HomeMy WebLinkAboutResolutions - 2006.09.21 - 28313MISCELLANEOUS RESOLUTIONI06177 September 21, 2006
BY: General Government Committee, William R. Patterson, Chairperson
IN RE: DEPARTMENT OF HEALTH & HUMAN SERVICES/CHILDREN'S VILLAGE
DIVISION — FY 2006-2007 CHILDREN'S VILLAGE SCREENING PROJECT
GRANT ACCEPTANCE
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Chairperson, Ladies and Gentlemen:
WHEREAS in FY 2005-2006 the Michigan Department of Community Health (MDCH)
awarded a grant to the Department of Health & Human Services — Children's Village Division in
the amount of $73,000 for the purpose of screening, compiling data, and treating at-risk
adolescents for sexually transmitted diseases (STD's); and
WHEREAS the MDCH is providing a seventh year of funding for the Adolescent
Screening Project; and
WHEREAS the special revenue, part-time, non-eligible General Staff Nurse position
will be continued; and
WHEREAS the MDCH has awarded a grant in the amount of $73,000 for FY 2006-
2007; 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, the Oakland County Juvenile Drug Court, the two Pontiac School District's
Teen Health Centers; and the Waterford Alternative High School, 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 Health & 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.
GENERAL GOVERNMENT COMMITTEE
GENERAL GOVERNMENT COMMITTEE VOTE:
Motion carried unanimously on a roll call vote.
GRANT REVIEW SIGN OFF — Health and Human Services
GRANT NAME: FY 2007 Children's Village Screening Project
FUNDING AGENCY: Michigan Department of Community Health
DEPARTMENT CONTACT PERSON: Joanna J. Overall /8-1164
STATUS: Acceptance
DATE: August 25, 2006
Pursuant to Misc. Resolution #01320, please be advised the captioned grant materials have
completed internal grant review. Below are the returned comments.
The captioned grant materials and grant acceptance package (which should include the Board of
Commissioners' Liaison Committee Resolution, the grant agreement/contract, Finance
Committee Fiscal Note, and this Sign Off email containing grant review comments) may be
requested to be placed on the appropriate Board of Commissioners' committee(s) for grant
acceptance by Board resolution.
DEPARTMENT REVIEW
Department of Management and Budget:
Approved. — Laurie Van Pelt (8/24/2006)
Department of Human Resources:
Approved. — Nancy Scarlet (8/14/2006)
Risk Management and Safety:
Approved By Risk Management - Andrea Plotkowski (8/9/2006)
Corporation Counsel:
I have reviewed this a grant Agreement and the Agreement Addendum A and approve both of
them for signature John F. Ross (8/10/2006)
COMPLIANCE
The grant contract references a number of specific federal/state regulations. Below is a list of
these specifically cited compliance related documents for this grant.
• Federal Office of Management and Budget (OMB) Circular No. A-133. This Circular
sets forth standards for obtaining consistency and uniformity among Federal agencies for
the audit of States, local governments, and non-profit organizations expending federal
awards. htto://www.whitehouse.gov/omb/circulars/a133/a133.1itml
• Michigan Human Subjects Regulation — htto://www.michigan.gov/mdch/0.1607.7-132-
2945 32550-99784—,00.html,
• Federal Anti-Lobbying Act — "31 USC 1352" htto://aftneethics.wpafb.afmil/statutes/31-
1352.htm
• Michigan Elliott-Larsen Civil Rights Act — "Act 453 of 1976"
http://www.legislature.mi.noy/( uu3Lxuettrnri5755z2uiwv451/m leg.aspx ?pa gp=?etnN ert
&obiectname=mel-Act-453-of-1976&queryid----14718540
t
• Michigan Persons With Disabilities Civil Rights Act — "Act 220 of 1976"
httn://www.legislature.mi.gov/(uu3lxgeltmri5z55z2uiwv45)/mileg.asnx?page=getobject
&obiectname=mcl-Act-220-of-1976&queryid=14718589
• Federal — Government-Wide Debarment and Suspension — "45 CFR 76"
httn://www.access.goo.gov/nara/cfr/waisidx 05/45cfr76 05.html
• Federal Environmental Tobacco Smoke "Pro-Children Act of 1994"
httn://www.cdc.gov/tobacco/research data/youth/464119. htm
• Federal Hatch Act - Political Activity of Certain State and Local Employees
http://www.osc.gov/hatchact.htm
• Federal Office of Management and Budget (OMB) Circular No. A- 02. This Circular
establishes consistency and uniformity among Federal agencies in the management of
grants and cooperative agreements with State, local, and tribal governments.
