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HomeMy WebLinkAboutResolutions - 2004.10.21 - 27645MISCELLANEOUS RESOLUTION /04302 BY: General Government Committee. William R. Patterson, Chairperson IN RE: DEPARTMENT OF HUMAN SERVICES/CHILDREN'S VILLAGE DIVISION FY 2004-2005 CHILDREN'S VILLAGE SCREENING PROJECT GRANT ACCEPTANCE TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS Chairperson, Ladies and Gentlemen: WHEREAS in FY 2003-2004 the Michigan Department of Community Health (MDCH) awarded a grant to the Department of Human Services — Children's Village Division in the amount of $72,037 for the purpose of screening, compiling data. and treating at-risk adolescents for sexually transmitted diseases (STD's); and WHEREAS the special revenue part time non-eligible General Staff Nurse position will be continued; and WHEREAS the MDCH is providing a fifth year of funding, for the Adolescent Screening Project; and WHEREAS funding has increased over the course of this grant; and WHEREAS the MDCH has awarded a grant in the amount of S73.000 for the FY 2004-2005; 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, the Frank Greenan Detention Facility, Crossroads for Youth, Common Ground Sanctuary, and the two Pontiac School District's Teen Health Centers; and WHEREAS the project sites have been expanded to include the Oakland County Juvenile Drug Court; 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 in the amount of $73,000 to the Department of Human Services — Children's Village Division. BE IT FURTHER RESOLVED that the Board Chairperson is authorized to execute the Grant Agreement and approve changes and extensions not to exceed fifteen percent (15%), which is consistent with the acceptance as originally approved. Chairperson. on behalf of the General Government Committee, I move the adoption of the foregoing resolution. to),Q1 b AL A A AliriaL2 GENERAL GOVERNMENT COMMITTEE General Government Committee Vote: Motion carried unanimously on a roll call vote. Department of Human Services —Children's Village Division Children's Village Screening Project September 2004 • MDCH, through federal funds from the U.S. Centers for Disease Control (CDC), intends to continue to expand a grant to Children's Village for FY2004-2005. Last year, CDC awarded an expansion grant to MDCH for the Children's Village Screening project as a result of the outstanding work the Project has done to reach at-risk adolescents within Oakland County. The funds are intended to facilitate a fifth year of screening of adolescents for sexually transmitted infections. The new grant total is $73,000. There is no County match. Salaries and Fringe Benefits Offset. $63,696.00 Other Expenditures (include travel, equipment, and supplies) $9,304.00 • 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 infections due to their biological vulnerability, their risk-taking behavior and their perceived lack of consequences. Additionally, sexually transmitted diseases are mostly asymptomatic. • The project presents significant opportunity for Children's Village to continue to collaborate with other service providers dealing with at-risk adolescents. The Project sites includes: Children's Village, Oakland County Main Jail, Frank Greenan Male Detention Facility, Crossroads for Youth, Common Ground Sanctuary, the two Pontiac School District's Teen Health Centers, and the Juvenile Drug Court. • During the first four years of funding over 4322 adolescents were screened under the auspices of the project. Positivity rates (3.5% for gonorrhea, 15% for chlamydia) are significant and, >92% of the adolescents testing positive were treated. All released adolescents testing positive receive confidential communications regarding test results and the follow-up needed. • MDCH (through federal awards) will fund 100% of the grant. Funding for the Children's Village Screening Project 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 an additional year only. • Positivity rates for sexually transmitted infections for chlamydia and gonorrhea will be compiled and presented to the Oakland County Health Division and MDCH. The screening project is part of Children's Village's effort to address the Focused Infant Mortality Reduction Plan. Pam Worthington From: Greg Givens tgivensggco.oakland.mi.us ] Sent: Friday, October 01, 2004 4:50 PM To: Doyle, Larry; Overall, Joanna Cc: Gordon, Tom; Pearson, Linda; Smith, Laverne; Frederick, Candace; Worthington, Pam; Pardee, Mary; Hanger, Helen Subject: CONTRACT REVIEW- Children's Village CONTRACT REVIEW - Children's Village GRANT NAME: Children's Village Screening Project FUNDING AGENCY: Michigan Department of Community Health DEPARTMENT CONTACT PERSON: Jody Overall / 8-1164 STATUS: Acceptance DATE: October 1, 2004 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. Please note the comments from Corporation Counsel. 