HomeMy WebLinkAboutResolutions - 2021.10.28 - 34974Cip►KLAND.
COUNTY MICHIGAN
BOARD OF COMMISSIONERS
October 28, 2021
14IISCELLANEOUS RESOLIITION #21-435
Sponsored By: Penny Luebs
IN RE: FY 2022 Local Health Department (Comprehensive) Agreement Final Grant Acceptance
Chairperson and Members of the Board:
WHEREAS the Michigan Department of Health and Human Services (MDHHS) has awarded Oakland County
Health Division funding through the Fiscal Year (FY) 2022 Local Health Department (Comprehensive)
Agreement (formerly the Comprehensive Planning, Budgeting, and Contracting agreement - CPBC) for the
period October 1. 2021 through September 30, 2022 in the amount of S 11,430410; and
WHEREAS funding will lie used to support the delivery of public health services to the citizens of Oakland
County; and
WHEREAS program generated tees and collections totaling S271,965 is also included, of which $241,965 is
for Children's Special Health Care Services (CSHCS) Outreach and Advocacy and S30,000 is for the
Immunization Action Plan; and
WHEREAS the FY 2022 grant award includes funding in the amount of S602.480 to continue the subrecipient
agreement with Oakland Livingston Human Service Agency (OLHSA) for reimbursement of services provided
to Woman. Infants and Children ( WIC) program participants for the period October 1, 2021 through September
30, 2022; and
INHERE AS OLHSA has agreed to the terms included within the Subrecipient Agreement; and
WHEREAS it is requested to continue fifty-nine (59) Special Revenue (SR) positrons as identified in Schedule
B. and
WHEREAS it is requested to reclassify two (2) SR positions as identified in Schedule C — Reclassifications:
and
WHEREAS it is requested to delete three (3) SR positions as identified in Schedule D — Deletions: and
WHEREAS it is requested to create one (1) SR position as identified in Schedule E — Creations; and
WHEREAS the Local Health Department (Comprehensive) Agreement and subrecipient agreement have
completed the Grant Review Process in accordance with the Grants Policy approved by the Board at their
January 21. 2021 meeting; and
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners hereby approves
the FY 2022 Local Health Department (Comprehensive) Grant Agreement for funding in the amount of
S11.430,410 for the period of October 1, 2021, through September 30.2022.
BE IT FDRTHER RESOLVED to continue fifty-nine (59) Special Revenue (SR) positions as identified in
Schedule B — Continuations.
BE IT FURTHER RESOLVED to reclassify two (2) SR positions as identified in Schedule C —
Reclassitications.
BE IT FURTHER RESOLVED to delete three (3) SR positions as identified in Schedule D — Deletions.
BE IT FURTHER RESOLVED to create one (1) SR position as identified in Schedule F — Creations.
BE IT FURTHER RESOLVED that acceptance of this grant does not obligate the County to any fiuture
commitment. and continuation of the Special Revenue positions in the grant is contingent upon continued future
levels of grant funding.
BE IT FURTHER RESOLVED that the Board Chairperson is authorized to execute this agreement and to
approve any grant extensions or changes, within fifteen percent (15%) of the original award. which is consistent
with the agreement as originally approved.
BE IT FURTHER RESOLVED that the Oakland County Board of Commissioners approves the attached
Subrecipient Agreement with OLHSA and that the Board Chairperson, on behalf of the County of Oakland. is
authorized to execute said agreement.
BE IT FURTHER RESOLVED that the General Fund.! General Purpose and Special Revenue Fund Budgets
are amended per the attached Schedule A, to reflect the FV 2022 grant award of $11.430,4 10 and program
generated fees and collections totaling $271.965, of which S241,965 is for CSHCS Outreach and Advocacy and
S30.000 is for the Immunization Action Plan.
Chairperson, the following Conunissioners are sponsoring the foregoing Resolution: Penny Luebs,
ad-- Date: October 29, 2021
David Woodward; Commissioner
Date: November 02, 2021
Hitarie Chambers, Deputy County Executive if
1
Date: November 02, 2021
Lisa Brown, County Clerk / Register of Deeds
COMMITTEE TRACKING
2021-10-19 Public Health & Safety - recommend and forward to Finance
2021-10-20 Finance - Recommend to Board
2021-10-28 Full Board
VOTE TRACKING
Motioned by Conmilissioner Michael Gingell seconded by Comnussioner Gwen Markham to adopt the attached
Grant Acceptance: FY 2022 Local Health Department (Comprehensive) Agreement Final Grant Acceptance.
Yes: David Woodward, Michael Gingell, Michael Spisz, Karen Joliat, Kristen Nelson. Eileen Kowall, Philip
Weipert, Gwen Markham, Angela Powell, Thomas Kuhn, Charles Moss, Marcia Gershenson, William Miller
III. Charles Cavell. Peary Luebs. Janet Jackson. Gary McGillivray. Robert Hoffman. Adam kochenderfer
(19)
No: None (0)
Abstain: None (0)
Absent: (0)
The Motion Passed.
ATTACHMENTS
Grant Acceptance Sign -Off FY22
Final Contract revised
3. Att IV
4. An V addendum A
S. An I
6. Att III
7. FY2022 FINAL OLHSA Subrecipient Agreement 9 29-21
8. Health - FY2022 LHD Agreement Schedule E - Creation revised
9. Health - FY2022 LHD Agreement Schedule B - Continuations
I0. Health - FY2022 LHD Agreement Schedule C - Reclass
IL Health - FY2022 LHD Agreement Schedule D - Deletions
12, PHS Health FY 2022 LHD Agreement Schedule A
STATE OF MICHIGAN)
COUNTY OF OAKLAND)
L Lisa Brown, Clerk of the County of Oakland, do hereby eertify that the foregoing resolution is a true and
accurate copy of a resolution adopted by the Oakland County Board of Commissioners on October 2S. 2021,
with the original record thereof now remaining in my office.
hi Testimony «'hereof, I have hereunto set my hand and affixed the seal of the Circuit Court at Pontiac,
Michigan on Thursday. October 28, 202I,
Lisa Brown. Ooklaiid Counts, Clerk,'Register of Deeds
GRANT REVIEW SIGN -OFF — Health & Human Services/Health Division
GRANT NAME: FY 2022 Local Health Department (Comprehensive) Agreement
FUNDING AGENCY: Michigan Department of Health & Human Services
DEPARTMENT CONTACT PERSON: Stacey Smith / (248) 452-2151
STATUS: Acceptance (Greater than $10,000)
DATE: 09/29/2021
Please be advised the captioned grant materials have completed internal grant review. Below are the returned comments.
The Board of Commissioners' liaison committee resolution and grant acceptance package (which should include this sign -
off email and the grant agreement/contract with related documentation) may be requested to be placed on the agenda(s) of
the appropriate Board of Commissioners' committec(s) for grant acceptance by Board resolution.
DEPARTMENT REVIEW
Management and Budget:
Approved by M & B — (9/29/2021)
Draft resolution needs to be updated to correct the fiscal year of grant acceptance from FY 2020 to
FY 2022.
RE IT FURTHER RESOLVED that the General Fund/ General Purpose and Grant Fluid Budgets are
amended per the attached Schedule A, to reflect the FY2020 FY2022 grant award of $11,430,410.
Also, the detailed Schedule A for the budget amended is to be added. Additionally, a RESOLVE
should be added to authorize the subrecipient agreement with OLHSA.
Human Resources:
Approved by Human Resources. There are multiple position implications, therefore HR action is
needed. — Heather Mason (09/24/2021)
Risk Management:
Approved by Risk Management. R.E. - (9/27/2021)
Please note that the County is responsible for ensuring that any subrecipient carries the insurance
required by this agreement including Pollution Insurance for any abatement contractor utilized.
Corporation Counsel:
The grant agreement is approved by Corporation Counsel with modification. Dave Woodward
should be listed as the authorized signor, not Andrea Powers. I believe Stacey is in the process of
correcting this. There should be no further legal issues with the grant agreement once that is
corrected.
The subrecipient agreement is approved by Corporation Counsel with modification. The modified
agreement is attached; however, as noted in the agreement, the federal award information will
need to be inserted by the Health Division once it is received from the state and before the
agreement is executed.
Sharon Kessler — (9/29/2 1)
Agreement #: 20220358-00
Agreement Between
Michigan Department of Health and Human Services
hereinafter referred to as the "Department"
and
County of Oakland
hereinafter referred to as the "Local Governing Entity"
on Behalf of Health Department
Oakland County Department of Health and Human Services/ Health Division
1200 N. Telegraph Rd. 34 East
Pontiac MI 48341 1032
Federal I.D.#: 38-6004876, DUNS #: 136200362
hereinafter referred to as the "Grantee"
for
The Delivery of Public Health Services under
the Local Health Department Agreement
Part 1
1. Purpose
This Agreement is entered into for the purpose of setting forth a joint and cooperative
Grantee/Department relationship and basis for facilitating the delivery of public health
services to the citizens of Michigan under their jurisdiction, as described in the
attached Annual Budget, established Minimum Program Requirements, and all other
applicable federal, state and local laws and regulations pertaining to the Grantee and
the Department. Public health services to be delivered under this Agreement include
Essential Local Public Health Services (ELPHS) and Categorical Programs as
specified in the attachments to this Agreement.
2. Period of Agreement
This Agreement will commence on the date of the Grantee's signature or October 1,
2021, whichever is later, and continue through September 30, 2022. Throughout the
Agreement, the date of the Grantee's signature or October 1, 2021, whichever is
later, shall be referred to as the start date. This Agreement is in full force and effect
for the period specified.
3. Program Budget and Agreement Amount
A. Agreement Amount
In accordance with Attachment IV - Funding/Reimbursement Matrix, the total
State budget and amount committed for this period for the program elements
covered by this Agreement is $11,430,410.00.
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B. Equipment Purchases and Title
Any Grantee equipment purchases supported in whole or in part through this
Agreement must be listed in the supporting Equipment Inventory Schedule
which should be attached to the Final Financial Status Report. Equipment
means tangible, non -expendable, personal property having a useful life of
more than one 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
Grantee upon acquisition. The Department reserves the right to retain or
transfer the title to all items of equipment having a unit acquisition cost of
$5,000 or more, to the extent that the Department's proportionate interest in
such equipment supports such retention or transfer of title.
C. Budget Transfers and Adjustments
1. Transfers between categories within any program element budget
supported in whole or in part by state/federal categorical sources of
funding shall be limited to increases in an expenditure budget category
by $10,000 or 15% whichever is greater. This transfer authority does
not authorize purchase of additional equipment items or new
subcontracts with state/federal categorical funds without prior written
approval of the Department.
2. Except as otherwise provided, any transfers or adjustments involving
state/federal categorical funds, other than those covered by C.1,
including any related adjustment to the total state amount of the budget,
must be made in writing through a formal amendment executed by all
parties to this Agreement in accordance with Section IX. A. of Part 2.
3. The CA and C.2 provisions authorizing transfers or changes in local
funds apply also to the Family Planning program, provided statewide
local maintenance of effort is not diminished in total.
Any statewide diminishing of total local effort for family planning and/or
any related funding penalty experienced by the Department shall be
recovered proportionately from each local Grantee that, during the
course of the Agreement period, chose to reduce or transfer local funds
from the Family Planning program.
4. Agreement Attachments
A. The following documents are attachments to this Agreement Part 1 and Part 2
- General Provisions, which are part of this Agreement:
1. Attachment I - Annual Budget
2. Attachment III -Program Specific Assurances and Requirements
3. Attachment IV - Funding/Reimbursement Matrix
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5.
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91
Statement of Work
The Grantee agrees to undertake, perform and complete the activities described in
Attachment III - Program Specific Assurances and Requirements and the other
applicable attachments to this Agreement which are part of this Agreement.
Financial Requirements
The financial requirements shall be followed as described in Part 2 and Attachment I -
Annual Budget and Attachment IV - Funding/Reimbursement Matrix, which are part of
this Agreement.
Performance/Progress Report Requirements
The progress reporting methods, as applicable, shall be followed as described in part
2 and Attachment III, Program Specific Assurances and Requirements, which are part
of this Agreement.
General Provisions
The Grantee agrees to comply with the General Provisions outlined in Part 2, which is
part of this Agreement.
Administration of the Agreement
The person acting for the Department in administering this Agreement (hereinafter
referred to as the Contract Consultant) is:
Name: Carissa Reece
Title: Department Analyst
E-Mail Address ReeceC@michigan.gov
The financial contact acting on behalf of the Grantee for this Agreement is:
TIFANNY KEYES-BOWIE
Name
KEYESBOW IET@OAKGOV.COM
E-Mail Address
Accountant
Title
(248) 858-0943
Telephone No.
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10. Special Conditions
A. This Agreement is valid upon approval and execution by the Department which
may be contingent upon approval by the State Administrative Board and
signature by the Grantee.
B. This Agreement is conditionally approved subject to and contingent upon
availability of funding and other applicable conditions.
C. Based on the availability of funding, the Department may specify the amount of
funding the Grantee may expend during a specific time period within the
Agreement Period.
D. The Department has the option to assume no responsibility or liability for costs
incurred by the Grantee prior to the start date of this Agreement.
E. The Grantee is required by 2004 PA 533 to receive payments by electronic
funds transfer.
11. Special Certification
The individual or officer signing this Agreement certifies by their signature that they
are authorized to sign this Agreement on behalf of the responsible governing board,
official or Grantee.
12. Signature Section
For Oakland County Department of Health and Human Services/ Health Division
Andrea Powers
Name
David T. Woodward
Name
Administrator
Title
Chairman, Board of County Commissioners
Title
For the Michigan Department of Health and Human Services
Christine H. Sanches 09/17/2021
Christine H. Sanches, Director Date
Bureau of Grants and Purchasing
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Part 2
General Provisions
I. Responsibilities -Grantee
The Grantee, in accordance with the general purposes and objectives of this
Agreement shall:
A. Publication Rights
1. Copyright materials only when the Grantee exclusively develops books,
films or other such copyrightable materials through activities supported
by this Agreement. The copyrighted materials cannot include recipient
information or personal identification data. Grantee provides the
Department a royalty -free, non-exclusive and irrevocable license to
reproduce, publish and use such materials copyrighted by the Grantee
and authorizes others to reproduce and use such materials.
2. Obtain prior written authorization from the Department's Office of
Communications for any materials copyrighted by the Grantee or
modifications bearing acknowledgment of the Department's name prior
to reproduction and use of such materials. The state of Michigan may
modify the material copyrighted by the Grantee and may combine it with
other copyrightable intellectual property to form a derivative work. The
state of Michigan will own and hold all copyright and other intellectual
property rights in any such derivative work, excluding any rights or
interest granted in this Agreement to the Grantee. If the Grantee ceases
to conduct business for any reason or ceases to support the
copyrightable materials developed under this Agreement, the state of
Michigan has the right to convert its licenses into transferable licenses
to the extent consistent with any applicable obligations the Grantee has.
3. Obtain written authorization, at least 14 days in advance, from the
Department's Office of Communications and give recognition to the
Department in any and all publications, papers and presentations
arising from the Agreement activities.
4. Notify the Department's Bureau of Grants and Purchasing 30 days
before applying to register a copyright with the U.S. Copyright Office.
The Grantee must submit an annual report for all copyrighted materials
developed by the Grantee through activities supported by this
Agreement and must submit a final invention statement and certification
within 60 days of the end of the Agreement period.
5. Not make any media releases related to this Agreement, without prior
written authorization from the Department's Office of Communications.
B. Fees
1. Guarantee that any claims made to the Department under this
Agreement shall not be financed by any sources other than the
Department under the terms of this Agreement. If funding is received
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through any other source, the Grantee agrees to budget the additional
source of funds and reflect the source of funding on the Financial Status
Report.