httu://www.whitehouse.gov/omb/circulars/a102/a 1 02.html
• Michigan — Conflict of Interest - Contracts of Public Servants with Public Entities —
"Act 317 of 1968"
http://www.legislature.mi.gov/(uo3lxgeltmri5z55z2uiwv451/mileg.aspx?page=getobject
&obi ectname=mcl-Act-317-of-1968&queryid=14761946
• Federal Health Insurance Portability and Accountability Act of 1996 (HIPAA, Title II)
httu://www.cms.hhs.gov/HIPAAGenInfo/Downloads/HIPAAlawdetail.pdf
Department of Health and Human Services — Children's Village Division
Children's Village Screening Project
August 2006
• MDCH, through federal funds from the U.S. Centers for Disease Control (CDC), intends to
continue a grant to Children's Village for FY2006-2007. The funds are intended to facilitate
a seventh year of screening of adolescents for sexually transmitted infections. The grant total
is $73,000. There is no County match.
Salaries and Fringe Benefits Offset. $58,101.00
Other Expenditures (includes travel, contractual, supplies, and indirect
costs) $14,899.00
• The grant objective is to continue to compile data and enhance disease detection and health
services to high-risk adolescents and young adults (ages 13 through 23). Clinical experience
and literature review reveals that adolescents 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, the 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, Juvenile Drug Court, and Waterford Alternative High School Teen Center.
• During the first six years of funding over 7000 adolescents were screened under the auspices
of the project. Positivity rates (5% females\2%triales for gonorrhea, 18% females\11%males
for chlamydia) are significant with >94% of the adolescents testing positive having been
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.
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., Dept. 444 - Bldg 63 West
Pontiac, MI 48341-0444
Federal 1.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, 2006 and
continue through September 30, 2007. 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 $ $73,000 or approximately 100%; the Catalog of
Federal Domestic Assistance (CFDA) number is 93-977 and the CFDA Title is
Preventive Health Services STD (CSPS); the federal agency name is
CDC/NCHSTP/DSTDP; the federal grant award number is H25/CCH504341-15
and federal program title is Comprehensive Sexually Transmitted Disease
Services (CSPS). The grant agreement is designated as a:
subrecipient relationship; or
ri vendor relationship.
B. Equipment Purchases and Title
Any contractor equipment 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-0665FY2007 3/06 (W)
Page 1 of 23
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, Oakland County Main Jail, Frank
Greenan Male Detention, and Juvenile Drug Court (using urine-based amplified tests for
chlamydia and gonorrhea), 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 financial requirements shall be followed as described in
Part II of this agreement and Attachments B and D. 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 II, 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:
Mark A. Miller, Manager, STD Section, Division of Health, Wellness and Disease Control,
109 Michigan Ave.; 9th Floor, Lansing, MI 48913. PH 517/241-0870,
millerm 1@m ich igan.gov
Name, Location/Building Title Telephone No. Email Address
9. Contractor's Financial Contact for the Agreement:
The person acting for the Contractor on the financial reporting for this agreement is:
Laurie Van Pelt, Director - Oakland County Dept. of Management and Budget
Name Title
vanpeltco.oakland.mi.us 248/858-0487
E-Mail Address Telephone No.
DCH-0665FY2007 3106 ON)
Page 2 of 23
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.
D. The Contractor is required by PA 533 of 2004 to receive payments by
electronic funds transfer.
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
Bill Bullard, Jr., Chairperson, Oakland County Board of Commissioners
Name (Please print)
Signature Date
For the MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
Mary Jane Russell, Director, Bureau Of Budget And Audit Date
Title
DCH-0665FY2007 3/06 (W)
Page 3 of 23
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 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 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 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. 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.