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. Department of Management and Budget: Approved.- Laurie Van Pelt (9/28/2004) Department of Human Resources: Approved. - Ed Poisson (9/28/2004) Risk Management and Safety: Approved. - Gerald Mathews (9/28/2004) Corporation Counsel: Attached Ito Corporation Counsel's original email response] is the Addendum to the Children's Village Grant that I e-mailed to the State on Tuesday. I called several times on Wednesday and Thursday but have received no response. The Addendum is the same as last year's Addendum except that I modified the language on Software Compliance to delete the reference to Y2K, and inserted the same language we used in the 2004/2005 CPBC Addendum. From our conversation this morning it is my understanding that you are going to attach the Addendum to the Grant, sign it, and send it and the Grant back to the State. If the State accepts the Addendum then I have no issues with the Grant. If the State does not accept the Addendum then my issues with the Grant are the same as the modifications in the Addendum. - John Ross (10/1/2004) 1 MICHIGAN DEPARTMENT OF COMMUNITY HEALTH FY 04105 AGREEMENT ADDENDUM A 1. This addendum modifies the following sections of Part II, General Provisions: Part ll Responsibilities-Contractor I. Software Compliance. 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 computer system problems. III. Assurances A. Compliance with Applicable Laws. The first sentence of this paragraph will be stricken in its entirety and replaced 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. Health Insurance Portability and Accountability Act. The provisions in this section shall be deleted in their entirety and replaced with the following language: Contractor agrees that it will comply with the Health Insurance Portability and Accountability Act of 1996, and the lawfully enacted and applicable Regulations promulgated thereunder. IX. 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 of 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. 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 Michael Ezzo, Ed.D., Chief Deputy Director Date For the CONTRACTOR Name and Title Date Signature Date Contract #: Grant Agreement Between Michigan Department of Community Health hereinafter referred to as the "Department" and Oakland County Children's Village 1200 N. Telegraph Rd., Det. 444 - Bldo. 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 October 1. 2004 and continue through September 30. 2005. 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 $ 73.000. The Department under the terms of this agreement will provide funding not to exceed $ 73,000. The federal funding provided by the Department: is approximately $ 73.000 or 100%; the Catalog of Federal Domedic Assistance (CFDA) number is 93-977 and the CFDA Title is Preventative Health Service STD (CSPS); the federal agency name is CDC/NCHSTP/DSTDP; the federal grant award number is H25/CCH504341-14 and federal program title is Sexually Transmitted Diseases (CSPS). B. Equipment Purchases and Title - Any cOntractor eqt.lipment purchases supported in whole or in part through this agreement must be listed in the supporting Equipment Inventory 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 DCH-0665FY2005 4/04 (W) Page 1 of 15 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: test adolescents at Children's Village, Pontiac Teen Health Centers, Common Ground Sanctuary, Crossroads for Youth, Oakland County Main Jail, Frank Greenan Male Detention, and Juvenile Drug Court, (using urin- based amplified tests for gonorrhea and chlamydia), obtain data on STDs and assess reproductive health needs. 4. Statement of Work: The Contractor agrees to undertake, perform and complete the services described in Attachment A, which is 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, D and E, which are 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, which is part of this agreement through reference. 