2. Make reasonable efforts to collect 1st and 3rd party fees, where
applicable, and report those collections on the Financial Status Report.
Any under recoveries of otherwise available fees resulting from failure to
bill for eligible activities will be excluded from reimbursable
expenditures.
C. Grant Program Operation
Provide the necessary administrative, professional and technical staff for
operation of the grant program. The Grantee must obtain and maintain all
necessary licenses, permits or other authorizations necessary for the
performance of this Agreement.
Use an accounting system that can identify and account for the funds received
from each separate grant, regardless of funding source, and assure that grant
funds are not commingled.
D. Reporting
Utilize all report forms and reporting formats required by the Department at the
start 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, The Grantee must assure that all
terms of the Agreement will be appropriately adhered to and that records and
detailed documentation for the grant project or grant program identified in this
Agreement will be maintained for a period of not less than four years from the
date of termination, the date of submission of the final expenditure report or
until litigation and audit findings have been resolved. This section applies to
the Grantee, any parent, affiliate, or subsidiary organization of the Grantee and
any subcontractor that performs activities in connection with this Agreement.
F. Authorized Access
1. Permit within 10 calendar days of providing notification and at
reasonable times, access by authorized representatives of the
Department, Federal Grantor Agency, Inspector Generals, Comptroller
General of the United States and State Auditor General, or any of their
duly authorized representatives, to records, papers, files, documentation
and personnel related to this Agreement, to the extent authorized by
applicable state or federal law, rule or regulation.
2. Acknowledge the rights of access in this section are not limited to the
required retention period. The rights of access will last as long as the
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records are retained.
3. Cooperate and provide reasonable assistance to authorized
representatives of the Department and others when those individuals
have access to the Grantee's grant records.
G. Audits
1. Single Audit
The Grantee must submit to the Department a Single Audit consistent
with the regulations set forth in Title 2 Code of Federal Regulations
(CFR) Part 200, Subpart F. The Single Audit reporting package must
include all components described in Title 2 Code of Federal
Regulations, Section 200.512 (c) including a Corrective Action Plan, and
management letter (if one is issued) with a response to the Department.
The Grantee must assure that the Schedule of Expenditures of Federal
Awards includes expenditures for all federally -funded grants.
2. Other Audits
The Department or federal agencies may also conduct or arrange for
agreed upon procedures or additional audits to meet their needs.
3. Due Date and Where to Send
The required audit and any other required submissions (i.e. corrective
action plan, and management letter with a corrective action plan),
and/or Audit Exemption Notice must be submitted to the Department
within nine months after the end of the Grantee's fiscal year by e-mail
at, MDHHS-AuditReports@michigan.gov. Single Audit reports must be
submitted simultaneously to the Department and Federal Audit
Clearinghouse, in accordance with 2 CFR 200.512(a), The required
submission must be assembled as one document in a PDF file and
compatible with Adobe Acrobat (read only). The subject line must
state the agency name and fiscal year end. The Department reserves
the right to request a hard copy of the audit materials if for any reason
the electronic submission process is not successful.
4. Penalty
a. Delinquent Single Audit or Financial Related Audit
If the Grantee does not submit the required Single Audit
reporting package, management letter (if one is issued) with a
response, and Corrective Action Plan within nine months after
the end of the Grantee'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
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withheld if the Grantee 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 Grantee 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 Exemption Notice
Failure to submit the Audit Exemption Notice, when required,
may result in withholding payment from Department to Grantee
an amount equal to one percent of the audit year's grant
funding until the Audit Exemption Notice is received.
H. Subrecipient/Contractor Monitoring
1. When passing federal funds through to a subrecipient (if the Agreement
does not prohibit the passing of federal funds through to a subrecipient),
the Grantee must:
a. Ensure that every subaward is clearly identified to the
subrecipient as a subaward and includes the information
required by 2 CFR 200.332.
b. Ensure the subrecipient complies with all the requirements of
this Agreement.
C. Evaluate each subrecipient's risk for noncompliance as required
by 2 CFR 200.332(b).
d. Monitor the activities of the subrecipient as necessary to ensure
that the subaward is used for authorized purposes, in
compliance with federal statutes, regulations and the terms and
conditions of the subawards; that subaward performance goals
are achieved; and that all monitoring requirements of 2 CFR
200.332(d) are met including reviewing financial and
programmatic reports, following up on corrective actions and
issuing management decisions for audit findings.
e. Verify that every subrecipient is audited as required by 2 CFR
200 Subpart F.
2. Develop a subrecipient monitoring plan that addresses the above
requirements and provides reasonable assurance that the subrecipient
administers federal awards in compliance with laws, regulations and the
provisions of this Agreement, 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.
3. Establish requirements to ensure compliance for for -profit subrecipients
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as required by 2 CFR 200.501(h), as applicable.
4. Ensure that transactions with subrecipients/contractors comply with
laws, regulations and provisions of contracts or grant agreements in
compliance with 2 CFR 200.501(h), as applicable.
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 activities, funding or compliance with
operational procedures.
J. Software Compliance
Ensure software compliance and compatibility with the Department's data
systems for activities 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 Grantee's business operations for processing data. All
information systems, electronic or hard copy, that contain state or federal data
must be protected from unauthorized access.
K. Human Subjects
Comply with Federal Policy for the Protection of Human Subjects, 45 CFR 46.
The Grantee agrees that prior to the initiation of the research, the Grantee will
submit Institutional Review Board (IRB) application material for 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 IRB for review and approval, or the IRB
application and approval materials for acceptance of the review of another
IRB. All such research must be approved by a federally assured IRB, but the
Department's IRB can only accept the review and approval of another
institution's IRB under a formally approved interdepartmental agreement. The
manner of the review will be agreed upon between the Department's IRB
Chairperson and the Grantee's authorized official.
L. Mandatory Disclosures
1. Disclose to the Department in writing within 14 days of receiving notice
of any litigation, investigation, arbitration or other proceeding
(collectively, "Proceeding") involving Grantee, a subcontractor or an
officer or director of Grantee or subcontractor that arises during the term
of this Agreement including:
a. All violations of federal and state criminal law involving fraud,
bribery, or gratuity violations potentially affecting the
Agreement.
b. A criminal Proceeding;
C. A parole or probation Proceeding;
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d. A Proceeding under the Sarbanes-Oxley Act;
e. A civil Proceeding involving:
1. A claim that might reasonably be expected to
adversely affect Grantee's viability or financial stability;
or
2. A governmental or public entity's claim or written
allegation of fraud; or
f- A Proceeding involving any license that the Grantee is required
to possess in order to perform under this Agreement.
2. Notify the Department, at least 90 calendar days before the effective
date, of a change in Grantee's ownership and/or executive
management.
M. Minimum Program Requirements
Comply with Minimum Program Requirements established in accordance with
Section 2472.3 of 1978 PA 368 as amended, MCL 333.2472 (3), MSA 14.15
(2472.3), for each applicable program element funded under this Agreement.
N. Annual Budget and Plan Submission
Submit an Annual Budget and Plan request to the Department, in accordance
with instructions established by the Department, to serve as the basis for
completion of specific details for Attachments 1, III, and IV of this Agreement
via Grantee/Department negotiated amendment(s). Failure to submit a
complete Annual Budget and Plan by the due date through MI E-Grants will
result in the deferral of Department payments until these documents are
submitted.
O. Maintenance of Effort
Comply with maintenance of effort requirements for Essential Local Public
Health Services (ELPHS), as defined in the current Department appropriation
act, and Family Planning in accordance with federal requirements, except as
noted in Section 3.C.3 of Part I.
P. Accreditation
1. Comply with the local public health accreditation standards and follow
the accreditation process and schedule established by the Department
to achieve full accreditation status.
a. Failure to meet all accreditation requirements or implement
corrective plans of action within the prescribed time period will
result in the status of "Not Accredited." Grantees designated as
"Not Accredited" may have their Department allocations
reduced for costs incurred in the assurance of service delivery.
b. Submit a written request for inquiry to the Department should
the Grantee disagree with on -site review findings or their
accreditation status. The request must identify the
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disagreement and resolution sought. The inquiry participants
will be comprised of Grantee staff, Department staff, the
Accreditation Commission Chair, and the Accreditation
Coordinator as needed. Participants will clarify facts, verify
information and seek resolution.
2. Consent Agreements/Administrative Compliance
Orders/Administrative Hearings for "Not Accredited" Grantees:
a. If designated as "Not Accredited", the Grantee will receive a
Consent Agreement Package from the Department. Grantees
and their local governing entities shall be given 75 days to
review the package, meet with the Department, and sign and
return the Consent Agreement.
b. Fulfillment of the terms and conditions of the Consent
Agreement will not affect accreditation status, but impacts the
Grantees' ability to fulfill its contractual obligations under the
Local Health Department Grant Agreement. Grantees
designated as "Not Accredited", will retain this designation until
the subsequent accreditation cycle.
C. Failure to fulfill the terms and conditions of the Consent
Agreement within the prescribed time period will result in the
issuance of an Administrative Compliance Order by the
Department.
d. Within 60 working days after receipt of an Administrative
Compliance Order and proposed compliance period, a local
governing entity may petition the Department for an
administrative hearing. If the local governing entity does not
petition the Department for a hearing within 60 days after
receipt of an Administrative Compliance Order, the order and
proposed compliance date shall be final. After a hearing, the
Department may reaffirm, modify, or revoke the order or modify
the time permitted for compliance.
e. If the local governing entity fails to correct a deficiency for which
a final order has been issued within the period permitted for
compliance, the Department may petition the appropriate circuit
court for a writ of mandamus to compel correction.
O. Medicaid Outreach Activities Reimbursement
Report allowable costs and request reimbursement for the Medicaid Outreach
activities it provides in accordance with 2 CFR, Part 200 and the requirements
in Medicaid Bulletin number: MSA 05-29.
Submit a Cost Allocation Plan Certification to the Department to bill for the
Medicaid Outreach Activities. The Cost Allocation Plan Certification is valid
until a change is made to the cost allocation plan or the Department
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determines it is invalid,
Submit quarterly FSRs for the Medicaid Outreach activities and an annual FSR
for the Children with Special Health Care Services Medicaid Outreach
activities in accordance with the instructions contained in Attachment I.
In accordance with the Medicaid Bulletin, MSA 05-29, agree to target Medicaid
outreach effort toward Department established priorities. For fiscal year 2021,
the Department priorities are: lead testing, outreach and enrollment for the
Family Planning waiver, and outreach for pregnant women, mothers and
infants for the Maternal and Infant Health Program. The Grantee will submit a
report using the MDHHS Local Health Department Medicaid Outreach form
describing their outreach activities targeting the priorities 30 days after the end
of a fiscal year quarter and at the same time as the final FSR is due to the
Department. The Local Health Department Medicaid Outreach reports are to
be sent through MI E-Grants as an attachment report to the Financial Status
Report,
R. Conflict of Interest and Code of Conduct Standards
1. Be subject to the provisions of 1968 PA 317, as amended, 1973 PA
196, as amended, and 2 CFR 200.318 (c)(1) and (2).
2. Uphold high ethical standards and be prohibited from the following:
a. Holding or acquiring an interest that would conflict with this
Agreement;
b. Doing anything that creates an appearance of impropriety with
respect to the award or performance of this Agreement;
C. Attempting to influence or appearing to influence any state
employee by the direct or indirect offer of anything of value; or
d. Paying or agreeing to pay any person, other than employees
and consultants working for Grantee, any consideration
contingent upon the award of this Agreement.
3. Immediately notify the Department of any violation or potential violation
of these standards. This section applies to Grantee, any parent, affiliate
or subsidiary organization of Grantee, and any subcontractor that
performs activities in connection with this Agreement.
S. Travel Costs
1. Be reimbursed for travel cost (including mileage, meals, and lodging)
budgeted and incurred related to services provided under this
Agreement.
a. If the Grantee has a documented policy related to travel
reimbursement for employees and if the Grantee follows that
documented policy, the Department will reimburse the Grantee
for travel costs at the Grantee's documented reimbursement
rate for employees. Otherwise, the State of Michigan travel
reimbursement rate applies -
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b. State of Michigan travel rates may be found at the following
website: https://www.michigan.gov/dtmb/0,5552,7-358-
82548131 32---,00. htm I.
C. International travel must be preapproved by the Department
and itemized in the budget.
T. Insurance Requirements
1. Maintain at least a minimum of the insurances or governmental self -
insurances listed below and be responsible for all deductibles. All
required insurance or self-insurance must:
a. Protect the state of Michigan from claims that may arise out of,
are alleged to arise out of, or result from Grantee's or a
subcontractor's performance;
b. Be primary and non-contributing to any comparable liability
insurance (including self-insurance) carried by the state; and
C. Be provided by a company with an A.M. Best rating of "A-" or
better and a financial size of VII or better.
2. Insurance Types
a. Commercial General Liability Insurance or Governmental Self -
Insurance: Except for Governmental Self -Insurance, policies
must be endorsed to add "the state of Michigan, its
departments, divisions, agencies, offices, commissions,
officers, employees, and agents" as additional insureds using
endorsement CG 20 10 11 85, or both CG 2010 12 19 and CG
2037 12 19.
If the Grantee will interact with children, schools, or the
cognitively impaired, the Grantee must maintain appropriate
insurance coverage related to sexual abuse and molestation
liability.
b. Workers' Compensation Insurance or Governmental Self -
Insurance: Coverage according to applicable laws governing
work activities. Policies must include waiver of subrogation,
except where waiver is prohibited by law.
C. Employers Liability Insurance or Governmental Self -Insurance
d. Privacy and Security Liability (Cyber Liability) Insurance: cover
information security and privacy liability, privacy notification
costs, regulatory defense and penalties, and website media
content liability.
3. Require that subcontractors maintain the required insurances contained
in this Section.
4. This Section is not intended to and is not to be construed in any manner
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as waiving, restricting or limiting the liability of the Grantee from any
obligations under this Agreement.
5. Each Party must promptly notify the other Party of any knowledge
regarding an occurrence which the notifying Party reasonably believes
may result in a claim against either Party. The Parties must cooperate
with each other regarding such claim.
U. Fiscal Questionnaire
1. Complete and upload the yearly fiscal questionnaire to the EGrAMS
agency profile within three months of the start of the Agreement.
2. The fiscal questionnaire template can be found in EGrAMS documents.
V. Criminal Background Check
1. Conduct or cause to be conducted a search that reveals information
similar or substantially similar to information found on an Internet
Criminal History Access Tool (ICHAT) check and a national and state
sex offender registry check for each new employee, employee,
subcontractor, subcontractor employee, or volunteer who under this
Agreement works directly with clients or has access to client
information.
a. (CHAT: http://apps.michigan.gov/ichat
b. Michigan Public Sex Offender Registry:
http://www.mipsor.state.mi.us
C. National Sex Offender Registry: http://www.nsopw.gov
2. Conduct or cause to be conducted a Central Registry (CR) check for
each employee, subcontractor, subcontractor employee, or volunteer
who, under this Agreement works directly with children.
a. Central Registry: https://www.michigan.gov/mdhhs/0,5885,7-
339-73971 7119 50648 48330-180331--,00.html
3. Require each new employee, employee, subcontractor, subcontractor
employee or volunteer who, under this Agreement, works directly with
clients or who has access to client information to notify the Grantee in
writing of criminal convictions (felony or misdemeanor), pending felony
charges, or placement on the Central Registry as a perpetrator, at hire
or within 10 days of the event after hiring-
4. Determine whether to prohibit any employee, subcontractor,
subcontractor employee, or volunteer from performing work directly with
clients or accessing client information related to clients under this
Agreement, based on the results of a positive ICHAT response or
reported criminal felony conviction or perpetrator identification.
5. Determine whether to prohibit any employee, subcontractor,
subcontractor employee or volunteer from performing work directly with
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children under this Agreement, based on the results of a positive CR
response or reported perpetrator identification.