DC11-0665FY2007 3/06 (W)
Page 4 of 23
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 records, files and documentation related to this agreement, to
the extent authorized by applicable state or federal law, rule or regulation.
G. Audits
This section only applies to Contractors designated as subrecipients. Contractors
designated as vendors are exempt from the provisions of this section.
1. Required Audit or Notification Letter
Contractors must submit to the Department either a Single Audit, Financial
Statement Audit, or Audit Status Notification Letter as described below. If
submitting a Single Audit or Financial Statement Audit, Contractors must
also submit a Corrective Action Plan for any audit findings that impact
MDCH-funded programs, and management letter (if issued) with a
response.
a. Single Audit
Contractors that expend $500,000 or more in federal awards during
the Contractor's fiscal year must submit to the Department a Single
Audit prepared consistent with the Single Audit Act Amendments of
1996, and Office of Management and Budget (OMB) Circular A-133,
"Audits of States, Local Governments, and Non-Profit
Organizations," (as revised).
b. Financial Statement 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 to the Department a Financial
Statement Audit prepared in accordance with generally accepted
auditing standards (GAAS). Contractors exempt from the Single
Audit requirements that receive less than $500,000 of total
Department grant funding must submit to the Department a 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
contract and grant provisions.
c. Audit Status Notification Letter
Contractors exempt from both the Single Audit and Financial
Statement Audit requirements (a. and b. above) must submit an
Audit Status Notification Letter that certifies these exemptions. The
template Audit Status Notification Letter and further instructions are
available at htto://www.michigan.gov/mdch by selecting Inside
Community Health — Office of Audit.
DCH-0665FY2007 3/06 (W)
Page 5 of 23
2. Due Date and Where to Send
The required audit and any other required submissions (i.e. Corrective
Action Plan and management letter with a response), or audit Status
Notification Letter must be submitted to the Department within nine months
after the end of the Contractor's fiscal year to:
Michigan Department of Community Health
Office of Audit
Quality Assurance and Review Section
P.O. Box 30479*
Lansing, Michigan 48909-7979
*For Express Delivery:
Capital Commons Center
400 S. Pine Street
Lansing, Michigan 48933
Alternatives to paper filing may be viewed at http://www.michigan.gov/mdch
by selecting Inside Community Health — Office of Audit.
3. Penalty
a. Delinquent Single Audit or Financial Statement Audit
If the Contractor does not submit the required Single Audit reporting
package, management letter (if issued) with a response, and
Corrective Action Plan; or the Financial Statement Audit and
management letter (if issued) with a response within nine months
after the end of the Contractor's fiscal year and an extension has not
been approved by the cognizant or oversight agency for audit, the
Department may withhold from the current funding an amount equal
to five percent of the audit year's grant funding (not to exceed
$200,000) 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 and an
extension has not been approved by the cognizant or oversight
agency for audit. The Department may terminate the current grant if
the Contractor is more than 180 days delinquent in meeting the filing
requirements and an extension has not been approved by the
cognizant or oversight agency for audit.
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.
4. Other Audits
The Department or federal agencies may also conduct or arrange for
"agreed upon procedures" or additional audits to meet their needs.
DCH-0665FY2007 3/06 (W)
Page 6 of 23
H. SubrecipientNendor Monitoring
The Contractor must ensure that each of its subrecipients comply with the Single
Audit Act requirements. The Contractor must issue management decisions on
audit findings of their subrecipients as required by OMB Circular A-133.
The Contractor must also develop a subrecipient monitoring plan that addresses
"during the award monitoring" of subrecipients to provide reasonable assurance
that the subrecipient administers Federal awards in compliance with laws,
regulations, and the provisions of contracts, and that performance goals are
achieved. The subrecipient monitoring plan should include a risk-based
assessment to determine the level of oversight, and monitoring activities such as
reviewing financial and performance reports, performing site visits, and
maintaining regular contact with subrecipients.
