needed. • The grant funds are 100% federally funded and there is no County match. Funding for the Department of Human Services Divisions will be utilized to offset personnel costs, supplies, material, travel and other logistics. Any funding for personnel costs is strictly for the life of the grant with no County obligation to continue once the grant period has expired. Likewise, all participating agencies are aware that the project is funded for one year only. • The evaluation of the project includes determining the number of adolescents tested at each site compared to the number of adolescents seen. Positivity rates for sexually transmitted infections, with emphasis on chlamydia and gonorrhea, will be compiled. Similarly, data will be compiled as related to teenage pregnancies. The screening project is part of the Children's Village and the Health Divisions' effort to address the Department of Human Services objectives incorporated into the Focused Infant Mortality Reduction Plan. Contract P.O. # Grant Agreement Between Michigan Department of Community Health hereinafter referred to as the "Department" and Oakland County Children's Village 1200 N. Telegraph, Dept. 444, Bldg 63 West Pontiac, MI 48341-0444 Federal I.D.#. 38-6004876 hereinafter referred to as the "Contractor" for Children's Village Screening Project Part I 1. Period of Agreement: This agreement shall commence on November 1, 2002 and continue through September 30, 2003. This agreement is in full force and effect for the period specified. 2. Program Budget and Agreement Amount A. Agreement Amount The total amount of this agreement is $50,000. The Department under the terms of this agreement will provide funding not to exceed $50,000. The federal funding provided by the Department is approximately $50,000 or 100%; the Catalog of Federal Domestic Assistance (CFDA) number is 93977 and the CFDA Title is Preventive Health Service; the federal agency name is Public Health Service; the federal grant award number is H25/CCH504 341 and federal program title is _ Comprehensive STD Prevention Systems. 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. Page: 1 of 20 DCH-0665FY2003 2/02 (W) 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. C. Deviation Allowance A deviation allowance modifying an established budget category by $10,000 or 15%, whichever is greater, is permissible without prior written approval of the Department. Any modification or deviations in excess of this provision including any adjustment to the total amount of this agreement must be made in writing and executed by all parties to this agreement before the modifications can be implemented. This deviation allowance does not authorize new categories, subcontracts, equipment items or positions not shown in the attached Program Budget Summary and supporting detail schedules. 3. Purpose: The focus of the program is to: Provide support for chlamydia and gonorrhea testing at Children's Village and other sites in Oakland County. 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: Mark A. Miller Name Mgr. STD Section (517) 241-0870 Title Telephone No. DCH-0665FY2003 2/02 (W) Page: 2 of 20 9. Contractor's Financial Contact for the Agreement: The person acting for the Contractor on the financial reporting for this agreement will be: Name Title E-Mail Address Telephone No. 10. Special Conditions: 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. 11. 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. 12. Signature Section : For the MICHIGAN DEPARTMENT OF COMMUNITY HEALTH Peter L. Trezise, Chief Operating Officer Date For the CONTRACTOR Name and Title Signature Date DCH-0665FY2003 2/02 (W) Page: 3 of 20 Part II General Provisions I. Responsibilities - Contractor The Contractor in accordance with the general purposes and objectives of this agreement will: A. 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 royalty-free, non-exclusive and irrevocable license to reproduce, publish and use such materials and to authorize others to 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. 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 3rd 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. DCH-0665FY2003 2102 (W) Page: 4 of 20 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. F. Authorized Access Permit upon reasonable notification and at reasonable times, access by authorized representatives of the Department, Federal Grantor Agency, Comptroller General of the United States and State Auditor General, or any of their duly authorized representatives, to the extent authorized by applicable state or federal law, rule or regulation, to records, files, and documentation related to this agreement. G. 