6. Require any employee, subcontractor, subcontractor employee or
volunteer who may have access to any databases of information
maintained by the federal government that contain confidential or
personal information, including but not limited to federal tax information,
to have a fingerprint background check performed by the Michigan State
Police.
II. Responsibilities - Department
The Department in accordance with the general purposes and objectives of this
Agreement will:
A. Reimbursement
Provide reimbursement in accordance with the terms and conditions of this
Agreement based upon appropriate reports, records, and documentation
maintained by the Grantee.
B. Report Forms
Provide any report forms and reporting formats required by the Department at
the start date of this Agreement, and provide to the Grantee any new report
forms and reporting formats proposed for issuance thereafter at least 90 days
prior to their required usage in order to afford the Grantee an opportunity to
review.
C. Notification of Modifications
Notify the Grantee in writing of modifications to federal or state laws, rules and
regulations affecting this Agreement.
D. Identification of Laws
Identify for the Grantee relevant laws, rules, regulations, policies, procedures,
guidelines and state and federal manuals, and provide the Grantee with copies
of these documents to the extent they are not otherwise available to the
Grantee.
E. Modification of Funding
Notify the Grantee in writing within 30 calendar days of becoming aware of the
need for any modifications in Agreement funding commitments made
necessary by action of the federal government, the governor, the legislature or
the Department of Technology Management and Budget on behalf of the
governor or the legislature. Implementation of the modifications will be
determined jointly by the Grantee and the Department.
F. Monitor Compliance
Monitor compliance with all applicable provisions contained in federal grant
awards and their attendant rules, regulations and requirements pertaining to
program elements covered by this Agreement.
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G. Technical Assistance
Make technical assistance available to the Grantee for the implementation of
this Agreement.
H. Accreditation
Adhere to the accreditation requirements including the process for "Not
Accredited" Grantees. The process includes developing and monitoring
consent agreements, issuing and monitoring administrative compliance orders,
participating in administrative hearings and petitioning appropriate circuit
courts.
I. Medicaid Outreach Activities Reimbursement
Agrees to reimburse the Grantee for all allowable Medicaid Outreach activities
that meet the standards of the Medicaid Bulletin: MSA 05-29 including the cost
allocation plan certification and that are billed in accordance with the
requirements in Attachment I.
In accordance with the Medicaid Bulletin, MSA 05-29, the Department will
identify each fiscal year the Medicaid Outreach priorities and establish a
reporting requirement for the Grantee.
III. Assurances
The following assurances are hereby given to the Department:
A. Compliance with Applicable Laws
The Grantee will comply with applicable federal and state laws, guidelines,
rules and regulations in carrying out the terms of this Agreement. The Grantee
will also comply with all applicable general administrative requirements, such
as 2 CFR 200, covering cost principles, grant/agreement principles and audits,
in carrying out the terms of this Agreement. The Grantee will comply with all
applicable requirements in the original grant awarded to the Department if the
Grantee is a subgrantee. The Department may determine that the Grantee has
not complied with applicable federal or state laws, guidelines, rules and
regulations in carrying out the terms of this Agreement and may then terminate
this Agreement under Part 2, Section V.
B. Anti -Lobbying Act
The Grantee will comply with the Anti -Lobbying Act (31 U.S.C. 1352) as
revised by the Lobbying Disclosure Act of 1995 (2 U.S.C. 1601 et seq.),
Federal Acquisition Regulations 52.203.11 and 52.203.12, and Section 503 of
the Departments of Labor, Health & Human Services and Education, and
Related Agencies section of the current FY Omnibus Consolidated
Appropriations Act. Further, the Grantee 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.
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C. Non -Discrimination
1. The Grantee must comply with the Department's non-discrimination
statement: The Michigan Department of Health and Human Services will
not discriminate against any individual or group because of race, sex,
religion, age, national origin, color, height, weight, marital status, gender
identification or expression, sexual orientation, partisan considerations,
or a disability or genetic information that is unrelated to the person's
ability to perform the duties of a particular job or position, The Grantee
further agrees that every subcontract entered into for the performance
of any contract or purchase order resulting therefrom, will contain a
provision requiring non-discrimination in employment, activity delivery
and access, as herein specified, binding upon each subcontractor. This
covenant is required pursuant to the Elliot -Larsen Civil Rights Act (1976
PA 453, as amended; MCL 37.2101 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
this Agreement.
2. The Grantee will comply with all federal statutes relating to
nondiscrimination. These include but are not limited to:
a. Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which
prohibits discrimination based on race, color or national origin;
b. Title IX of the Education Amendments of 1972, as amended (20
U.S,C. 1681-1683, 1685-1686), which prohibits discrimination
based on sex;
C. Section 504 of the Rehabilitation Act of 1973, as amended (29
U.S.C. 794), which prohibits discrimination based on
disabilities;
d. The Age Discrimination Act of 1975, as amended (42 U.S.C.
6101-6107), which prohibits discrimination based on age;
e. The Drug Abuse Office and Treatment Act of 1972 (P.L. 92-
255), as amended, relating to nondiscrimination based on drug
abuse;
f. The Comprehensive Alcohol Abuse and Alcoholism Prevention,
Treatment and Rehabilitation Act of 1970 (P.L. 91-616) as
amended, relating to nondiscrimination based on alcohol abuse
or alcoholism;
g. Sections 523 and 527 of the Public Health Service Act of 1944
(42 U.S.C. 290dd-2), as amended, relating to confidentiality of
alcohol and drug abuse patient records;
h. Any other nondiscrimination provisions in the specific statute(s)
under which application for federal assistance is being made;
and,
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i. The requirements of any other nondiscrimination statute(s)
which may apply to the application.
3. 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 disabilities in contract solicitations. The Grantee shall
include language in all contracts awarded under this Agreement which
(1) prohibits discrimination against minority -owned and women -owned
businesses and businesses owned by persons with disabilities in
subcontracting; and (2) makes discrimination a material breach of
contract.
D. Debarment and Suspension
The Grantee will comply with federal regulation 2 CFR 180 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 five-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) or
private 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, tax evasion, receiving stolen property, making false claims,
or obstruction of justice;
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,
4. Have not within a five-year period preceding this Agreement had one or
more public transactions (federal, state or local) terminated for cause or
default; and
5. Have not committed an act of so serious or compelling a nature that it
affects the Grantee's present responsibilities.
E. Federal Requirement: Pro -Children Act
1. The Grantee will comply with the Pro -Children Act of 1994 (P.L. 103-
227; 20 U.S.C. 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 activities, education or library
activities to children under the age of 18, if the activities are funded by
federal programs either directly or through state or local governments,
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by federal grant, contract, loan or loan guarantee. The law also applies
to children's activities that are provided in indoor facilities that are
constructed, operated, or maintained with such federal funds. The law
does not apply to children's activities provided in private residences;
portions of facilities used for inpatient drug or alcohol treatment; activity
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 Grantee also assures that this
language will be included in any subawards which contain provisions for
children's activities.
2. The Grantee also assures, in addition to compliance with P.L. 103-227,
any 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 Grantee. If activities are delivered in facilities or areas that
are not under the control of the Grantee (e.g., a mall, restaurant or
private work site), the activities shall be smoke -free.
F. Hatch Act and Intergovernmental Personnel Act
The Grantee will comply with the Hatch Act (5 U.S.C. 1501-1508, 5 U.S.C.
7321-7326), and the Intergovernmental Personnel Act of 1970 (P.L. 91-648)
as amended by Title VI of the Civil Service Reform Act of 1978 (P.L. 95-454).
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. Employee Whistleblower Protections
The Grantee will comply with 41 U.S.C. 4712 and shall insert this clause in all
subcontracts.
H. Clean Air Act and Federal Water Pollution Control Act
The Grantee will comply with the Clean Air Act (42 U.S.C. 7401-7671(q)) and
the Federal Water Pollution Control Act (33 U.S.C. 1251-1387), as amended.
1. This Agreement and anyone working on this Agreement will be subject
to the Clean Air Act and Federal Water Pollution Control Act and must
comply with all applicable standards, orders or regulations issued
pursuant to these Acts. Violations must be reported to the Department.
I. Victims of Trafficking and Violence Protection Act
The Grantee will comply with the Victims of Trafficking and Violence Protection
Act of 2000 (P.L. 106-386), as amended.
1. This Agreement and anyone working on this Agreement will be subject
to P.L. 106-386 and must comply with all applicable standards, orders
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or regulations issued pursuant to this Act. Violations must be reported to
the Department.
J. Procurement of Recovered Materials
The Grantee will comply with section 6002 of the Solid Waste Disposal Act of
1965 (P.L. 89-272), as amended.
1. This Agreement and anyone working on this Agreement will be subject
to section 6002 of P.L. 89-272, as amended, and must comply with all
applicable standards, orders or regulations issued pursuant to this act.
Violations must be reported to the Department.
K. Subcontracts
For any subcontracted activity or product, the Grantee will ensure:
1. That a written subcontract is executed by all affected parties prior to the
initiation of any new subcontract activity or delivery of any
subcontracted product. Exceptions to this policy may be granted by the
Department if the Grantee asks the Department in writing 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 Grantee the
same or substantially the same rights and privileges as the
Department; or
C. Requires the subcontractor to perform duties and services in
less time than that afforded the Grantee in this Agreement.
3. That the subcontract does not affect the Grantee'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 Grantee will submit a copy of the executed subcontract if
requested by the Department-
6. That subcontracts in support of programs or elements utilizing funds
provided by the Department, the State of Michigan or the federal
government in excess of $10,000 shall contain provisions or conditions
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that will:
a. Allow the Grantee or Department to seek administrative,
contractual or legal remedies in instances in which the
subcontractor violates or breaches contract terms, and provide
for such remedial action as may be appropriate.
b. Provide for termination by the Grantee, including the manner by
which termination will be effected and the basis for settlement.
7. That all subcontracts in support of programs or elements utilizing funds
provided by the Department, the State of Michigan or the federal
government of amounts in excess of $100,000 shall contain a provision
that requires compliance with all applicable standards, orders or
regulations issued pursuant to the Clean Air Act of 1970 (42 USC
1857(h)), Section 508 of the Clean Water Act (33 U.S.C. 1368),
Executive Order 11738 and Environmental Protection Agency
regulations (40 CFR Part 15).
8. That all subcontracts and subgrants in support of programs or elements
utilizing funds provided by the Department, the State of Michigan or the
federal government in excess of $2,000 for construction or repair,
awarded by the Grantee shall include a provision:
a. For compliance with the Copeland "Anti -Kickback" Act (18
U.S.C. 874) as supplemented in Department of Labor
regulations (29 CFR, Part 3).
b. For compliance with the Davis -Bacon Act (40 U.S.C. 276a to a-
7) and as supplemented by Department of Labor regulations
(29 CFR, Part 5) (if required by Federal Program Legislation).
C. For compliance with Section 103 and 107 of the Contract Work
Hours and Safety Standards Act (40 U,S.C. 327-330) as
supplemented by Department of Labor regulations (29 CFR,
Part 5). This provision also applies to all other contracts in
excess of $2,500 that involve the employment of mechanics or
laborers.
L. Procurement
Grantee will ensure that all purchase transactions, whether negotiated or
advertised, shall be conducted openly and competitively in accordance with
the principles and requirements of 2 CFR 200. Funding from this Agreement
shall not be used for the purchase of foreign goods or services or both.
Records shall be sufficient to document the significant history of all purchases
and shall be maintained for a minimum of four years after the end of the
Agreement period.
M. Health Insurance Portability and Accountability Act
To the extent that the Health Insurance Portability and Accountability Act
(HIPAA) is applicable to the Grantee under this Agreement, the Grantee
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assures that it is in compliance with requirements of HIPAA including the
following:
1. The Grantee must not share any protected health information provided
by the Department that is covered by HIPAA except as permitted or
required by applicable law; or to a subcontractor as appropriate under
this Agreement.
2. The Grantee will ensure that any subcontractor will have the same
obligations as the Grantee 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 Grantee must only use the protected health data and information
for the purposes of this Agreement.
4. The Grantee 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 Grantee's employees.
5. The Grantee must have a policy and procedure to immediately report to
the Department any suspected or confirmed unauthorized use or
disclosure of protected health information that falls under the HIPAA
requirements of which the Grantee becomes aware. The Grantee will
work with the Department to mitigate the breach and will provide
assurances to the Department of corrective actions to prevent further
unauthorized uses or disclosures. The Department may demand
specific corrective actions and assurances and the Grantee must
provide the same to the Department.
6. Failure to comply with any of these contractual requirements may result
in the termination of this Agreement in accordance with Part 2, Section
V.
7. In accordance with HIPAA requirements, the Grantee is liable for any
claim, loss or damage relating to unauthorized use or disclosure of
protected health data and information, including without limitation the
Department's costs in responding to a breach, received by the Grantee
from the Department or any other source.
8. The Grantee will enter into a business associate agreement should the
Department determine such an agreement is required under HIPAA.
W Home Health Services
If the Grantee provides Home Health Services (as defined in Medicare Part B),
the following requirements apply:
1. The Grantee shall not use State ELPHS or categorical grant funds
provided under this Agreement to unfairly compete for home health
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services available from private providers of the same type of services in
the Grantee's service area.
2. For purposes of this Agreement, the term "unfair competition" shall be
defined as offering of home health services at fees substantially less
than those generally charged by private providers of the same type of
services in the Grantee's area, except as allowed under Medicare
customary charge regulations involving sliding fee scale discounts for
low-income clients based upon their ability to pay.
3. If the Department finds that the Grantee is not in compliance with its
assurance not to use state ELPHS and categorical grant funds to
unfairly compete, the Department shall follow the procedure required for
failure by local health departments to adequately provide required
services set forth in Sections 2497 and 2498 of 1978 PA 368 as
amended (Public Health Code), MCL 333.2497 and 2498, MSA 14.15
(2497) and (2498).
O. Website Incorporation
The Department is not bound by any content on Grantee's website or other
internet communication platforms or technologies, unless expressly
incorporated directly into this Agreement. The Department is not bound by any
end user license agreement or terms of use unless specifically incorporated in
this Agreement or any other agreement signed by the Department. The
Grantee may not refer to the Department on the Grantee's website or other
internet communication platforms or technologies without the prior written
approval of the Department.
P. Survival
The provisions of this Agreement that impose continuing obligations will
survive the expiration or termination of this Agreement.
Q. Non -Disclosure of Confidential Information
The Grantee agrees that it will use confidential information solely for the
purpose of this Agreement. The Grantee agrees to hold all confidential
information in strict confidence and not to copy, reproduce, sell, transfer
or otherwise dispose of, give or disclose such confidential information to
third parties other than employees, agents, or subcontractors of a party
who have a need to know in connection with this Agreement or to use
such confidential information for any purpose whatsoever other than the
performance of this Agreement. The Grantee must take all reasonable
precautions to safeguard the confidential information. These
precautions must be at least as great as the precautions the Grantee
takes to protect its own confidential or proprietary information.
2. Meaning of Confidential Information
For the purpose of this Agreement the term "confidential information"
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means all information and documentation that:
a. Has been marked "confidential" or with words of similar
meaning, at the time of disclosure by such party;
b. If disclosed orally or not marked "confidential" or with words of
similar meaning, was subsequently summarized in writing by
the disclosing party and marked "confidential" or with words of
similar meaning;
C. Should reasonably be recognized as confidential information of
the disclosing party;
d. Is unpublished or not available to the general public; or
e. Is designated by law as confidential.
3. The term "confidential information" does not include any information or
documentation that was:
a. Subject to disclosure under the Michigan Freedom of
Information Act (FOIA);
b. Already in the possession of the receiving party without an
obligation of confidentiality;
C. Developed independently by the receiving party, as
demonstrated by the receiving party, without violating the
disclosing party's proprietary rights;
d. Obtained from a source other than the disclosing party without
an obligation of confidentiality; or
e. Publicly available when received or thereafter became publicly
available (other than through an unauthorized disclosure by,
through or on behalf of, the receiving party).