7. General Provisions: The Contractor agrees to comply with the General Provisions outlined in Part 11, which is 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) is: Ie ita Mark A. Miller, Manager, STD Sectikon Division of HIV/AIDS - STD, 2479 Woodlake Circle, Suite 380, Okemos, MI 48864. Ph 517/241-0870, millerml @michigan.gov Name, Location/Building Title Telephone No. Email Address .fl.,I i-COO •c Li 5 410 4 CI A ; Page 2 of 15 9. Contractor's Financial Contact for the Agreement: The person acting for the Contractor on the financial reporting for this agreement is: Laurie VanPelt Director — Oakland Coutnv Dept. Manacement & BuCciet Name Title Van Deltaco.oakairtd.rni.us 248/ 858-0487 — 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 CONTRACTOR Name (Please print) Title Signature Date For the MICHIGAN DEPARTMENT OF COMMUNITY HEALTH Mary Jane Russell, Directdr, Bureau of Finacial Management DCH-0655FY2005 4/04 (W) Page 3 of 15 Part II General Provisions 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 shad 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 of 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 3 1d 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 reporVorms 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 Mainta,in 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-0665FY2005 4/04 (w) Page 4 of 16 ' 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 Depai linent, Federal Grantor Agency, Comptroller General of the United States and State Auditor General, or any of their duly authorized representatives, to records, files and documentation related to this agreement, to the extent authorized by applicable state or federal law, rule or regulation. G. Audits 1. Single Audit Provide, consistent with regulations set forth in the Single Audit Act Amendments of 1996, P.L. 104-156, and Section .320 of Office of Management and Budget (OMB) Circular A-133, "Audits of States, Local Governments, and Non-Profit Organizations," a copy of the annual Single Audit reporting package of the Contractor to the Department. The federal OMB Circular A-133 requires either a Single Audit or program- specific audit (when a contractor is administering only one federal program) of agencies that expend $500,000 or more in federal awards during the Contractor's fiscal year. Contractors who have a Single Audit conducted as a result of $500,000 or more in expenditures of Federal funds must submit the Single Audi reporting package and management letter, if issued, to the Department even if Federal funding received from the Department results in less than $500,000 in expenditures. The Contractor must assure that each of its subcontractors comply with the above Single Audit requirements, as applicable, and provide for other subcontractor monitoring procedures, as deemed necessary, The Contractor must also assure that the Schedule of Expenditures of Federal Awards includes expenditures for all federally funded grants. 2. FinanciariStatement Audit Contractors exempt from the Single Audit requirements that receive $500,000 or more in total funding from the Department in State and Federal grant funding must submit a copy of the Financial Statement Audit prepared in accordance with generally accepted auditing standards •,(GAAS), ands management letter, if one is issued. Contractors exempt from the Single Audit requirements that receive less than $500,000 of total Department grant funding must submit a copy of the Financial Statement Audit prepared in accordance with GAAS if the audit includes disclosures that may negatively impact MDCH-funded programs, including, but not limited to fraud, going concern uncertainties, financial statement misstatements, and violations of coniract and grant provisions. DCH-0666TY2C0C 4/04 0.1+4 Page 5 cf 15 3. Other Audits The Department or federal agencies may also conduct or arrange for "agreed upon procedures" or additional audits to meet their needs. 4. Notification When a Contractor is exempt from both the Single Audit requirements and the Financial Statement Audit requirements because funding is below the thresholds described above and there are no disclosures that may negatively impact MDCH-funded programs, the Contractor must submit an Audit Status Notification Letter that certifies these exemptions. Attachment E contains a sample Audit Status Notification Letter. 