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 (OMB) 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 $300,000 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 $300,000 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 additional 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 necessary. DCH-0665FY2003 2/02 (W) Page: 5 of 20 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. I. 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. J. Human Subjects The Contractor agrees to submit all research involving human subjects, which is conducted in programs sponsored by the Department, or in programs which receive funding from or through the State of Michigan, to the Department's Human Subjects Committee for approval prior to the initiation of the research. II. 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. Page: 6 of 20 DCH-0665FY2003 2/02 (W) 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. HI. 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 out the terms of this agreement. The Contractor will also comply with all applicable general administrative requirements such as OMB Circulars covering cost principles, grant/agreement principles, and audits in carrying out the terms of this agreement. 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 et 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, subgrants, 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. 0C140685FY2003 2/02 MO Page: 7 of 20 2. Additionally, assurance is given to the Department that proactive efforts will be made to identify and encourage the participation of minority owned, women owned, and handicapper owned businesses in contract solicitations. The Contractor shall incorporate language in all contracts awarded: (1) prohibiting discrimination against minority owned, women owned, 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 76 and certifies to the best of its knowledge and belief that it, including its employees and subcontractors: 1. Are not presently debarred, suspended, 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; 4. Have not within a 3 year period preceding this agreement had one or more public transactions (federal, state or local) terminated for cause or default. E. Federal Requirement: Pro-Children Act I. 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 sed, 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 Page: 8 of 20 DCH-0685FY2003 2/02 (W) 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 $1,000 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. F. Hatch Political Activity Act and Intergovernmental Personnel Act The Contractor will comply with the Hatch Political Activity Act, 5 USC 1501- 1508, and the Intergovernmental Personnel Act of 1970, as amended by Title VI of the Civil Service Reform Act, Public Law 95-454, 42 USC 4728. Federal funds cannot be used for partisan political purposes of any kind by any person or organization involved in the administration of federally-assisted programs. G. Home Health Services If the Contractor provides Home Health Services (as defined in Medicare Part B), the following requirements apply: 1. The Contractor shall not use categorical grant funds provided under this agreement to unfairly compete for home health services available from private providers 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 customary 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, MSA 14.15 (2497) and (2498). DCH-0665FY2003 2/02 (W) Page: 9 of 20 H. Subcontracts Assure for any subcontracted service, activity or product: 1. That a written 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; 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. Procurement Assure that all purchase transactions, whether negotiated or advertised, shall be conducted openly and competitively in accordance with the principles and requirements of OMB Circular A-102 (as revised), implemented through applicable portions of the associated "Common Rule" as promulgated by responsible federal contractor(s), or OMB Circular A-110, as applicable, 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. Page: 10 of 19 20DCH-0665FY2003 2102 (W) 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. Operating Advance An operating advance may be requested by the Contractor to assist with program operations. The request should be addressed to the Contract Manager identified in Part I, Item 8. The operating advance will be administered as follows: 1. The advance amount requested must be reasonable in relationship to the program's requirements, billing cycle, etc.; and in no case may exceed the amount required for 60 days operating expense. Operating advances will be monitored and adjusted by the Department according to total Department agreement amount. 