4. The Grantee must notify the Department within one business day after
discovering any unauthorized use or disclosure of confidential
information. The Grantee will cooperate with the Department in every
way possible to regain possession of the confidential information and
prevent further unauthorized use or disclosure.
R. Cap on Salaries
None of the funds awarded to the Grantee through this Agreement shall be
used to pay, either through a grant or other external mechanism, the salary of
an individual at a rate in excess of Executive Level II. The current rates of pay
for the Executive Schedule are located on the United States Office of
Personnel Management web site, http://www.opm.gov, by navigating to Policy
— Pay & Leave — Salaries & Wages. The salary rate limitation does not
restrict the salary that a Grantee may pay an individual under its employment;
rather, it merely limits the portion of that salary that may be paid with funds
from this Agreement.
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IV. Financial Requirements
A. Operating Advance
Under the pre -payment reimbursement method, no additional operating
advances will be issued.
B. Payment Method
1. Prepayments
a. The Department will make monthly prepayments equal to
1/12th of the Agreement amount for each non -fee -for -service
program contained in Attachment IV of this Agreement. One
single payment covering all non -fee -for -service programs will
be made within the first week of each month- The Grantee
can view their monthly prepayment within the MI E-Grants
system.
b. Prepayments for the months of October thru January will be
based upon the initial Agreement amounts in Attachment IV.
Subsequent monthly prepayments may be adjusted based upon
Agreement amendments or Grantee adjustment requests.
C. If the sum of the prepayments does not equal at least 90% of
the Grantee's expenditures for a quarter of the contract period,
the Grantee may submit documentation for an adjustment to the
monthly prepayment amount via the following process:
i. Submit a written request for the adjustment to the
Department's Accounting Expenditure Operations Division.
ii. The adjustment request must be itemized by program and
must list the amount received from the Department, the
expenditure amount reported per the quarterly Financial
Status Report (FSR), and the difference. The amount
received from the Department and the expenditures must
be for the same reporting quarterly FSR period.
iii. The Department will review the requests and if an
adjustment is approved, it will be included in the next
scheduled monthly prepayment.
iv. Adjustment requests will not be accepted prior to
submission of the FSR for the quarter ending December
31. No adjustments will be made prior to the February
monthly prepayment.
v. The ability of the Department to approve adjustments may
be limited by the quarterly allotments of spending authority
in the Department's appropriation account mandated by
the Office of the State Budget Director. The quarterly
allotment limits the amount of each account (program) that
Date 0911712021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page: 25 of 179
Health Division, Local Health Department - 2022
the Department may expend during each fiscal quarter.
2. Fixed Fee Reimbursement
a. Quarterly reimbursement for fixed fee projects is based on
Attachment IV and approved quarterly Financial Status Reports.
C. Financial Status Report Submission
1. The Grantee shall electronically prepare and submit FSRs to the
Department via the EGrAMS website (http://egrams-mi.com/mdhhs).
A Financial Status Report (FSR) must be submitted on a quarterly basis
no later than 30 days after the close of the calendar quarter for all
programs listed on Attachment IV and fee for services project budgeted.
Failure to meet financial reporting responsibilities as identified in this
Agreement may result in withholding future payments.
2. FSR's must report total actual program expenditures regardless of the
source of funds. The Department will reimburse the Grantee for
expenditures in accordance with the terms and conditions of this
Agreement. Failure to comply with the reporting due dates will result in
the deferral of the Grantee's monthly prepayment.
3. The Grantee representative who submits the FSR is certifying to the
best of their knowledge and belief that the report is true, complete and
accurate and the expenditures, disbursements, and cash receipts are
for the purposes and objectives set forth in the terms and conditions of
this Agreement. The individual submitting the FSR should be aware
that any false, fictitious, or fraudulent information, or the omission of any
material facts, may subject them to criminal, civil or administrative
penalties for fraud, false statements, false claims or otherwise.
4. The instructions for completing the FSR form are available on the
website http://egrams-mi.com/deh. Send FSR questions to
FSRMDHHS@michigan.gov.
D. Reimbursement Method
The Grantee will be reimbursed in accordance with the reimbursement
methods for applicable program elements described as follows:
1. Performance Reimbursement - A reimbursement method by which
Grantees are reimbursed based upon the understanding that a certain
level of performance (measured by outputs) must be met in order to
receive full reimbursement of costs (net of program income and other
earmarked sources) up to the contracted amount of state funds. Any
local funds used to support program elements operated under such
provisions of this Agreement may be transferred by the Grantee within,
among, to or from the affected elements without Department approval,
subject to applicable provisions of Sections 3.B. and 3.C.3 of Part 1. If
Date09/1712021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page 26 of 179
Health Division, Local Health Department - 2022
Grantee's performance falls short of the expectation by a factor greater
than the allowed minimum performance percentage, the state
maximum allocation will be reduced equivalent to actual performance
In relation to the minimum performance.
2. Actual Cost Reimbursement - A reimbursement method by which
Grantees are reimbursed based upon the understanding that state
dollars will be paid up to total costs in relation to the state's share of
the total costs and up to the total state allocation as agreed to in the
approved budget. This reimbursement approach is not directly
dependent upon whether a specified level of performance is met by the
local health department. Department funding under this
reimbursement method is allocable *as a source before any local
funding requirement unless a specific local match condition exists.
3. Fixed Unit Rate Reimbursement - A reimbursement method by which
Grantee is reimbursed a specific amount for each output actually
delivered and reported.
4. Essential Local Public Health Services (ELPHS) - A reimbursement
method by which Grantees are reimbursed a share of reasonable and
allowable costs incurred for required services, as noted in the current
Appropriations Act.
E. Reimbursement Mechanism
All Grantees must sign up through the on-line vendor registration process to
receive all State of Michigan payments as Electronic Funds Transfers
(EFT)/Direct Deposits. Vendor registration information is available through
the Department of Technology, Management and Budget's web site:
http://www.michigan.gov/sigmayss
F. Unobligated Funds
Any unobligated balance of funds held by the Grantee at the end of the
Agreement period will be returned to the Department or treated in accordance
with instructions provided by the Department.
G. Final Obligation Reporting Requirements
An Obligation Report, based on annual guidelines, must be submitted by the
due date using the format provided by the Department through MI E-Grants.
The Grantee must provide, by program, an estimate of total expenditures for
the entire Agreement period (October 1 through September 30). This report
must represent the Grantee's best estimate of total program expenditures for
the Agreement period. The information on the report will be used to record the
Department's year-end accounts payables and receivables by program for this
Agreement. The report assists the Department in reserving sufficient funding
to reimburse the final expenditures that will be reported on the Final FSR
Date09/17/2021 Contrart # 20220358-00, Oakland County Department of Health and Human Services/ Page: 27 of 179
Health Division, Local Health Department - 2022
without materially overstating or understating the year-end obligations for this
Agreement. The Department compares the total estimated expenditures from
this report to the total amount reimbursed to the Grantee in the monthly
prepayments and quarterly fee -for -service payments to establish accounts
payable and accounts receivable entries at fiscal year-end. The Department
recognizes that based upon payment adjustments and timing of Agreement
amendments, the Grantee may owe the Department funding for overpayment
of a program and may be due funds from the Department for underpayment of
a program at fiscal year-end.
Within 60 days after the Agreement fiscal year-end, the Grantee must liquidate
any unpaid year-end commitments and obligations. Any obligation remaining
unliquidated after 60 days from the end of the Agreement period shall revert to
the Department for disposition in accordance with applicable state and/or
federal requirements, except as specifically authorized in writing by the
Department.
H. Final Financial Status Reporting Requirements
Final FSRs are due on the following dates following the Agreement period
end date:
Project Final FSR Due Date
Public Health Emergency Preparedness 11/15/2022
All Remaining Projects 11/30/2022
Upon receipt of the final FSR electronically through MI E-Grants, the
Department will determine by program, if funds are owed to the Grantee or if
the Grantee owes funds to the Department. If funds are owed to the Grantee,
payment will be processed. However, if the Grantee underestimated their
year-end obligations in the Obligation Report as compared to the final FSR
and the total reimbursement requested does not exceed the Agreement
amount that is due to the Grantee, the Department will make every effort to
process full reimbursement to the Grantee per the final FSR. Final payment
may be delayed pending final disposition of the Department's year-end
obligations.
If funds are owed to the Department, it will generally not be necessary for
Grantee to send in a payment. Instead, the Department will make the
necessary entries to offset other payments and as a result the Grantee will
receive a net monthly prepayment. When this does occur, clarifying
documentation will be provided to the Grantee by the Department's Bureau of
Finance and Accounting.
I. Penalties for Reporting Noncompliance
For failure to submit the final total Grantee FSR report by November 30,
through MI E-Grants after the Agreement period end date, the Grantee may be
penalized with a one-time reduction in their current ELPHS allocation for
noncompliance with the fiscal year-end reporting deadlines. Any penalty funds
Date 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page 28 of 179
Health Dimsion. Local Health Department -2022
will be reallocated to other Local Health Department Grantees. Reductions will
be one-time only and will not carryforward to the next fiscal year as an ongoing
reduction to a Grantee's ELPHS allocation. Penalties will be assessed based
upon the submitted date in MI E-Grants:
ELPHS Penalties for Noncompliance with Reporting Requirements:
1. 1 % - 1 day to 30 days late;
2. 2% - 31 days to 60 days late,
3. 3% - over 60 days late with a maximum of 3% reduction in the
Grantee's ELPHS allocation.
J. Indirect Costs and Cost Allocations/Distribution Plans
The Grantee is allowed to use approved federal indirect rate, 10% de minimis
indirect rate or cost allocation/distribution plans in their budget calculations.
1. Costs must be consistently charged as indirect, direct or cost allocated,
but may not be double charged or inconsistently charged.
2. If the Grantee does not have an existing approved federal indirect rate,
they may use a 10% de minimis rate in accordance with Title 2 Code of
Federal Regulations (CFR) Part 200 to recover their indirect costs.
3. Grantees using the cost allocation/distribution method must develop
certified plan in accordance with the requirements described in Title 2
CFR, Part 200 which includes detailed budget narratives and is retained
by the Grantee and subject to Department review.
4. There must be a documented, well-defined rationale and audit trail for
any cost distribution or allocation based upon Title 2 CFR, Part 200
Cost Principles and subject to Department review.
V. Agreement Termination
This Agreement may be terminated without further liability or penalty to the
Department for any of the following reasons:
A. By either party by giving 30 days written notice to the other party stating the
reasons for termination and the effective date.
B. By either party with 30 days 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 30-day period.
C. Immediately if the Grantee or an official of the Grantee or an owner is
convicted of any activity referenced in Part 2 Section III. D. of this Agreement
during the term of this Agreement or any extension thereof.
Further, this Agreement may be terminated or modified immediately upon a finding by
the Department in accordance with MCL 333.2235 that the Grantee local health
department for the delivery of public health services under this Agreement is unable or
unwilling to provide any or all of the services as provided in this Agreement, and the
Department may redirect funds as necessary to ensure that the public health services
Date. 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Servicesl Page: 29 of 179
Health Division, Local Health Department - 2022
are provided within the Grantee's jurisdiction.
VI. Stop Work Order
The Department may suspend any or all activities under this Agreement at any time.
The Department will provide the Grantee with a written stop work order detailing the
suspension. Grantee must comply with the stop work order upon receipt. The
Department will not pay for activities, Grantee's incurred expenses or financial losses,
or any additional compensation during a stop work period.
VII. Final Reporting upon Termination
Should this Agreement be terminated by either party, within 30 days after the
termination, the Grantee 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 Grantee for allowable reimbursable costs not covered by
previous payments or other state or federal programs. The Grantee shall immediately
refund to the Department any funds not authorized for use and any payments or funds
advanced to the Grantee in excess of allowable reimbursable expenditures.
Vill. Severability
If any part of this Agreement is held invalid or unenforceable by any court of
competent jurisdiction, that part will be deemed deleted from this Agreement and the
severed part will be replaced by agreed upon language that achieves the same or
similar objectives. The remaining parts of the Agreement will continue in full force and
effect.
IX. Amendments
A. Except as otherwise provided, any changes to this Agreement will be valid
only if made in writing and accepted by all parties to this Agreement.
In the event that circumstances occur that are not reasonably foreseeable, or
are beyond the Grantee's or Department's control, which reduce or otherwise
interfere with the Grantee's or Department's ability to provide or maintain
specified services or operational procedures, immediate written notification
must be provided to the other party. Any change proposed by the Grantee
which would affect the state funding of any project, in whole or in part as
provided in Part 1, Section 3.C. of the Agreement, must be submitted in writing
to the Department for approval immediately upon determining the need for
such change. The proposed change may be implemented upon receipt of
written notification from the Department.
B. Except as otherwise provided, amendments to this Agreement shall be made
within thirty days after receipt and approval of a change proposed by the
Grantee.
Amendments of a routine nature including applicable changes in budget
categories, modified indirect rates, and similar conditions which do not modify
the Agreement scope, amount of funding to be provided by the Department or,
Date09/1712021 Contact # 20220358-00, Oakland County Department of Health and Human Services/ Page. 30 of 179
Health Division, Local Health Department -2022
the total amount of the budget may be submitted by the Grantee, in writing, at
any time prior to June 7. The Department will provide a written response within
30 calendar days.
All amendments must be submitted to the Department within three weeks of
receipt through MI E-Grants to assure the amendment can be executed prior
to the end of the Agreement period.
X. 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, by
the Grantee, Grantee's subcontractors or anyone directly or indirectly
employed by the Grantee in the performance of this Agreement shall be the
responsibility of the Grantee, and not the responsibility of the Department.
Nothing herein shall be construed as a waiver of any governmental immunity
that has been provided to the Grantee or its employees by law.
B. In the event that liability to third parties, loss, or damage arises as a result of
activities conducted jointly by the Grantee and the Department in fulfillment of
their responsibilities under this Agreement, such liability, loss, or damage shall
be borne by the Grantee 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 Grantee, the
state, its agencies (the Department) or their employees, respectively, as
provided by statute or court decisions.
XI. Waiver
Failure to enforce any provision of this Agreement will not constitute a waiver.
Any clause or condition of this Agreement found to be an impediment to the intended
and effective operation of this Agreement may be waived in writing by the Department
or the Grantee, upon presentation of written justification by the requesting party. Such
waiver may be temporary or for the life of the Agreement and may affect any or all
program elements covered by this Agreement.
XII. State of Michigan Agreement
This is a state of Michigan Agreement and must be exclusively governed by the laws
and construed by the laws of Michigan, excluding Michigan's choice -of -law principle.
All claims related to or arising out of this Agreement, or its breach, whether sounding
in contract, tort, or otherwise, must likewise be governed exclusively by the laws of
Michigan, excluding Michigan's choice -of -law principles. Any dispute as a result of
this Agreement shall be resolved in the state of Michigan.
XIII. Funding
A. State funding for this Agreement shall be provided from the applicable and
available Department appropriations for the current fiscal year. The
Department provided funds shall be as stated in the approved Annual Budget -
Attachment I Instructions for the Annual Budget, Attachment III, Program
Date09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page: 31 of 179
Health Division, Local Health Department - 2022
Specific Assurances and Requirements, and as outlined in Attachment IV,
Funding/Reimbursement Matrix.
B. The funding provided through the Department for this Agreement shall not
exceed the amount shown for each federal and state categorical program
element except as adjusted by amendment. The Grantee must advise the
Department in writing by May 1, if the amount of Department funding may not
be used in its entirety or appears to be insufficient for any program element.
ELPHS transfer requests between MDHHS, MDARD and MDEQ must also be
requested in writing by May 1. All ELPHS required services must be
maintained throughout the entire period of the Agreement.