The Contractor must establish requirements to ensure compliance for for—profit
subrecipients as required by OMB Circular A-133, Section .210(e)
The Contractor must ensure that transactions with vendors comply with laws,
regulations, and provisions of contracts or grant agreements in compliance with
OMB Circular A-133, Section .210(f).
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.
J. Software Compliance
The Contractor must ensure 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 without interruption, failure or errors
due to the inaccuracy of the Contractor's business operations for processing
date/time data.
K. Human Subiects
The Contractor agrees to submit all research involving human subjects, which is
conducted in programs sponsored by the Department, or in programs that receive
funding from or through the State of Michigan, to the Department's Institutional
Review Board (IRB) for approval prior to the initiation of the research.
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.
DCH-0665FY2007 3/06 (IN)
Page 7 of 23
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.
III. 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 section of the FY 1997 Omnibus Consolidated 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 services. 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 372201 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.
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 persons with
DCI-1-0665FY2007 3/06 (W)
Page 8 of 23 •
disabilities 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
persons with disabilities 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, its employees and its subcontractors:
1. Are not presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from covered transactions by any federal
department or 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 or a criminal offense in connection with obtaining, attempting to
obtain, or performing a public (federal, state, or local) transaction or
contract under a public transaction; violation of federal or state antitrust
statutes or commission of embezzlement, theft, forgery, bribery, falsification
or destruction of records, making false statements, or receiving stolen
property;
3. Are not presently indicted or otherwise criminally or civilly charged by a
government entity (federal, state or local) with commission of any of the
offenses enumerated in section 2, and;
Have not within a three-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 seq, which requires that smoking not be permitted in
any portion of any indoor facility owned or leased or contracted by and used
routinely or regularly for the provision of health, day care, early childhood
development services, education or library services to children under the
age of 18, if the services are funded by federal programs either directly or
through state or local governments, by federal grant, contract, loan or loan
guarantee. The law also applies to children's services that are provided in
indoor facilities that are constructed, operated, or maintained with such
federal funds. The law does not apply to children's services provided in
private residences; portions of facilities used for inpatient drug or alcohol
treatment; service providers whose sole source of applicable federal funds
is Medicare or Medicaid; or facilities where Women, Infants, and Children
(WIC) coupons are redeemed. Failure to comply with the provisions of the
law may result in the imposition of a civil monetary penalty of up to $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
DCH-0665FY2007 3106 (VV)
Page 9 of 23
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. 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.
H. Procurement
Assure that all purchase transactions, whether negotiated or advertised, shall be
DCH-0665FY2007 3/06 (W)
Page 10 of 23
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 amended, 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 HIPAA 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 accordance with HIPAA requirements, the Contractor is liable for any
claim, 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.
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 the advance
exceed the amount required for 60 days operating expense. Operating
DCH-0665FY2007 3/06 (W)
Page 11 of 23
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 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 method as follows:
Reimbursement from the Department is 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.
DCH-0665FY2007 3/06 M/)
Page 12 of 23
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 .gov/documents/DCH-0384-
Financial Status Report 8214 7.pdf and
• hftp://www. michigan .gov/documents/DCH-0384-
Financial Status Report Instructions 8216 7.pdf.
Failure to meet financial reporting responsibilities as identified in this agreement
may result in withholding future payments.
D. Reimbursement Mechanism
All contractors must sign up through the on-line vendor registration process to
receive all State of Michigan payments as Electronic Funds Transfers (EFT)/Direct
Deposits, as mandated by PA 533 of 2004. Vendor registration information is
available through the Department of Management and Budget's web site:
• http://www.cpexpress.state.mi. us/
E. Final Obligations and Financial Status Report Requirements
1. Preliminary Close Out Report
A Preliminary 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.
2. Final FSRs
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. Unobliqated 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.
DCH-0665FY2007 3106 (W)
Page 13 of 23
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. Seyerability
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. Any change proposed by the Contractor which would affect the
Department funding of any project, in whole or in part in Part I, Section 2.C. of the
agreement, must be submitted in writing to the Department for approval immediately
upon determining the need for such change.
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
DCH-0665FY2007 3/06 (W)
Page 14 of 23
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 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.