2. The advance must be recorded as an account payable to the Department in the Contractor's financial records. The operating advance payable must remain in the Contractor's financial records until fully recovered by the Department. 3. The monthly Financial Status Report (FSR) reimbursement for actual expenditures by the Department should be used by the Contractor to replenish the operating advance used for program operations. 4. The advance must be returned to the Department within 30 days of the end date of this agreement unless the Contractor has a recurring agreement with the Department, and may not be held pending agreement audit. Subsequent Department agreements may be withheld pending recovery of the outstanding advance from a prior agreement. If the Contractor has a recurring agreement with the Department, the operating advance outstanding must be confirmed at the end of each fiscal year. The Department may obtain the Michigan Department of Treasury's assistance in collecting outstanding operating advances. The Department will comply with the Michigan Department of Treasury's Due Process procedures prior to forwarding claims to Treasury. Specific Due Process procedures include the following: a. Department offer of a hearing to dispute the debt, identifying the time, place and date of such hearing. b. A hearing by an impartial official. c. An opportunity for the Contractor to examine department's associated records. DCH-0665FY2003 2/02 (W) Page' 11 of 20 d. An opportunity for the Contractor to present evidence in person or in writing. e. A hearing official with full authority to correct errors and make a decision not to forward debt to Treasury. f. Contractor representation by an attorney and presentation of witnesses if necessary. 5. At the end of either the agreement period or Department's fiscal year, whichever is first, the Contractor must respond to the Department's request for confirmation of the operating advance. Failure to respond to the confirmation request may result in the Department recovering all or part of an outstanding operating advance. B. 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. C. Financial Status Report Submission Financial Status Reports (FSRs) shall be prepared and submitted to the Michigan Department of Community Health, Bureau of Finance, Accounting Division, P.O. Box 30720, Lansing, Michigan 48909-8220, 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, regardless 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. Failure to meet financial reporting responsibilities as identified in this agreement may result in withholding future payments. D. Reimbursement Mechanism All contractors are encouraged to sign up through the on-line vendor registration process to receive all State of Michigan payments as Electronic Funds Transfers (EFT)/Direct Deposits. E. Final Obligations and Financial Status Report Requirements A report of estimated total agreement expenditures must be submitted based on annual guidelines and deadlines issued by the Department. 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. DCH-01365FY2003 2/02 (W) Page: 12 of 20 F. 