C. The Department may periodically redistribute funds between agencies during
the Agreement period in order to ensure that funds are expended to meet the
varying needs for services.
Date 09/17/2021 Contract 4 20220358-00, Oakland County Department of Health and Human Services/ Page 32 of 179
Health Dimson, Local Health Department -2022
AA Attachments
Al Attachment I - Instructions for the Annual Budget
Attachment I - Instructions for the Annual Budget
A2 Attachment III - Program Specific Assurances and Requirements
Attachment III - Program Specific Assurances and Requirements
Date09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human services/ Page' 33 of 179
Health Division, Loral Health Department -2022
Program Element/Funding Source
(a)
Adolescent STI Screening
Body Art Fixed Fee
Children's Special Hlth Care
Services (CSHCS) Care
Coordination
Children's Special Hlth Care
Services (CSHCS) Outreach &
Advocacy
Contract # 20220358-00 Date 09/17/2021
MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES
ATTACHMENT IV - Local Health Department - 2022
CONTRACT MANAGEMENT SECTION
Oakland County Department of Health and Human Services/ Health Division
MDHHS
Fed/St Funding Reimbursement
Performance
Total (c)
State (d)
State Funded Minimum Contractor /
Source
Amount Method
Target
Perform
Funded
Subrecepient
(b)
Output
Expect
Target
Performance
Percent (f)
Measurement
Perform
Number (e)
Reg. Alloc.
F 73,000 Actual Cost
N/A
N/A
N/A
N/A
N/A Subrecepient
Reimbursement
Calc. Amt.
250.00/Numb Fixed Unit Rate (2)
N/A
N/A
N/A
N/A
N/A Recepient
ers
Calc. Amt,
150.00Nario Fixed Unit Rate (1),
N/A
N/A
N/A
N/A
N/A Subrecepient
us (7)
Reg. Alloy
F 147,201 Actual Cost
N/A
N/A
N/A
N/A
N/A Subrecepient
Reimbursement
Reg. Alloc
CSHCS Medicaid Elevated Blood
Calc. Amt.
Lead Case Mgmt
EGLE Drinking Water and Onsite
Reg. Alloc.
Wastewater Management
Emerging Threats - Hepatitis C
Reg. Alloc.
Fetal Infant Mortality Review
Calc. Amt.
(FIMR) Case Abstraction
FIMR Interviews
Cato. Amt.
Food ELPHS
Reg. Alloc
Gonococcal Isolate Surveillance
Reg. Alloc.
Project
Reg Alloc.
Hearing ELPHS
Reg. Alloc.
HIV Data to Care
Reg. Alloc.
Reg. Alloc.
HIV PrEP Clinic
Reg. Alloc.
Reg. Alloc
Date. 09117/2021
S 147,201
201.58Nario Fixed Unit Rate (2)
N/A
us
S 985,042 ELPHS (3), (6)
N/A
S 76,221 Actual Cost
N/A
Reimbursement
270.00Nario Fixed Unit Rate (2)
N/A
us
85.00/Numbe Fixed Unit Rate (2),
N/A
rs (11)
S 1,176,612 ELPHS (3), (4)
N/A
F 15,750 Actual Cost
N/A
Reimbursement
S 47,250
L 253,969 ELPHS (3), (6)
N/A
P 128,000 Actual Cost
N/A
Reimbursement
S 0
F 131,369 Actual Cost
N/A
Reimbursement
P 1,327
Contract# 20220358-00, Oakland County Department
of Health and Human Services/
Health Division, Local Health
Department-2022
N/A
N/A
N/A
N/A
Subrecepient
N/A
N/A
N/A
N/A
Recepient
N/A
N/A
N/A
N/A
Recepient
N/A
N/A
N/A
N/A
Subrecepient
N/A
N/A
N/A
N/A
Subrecepient
N/A
N/A
N/A
N/A
Recepient
N/A
N/A
N/A
N/A
Subrecepient
N/A
N/A
N/A
N/A
Recepient
N/A
N/A
N/A
N/A
Recepient
N/A
N/A
N/A
N/A
Subrecepient
Page 34 of'79
Contract # 20220358-00 Dale: 09/1T2021
MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES
ATTACHMENT IV - Local Health Department - 2022
CONTRACT MANAGEMENT SECTION
Oakland County Department of Health and Human Services/ Health Division
Program Element/Funding Source MDHHS Fed/St Funding Reimbursement Performance Total (c) State (d) State Funded Minimum Contractor /
(a) Source Amount Method Target Perform Funded Subrecepient
(b) Output Expect Target Performance Percent (f)
Measurement Perform Number (a)
Reg, Alloc
HIV Prevention Reg. Alloc
Reg. Alloc.
Reg. Alloc.
Immunization Action Plan (IAP)
Reg. Alloc.
Immunization Fixed Fees
Cato. Amt.
Immunization Vaccine Quality
Reg. Alloc.
Assurance
Infant Safe Sleep
Reg. Alloc
Reg. AIIoc.
Laboratory Services Ste
Reg. Alloc.
MCH - All Other Local MCH
MDHHS-Essential Local Public Reg AIIoc
Health Services (ELPHS)
Nurse Family Partnership
Reg. Alloc.
Services
Reg AIIoc.
Public Health Emergency
Reg. Alloc.
Preparedness (PHEP) 10/1 - 6/30
Public Health Emergency
Reg. Alloc.
Preparedness (PHEP) CRI 10/1 -
6/30
Sexually Transmitted Infection
Reg. Alloc.
(STI) Control
Reg, AIIoc.
Reg, Alloc.
Data 09/17/2021
S 0
F 22,612 Actual Cost
N/A
Reimbursement
P 22,612
S 407,021
F 501,B95 Actual Cost
N/A
Reimbursement
300.00/Numb Fixed Unit Rate (2),
N/A
are (7)
S 105,347 Actual Cost
N/A
Reimbursement
F 7,000 Actual Cost
N/A
Reimbursement
S 63,000
F 500 Actual Cost
N/A
Reimbursement
S 321,457 Actual Cost
N/A
Reimbursement
S 2,557,216 ELPHS (3),(6)
N/A
F 385,524 Actual Cost
N/A
Reimbursement
S 257,016
F 221,778 Actual Cost
N/A
Reimbursement
F 140,707 Actual Cost
N/A
Reimbursement
F 33,418 Actual Cost
N/A
Reimbursement
S 703
S 36,144
Contract # 20220358-00, Oakland County Department
of Health and Human Servil
Health Dloslon Local Health
Department -2022
N/A
N/A
N/A
N/A
Subrecepient
N/A
N/A
N/A
N/A
Subrecepient
N/A
N/A
N/A
N/A
Subrecepient
N/A
N/A
N/A
N/A
Recepient
N/A
N/A
N/A
N/A
Subrecepient
N/A
N/A
N/A
N/A
Subrecepient
N/A
N/A
N/A
N/A
Subrecepient
N/A
N/A
N/A
N/A
Recepient
N/A
N/A
N/A
N/A
Subrecepient
N/A
N/A
N/A
N/A
Subrecepient
N/A
N/A
N/A
N/A
Subrecepient
N/A
N/A
N/A
N/A
Subrecepient
Page. 35 of 1 /9
Contract # 20220358-00 Date: 09/17/2021
MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES
ATTACHMENT IV - Local Health Department - 2022
CONTRACT MANAGEMENT SECTION
Oakland County Department of Health and Human Services/ Health Division
Program Element/Funding Source
MDHHS
Source
Fed/St
Funding Reimbursement
Amount Method
Performance
Target
Total (c)
Perform
State (d)
Funded
State Funded Minimum Contractor /
Subrecepient
(a)
(b)
Output
Expect
Target
Performance
Percent (f)
Measurement
Perform
Number (a)
Tuberculosis (TB) Control
Reg. Alloy
F
13,061 Actual Cost
N/A
N/A
N/A
N/A
N/A Subrecepient
Reimbursement
Vector -Borne Surveillance &
Reg. Alloy
S
9,000 Actual Cost
N/A
N/A
N/A
N/A
N/A Recepient
Prevention
Reimbursement
Vision ELPHS
Reg. Alloc.
L
253,968 ELPHS (3), (6)
N/A
N/A
N/A
N/A
N/A Recepient
West Nile Virus Community
Reg. Alloc.
F
10,000 Actual Cost
N/A
N/A
N/A
N/A
N/A Subrecepient
Surveillance
Reimbursement
WIC Breastfeeding
Reg. Alloy
F
261,619 Actual Cost
N/A
N/A
N/A
N/A
N/A Subrecepient
Reimbursement
WIC Resident Services
Reg Alloc.
F
2,615,870 Performance (8)
# Average
N/A
N/A
97
0 Subrecepient
Monthly
Participation
TOTAL MDHHS FUNDING 11,430,410
'SPECIFIC OUTPUT PERFORMANCE MEASURES WILL BE INCORPORATED VIA AMENDMENT
Attachment IV Notes
Attachment IV Notes
Data 09/17'2021 Contract# 20220358-00, Oakland County Department of Health and Human Services/ Page 36 of 179
Health Division, Local Health Department - 2022
Contract # 20220358-00 Date 09/17/2021
Attachment V
Qaklond County FY Agreement Addendum A
Date. 09/1712021 Contract # 20220358-00, Oakland County Department at Health and Human Services/ Page: 37 of 179
Health Division, Local Health Department -2022
Contract#20220358-00 Dale. 09/17/2021
1 Program Budget Summary
PROGRAM / PROJECT DATE PREPARED
Local Health Department - 2022 / Administration 9/17/2021
1CONTRACTOR NAME BUDGET PERIOD
Oakland County Department of Health and Human Services/ fJ
Health Division From, 10/1 PERIOD
To: 9/30/2022
MAILING ADDRESS (Number and Street) BUDGET AGREEMENT AMENDMENT #
1200 N. Telegraph Rd. 0
34 East 1✓ Original F- Amendment
CITY (STATE (ZIP CODE FEDERAL ID NUMBER
Pontiac MI 48341-1032 38-6004876
Category I Total I Amount
DIRECT EXPENSES
Program Expenses
1 I Salary & Wages
J 8,624,566.00
8,624,566.00
2 Fringe Benefits
I 3,517,729.00 +
3,517,729.00
3 Cap. Exp. for Equip & Fac.
I 0.00
0.00
4 ( Contractual
154,026,00
154,026,00
5 J Supplies and Matenals
J 439,413.00
439,413.00
6 I Travel
70,233.00 I
70,233.00
I 7 I Communication
J 124,438.00 I
124,438.00
8 I County -City Central Services
I 0.00 I
0.00
9, Space Costs
I 628,600.00
628,600.00
10 I All Others (ADP, Con. Employees, Misc.)
' 2,613,740.00 I
2,613,740.00
Total Program Expenses
I 16,172,745.00 I
16,172,745,00'
TOTAL DIRECT EXPENSES
I 16,172,745,00 I
16,172,745.00
INDIRECT EXPENSES
II
Indirect Costs
1 Indirect Costs
1
I 854,694.00
854,694.00
2 Cost Allocation Plan / Other
I-12,419,966.00
-12,419,966.00
Total Indirect Costs
+-11,565,272.00 +
-11,565,272.00
TOTAL INDIRECT EXPENSES
-11,565,272.00 I
-11,565,272.00
iTOTAL EXPENDITURES
i 4,607,473.00
4,607,473.00
Data: 09/1712021 Contract# 20220358-00, Oakland County Department of Health and Human Services) Page: 38 of 179
Health Division, Local Health Department- 2022
Contract # 20220358-00 Date, 090 02021
2 Program Budget - Source
of Funds
SOURCE OF FUNDS
Category
1 Source of Funds
Fees and Collections - 1st and 2nd
Party
Fees and Collections - 3rd Party
Federal or State (Non MDHHS)
Federal Cost Based Reimbursement
Federally Provided Vaccines
Federal Medicaid Outreach
Required Match - Local
Local Non-ELPHS
Local Non-ELPHS
Local Non-ELPHS
Other Non-ELPHS
MDHHS Non Comprehensive
MDHHSComprehenslve
MCH Funding
Local Funds - Other
3,
Inkind Match
MDHHS Fixed Unit Rate
Total Source of Funds
4,
Totals
4.
Total
Amount
Cash
Inkind
523,950A0
0.00
(
523,950.00
0.00
278,058.00
0.00
(
278,058.00
0.00
0.00
0.00
(
0.00
0.00
000
0.00
0.00
0.00
0.00
0.00
000
0.00
000
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0A0
0.00
0.00
0.00
0.00
0.00
0.00
0.00
000
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
I
000
0.00
0.00
0.00I
0.00
0.00
805,465.00
0.00
I
3,805,465.00
000
0.00
0.00
I
0.00
000
000
0.00
I
0.00
000
607,473.00
0.00I
4,607,473.00
0.00
607,473 00
0.00
I
4,607,473.00
0.00
Date: 09/17/2021 Contract W 2022035"0, Oakland County Department of Health and Human Services/ Page, 39 of 179
Health Division, Local Health Department -2022
Contract 9 2022035U-00 Date 09/ 17/2021
3 Program Budget - Cost Detail
(Line Item
DIRECT EXPENSES
(Program Expenses
1 Salary & Wages
2 Fringe Benefits
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
6 Travel
7 Communication
8 County -City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
(Total Program Expenses
ITOTAL DIRECT EXPENSES
(INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
I2 Cost Allocation Plan / Other
Other Cost Distributions -Other Inf Disease/CD
Other Cost Distributions-Misc Distribution
(Other Cost Distributions -SIDS fee
IHealth Adm Distribution
(Other Cost Distributions -Education
Total for Cost Allocation Plan / Other
Total Indirect Costs
TOTAL INDIRECT EXPENSES
ITOTAL EXPENDITURES
Total
1
1
8,624,566.00
3,517,729.00
0.00
154,026.001
439,413.001
70,233.00
124,438.00
0.00
628,600.001
2,613,740.001
16,172,745,001
16,172,745.00
854,694.001
-1,629,548.00
-2,798,132.00
-2,000.00
-10,024,391.00
2,034, 105.0011
-12,419,966.001
-11,565,272.001
-11,565,272.001
4,607,473,001
Date09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/
Health Omision, Local Health Department- 2022
Page. 40 of 179
Contract #20220158-00 Date 09/17/2021
1 Program Budget Summary
PROGRAM / PROJECT
DATE PREPARED
Local Health Department - 2022 / Administration -
9/17/2021
Environmental
CONTRACTOR NAME
BUDGET PERIOD
Oakland County Department of Health and Human Services/
From: 10/1/2021 To : 9/30/2022
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
AMENDMENT #
1200 N. Telegraph Rd.
%Original (` Amendment
0
34 East
CI
ATE
ZIP CODE
I48341-
FEDERAL ID NUMBER
Pontiac
MI
032
38-6004876
Category
I Total I
Amount
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
6,057,500.00
6,057,500.00
2 Fringe Benefits
2,927,216.00
2,927,216.00
3 Cap. Exp. for Equip & Fac.
0.00
0.00
4 Contractual
0.00
0.00
5 Supplies and Materials
61,300.00
61,300.00
6 Travel
262,157.00
1
262,157.001
7 Communication
84,666.00
84,666.00
8 County -City Central Services
0.00
0.00 l
9 Space Costs
125,172.00
125,172.00
10 All Others (ADP, Con. Employees, Misc.)
823,089.00
1I
823,089.00 I
Total Program Expenses
10,341,100.00
10,341,100.00
TOTAL DIRECT EXPENSES
10,341,100 00
10,341,100.00
INDIRECT EXPENSES
Indirect Costs
1
I Indirect Costs
I 600,298.00
600,298.00
2
Cost Allocation Plan/Other
-1,621,768.00
-1,621,768.00
i
Total Indirect Costs
-1,021,470.00
-1,021,470.00 '..