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-0666FY2007 3/06 (W)
Page 15 of 23
ATTACHMENT A
Free Form
Children's Village Screening Project
Oakland County Children's Village
Subrecipient
0 Vendor
STATEMENT OF WORK
Statement of Work
Project Summary: Eight 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) 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. The project will screen young
adults, age 15 - 24, and compare positivity for infections with adjusted age parameters. Data
will be collected, analyzed and forwarded to MDCH during the project year. Project Director
will work with an Oakland County epidemiologist for detailed data analysis. Project Data will
be presented to Oakland County Human Services, Michigan Infertility Prevention Project
Alliance, Michigan Juvenile Detention Association and other professional associations.
Utilizing the eight identified project sites
1. Test at least 100 adolescents and young adults per month, using urine based tests for
gonorrhea and chlamydia.
2. Complete computerized 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 data 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 eight sites for chlamydial and gonococcal infections.
DC11-0665FY2007 3106
Page 16 of 23
ATTACHMENT A
FIN In Form
Children's Village Screening Project
Oakland County Children's Village
Subrecipient
in Vendor
STATEMENT OF WORK
Goal:Reach at-risk adolescents and young adults, provide screening and education, to help
reduce the prevalence of gonorrhea and chlamydia within the community
Methodology: Activities, Responsible Individual(s), Timeline and Deliverable(s
Activity(ies) Responsible Timeline I 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 Coordinator Monthly Data Updates , and Project
Nursing Staff _
Objective Complete computerized sexual questionnaire on all clients tested and sync into database
I Project coordinator Throughout ' Data Updates
and Project project year
Nursing Staff
Objective Treat positive clients and refer partners for examination and treatment
Project Nursing Throughout Report all positive tests to MDCH
Staff project
year
Objective Analyze and forward data to MDCH _
Project Quarterly 1 Quarterly data reports
Coordinator
Objective Present findings to various professional groups
Project Throughout I Written and Oral Presentations
Coordinator project
year
DC1-1-0665FY2007 3108 (W)
Pap 17 of 23
ATTACHMENT B.1
View at 100% or Larger
Use WHOLE DOLLARS Only
PROGRAM BUDGET SUMMARY
MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
PROGRAM DATE PREPARED Page ' Of
Children's Village Screening Project 08/1612006 1 1
CONTRACTOR NAME BUDGET PERIOD
Oakland County Children's Village From: October 1, 2006 To: September 30, 2007
MAILING ADDRESS (Number and Street) BUDGET AGREEMENT AMENDMENT #
1200 N. Telegraph Rd. Dept 444- Bldg 63W IE ORIGINAL • AMENDMENT O.
CITY STATE ZIP CODE FEDERAL ID NUMBER
Pontiac MI 48341 38-6004876 _
TOTAL
EXPENDITURE CATEGORY BUDGET
4iiiiiiiiiii
1. SALARIES & WAGES $52,461
2. FRINGE BENEFITS $5,640
3. TRAVEL 1,000
_ 4. SUPPLIES & MATERIALS $282
—
5. CONTRACTUAL (Subcontracts/Subrecipients) $5,000
6. EQUIPMENT
7. OTHER EXPENSES
_ $1,400
,
8. TOTAL DIRECT EXPENDITURES so $0 $0 65,783
(Sum of Lines 1-7)
9. INDIRECT COSTS: Rate #1 13.76% $7,217
INDIRECT COSTS: Rate #2 %
10. TOTAL EXPENDITURES $0 1 $0 $73,000
SOURCE OF FUNDS
' _ 11. FEES & COLLECTIONS
12. STATE AGREEMENT $73,000
_
13. LOCAL
_14. FEDERAL
15. OTHER(S)
16. TOTAL FUNDING $0 $0 ' $0 $73,000 ,
AUTHORITY: P.A. 368 of 1978 The Department of Community Health is an equal
COMPLETION: Is Voluntary, but is required as a condition of funding opportunity employer, services and programs provider.