5. Due Date The Single Audit reporting package and management letter, if one is issued, Financial Statement Audit and management letter, if one is issued, or Audit Status Notification Letter shall be submitted to the Department within nine months after the end of the Contractor's fiscal year. 6. Penalty a. Delinquent Single Audit or Financial Statement Audit if the Contractor does not submit the required Single Audit reporting package and management letter, or the Financial Statement Audit and management letter within nine months after the end of the Contractor's fiscal year, the Department may withhold from the current funding an amount equal to five percent of the audit year's grant funding (not to exceed $100,000) until the required filing is received by the Department. The Department may retain the amount withheld if the contractor is more than 120 days delinquent in meeting the filing requirements. b. Delinquent Audit Status Notification Letter Failure to submit the Audit Status Notification Letter, when required, may result in withholding from the current funding an amount equal to one percent of the audit year's grant funding until the Audit Status Notification Letter is received. 7. Where tollSend A copy of the Single Audit reporting package and management letter, if one is issued, Financial Statement Audit and management letter, if one is issued, or the Audit Status Notification Letter must be forwarded to: Michigan j1Department of Community Health Office of Audit Quality Assurance and Review Section P.O. Box 30479* Lansing, Michigan 48909-7979 Or DCH-0665FY2005 4/04 (\N) Page 6 of 15 *Capital Commons Center 400 S. Pine Street Lansing, Michigan 48933 8. Manadement Decision The Department shall issue a management decision on findings and questioned costs contained in the Contractor's Single Audit within six months after the receipt of a complete and final audit report. The management decision shall include whether or not the audit finding is sustained; the reasons for the decision; and the expected Contractor action to repay disallowed costs, make financial adjustments, or take other action. Prior to issuing the management decision, the Department may request addftional information or documentation from the Contractor, including a request for auditor verification of documentation, as a way of mitigating disallowed costs. H. Notification of Modifications Provide timely notification to the Department, in writing, of any action by its governing board or any other funding source that would require or result in significant modification in the provision of services,, funding or compliance with operational procedures. Software Compliance The Contractor must ensure that software compliance and compatibility with the Department's data systems for services provided under this agreement including but not limited to: stored data, databases, and interfaces for the production of work products and reports. All required data under this agreement shall be provided in an accurate and timely manner with out interruption, failure or errors due to the inaccuracy of the Contractor's business operations for processing d ate/time data. 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. IL Responsibilities - De4partment The Department in accordance with the general purposes and objectives of this agreement will: A. Reimbursement Provide reimbursetnent in accordance with the terms and conditions of this agreement based upon appropriate reports, records, and documentation maintained by the Contractor. DC1-1-0565FY2005 4104 (W) Page 7 of B. Report Forms Provide any report forms and reporting formats required by the Department at the effective date of this agreement, and provide to the Contractor any new report forms and reporting formats proposed for issuance thereafter at least ninety (90) days prior to their required usage in order to afford the Contractor an opportunity to review and offer comment. Ill. 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-Lobbyina 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 or to receive tervices. 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 nct, 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-0865FY2005 4/04 (W) Page 8 of 15 2. Additionally, assurance is given to the Department that proactive efforts will be made to identify and encourage the participation of minority owned and women owned businesses, and businesses owned by handicapped persons in contract solicitations. The Contractor shall incorporate language in all contracts awarded: (1) prohibiting discrimination against minority owned and women owned businesses and businesses owned by handicapped persons 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 three-year period preceding this agreement been convicted of or had a civil judgment rendered against them for commission of fraud cr 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 three-year period preceding this agreement had one or more public transactions (federal, state or local) terminated for cause or default. 