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. C. This agreement may be terminated immediately if the Contractor or an official of the Contractor or an owner is convicted of any activity referenced in Section III.D. of this agreement during the term of this agreement or any extension thereof. VI. Final Reporting Upon Termination 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 parties to this agreement. DCH-0665FY2003 2/02 (W) Page: 13 of 20 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 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 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. DCH-0665FY2003 2/02 (W) Page: 14 of 20 XII. Confidentiality Both the Department and the Contractor shall assure that medical services to and information contained in medical records of persons served under this agreement, or other such recorded information required to be held confidential by federal or state law, rule or regulation, in connection with the provision of services or other activity under this agreement shall be privileged communication, shall be held confidential, and shall not be divulged without the written consent 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. DCH-0555FY2003 2/02 (W) Page: 15 of 20 Attachment A Statement of Work Project Summary: Four Oaldand County sites serving adolescents will be utilized to obtain data on STDs and assess reproductive health needs: 1) Children's Village 2) Oakland County Jail 3) Pontiac Teen Health Centers and 4) Common Ground Sanctuary. Adolescents will be interviewed using a brief computerized sexual questionnaire and testing, treatment and counseling provided. Data will be collected, analyzed and forwarded to MDCH during the project year. Project data will be presented to Oaldand County Human Services, Michigan Infertility Prevention Alliance, Michigan Juvenile Detention Association and other professional associations. Utilizing the four identified project sites 1. Test at least 60 adolescents/per month, using urine based tests for gonorrhea and chlamydia. 2. Complete computerized sexual questionnaire on all adolescents tested. 3. Refer adolescents to reproductive health services if indicated. 4. Develop a risk reduction plan, promoting abstinence. 5. Treat and obtain partner notification information on positive adolescents. 6. Enter data from test results and questionnaire into Microsoft Access 7. Analyze and forward data to MDCH every three months 8. Develop data into a presentation and present at various professional meetings 9. Promote awareness of prevalence of STDs within adolescent population. Statement of Work Contractor agrees to test and treat adolescents in the above four sites for chlamydial and gonococcal infections. ATTACHMENT B MICHIGAN DEPARTMENT OF COMMUNITY HEALTH PROGRAM BUDGET SUMMARY Page 1 of 1 _ PROGRAM CODE BUDGET PERIOD DATE PREPARED FROM TO Children's Village Screening Project_ 11-1-02 1 09-30-03 , 9-23-02 CONTRACTOR ORIGINAL AGREEMENT AMMENDMENT # Oakland County Children's Village ADDRESS CITY STATE ZIP CODE PAYEE - 1200 N. Telegraph Rd. Pontiac MI 48341- IDENTIFICATION Dept. 444 0444 EXPENDITURE TOTAL CATEGORY BUDGET _ 1. Salaries and Wages $38,350.00 2. Fringe Benefits _ $3,758.30 3. Travel - _ $2,000.00 - 4. Supplies and Materials $2,391.70 _ 5. Contractual (Subcontracts) , 6. Equipment , $3,000.00 7. Other Expenses $500.00 _ _ _ 8. TOTAL DIRECT $50,000.00 EXPENDITURES , 9. Indirect Costs: Rate #1% Indirect Costs: Rate #2 % 10. Other Cost Distributions . 11. TOTAL EXPENDITURES $50,000.00 SOURCE OF FUNDS 12. Fees and Collections 13. State Agreement , $50,000.00 14. Local 15. Federal _ 16. Other _ _ _ _ 17. TOTAL FUNDING $50,000.00 DCH-0385FY2002 (E) 612001 (W) Replaces FIN-110 COMPLETION IS A CONDITION OF FUNDING DCH-0665FY2003 2/02 (W) Page: 17 of 20 MICHIGAN DEPARTMENT OF COMMUNITY HEALTH ATTACHMENT B PROGRAM BUDGET — COST DETAIL Page 2 0f2 PROGRAM CODE BUDGET PERIOD DATE PREPARED FROM TO Children's Village Screening Project 11-1-02 9-30-03 09-23-02 LOCAL AGENCY ORIGINAL BUDGET AMENDED BUDGET AMENDMENT NUMBER ' POSITIONS TOTAL 1. SALARY & WAGES - POSITION REQUIRED SALARY COMMENTS DESCRIPTION Executive Director 1 $12,500.00 - _ - Nurse 3 - $25,850.00 _ _ Total Salaries and Wages $38,350.00' 2. FRINGE BENEFITS: (Specify) FICA LIFE INS. 0 DENTAL INS 0 COMPOSITE RATE UNEMPLOY INS. 0 VISION INS. 1. WORK COMP AMOUNT9.8% RETIREMENT I HEARING INS. HOSPITAL INS. jJ OTHER Total Fringe Benefits $3,758.30 3. TRAVEL (Specify if any item exceeds 10% of Total Expenditures) TOTAL TRAVEL $2,000.00 _ 4. SUPPLIES & MATER1ALS(Specify if any item exceeds 10% of Total Expenditures) TOTAL SUPPLIES & MATERIALS $2,391.70 5. CONTRACTUAL (Subcontracts) Name Address Amount $ TOTAL CONTRACTUAL _ 6. EQUIPMENT(Specify) Penbased Computers 3 @ $1000.00/each TOTAL EQUIPMENT $3,000.00 7. OTHER EXPENSES(Specify if any item exceeds 10% of Total Expenditures) Communication Space Cost Other TOTAL OTHER $ 500.00 B. TOTAL DIRECT EXPENDITURES (Sum of Totals 1-7) $ . 