DCH-0385(E) (Rev 5-06) (W) Previous Edition Obsolete,
OCH-0665FY2007 5106 cm
Page 18 of 23
ATTACHMENT B.2
PROGRAM BUDGET - COST DETAIL SCHEDULE
View at WO% or Larger MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
Use WHOLE DOLLARS Only
Page 2 Of 2
PROGRAM BUDGET PERIOD _ DATE PREPARED
Children's Village Screening Project From: To:
October 1, 2006 September 30, 2007 08/16/2006
CONTRACTOR NAME BUDGET AGREEMENT
Oakland County.Children's Village DORIGINAL • AMENDMENT AMENDMENT #
_
1. SALARY & WAGES COMMENT S POSITIONS TAL SALA POSITION DESCRIPTION REQUIRED TO RY
General Staff Nurse PTNE 100% Funded 1.00 $52,461
$0
$0
$0
$0
1 $0
1. TOTAL SALARIES & WAGES: I 1 $52,461
2. FRINGE BENEFITS (Specify)
ii FICA • LIFE INS. ODENTAL INS. COMPOSITE RATE
,.. UNEMPLOY INS. •VISION INS. I WORK COMP. AMOUNT 10.75% $5.640
• RETIREMENT • HEARING INS.
HOSPITAL INS. DOTHER (specify) 2. TOTAL FRINGE BENEFITS:
3. TRAVEL (Specify If category exceeds 10% of Total Expenditures)
3 TOTAL TRAVEL: $1,000
4. SUPPLIES & MATERIALS (Specify if category exceeds 10% of Total Expenditures)
4. TOTAL SUPPLIES & MATERIALS: $282
5. CONTRACTUAL (Specify Subcontracts/Subrecipients)
Name Address Amount
North Oakland Medical 461 West Huron Street
Center Pontiac, Mi 48341
(Teen Health Centers in Pontiac Schools)
5. TOTAL CONTRACTUAL: sc nnn
6. EQUIPMENT (Specify items)
6. TOTAL EQUIPMENT:
$0
7. OTHER EXPENSES (Specify If category exceeds 10% of Total Expenditures)
Penbase Computer Tech Support and Equipment
7. TOTAL OTHER: $1,400
8. TOTAL DIRECT EXPENDITURES (Sum of Totals 1-7) 8. TOTAL DIRECT EXPENDITURES: $65,783 ,
9. INDIRECT COST CALCULATIONS Rate #1: Base $52,461 X Rate 13.76 % Total $7,217
Rate #2: Base $0 X Rate 0.0000 % Total $ 0
9, TOTAL INDIRECT EXPENDITURES: $ 0
10. TOTAL EXPENDITURES (Sum of lines 8-9)$73,000
AUTHORITY: PA. 368 of 1978 The Department of Community Health is an equal opportunity employer, services
COMPLETION: Is Voluntary, but is required as a condition of funding and programs provider.
DCH-0665FY2007 5/06 (W)
Page 19 of 23
DCH-0386 (E) (Rev 5-06) (W) Previdus Editiort Obsolete. Use Additional Sheets as Needed
DCH-0665FY2007 5106 (W)
Page 20 of 23
ATTACHMENT B.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's cost detail schedule - Attachment B.2. Provide as much information about each piece as
possible, including quantity, item name, item specifications: make, model, etc. Equipment is defined to be an
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 complete and forward to this form to the MDCH contract
manager with the final progress report.
Contractor Name: Oakland County Children's Village Contract #: Date:
Quantity Item Name Item Specification Tag Purchased
Number Amount
$
$
$
$
$
$
$
$
$
Total $ 0
Contractor's Signature: Date:
DCH-0665FY2007 5105 (vv)
Page 21 of 23
ATTACHMENT C
Children's Village Screening Project
Oakland County Children's Village
PERFORMANCE / PROGRESS REPORT REQUIREMENTS
A. The Contractor shall submit the following reports on the following dates:
Quarter Due
Oct. 1 - Dec. 31, 2006 Jan. 15, 2007
Jan. 1 - Mar. 31, 2007 April 15, 2007
April 1 - June 30, 2007 July 15, 2007
July 1 - Sept. 30, 2007 Oct. 15, 2007
Reporting Format:
1. Agency name, address, telephone and fax number;
2. Name and title of contact person;
3. Any program level changes, including changes in staff, services, catchment areas, 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 areas where cost savings were achieved and how this was
accomplished;
9. Staff development and training activities related to client-level service provision.
B. Any such other information as specified in the Statement of Work, 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:
Mark Miller, STD Program Manager, Division of Health, Wellness and Disease Control, 109
Michigan Ave., 9th Floor; Lansing, MI 48913
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.