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, 20AJSC 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 cguarantee. he 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 or the Page 9 of 15 CCI-1-0685FY2005 4/04 (W) DCH-0665FY2005 4/04 (W) Page 10 of 15 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. The Contractor also assures, in addition to compliance with Public Law 1 03- 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 Interoovernmental 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. Subcontracts Assure far 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. H. 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. Health Insurance Portability and Accountability Act To the extent that this act is pertinent to the services that the Contractor provides to the Department under this agreement, the Contractor assures that it is in compliance with the Health Insurance Portability and Accountability Act (HIPAA) requirements including the following: 1. The Contractor must not share any protected health data and information provided by the Department that falls within H1PAA requirements except to a subcontractor as appropriate under this agreement. 2. The Contractor must require the subcontractor not to share any protected health data and information from the Department that falls under HIPAA requirements in the terms and conditions of the subcontract. 3. The Contractor must only use the protected health data and information for the purposes of this agreement. 4. The Contractor must have written policies and procedures addressing the use of protected health data and information that falls under the HIPAA requirements. The policies and procedures must meet all applicable federal and state requirements including the HIPAA regulations. These policies and procedures must include restricting access to the protected health data and information by the Contractor's employees. 5. The Contractor must have a policy and procedure to report to the Department unauthorized use or disclosure of protected health data and information that falls under the HIPAA requirements of which the Contractor becomes*aware. 6. Failure to comply with any of these contractual requirements may result in the termination of this agreement in accordance with Part II, Section V. Termination. 7. In accordange with HIPAA requirements, the Contractor is liable for any tclaim loss or damage relating to unauthorized use or disclosure of protected health data and information received by the Contractor from the Department or any other source. 1 CCH-0665FY2005 4/04 (W) Page 1 of 15 IV. Financial Reduirements A. Oneratind 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 Department requires an annual confirmation of the outstanding operating advance. 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. d. An opportunity for the Contractor to present evidence in person or in writing. e. A heairing 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. DCH-0665FY2005 4104 (W) Page 12 of 15 DCH-0655FY2005 4104 (W) Page 13 of 15 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: Michigan Department of Community Health, Bureau of Finance Accounting Division, Expenditure Operations Section, P.O. Box 30720, Lansing, Michigan 48909 FSRs must be submitted 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. The FSR form and instructions for completing the FSR form are available through your Contract Manager or the Department's web site: • http://www.michigan.govklocuments/DCH-0384- Financial_Status_Report_8214_7.pdf and • http ://www.mich igen . gov/documents/DC H-0384- Financial_Status_Report_Instructions_8216 .1. pdf. Failure to meet financial reporting responsibilities as identified in this agreement may result in withholding future payments. D. Reimbursement Mechanism All contractors ire 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 Reguirements 1. Preliminary Close Out Report Preliminaily Close Out Report, based on annual guidelines, must be submitted by the due date using the format provided by the Department's Accounting Division. The Contractor must provide an estimate of total expenditures for the entire agreement period. The information on the report will be used to record the Department's year-end accounts payables and receivables for this agreement. Final FS Rs 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 the loss of funding requested on the Preliminary Close Out Report and may result in the potential reduction in the subsequent year's agreement amount. F. Unobliciated Funds Any unoblidated 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 111.0. 