3. INDIRECT COST CALCULATIONS Rate #1: Base $ X Rate % Total $ Rate #2: Base $ X Rate % Total $ 10. OTHER COST DISTRIBUTIONS (LOCAL HEALTH DEPARTMENTS ONLY) TOTAL OTHER COST DISTRIBUTIONS $ 11. TOTAL EXPENDITURES (Sum of lines 8-10) $50,000.00 DCH-0865FY2003 2/02 (W) Page: 18 of 20 Attachment C Performance/Progress Report Requirements A. The Contractor shall submit the following reports on the following dates: Quarterly Reporting Requirements — Submit quarterly reports in accordance with the following reporting format: Quarter Covered November 1 — January 31, 2003 February 1 — April 30, 2003 May 1 — July 30, 2003 August 1 — September 30, 2003 Reporting Format Due to MDCH-STD Section February15, 2003 May 16, 2003 August 16, 2003 November 15, 2003 Submit a quarterly report that includes all of the following components, in the order listed: 1. Agency name, address, telephone and fax number; 2. Name and title of contract person; 3. Any program level changes, including changes in staff, services, catchment area, etc; 4. Narrative description of progress toward established contract objectives. Specifically, list each programmatic objective and a description of progress toward that objective; 5. Narrative description of major program and service accomplishments not directly related to the established goals and objectives; 6. Narrative discussion of any issues at the agency level that impact ability to achieve stated goals and objectives; 7. New services added during the quarter; 8. Cost saving efforts, including area where cost savings were achieved and how this was accomplished; 9. Staff Development and training activities related to client- level service provision; ICH-0665FY2003 2102 (WP) Page: 20 of 20 FINANCIAL STATUS REPORT MICHIGAN DEPARTMENT OF COMMUNITY HEALTH ATTACHMENT D BP0 Number Contract Number Page Of Local Agency Name Program Code _ Street Address Report Period Date Prepared - Thru Final City, State, ZIP Code Agreement Period - FE ID Number - Thru :•Expenditures Agreement ;. Category Current Period ‘..Agreei*40YTD Budget - :•.Balance 1. Salaries & Wages 2. Fringe Benefits - , 3. Travel 4. Supplies & Materials _ ; 5. Contractual (Sub-Contracts) 6. Equipment 7. Other Expenses 8. TOTAL DIRECT 9. Indirect Costs: Rate % 10. Other Cost Distributions , . 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 FOR STATE USE ONLY 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, services, and programs provider. )CH-0384 (Rev. 4101) (VV) Previous Edition Obsolete Version: All Other Programs MICHIGAN DEPARTMENT OF COMMUNITY HEALTH FY 02/03 AGREEMENT ADDENDUM A 1. This addendum modifies the following sections of Part 11, 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: AU Other Programs 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 id,1021.2 Sigfcature Date HUMAN SERVICE GRANTS REVENUE 1-16-275-501251-25010-0171 Grants-State Salaries Fringe Benefits Travel & Conf. Supplies Exp. Equip. Exp. Communications FY2003 $50,000 38,350 3,758 2,000 2,392 3,000 500 $50,000 EXPENSES 2-16-275-501252-25010-2001 2-16-275-501252-25010-2075 2-16-275-501252-25010-3756 2-16-275-501252-25010-4252 2-16-275-501252-25010-4101 2-16-275-501252-25010-2540 FISCAL NOTE (MISC. 102272) November 21, 2002 BY: FINANCE COMMITTEE, SUE ANN DOUGLAS, CHAIRPERSON IN RE: DEPARTMENT OF HUMAN SERVICES/CHILDREN'S VILLAGE DIVISION - FY 2002-2003 CHILDREN'S VILLAGE SCREENING 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 (MDCH) has awarded funding in the amount of $50,000 to the Oakland County Children's Village for use in monitoring sexually transmitted diseases in adolescents in special settings. 2. The grant period runs from November 1, 2002 through September 30, 2003. 3. The Fiscal Year 2003 Special Revenue grant budget should be amended to reflect the latest award. FINANCE COMMITTEE FINANCE COMMITTEE Motion carried unanimously on a roll call vote with Obrecht, Taub and Friedman Appel absent. Resolution #02272 November 21, 2002 Moved by Webster supported by Suarez the resolutions on the Consent Agenda, be adopted (with accompanying reports being accepted). AYES: Appel, Buckley, Causey-Mitchell, Coleman, Crawford, Dingelcey, Douglas, Galloway, Garfield, Gregory, Law, McPherson, Melton, Middleton, Moffitt, Moss, Obrecht, Palmer, Patterson, Sever, Suarez, Taub, Webster, Amos. (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 November 21, 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 21st day of November, 2002. G. William Caddell, County Clerk