TOTAL INDIRECT EXPENSES
I-1,021,470.00
-1,021,470 00
TOTAL EXPENDITURES
I 9,319,630.00
9,319,630.00
Date 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page: 41 of 179
Health Divlson, Local Health Department -2022
Contract # 20220358-00 Date. 09I17I2021
2 Program Budget - Source of Funds
SOURCE OF FUNDS
Category
1 Source of Funds
Total I Amount
Fees and Collections - 1st and 2nd 1,159,359.00
Party
Cash
0.00 1,159,359.00
Inkind
we
Fees and Collections - 3rd Party
0.00
0.00
0.00
0.00 1
Federal or State (Non MDHHS)
2,438,226.00
0.00
2,438,226.00
0.00
Federal Cost Based Reimbursement
0.00
0.00
0.00
0.00
Federally Provided Vaccines
0.00
0.00
0.00
000
Federal Medicaid Outreach
0.00
0.00
0.00
0.00
Required Match - Local
0.00
0.00
0.00
0.00
Local Non-ELPHS
0.00
0.00
0.00
0.00
Local Non-ELPHS
0.00
0.00
0.00
0.00
Local Non-ELPHS
0.00
0.00
000
0.00
Other Non-ELPHS
0.00
0.00
0.00
0.00
MDHHS Non Comprehensive
0.00
0.00
0.00
0.00
MDHHS Comprehensive
0.00
0.00
0.00
0.00
MCH Funding
0.00
0.00
0.00
0.00
Local Funds - Other
5,722,045.00
0.00
5,722,045.00
0.00
Inkind Match
0.00
0.00
0.00
0.00
MDHHS Fixed Unit Rate
0.00
0.00
0.00
0.00
Total Source of Funds
9,319,630.00
0.00
9,319,630.00
0.00
ITotals
9,319,630.00
0.00
9,319,630.00
0.00I
Date 09/17/2021 Contract 4 20220358-00, Oakland County Department of lieallh and Human Services/ Page 42 of 179
Health Division, Local Health Department - 2022
Contract # 20220358-00 Date 09/17/2021
Program Budget - Cost Detail
'Line Item
DIRECT EXPENSES
(Program Expenses
1 Salary & Wages
i2 Fringe Benefits
3
Cap. Exp. for Equip & Fac.
4
Contractual
5
Supplies and Materials
6
Travel
7 Communication
8 County -City Central Services
9 Space Costs
10 All Others (ADP
(Total Program Expenses
(TOTAL DIRECT EXPENSES
(INDIRECT EXPENSES
Ilndirect Costs
Con. Employees, Misc.)
1 IIndirect Costs
2 Cost Allocation Plan / Other
EH Adm Distribhons
Other Cost Distributions -Body Art Fees
Health Adm Distribution
Other Cost Distributions-Misc
(Total for Cost Allocation Plan / Other
(Total Indirect Costs
ITOTAL INDIRECT EXPENSES
(TOTAL EXPENDITURES
Total
6,057,500A01
2,927,216.001
0.001
0.001
61,300.001
262,157.001
84,666.001
0.001
125,172.00
823,089.00
10,341,100.00
10,341,100 00
600,298.00
-5,587,546.001
40,000.001
3,953,973.001
51,805.001
-1,621,768.001
-1,021,470.001
-1,021,470.00
9,319,630.00
Date. 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department-2022
Page: 43 of 179
Contract#20220J58-00 Date 09i7,'.12021
1 Program Budget Summary
PROGRAM / PROJECT
(DATE PREPARED
Local Health Department - 2022 / Adolescent STI Screening
9/17/2021
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
PER
PERIOD
BUDGET PER21
Health Division
From: 1To : 9l30/2022
J
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
AMENDMENT #
1200 N. Telegraph Rd.
34 East
r, Original P` Amendment
0
CITY (STATE (ZIP CODE
(FEDERAL ID NUMBER
Pontiac MI 48341-1032
38-6004876
J
ICategory
Total I
Amount
DIRECT EXPENSES
Program Expenses
11I
1 I Salary & Wages
iI
I 38,522.00 I
38,522.00
2 Fringe Benefits
17,571.001
17,571.00
3, Cap. Exp. for Equip & Far;
! 0.00 !
0.00
4 ! Contractual
I 0001
0.00
I+ 5 +I Supplies and Materials
I 7,122.00 I
7,122.00
6, Travel
, 700.00
700.00
7, Communication
I 0.00
0.00
8 I County -City Central Services
, 0.00 I
0 00
9 Space Costs
I 000 I
0.00
10 All Others (ADP, Con Employees, Misc.)
' 5,268.00 I
5,268.00
Total Program Expenses
I 69,183 00
69,183.00
TOTAL DIRECT EXPENSES
I 69,183,00
69,183.00
INDIRECT EXPENSES
Indirect Costs
1 I Indirect Costs
0.00
0.00
2 I Cost Allocation Plan / Other
I 18,531.00
18,531 00 i
iTotal Indirect Costs
I 18,531.00
18,531.00
TOTAL INDIRECT EXPENSES
18,531.00
18,531.00 I
TOTAL EXPENDITURES
I 87,714.00
87,714.00
Date: 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page: 44 of 179
Health Di»son, Local Health Depadment -2022
Contract # 20220358-00 Date 09117/2021
2 Program Budget - Source of Funds
SOURCE OF FUNDS
Category I
Total I
Amount I
Cash I
Inkind
1 Source of Funds
Fees and Collections - I st and 2nd
0.00
0.00
0.00
000
Party
Fees and Collections - 3rd Party
0.00
0.00
0.00
0.00
Federal or State (Non MDHHS)
000
0.00
0.00
0.00
Federal Cost Based Reimbursement
0.00
000
0.00
0.00
Federally Provided Vaccines
0.00
0.00
000
0.00
Federal Medicaid Outreach
0.00
0.00
000
0.00 l
Required Match - Local
0.00
0.00
0.00
0.00
Local Non-ELPHS
0.00
0.00
0.00
0-00
Local Non-ELPHS
0.00
0.00
000
0.00
Local Non-ELPHS
0.00
0.00
0.00
0.00
Other Non-ELPHS
0.00
0 00
0.00
0.00
MDHHS Non Comprehensive
0.00
0.00
0.00
0.00
MDHHS Comprehensive
73,000.00
731000.00
0.00
000
MCH Funding
0.00
0.00
0.00
0.00
Local Funds - Other
14,714.00
0.00
14,714.00
0.00
Inkind Match
0.00
0.00
0.00 I
0.00
MDHHS Fixed Unit Rate
Totals I
87,714.00 I
73,000,00 I
14,714.00 (
0.00 1
Date. 09/1712021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page: 45 of 179
Health Division, Local Health Department - 2022
Contract# 20220356-00 Date_ 09117/2021
3 Program Budget - Cost Detail
(Line Item I
Qtyl
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Public Health Nurse
0.1087
Notes : GFGP position - overtime
only
Public Health Nurse
0.1082
Notes : GFGP Position -overtime
only
Technician
0.1231
Assistant
0.2788
Total -or Salary & Wages
2 Fringe Benefits
All Composite Rate
0.0000
Notes : FICA
Unemployment Insurance
Retirement Insurance
Hospital Insurance
Life Insurance
Vision Insurance
Dental Insurance
Workers Comp
Short and Long Term Disability
Insurance
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies
Medical Supplies
Printing
Educational Supplies
Total for Supplies and Materials
Ratel UnitsluOM I Total
77370.000 0 000 FTE
77370 000 0 000 FTE
68989.000 0.000 FTE
47519.000 0.000 FTE
45.614 38522.000
0.0000
0.000
0.000
0.0000
0.000
0.000
0.0000
0.000
0.000
0.0000
0.000
0.000
8,410.00
8,371.00
8,493.00
13,248 001
38,522.00I
l
17,571.00
2,700.00
1,599.00
1,350.001
1,473,001
7,122.001
Data 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Seances/ Page. 46 of 179
Health Division, Local Health Department -2022
Contract # 20220358-00
Cate 09/17/20L7
Line Item l
Qtyl
Ratel
UnitslUOM
Totall
6 Travel
I
Mileage
0.0000
0.000
0.000
700.00
Notes : 1,250 miles @ .56
7 Communication
8 County -City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees,
Misc.)
Insurance
0.0000
0.000
0.000
97.001
IT - Operations
0.0000
0.000
0.000
3,345,001
Advertising
0.0000
0.000
0.000
1,826.001
(Total for All Others (ADP, Con. Employees, Misc.)
5,268,001
(Total Program Expenses
69,183.001
(TOTAL DIRECT EXPENSES
69,183.001
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
0.0000
0.000
0.000
3,817.00
Notes : 9.91
(Health Adm Distribution
0.0000
0.000
0.000
12,42T001
(Nursing Adm Distribution
00000
0.000
0.000
2,28T001
(Total for Cost Allocation Plan / Other
18,531.001
(Total Indirect Costs
18,531 001
ITOTAL INDIRECT EXPENSES
18,531,001
ITOTAL EXPENDITURES
87,714.001
Date 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page: 47 of 179
Health Dmison, Local Health Department -2022
Contract # 20220358-00 „aca 09/ 1712021
1 Program Budget Summary
PROGRAM / PROJECT
DATE PREPARED
Local Health Department - 2022 / Public Health Emergency
9/17/2021
Preparedness (PHEP) 10/1 -6130
CONTRACTOR NAME
BUDGET PERIOD
Oakland County Department of Health and Human Services/
From: 10/1/2021 To . 6/30/2022
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
AMENDMENT #
1200 N. Telegraph Rd.
(v— Original ('" Amendment
0
34 East
CI
IMIATE
ZIP CODE
148341-
FEDERALID NUMBER
1
Pontac
032
386004876
I I Category
Total I
Amount
1
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
126,725.00
126,725.00
2 Fringe Benefits
70,591.00
70,591.00
3 Cap. Exp. for Equip & Fac.
0.00
0.001
4 Contractual
0.00
0.001
5 Supplies and Materials
1,000.00
1,000.00
6 Travel
1,249.00
1,249.00
7 Communication
2,340.00
2,340.001
8 County -City Central Services
0.00
0.001
9 Space Costs
13,654.00
13,654 00
10 All Others (ADP, Con. Employees, Misc.)
16,411.00
16,411.00 1�
Total Program Expenses
231,970.00
231,970.00 I
TOTAL DIRECT EXPENSES
231,970.00
231,970.00
INDIRECT EXPENSES
+
Indirect Costs
1
Indirect Costs
0.00
0.00 1�
2
Cost Allocation Plan / Other
53,516.00
53,516.00 I
Total Indirect Costs
53,516.00
53,516.00 �
TOTAL INDIRECT EXPENSES
I 53,516.00
53,516,00111
TOTAL EXPENDITURES
I 285,486.00
285,486.00 I
Date09/1712021 Contract # 20220358-00, Oakland County DepaRmenl of Health and Human Services/ Page: 48 of 179
Health Division, Loral Health Department -2022
Contract # 20220358-00 Date 0911712.021
2 Program Budget - Source of Funds
SOURCE OF FUNDS
Category I
Total I
Amount I
Cash I
Inkind
1 Source of Funds
Fees and Collections - 1st and 2nd
0.00
0.00
0.00
0.00
Party
(Fees and Collections - 3rd Party
0,00
0.00
0.00
0.00
Federal or State (Non MDHHS)
0.00
0.00
0.00
0.00
Federal Cost Based Reimbursement
0.00
000
0.00
0.00
Federally Provided Vaccines
0.00
0.00
0.00
0.00
IFederal Medicaid Outreach
0.00
000
0.00
0.00
IRequired Match - Local
22,178.00
0.00
22,178.00
0.00
(Local Non-ELPHS
0.00
0.00
0.00
0.00
(Local Non-ELPHS
0.00
0.00
0.00
0.00
(Local Non-ELPHS
0.00
0.00
0.00
0.00
IOther Non-ELPHS
0.00
0.00
0.00
0.00
IMDHHS Non Comprehensive
0.00
0.00
0.00
0.00
IMDHHS Comprehensive
221,778.00
221,778.00
0.00
0.00
IMCH Funding
0.00
0.00
0.00
0.00
ILocal Funds -Other
41,530.00
0.00
41,530.00
0.00
Inkind Match
0.00
0.00
0.00
0.00
MDHHS Fixed Unit Rate
Totals I
285,486.00 I
221,778.00 I
63,708.00 I
0.00
Date 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page: 49 of 179
Health Division, Local Health Department - 2022
Contract it 20220358-00 Date 0911712021
3 Program Budget - Cost Detail
`Line Item
l Qtyl
Ratel
UnitsluOM
DIRECT EXPENSES
Program Expenses
1
Salary & Wages
'Coordinator
1.0000
73371.000
0.000IFTE
(Health Educator
685.0000
35.865
0.0001FTE
,Specialist
685.0000
33.595
0.000 FTE
Administrator
100.0000
57. 729
0.000 FTE
Notes : Match $5,773
ITotal or Salary & Wages
2 Fringe Benefits
All Composite Rate
0.0000
55.704
126725.000
Notes : MATCH $2,751
FICA
Unemp ins
Retirement
Hospital Ins
Life Ins
Vision Ins
Short/Long Term Disability
Dental Ins
Work Comp
I3 Cap. Exp. for Equip & Fac.
4 Contractual
$ Supplies and Materials
(I
Office Supplies
I 0.00001
0.0001
0.000I
6 Travel
Mileage
0.0000I
0.000I
0.000
Notes 2,230 miles @ 56
I!
1 7 Communication
Telephone Communications
I 0.00001
0.0001
0.0001
8 County -City Central Services
I9 Space Costs
IBuilding Space Rental
I 0.00001
0.0001
0.0001
Date. 09/17/2021 Contract N 20220358-00, Oakland Gummy Department
of Health and Human
Seniecal
Health Division, Local Health
Department-2022
Total
73,371.00
24,568.001
23,013.001
5,773.00
126,725,00
70,591.00
1
1,000.001
1
1,249.00
1
2,340.001
I
_1
13,654.00
Page: 50 of 179
Line Item Qty
Note, _ MATCH $13,354
i
10 All Others (ADP, Can. Employees, Misc.)
Insurance 0.0000
IT Managed Print Services 0.0000
IT Operations 0.0000
(Total for All Others (ADP, Con. Employees, Misc.)