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. Severabilitv 11, 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 change to this agreement will be valid only if made in writing and accepted by all parties to this agreement. Any change proposed by the Contractor which would affect the Department funding of any project, in whole or in part in Part 1, Section 2.C. of the agreement, must be submitted in writing to the Department for approval immediately upon determining the need for such change. OCH-0605FY2005 4104 (VV) Page 14 of 15 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 shell 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. Xl. State of Michiaan Agreement This is a State of Michigan Agreement and is governed by the laws of Michigan. Any dispute arising as a regult of this agreement shall be resolved in the State of Michigan. 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-0665FY2005 4/04 (W) Page 15 of 15 Sample 1 — Free Form ATTACHMENT A STATEMENT OF WORK Statement of Work Project Summary: Nine Oakland County sites serving adolescents will be utilized to obtain data on STDs and assess reproductive health needs: 1) Oakland County Children's Village Detention 2) Oakland County Children's Village Shelter Care 3) Oakland County Main Jail 4) Oakland County Male Detention — Frank Greenan 5) Pontiac Teen Health Center - Pontiac Central High School 6) Pontiac Teen Health Center - Pontiac Northern High School 7) Common Ground Sanctuary — County Runaway Shelter 8) Crossroads for Youth — Private Funded Correctional Site 9) Juvenile Drug Court — Community-based Intensive Treatment Program Adolescents and young adults will be interviewed using a brief computerized sexual questionnaire and testing, treatment and counseling provided. This year the Project will expand to include young adults through age 24, and compare positivity for infections with adjusted age parameters. Data will be collected, analyzed and forwarded to MDCH during the project year. Special data analysis of clients with repeat infections will be conducted throughout year. Project Director will work with an Oakland County epidemiologist for more detailed data analysis. Project Data will be presented to Oakland County Human Services, Michigan Infertility Prevention Alliance, Michigan Juvenile Detention Association and other professional associations. An article will be written and submitted to professional journals for publication's. Utilizing the nine identified project sites 1. Test at least 100 adolescents and young adults per month, using urine based tests for gonorrhea and chlamydia. 2. Complete computetized sexual questionnaire on all clients tested. 3. Refer females for reproductive health services if indicated. 4. Develop a client centered risk reduction plan, promoting abstinence. 5. Treat and obtain partner notification information on positive clients 6. Enter data from test results and questionnaire into Microsoft Access. 7. Analyze and forward clpta to MDCH every three months. 8. Develop data into presentations and present at various professional meetings. 9. Continue to promote awareness of prevalence of STDs within adolescent and young adult population. Statement of Work Contractor agrees to test and treat adolescents and young adults in the above nine sites for chlamydial and gonococcal infections. Sample 2 Fill In ATTACHMENT A STATEMENT OF WORK Goal: Methodology (Activities, Timeline, Responsible individual(s) and Deliverables) Activity(ies) Responsible I Timeline Deliverable(s) Individual(s) I Objective Test at least 100 adolescents and young adults for chlamydia and gonorrhea at 9 at-risk adolescent sites in Oakland County Project Nusing Staff Each month Data updates 1 i Objective Complete computerized sexual questionnaire on all clients tested and sync into database Project Nursing Staff Thoughout Data updates Project Year Objective Treat and obtain partner no ification information on positive clients Project Nursing Staff Throughout V-76 forms sent to MDCH Project Year Objective Analyze and forward data to iDCH Project Director ; Every 3 Quarterly Reports ' months I, Objective Present findings to various professional groups Project Director I Throughout Written and Oral ' Project Presentations i Year I I FINANCIAL STATUS REPORT MICHIGAN DEPARTMENT CF COMMUNITY HEALTH 5 PC Number Contract Nurnoer Facie i Of ' Lccai Agency Name Prcoram j Cgce - Street Aggress 1 Report Period Date Prepared Thru CI Final City, State, ZIP Code Agreement Period FE ilD Number Thru Expenditures Agreement Category Current Period I Agreement YTD Budget Balance 1. Salaries & Wages I 2. Fringe Benefits I 3. Travel 4. Supplies & Materials 5. Contractual (Sub-Contracts) 6. Equipment 7, Other Expenses 8. TOTAL DIRECT 1 9a.Indirect Costs: Rate#1% 9b.indirect Costs: Rate#2% 10. TOTAL EXPENDITURES I I _ - SOURCE OF FUNDS: 11. State Agreement 12. Local 13. Federal _ — 14. Other 15. Fees & Collections 16. 