DCH-0665FY2007 5/06 (W)
Page 22 of 23
I.
FINANCIAL STATUS REPORT
ATTACHMENT D
MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
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 1 • " at - • a
1. Salaries & Wages
2. Fringe Benefits
3. Travel
4. Supplies & Materials
-, .
5. Contractual (Sub-Contracts)
6. Equipment
7. Other Expenses
_
8. TOTAL DIRECT
9a.Indirect Costs Rate #1:2/0
9b.Indirect Costs Rate #2:2/0
10. TOTAL EXPENDITURES
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 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 INDEX PCA
AOBJgalIMEMilialligNIMMI
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.
DCH-0384(E) (Rev. 4/04) (1/V) Previous Edition Obsolete
DCH-0665FY2007 5/06
Page 23 of 23
Version: All Other
Programs
MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
FY 06/07 AGREEMENT ADDENDUM A
1. This addendum modifies the following sections of Part II, General Provisions:
Part II
I. Responsibilities-Contractor
J. 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 systems problems.
Ill. 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.
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 there under.
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.
Version: All 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
Nick Lyon, Deputy Director Date
Operation Administration
For the CONTRACTOR
Bill Bullard, Jr., Chairperson. Oakland County Board of Commissioners
Name and Title Date
Signature Date
1114'
September 21, 2006
• 4
FISCAL NOTE tRISC. #06177)
BY FINANCE COMMITTEE, CHUCK MOSS, CHAIRPERSON
IN RE: DEPARTMENT OF HEALTH AND HUMAN SERVICES/CHILDREN'S VILLAGE DIVISION -
FY 2006-2007 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. This is the seventh year of
funding for the Adolescent Screening Project.
2. The special revenue part time non-eligible General Staff Nurse
(position #09652) will be continued. The position will be shared
by two (2) PTNE General Staff Nurses.
3. The grant period runs from October 1, 2006 through September 30,
2007.
4. The County is expected to incur indirect costs of $7,217 for
FY2007, which has been budgeted in the FY2007 Grant.
5. The future level of service including personnel will be
contingent upon the level of funding available from the State.
6. A budget amendment is recommended to the Fiscal Year 2007 Special
Revenue grant budget to reflect the latest award.
HUMAN SERVICE GRANT FUND 28002
REVENUE
1060501-112100-610313 Grants-State
EXPENSES
1060501-112100-702010
1060501-112100-702100
1060501-112100-730926
1060501-112100-731241
1060501-112100-732018
1060501-112100-731458
1060501-112100-750399
Salaries
Fringe Benefits
Indirect Cost
Miscellaneous
Travel & Conf.
Professional Svs.
Supplies
FY2007
$73,000
52,461
5,640
7,217
1,400
1,000
5,000
282
FINANCE COMMITTEE
FINANCE COMMITTEE
Motion carried unanimously on a roll call vote with Coulter absent.
Ruth Johnson, County Clerk
Resolution #06177 September 21, 2006
Moved by Moss supported by Gregory the resolutions (with fiscal notes attached) on the Consent
Agenda, be adopted.
AYES: Coleman, Coulter, Crawford, Douglas, Gershenson, Gregory, Hatchett, Jamian, KowaII,
Long, Melton, Molnar, Moss, Nash, Palmer, Patterson, Potter, Rogers, Scott, Suarez, Wilson,
Woodward, Zack, Bullard. (24)
NAYS: None. (0)
A sufficient majority having voted in favor, the resolutions (with fiscal notes attached) on the Consent
Agenda, were adopted.
STATE OF MICHIGAN)
COUNTY OF OAKLAND)
I, Ruth Johnson, 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
September 21, 2006, 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 September, 2006.