(Total Program Expenses
(TOTAL DIRECT EXPENSES
(INDIRECT EXPENSES
Ilndirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan 00000
Notes : 9,91 %
(Health Adm Distribution 0.000C
(Total for Cost Allocation Plan / Other
(Total Indirect Costs
(TOTAL INDIRECT EXPENSES
(TOTAL EXPENDITURES
Contract # 20220358-00 Date 09/17/2021
Rate+ UnitslUOM Totall
I
0.000 0.000 270001
0,000 0.000 1,400,001
0.000 0.000 14,741.001
16,411.001
231,970.001
231,970.001
I
0,000 0.000 11,986.00
0.000 0.000 41,530.001
53,516.001
53,516.001
53,516.001
285,486.001
Date. 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page: 51 of 179
Health Division, Local Health Department -2022
Contract # 20'20350-00 Date- 09117/2021
1 Program Burger Summary
PROGRAM / PROJECT
DATE PREPARED
Local Health Department - 2022 / Body Art Fixed Fee
9/17/2021
CONTRACTOR NAME
BUDGET PERIOD
Oakland County Department of Health and Human Services/
From : 10/1/2021 To 9/30/2022
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
AMENDMENT #
1200 N. Telegraph Rd.
Fv Original (— Amendment
0
34 East
CODE
I48341
FEDERAL ID NUMBER
1
PonZIP
tiac
k/i
032
38 6004876
Category
I Total I
Amount
DIRECT EXPENSES
1
Program Expenses
1 Salary & Wages
I
0.00 I
0.00
2 Fringe Benefits
I 0.00
000
3 Cap. Exp. for Equip & Fac.
0.00
(
0.00
4 Contractual
000
I
0.00 l
5 Supplies and Materials
0.00
0.00
6 Travel
0.00I
0.00
7 Communication
0.00I
0.00
8 County -City Central Services
0.00
0.00
9 Space Costs
0.00
000
10 All Others (ADP, Con. Employees, Misc.)
0.00
0.001
INDIRECT EXPENSES
1
Indirect Costs
1
Indirect Costs
I
0.00
0.00
2
Cost Allocation Plan / Other
50,000.00
50,000.00
Total Indirect Costs
50,000.00
50,001
TOTAL INDIRECT EXPENSES
50,000.00
50,000 00 1�
TOTAL EXPENDITURES
50,000.00
50,000.00 I
Date09/1712021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page: 52 of 179
Health Division, Local Health Department-2022
J,wdract # 2022035d-00 Cateuv, i ➢/-nC 1
2 Program Budget- Source of Funds
SOURCE OF FUNDS
Category
1 Source of Funds
Fees and Collections - 1st and 2nd
Party
Fees and Collections - 3rd Party
Federal or State (Non MDHHS)
Federal Cost Based Reimbursement
Federally Provided Vaccines
Federal Medicaid Outreach
Required Match - Local
Local Non-ELPHS
Local Non-ELPHS
Local Non-ELPHS
Other Non-ELPHS
MDHHS Non Comprehensive
MDHHS Comprehensive
MCH Funding
Local Funds - Other
Inkind Match
MDHHS Fixed Unit Rate
Body Art Fee
Totals
Total I Amount I Cash I inkind
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
000
0.00
0.00
000
0.00
0.00
0.00
0.00
000
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
000
0.00
0.00
0.00
0.00
0.00
0.00
0.00
000
0.00
0.00
0.00
50,000.00
50,000.00 I
0.00 I
000
50,000.00
50,000.00
0.00
0.00
Date 09/17/2021 Contract # 20220358-00, Oakland County Depadment of Health and Human services/ Page 53 of 179
Health Division, Local Health Department - 2022
3 Program Budget - Cost Detail
Line Item ' Qtyl
,DIRECT EXPENSES
(Program Expenses
1 Salary & Wages
2 Fringe Benefits
1 3 Cap. Exp. for Equip & Fac.
I4 (Contractual
I5 ISupplies and Materials
I6 ITravel
I7 (Communication
I8 jCounty-City Central Services
I9 ISpace Costs
I10 IAII Others (ADP, Con. Employees, Misc.)
(INDIRECT EXPENSES
Ilndirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Distributions for Fees -from 0.0000
Environmental Administration
(Total Indirect Costs
ITOTAL INDIRECT EXPENSES
(TOTAL EXPENDITURES
Contract 42022OJ58-00 Date )9/17/<`2l
Rate UnitsIUOM
0 0001 0.000I
Total,
1
I
l
I
50,000.00
50,000.00
50,000.00
50,000.00
Date 09/17I2021 Contract # 2022095M0, Oakland County Department of Health and Human Services/ Page. 54 of 179
Health Diwswn, Local Health Department- 2022
Cn,Vract#20220358-00 Date 09/17/2021
1 Program Budget Summary
PROGRAM I PROJECT
Local Health Department - 2022 / Children's Special Fifth
PREPARED
DATE DATE021
Care Services (CSHCSI Care Coordination
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
PER BUDGET
PERIOD
PER21
Health Division
From : 1To . 9130I2022
�MAILING ADDRESS (Number and Street)
1200 N. Telegraph Rd.
BUDGET AGREEMENT
(AMENDMENT #
34 East
ry Original F' Amendment
0
1
CI
(Pontiac
ATE
IMI
ZIP CODE I48341-1032
NUMBER
38-6004876
Category
I Total I
Amount
DIRECT EXPENSES
1
Program Expenses
1 Salary & Wages
I 0.00
0.00
2 Fringe Benefits
' 0.00
0.00
3 Cap. Exp. for Equip & Fac.
I 0.00
0.00
4 Contractual
I 0.00I
0.00I
5 Supplies and Materials
0.00
0.00
i6 Travel
I 0.00
0.00
7 Communication
I 0.00
0.00'
8 County -City Central Services
000
0.00
9 Space Costs
I 0.00
I
0.00
f10 All Others (ADP, Con. Employees, Misc.)
I 0.00
(
0.00
INDIRECT EXPENSES
jI
Indirect Costs
1
I Indirect Costs
0.00 I
0.00
2
I Cost Allocation Plan / Other
241,965.00 I
241,965.00
JTotal Indirect Costs
I
241,965.00I
241,965.00
TOTAL INDIRECT EXPENSES
J
241,965.00 I
241,965.00
TOTAL EXPENDITURES
241,965.00
241,965.00 I
Date 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page: 55 of 179
Health Division, Local Health Department - 2022
2 Program Budget- Source of Funds
SOURCE OF FUNDS
1 f Category
Source of Funds
Fees and Collections - 1st and 2nd
Party
Fees and Collections - 3rd Party
IFederal or State (Non MDHHS)
IFederal Cost Based Reimbursement
(Federally Provided Vaccines
I,Federal Medicaid Outreach
Required Match - Local
Local Non-ELPHS
Local Non-ELPHS
Local Non-ELPHS
(Other Non-ELPHS
iIJ MDHHS Non Comprehensive
I(MDHHS Comprehensive
IMCH Funding
I(Local Funds - Other
IUnkind Match
I
(]MDHHS Fixed Unit Rate
I I
Contract 20220358-00 Cate 09/17/2021
Total Amount I Cash I Inkind
0.00 0.00 0.00 I 000 I
0.00
I 0.00
0.00
0.00
I 0.00 I
0.00
0.00
I 0.00
0.00
0.00 I
0.00,
0.00
0.00
0.00 I
0.00
0.00
0.00
0.00
0.00 I
0.00
0.00 I
0.00
0.00 (
0.00
0.00
0.00 I
0.00
0.00
0.00 I
000
0.00
0.00 I
0.00
0.00
0.00 I
0.00
0.00
0.00
0.00
0.00
BOO I
0,00I
0.00
0.00 I
0.00
CSHCS Care Coordination 241,965.00
I (Totals I 241,965.00
241,965.00 ( 0.00
241,965.00 I 0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00 I
0.00 I
Data 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human services/ Page- 56 of 179
Health Division, Local Health Department- 2022
I Program Budget- Cost Uetatl
i (Line Item l Cityl
(DIRECT EXPENSES
(Program Expenses
1 Salary &Wages
2 Fringe Benefits
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
6 Travel
7 Communication
S County -City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
(INDIRECT EXPENSES
(Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Distributions for Fees -from 0.0000
CSHCS Outreach & Advoc
(Total Indirect Costs
ITOTAL INDIRECT EXPENSES
ITOTAL EXPENDITURES
Contract # 20220358-00 Date: 09/170021
Ratel UnitslUOM I Total/
0.0001
11
241,965.001
241,965.001
241,965.001
241,965.001
Date' 09/1712021 Contract 8 M220358-00, Oakland Canary Departmentof Health and Human Services/ Page. 57 of 179
Health Drmsion, t ocal Health Department - 2022
Conhact#20220358-0 Date 09,17/2021
1 Program Budget Summary
PROGRAM / PROJECT
rLocal
DATE PREPARED
Health Department - 2022 / CSHCS Medicaid
9/17/2021
Outreach
CONTRACTOR NAME
BUDGET PERIOD
Oakland County Department of Health and Human Services/
From 10/1/2021 To : 9/30/2022
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
1200 N. Telegraph Rd.
C,—, Original jE` Amendment
34 East
CITY
IMIATE
ZIP CODE
I48341
FEDERAL ID NUMBER
Pontiac
032
38-60 4876
' I Category
Total
DIRECT EXPENSES
Progrm Expenses
1 Salary & Wages
I 0.00
2 Fringe Benefits
0.00
3 Cap. Exp. for Equip & Lac.
0.00
4 Contractual
0.00
5 Supplies and Materials
0.00
6 Travel
0.00
7 Communication
0.00
8 County -City Central Services
I 0.00
9 Space Costs
0.00
10 All Others (ADP, Con. Employees, Misc.)
I 0.00
INDIRECT EXPENSES
Indirect Costs
1
( Indirect Costs
0.00
2
Cost Allocation Plan / Other
273,866.00
Total Indirect Costs
273,866.00
TOTAL INDIRECT EXPENSES
273,866.00
TOTAL EXPENDITURES
273,866.00
AMENDMENT#
0
Amount
1
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00 I
273,866.00
273,866.00
273,866.00 1
273,866.00 I
Date: 09/1712021 Contract # 20220358-00, Oakland County Department of Health and Human services/
Health Division, Local Health Department - 2022
Page. 58 of 179
2 Program Budget- Source of Funds
SOURCE OF FUNDS
Category
1 !Source of Funds
I Fees and Collections - 1st and 2nd
Party
(Fees and Collections - 3rd Party
IFederal or State (Non MDHHS) I�
1 IFederal Cost Based Reimbursement
IIFederally Provided Vaccines
IIFederal Medicaid Outreach 1
(Required Match - Local
I(Local Non-ELPHS
I(Local Non-ELPHS
I 11-ocal Non-ELPHS 1
I !Other Non-ELPHS 1
I(MDHHS Non Comprehensive
I(MDHHS Comprehensive `I
IMCH Funding I
1 Local Funds - Other IJ
IInkind Match
I(MDHHS Fixed Unit Rate
( 1 I
Cuniract#20220353-00 Date 0411712C21
Total I Amount I Cash I Inkind i
0.00 ) 0.00 0.00 I 0.00
000
1 0.00 O.00
1 0.00
0.00
1 000 I uo
1 0.00 I
000
1 0.00 I 0.00
1 0.00
0.00
1 0.00 I+ 0.00
1 000 I
96,470.00
1 96,470.00 0.00
1 0.00
96, 470.00
1 0.00 I 96,470,00
I 0.00 1
0.00
I 0.00 I 0.00
I 0.00
0.00
1 0.00 I 0.0o
0.00 1
000
I 0.00 000
0.00 1
0.00
1 0.00 0.00
1 0.00 1
000
0.00 0.00
0.00 I
0.00 I
0.00 0.00
0.00 1
0.001
0.00 0.00
0.001
80,926.00
0.00 80,926.00
0.001
0.00
000 ( 000
0.00 1
Totals 273,866 00
96, 470.00 1 177,396,00 1
HE
Date 09/1712021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page 59 of 179
Health Dimson, Local Health Department - 2022
3 Program Budget - Cost Detail
(Line Item I Qtyl Ratel
DIRECT EXPENSES
(Program Expenses
1 Salary & Wages
2 Fringe Benefits
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
6 Travel
7 Communication
8 County -City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
INDIRECT EXPENSES
(Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Distributions for Medicaid I 0.00001 0.000
(Total Indirect Costs
(TOTAL INDIRECT EXPENSES
(TOTAL EXPENDITURES
Contn,t#20221d58--00 Date '0911712021
UnitslUOM I Totall
E
273,866.001
273,866.001
273,866.001
273,866.001
Date. 09J1712021 Contract # 20220358 00, Oakland County Department of Health and I luman Services/
Health Division, Local Health Department -2022
Page: 60 of 179
Contract # 2022,1358-00 Date 09/1 717021
1 Program Budget Summary
PROGRAM/PROJECT
DATE PREPARED
Local Health Department - 2022 / CSHCS Medicaid Elevated
9/17/2021
Blood Lead Case Mqmt
CONTRACTOR NAME
BUDGET PERIOD
Oakland County Department of Health and Human Services/
From . 10/112021 To : 9/30/2022
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
AMENDMENT # 1
1200 N. Telegraph Rd.
i� Original F` Amendment
0
34 East
CI
ATE
ZIP CODE
I48341-
FEDERAL ID NUMBER
Pontiac
MI
032
386004876
Category
Total I
Amount
DIRECT EXPENSES
Program Expenses
�
1
1 Salary & Wages
0.00
0001 1
1
2 Fringe Benefits
0.00
0.00
3 Cap. Exp. for Equip & Fac.
0.00
0 0011
11
4 Contractual
0.00
0.00I
5 Supplies and Materials
0.00
000
6 Travel
0.00
0.00
7 Communication
0.00
0.001
8 County -City Central Services
0.00
0.00 I
9 Space Costs
0.00
0,00 1
10 All Others (ADP, Con Employees, Misc.)
0.00
0.00 1I
INDIRECT EXPENSES
I
Indirect Costs
1
Indirect Costs
0.00
000
2
Cost Allocation Plan / Other
15,000.00
15,000.00
Total Indirect Costs
15,000.00
15,000.00 l
TOTAL INDIRECT EXPENSES
15,000.00
15,000.00
TOTAL EXPENDITURES
15,000.00
I
15,000.00
Date 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page. 61 of 179
Health Division, Local Health Department- 2022
2 Program Budget -Source of Funds
SOU 2CE OF FUNDS
Category
1 Source of Funds
Fees and Collections - 1st and 2nd
Party
Fees and Collections - 3rd Party
Federal or State (Non MDHHS)
Federal Cost Based Reimbursement
Federally Provided Vaccines
Federal Medicaid Outreach
Required Match - Local
Local Non-ELPHS
Local Non-ELPHS
Local Non-ELPHS
1 Other Non-ELPHS
MDHHS Non Comprehensive
MDHHS Comprehensive
MCH Funding
Local Funds - Other
Inkind Match
MDHHS Fixed Unit Rate
CSHCS Medicaid Elevated Blood Lead
Case
Totals
Contract#20220358-00 Date: 09/17/2021
Total I Amount I Cash
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
000
0.00 _
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
000
0.00
0.00
0.00
0.00
0.00
0.00
000
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
15,000.00
15,000 00
0.00
15,000.00
15,000.00
0.00
Inkind
0.00
0.00
0.00
0.00 1
0.00 1
0.00
0.00
0.00 1
0.00 I
0.001
0.00 1
0.001
0.00
0.001
0.00 1
0.00
No
Date 09/17/2021 Contract# 20220358-00, Oakland County Department of Health and Human Servmes/ Page: 62 of 179
Health Division, Local Health Department - 2022
Program Budget - Cost Detail
Line Item I Qtyl
DIRECT EXPENSES
(Program Expenses
1 Salary & Wages
2 !Fringe Benefits
I3 ICap. Exp. for Equip & Fac.
4 (Contractual
5 Supplies and Materials
6 Travel
7 Communication
8 County -City Central Services
9 ISpace Costs
10 (AII Others (ADP, Co". Employees, Misc.)