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 Of ailaole and will be maintained for the required period to support costs and receipts reported. . Authorized Signature Date Title Contact Person Name Tetephone Number FOR STATE USE ONLY : aktODE ' - Advance Outstanding Advance Issued or Applied 1 1 — _ - Balance Message Authority: PA. 365 of 1975 IThe Department of Community Health is an equal opportunity, Completion: is a Condition of Reimbursement employer, services, and programs provider. DCH-0384(E) (Rev. 3104) (W) Previous Edition Obsolete ATTACHMENT C PERFORMANCE / PROGRESS REPORT REQUIREMENTS A. The Contractor shall submit the following reports on the following dates: B. Any such other information as specified in Attachment A shall be developed and submitted by the Contractor as required by the Contract Manager. C. Reports and information shall be submitted to the Contract Manager at: D. The Contract Manager shall evaluate the reports submitted as described in Attachment C, Items A. and B. for their completeness and adequacy. E. The Contractor shall permit the Department or its designee to visit and to make an evaluation of the project as determined by Contract Manager. ATTACHMENT E Audit Status Notification Letter (Contractor exempt from the Single Audit and Financial Audit Submission requirement) Date: To: MDCH Office of Audit Quality Assurance and Review Section P.O. Box 30479 Lansing, Michigan 48909-7979 From: Agency Name: Address: Federal ID Number: Re: Agency Fiscal Year Ended: The purpose of this letter is to comply with Michigan Department of Community Health grant contract audit requirements. I certify that the (Agency Name) agency expended less than $500,000 in federal awards, and received less than $500,000 in total Department funding. I also certify that our agency's audit did not address any findings related to current or prior years that negatively impact MDCH-funded programs. Therefore, we are not required to submit either a Single Audit or Financial Statement Audit to the Department. If you have questions, please contact at (Contractor's Representative) (phone) Sincerely, Signature Print Name of Contractor Representative/Title ATTACHMENT B.1 Use Whole Dollars Only PROGRAM BUDGET SUMMARY MICHIGAN DEPARTMENT OF COMMUNITY HEALTH Program Date Prepared Page Cf Chkiren'S Village Screening Project 91712004 1 1 Contractor Name BUDGET PERIOD Oakland County Children's Village From:10/1/2004To: 9/30/2005 Mailing Address (Number and Street) Agreement: Amendment Number 1200 N. Telegraph Rd. Dept. 444 121 Original EAmendment lib City State ZIP Code Federal ID Numzer Pontiac MI 48341 EXPENDITURE CATEGORY TOTAL BUDGET . Salaries and Wages $57,706 2. Fringe Benefits $5,655 3. Travel $2,000 4. Supplies and Materials $639 5. Contractual (Subcontracts) 6,000 6 Equipment 7. Other Expenses: PenComputer Tech Support $1,000 . Total Direct Expenditures $0 $0 $0 $73,000 (Sum of Lines 1-7) 9. Indirect Costs: Rate #1 % $O Indirect Costs: Rate #2 % 10. TOTAL EXPENDITURES $O , $O $0 $73,000 SOURCE OF FUNDS: 11. Fees and Collections 12. State Agreement $73,000 13. Local 14. Federal , 1 16. TOTAL FUNDING $O $0 $0 $73,000 AUTHORITY: P.A. 368 of 1978 COMPLETION: Is Voluntary, but is required as a condition of funding The Department of Community Health is an equal opportunity employer, services and programs provider. Of 2 Page 2 PROGRAM BUDGET - COST DETAIL - View at 100% or Larger MICHIGAN DEPARTMENT OF COMMUNITY HEALTH - Use WHOLE DOLLARS Only Program BUDGET PERIOD Date Prepared Children's Village Screening Project From: To: 9/712004 101112004 9/30/2005 Contractor Name: Budget: Amendment # Oakland County Children's Village ig ORIGINAL LI AMENDMENT 1. SALARIES & WAGES: POSITIONS TOTAL POSITION DESCRIPTION 1 . COMMENTS REQUIRED SALARY General Staff Nurse PTNE 100% Funded (Part-time 0.500 $26,750.00 . Program Coordination) ,Position) General Staff Nurse PfNE (Multifilled) 100% Funded (Part-time 0.600 $30,763.00 Position) — 1. TOTAL SALARIES and WAGES: 1.100 57,513 2. FRINGE BENEFITS: (Specify) Composite Rate % . a FICA LI HOSPITAL INS 0 VISION 12 WORK COMP 10.75% UNEMPLOY INS D LIFE INS Ill HEARING INS LIOTHER: $6,183.00 C RETIREMENT ['DENTAL INS 2. TOTAL FRINGE BENEFITS: 6,183 - 3. TRAVEL: (Specify if any item exceeds 10% of Total Expenditures) $2,000 3. TOTAL TRAVEL.: 2,000 4. SUPPLIES & MATERIALS: (Specify if any item exceeds 10% of Total Expenditures) $50400 4, TOTAL SUPPLIES & MATERIALS: $ 504 5. CONTRACTUAL: (Subcontracts) Name Address Amount North Oakland Medical Cent 461 West Huron Street Pontiac, MI 48341 $6,000.00 Teen Health Center 5. TOTAL CONTRACTUAL: $ 6,000 - 6. EQUIPMENT: (Specify) Amount 6. TOTAL EQUIPMENT: - 7. OTHER EXPENSES: (Specify if any item exceeds 10% of Total Expenditures) Amount Communication: ,* Space Cost de Others (explain): Penbase Computer Tech Support and Equipment $800.00 (List all items and provide each cost, then enter total below) T. TOTAL OTHER EXPENSES: $ 800 8. TOTAL DIRECT EXPENDITURES: (Sum of Totals 1-7) $ 73,000 , 9. INDIRECT COST CALCULATIONS: * Rate #1 :Base $ t - x Rate 0.00% = $ - Rate #2 Base $ - x Rate 0.00% = $ - 9. TOTAL INDIRECT EXPENDITURES: $ 10. TOTAL ALL EXPENDITURES: (Sum of lines 8-9) $ 73,000 AUTHORITY: PA 368 of 1978 The Department of Communityl-eaith SI an equal noeset PTION. Is Voluntary but 13 r0 'tired a$ 3 candttIon of funding. opportunity empmer, services and programs provkler. DCH-036S(E) (Rev. 4-04) (EXCEL) PreVtouti E ' on Obsolete Use Additional Sheets as Itoadoci ATTACHMENT 8.3 MICHIGAN DEPARTMENT OF COMMUNITY HEALTH CONTRACT MANAGEMENT SECTION EQUIPMENT INVENTORY SCHEDULE Please list equipment items that were purchased during the grant agreement period as specified in the grant agreement budget, Attachment B.2. Provide as much information about each piece as possible, including quantity, item name, :tern specifications: make, model, etc. Equipment is defined to be a article of non-expendable tangible personal property having a useful life of more than one (1) year and an acquisition cost of $5,000 or more per unit. Please forward to this :agreement's contract manager. Contractor Name: Contract #: Date: Quantity Item Name ItemSperiffcation Tag Number Budgeted Amount $ _ $ $ 1 $ i A A $ I $ Total $ 0 Contractor's Signature: Date: FISCAL NOTE (MISC. 104302) October 21, 2004 BY: FINANCE COMMITTEE, CHUCK MOSS, CHAIRPERSON IN RE: DEPARTMENT OF HUMAN SERVICES/CHILDREN'S VILLAGE DIVISION - FY 2004 - 2005 CHILDREN'S VILLAGE SCREENING PROJECT 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 $73,000 to the Oakland County Children's Village for use in monitoring sexually transmitted diseases in adolescents in special settings. 2. The special revenue part time non-eligible General Staff Nurse (position #09652) will be continued. 3. The grant period runs from October 1, 2004 through September 30, 2005. 4. No County match is required. 5. The County is expected to incur indirect costs of $5,344 for FY2005, which have been included in the FY2005 budget. 6. The future level of service including personnel will be contingent upon the level of funding available from the State. 7. A budget amendment is recommended to the Fiscal Year 2005 Special Revenue grant budget to reflect the latest award. FY2005 HUMAN SERVICE GRANTS REVENUE 1-16-275-501251-25010-0171 Grants-State $73,000 EXPENSES 2-16-275-501252-25010 -2001 2-16-275-501252-25010-2075 2-16-275-501252-25010-3196 2-16-275-501252-25010-3756 2-16-275-501252-25010-3348 2-16-275-501252-25010-4252 Salaries Fringe Benefits Miscellaneous Travel & Conf. Professional Svs. Supplies 57,706 5,655 1,000 2,000 6,000 639 $73,000 FINANCE COMMITTEE FINANCE COMMITTEE Motion carried unanimously on a roll call vote with Crawford, Jamian and Knollenberg absent. cid Resolution #04302 October 21, 2004 Moved by Douglas supported by Coulter the resolutions on the Consent Agenda be adopted (with accompanying reports being accepted). AYES: Coleman, Coulter, Crawford, Douglas, Gregory, Hatchett, Jamian, Knollenberg, KowaII, Law, Long, McMillin, Middleton, Moffitt, Moss, Palmer, Patterson, Potter, Rogers, Scott, Suarez, Webster, Wilson, Zack, Bullard. (25) NAYS: None. (0) A sufficient majority having voted therefore, the resolutions on the Consent Agenda were adopted (with accompanying reports being accepted). Om" I HEREBY APPROvt %GA RESOLUTION 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 October 21st, 2004 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 October, 2004. „.7 v /. . G. William Caddell, County Clerk