INDIRECT EXPENSES
Indirect Costs
1 (Indirect Costs
2 Cost Allocation Plan I Other
Cost Distributions for Fees -Fees
for Lead Case Mgt
+Total Indirect Costs
(TOTAL INDIRECT EXPENSES
ITOTAL EXPENDITURES
0.0000
Ratel
Contract h 10220358-00 Dads' 19,1712021
UnitslUOM
0.000
Totall'
1
1
15,000
15,000.00
15,000.001
15,000.00I
Date 09/17/2021 Contract # 2022035H-00, Oakland County Department of Health and Human Serviced Page: 63 of 179
Health Division, Local Health Department-2022
Contract#20220358-00 Date 09/1712021
1 Program Budget Summary
PROGRAM I PROJECT
DATE PREPARED
Local Health Department - 20221 Public Health Emergency
9/17/2021
Preparedness (PREP) CRI 1011 - 6/30
CONTRACTOR NAME
BUDGET PERIOD
Oakland County Department of Health and Human Services/
From 1011/2021 To : 6/30/2022
Health Division
ADDRESS (Number and Street)
BUDGET AGREEMENT
IMAILING
AMENDMENT #
1200 N. Telegraph Rd.
Iv —Original 1— Amendment
0
34 East
CIT
ATE
(MI
ZIP CODE
148341-
FEDERAL ID NUMBER
1
Pontiac
032
3860 4876
Category
I Total I
Amount
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
I
86,741.00
86,741.001
2 Fringe Benefits
44,254.00
44,254.00
3 Cap. Exp. for Equip & Fac
I 0.00
0.00
4 Contractual
0.00
0.001
5 Supplies and Materials
741.00
741.00 11
6 Travel
575.00
575.0011
7 Communication
1,980.00
1,980.001
8 County -City Central Services
0.00
000
9 Space Costs
5,547.00
5,547.001
10 All Others (ADP, Con. Employees, Misc.)
6,916.00
6,916.00
Total Program Expenses
146,754 00
146,754.00
TOTAL DIRECT EXPENSES
I 146,754.00
146,754.00
INDIRECT EXPENSES
Indirect Costs
1
Indirect Costs
0.00
0.00 1�
2
Cost Allocation Plan / Other
34,373.00
34,373 00 I
Total Indirect Costs
34,373.00
34,373 00
TOTAL INDIRECT EXPENSES
34,373.00
34,373.00
TOTAL EXPENDITURES
181,127.00
181,127.00 1
Date09/1712021 Contract # 20220358-00, Oakland County Department of Health and Human Ser,ncesr Page. 64 of 179
Health Division, Local Health Department -2022
Conh,cl#'0220353-00 Data 09117/2021
11 Program Budget - Source of Funds
SOURCE OF FUNDS
Category I
Total
Amount I
Cash I
Inkind
1 Source of Funds
Fees and Collections - 1st and 2nd
0.00
000
0.00
0.00
Party
Fees and Collections - 3rd Party
0.00
0.00
0.00
0.00
Federal or State (Non MDHHS)
0.00
0.00
(
0.00
0.00
Federal Cast Based Reimbursement
000
0.00
0.00
0.001
Federally Provided Vaccines
0.00
0.00
0.00
0.00
Federal Medicaid Outreach
0.00 I
0.00
0.00
0.00
Required Match - Local
14,071 00 I
0.00
14,071.00
0.00
Local Non-ELPHS
0.00
0.00
0.00
0.00
Local Non-ELPHS
0.00
0.00
O.00
0.00
Local Non-ELPHS
0.00
000
0.00
0.00
Other Non-ELPHS
0.00
0.00
0.00
0.0o
MDHHS Non Comprehensive
0.00
0.00
0.00
0.00
MDHHS Comprehensive
140,707 00
140,707.00 I
0.00
0.00
MCH Funding
0.00 I
0.00 I
0.00
0.00
Local Funds - Other
26,349A0
0.00
26,349 00
0.00
Inkind Match
0.00 I
000 I
0.00
0.00
MDHHS Fixed Unit Rate
Totals I
181,127.00 (
140,707.00 I
40,420.00 I
0.00
Date. 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page. 65 of 179
Health Division, Local Health Department - 2022
3 Program Budget - Cost Detail
Line Item
Qtyl
DIRECT EXPENSES
(Program Expenses
1 1 (Salary & Wages
Specialist
0.5000
(Specialist
0.5000
Chief Admin Services - MATCH
100.0000I
Health Educator
0,1538
(Total or Salary & Wages
2 Fringe Benefits
All Composite Rate
0,0000
Notes: MATCH $2,751
Ratel
69877.000
74599.000
57 729
56758.0001
Cantrar.t # 202203S', i,
Date ,9/ t N2021
UnitsluQM
I Totall
I
0.000 FTE
0,000 FTE
0 400 FTE
0.000 FTE
51.019 86741.000
FICA
Unemp Ins
Retirement
Hospital Insurance
Life Insurance
Vision Ins.
Short/Long Term Disability
Dental Insurance
Work Comp
3 Cap. Exp. for Equip & Fac.
1 4 Contractual
1 5 Supplies and Materials
1 Office Supplies
I 0.00001
0.0001
0.0001
6 Travel
Mileage
00000
0.000I
0.000
Notes : 0,56 PER MILE
1 7 Communication
Telephone
I 0.00001 00001
0.0001
1 8 County -City Central Services
9 Space Costs
Space/Rental Costs
I 0.0000
0.000I
0.000
Notes: MATCH $5,547
Date09/17/2021 Contract # 20220358-00,
Oakland County Departmant of Health and Human
Services/
Health Division, Local Health Department- 2022
34,939.001
37,300.001
5,773.001
8,729.001
86,741.00
44,254.00
741.00
575.001
I)
1,980.001
5,547.001
Page. 66 of 179
Line Item I Qtyl
10 All Others (ADP, Con. Employees, Misc.)
Insurance I 0,0000I
IT Operations I 0.0000
Total for All Others (ADP, Con. Employees, Misc.)
(Total Program Expenses
ITOTAL DIRECT EXPENSES
(INDIRECT EXPENSES
IIndirect Costs
1 Indirect Costs
2 Cost Allocation Plan I Other
Cost Allocation Plan 0,0000
Notes. 9.91 %
Health Adm Distribution 0.0000
(Total for Cost Allocation Plan I Other
(Total Indirect Costs
ITOTAL INDIRECT EXPENSES
ITOTAL EXPENDITURES
Rate
00001
0.0001
0.000
Contract#202203S8-,i0 Date 09r17120231
UnitsIUOM I Total
0.000
0.000
mm
0.000 0.000
207.001
6,709.001
6,91 &001I
146,754.001
146,754.001
1
8,024.00
26,349 00
34,373.001
34,373.00
34,373.00
181,127.00
Date: 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page. 67 of 179
Health Dimson, Local Health Department - 2022
Contract#20220'35d-00 Date 09/17l `111'
1 Program Budget Summary
PROGRAM / PROJECT
DATE PREPARED
Local Health Department - 2022 / Children's Special Hlth
9/17/2021
Care Services (CSHCS) Outreach & Advocacy
CONTRACTOR NAME
BUDGET PERIOD
Oakland County Department of Health and Human Services/
From, 10/1/2021 To : 9/30/2022
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
1200 N. Telegraph Rd.
ja Original r Amendment
34 East
CITY
(STATE
(ZIP CODE
FEDERAL ID NUMBER
Pontiac
MI
48341-1032
38-6004876
Category
I Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
304,035.00
2 Fringe Benefits
115,649 00
3 Cap. Exp. for Equip & Fac.
0.00
4 Contractual
0.00
5 Supplies and Materials
4,372.00
6 Travel
3,360.00I
7 Communication
4,608.00
8 County -City Central Services
0.00
9 Space Costs
24,599.00
10 All Others (ADP, Con. Employees, Misc.)
49,614.00
Total Program Expenses
506,237.00
TOTAL DIRECT EXPENSES
506,237.00
INDIRECT EXPENSES
Indirect Costs
1
( Indirect Costs
0.00
2
Cost Allocation Plan / Other
-211,835 00
Total Indirect Costs
-211,835.00
TOTAL INDIRECT EXPENSES
-211,835.00
TOTAL EXPENDITURES
294,402.00
AMENDMENT#
0
Amount
1
304,035.00
115,649 00
0.00 1
0.901
4,372.00
3,360.00
4,608.00 1
0.00 1I
24,699.00 I
49,614.00
506,237.00
506,237.00
1
1
0.00
-211,835.00 1I
-211,835.00 11
-21 1,835.00 11
294,402.00 I
Date 09117/2021 Contract # 20220358-00, Oakland County Department of Health and Human services/
Health Divisor, Local Health Department - 2022
Page: 68 of 179
Program Budget - Source of Funds
SOURCE OF FUNDS
ICategory
It +Source of Funds
Fees and Collections - 1st and 2nd
Party
(Fees and Collections - 3rd Party
IIFederal or State (Non MDHHS)
IIFederal Cost Based Reimbursement
IIFederally Provided Vaccines
IIFederal Medicaid Outreach
I(Required Match - Local
I(Local Non-ELPHS
I(Local Non-ELPHS
I (Local Non-ELPHS
I(Other Non-ELPHS
I(MDHHS Non Comprehensive
I(MDHHS Comprehensive
MCH Funding
Local Funds - Other
iInkind Match
(MDHHS Fixed Unit Rate
Ij ITotals
Contract#20220358-00 Date'09t1/l221
Total I Amount I Cash I Inkind
0.00 I 0.00 1 0.00 0.00
0.00 I
0.00 I
0.00
0.00
0.00 I
0.00 I
0.00
!
0.00
0.00 I
0.00 I
0.00
0.00
0.00 I
0.00 I
0.00 I
0.00
0.00 I
0.00 I
000 I
0.00
0.00 I
0.00 I
0.00 I
0.00
0.00 I
0.00 I
0.00 I
0.00
0.00 I
0.00 I
0.00 I
0.00
0.00 I
0.00 I
0.00 I
0.00
0.00 I
0.00 I
000 I
0.00
0.00 I
0.00 I
0,00 I
0.00
294,402.00 I
294,402.00 I
0.00 I
0.00
0.00
0.00 I
0.00 I
0.00
0.00
0.00 I
0.00 I
0.00 I
0.00 I
_ 0.00 (
_ 000 I
0.00
294,402.00 I 294,402.00 I 0.00 I 0.00
Date. 09MV2021 Contract It 20220358-00, Oakland County Department of Health and Human Services) Page. 69 of 179
Health Division, Local Health Department - 2022
Cordraot#20220358-00 Date 09/17/2021
d Program Budget - Cost Detail
Wne Item
I gtyl
Rate
UnitsIUOM
I Totally
DIRECT EXPENSES
I
Program Expenses
1
1 Salary & Wages
Public Health Nurse
1000.00001
31.4931
0,000 FTE
( 31,493,00
(Public Health Nurse
1000.00001
31,6001
0.000 FTE
31,500.00
IAuxillary Health worker
1000.00001
22.3981
0 000 FTE
I 22,398.00
+Clerk
I 1.00001
42353.0001
0.000 FTE
'
42,353.001
(Clerk
1.00001
47519.0001
0.0001FTE
47,519,001
+Clerk
1000.0000
19.1511
0.000 FTE
I 19,151.O0I
(Clerk
I 1000.00OOi
19.5571
0.000FTE
'
19,557.001
Supervisor
1.0000
88050,000
0.0001FTE
88,050.00l
(OVERTIME
1.00001
2014.000�
0.0001
'
2,014.001
Total for Salary & Wages
304,035.00
2 iFringe Benefits
All Composite Rate
0.0000
38.038
304035.000
115,649.00
Notes : FICA
Unemployment Insurance
Retirement Insurance
Hospital Insurance
Life Insurance
Vision Insurance
Dental Insurance
Workers Comp
Short and Long Term Disability
Insurance
3 (Cap. Exp, for Equip & Fac.
4 Contractual
5 Supplies and Materials
I
Office Supplies
t
I 0.0000I 0.000I 0.000
750.001
(Postage
0.0000 0.000 0.000
2,622.001
Pnnting
I 0.00001 0.0001 0.000
1,000.001
Dale- 0911712021 Contract # 202203,"-00,
Oakland County Department of Health and Human Services/
Page: 70 of
179
Health Division, Local Health Department - 2022
Line Item i
Otyl
(Total or Supplies and Materials
6 Travel
Mileage
0.00001
Notes : 6,000 miles @.0.56
7 Communication
Telephone
I
0.00001
8 County -City Central Services
9 Space Costs
Building Space Rental
I
O 00001
10 All Others (ADP, Con. Employees,
Misc.)
IT Print Services
000001
Insurance
0.0000I
IT Operations
0.0000
Total for All Others (ADP, Con. Employees, Misc.)
(Total Program Expenses
(TOTAL DIRECT EXPENSES
(INDIRECT EXPENSES
(Indirect Costs
1 (Indirect
Costs
2
Cost Allocation Plan / Other
Other Cost Distributions-CSHCS
0.0000
Care Coor Fees
(Health
Adm Distribution
0.0000
Other Cost Distributions -Nursing
0.0000
Staff
INursing Adm Distribution
0 0000
Other Cost Distributions-CSHCS
0.0000
- Medicaid Outreach
Cost Allocation Plan
00000
Notes : 9 91 %
TTotal for Cost Allocation Plan / Other
[Total Indirect Costs
Contract # 20220358-Ou Date 09/17/2021
Patel UnitsIUOM ' Total
4,372.00
1
0.000 0,0001
00001 0.0001
0.0001 0.0001 I
0 000
0.000
0.000
0.000
0.000
0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
3,360.00
4,608.001
24,599.00
3,400.001
379.001
45,835.00
49,614.00
506,237.00
506,237.0011
-241,965.00
91,351.001
165,710.001
16,805.001
-273,866.00
30,130.00
-211,835.001
-211,835.001
Date 09/17/2021 Contract # 2022035"0, Oakland County Department of Health and Huntan Seances/
Health Divisor, Local Health Department - 2022
Page: 71 of 179
IILine Item
(TOTAL INDIRECT EXPENSES
ITOTAL EXPENDITURES
Contract # 20220358-00 Dawu9l17I2021
Qty) Rate Units IUOM Total
-211,835 001
294,402.001
Date 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Secac st Page' 72 of 179
Health Divisn n, Local Health Department -2022
i anu U#20220:'�30C
0,,L j9/,
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2022 / Emerging Threats -
PREPARED
DATE DATE027
Hepatitis C
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
BUDGET PERIOD
Health Division
From . 10/1 To - 9130/2022
MAILING ADDRESS (Number and Street)
1200 N. Telegraph Rd.
BUDGET AGREEMENT
AMENDMENT #
34 East
i✓ Original f— Amendment
0
lac IMIATE (ZIP CODE
(FEDERAL ID NUMBER
Pon
38-6004876
Category
I Total I
Amount
DIRECT EXPENSES
I�
Program Expenses
1 I Salary & Wages
+ 20,362.00 (
20,362.00
2 Fringe Benefits
I 1,09500 I
1,095.00
3 Cap. Exp. for Equip & Fac.
I 0.00
0.00
i4 + Contractual
I 0.00
0.00
5 Supplies and Materials
11,305.00
11,305.00
6 Travel
I 3,725.00
3,725.00 i
7 Communication
I 3361111
336.00
I 8 County -City Central Services
I 0.00
0.00
9 I Space Costs
I 000 I
0.00
f10 I All Others (ADP, Con. Employees, Misc.)
I 37,380.00 I
37,380.00
Total Program Expenses
I 74,203 00 I
74,203.00
TOTAL DIRECT EXPENSES
I 74,203.00 (
74,203.00
INDIRECT EXPENSES
II
1
JIndirect Costs
1 J Indirect Costs
I 0.00 J
0.00
2 I Cost Allocation Plan / Other
I 14,994 00
14,994.00
Total Indirect Costs
I 14,994.001
14,994.00
TOTAL INDIRECT EXPENSES
J 14,994.00 I
14,994.00
TOTAL EXPENDITURES
I 89,197,001
89,197.00
Date 0911712021 Contract # 20220358-00, Oakland County Department of Health and Human services/ Page: 73 of 179
Health Division, Local Health Department - 2022
Contract#20220358-00 D.+ta 09117,2021
2 Program Budget - Source of Funds
SOURCE OF FUNDS
iCategory +
Total
+ Amount I
Cash +
Inkind'
1 Source of Funds
Fees and Collections - 1st and 2nd
0.00
0.00
0.00
0,00
Party
+Fees and Collections - 3rd Party I
0.00
I 0.00
0.00 I
0.00
IIFederal or State (Non MDHHS)
0.00
0.00
0.00 I
000
IIFederal Cost Based Reimbursement
0.00
0.00
0.00
0 00
IIFederally Provided Vaccines I
0.00
I 0.00 (
0.00
0.00
IIFederal Medicaid Outreach I
a00
I 0.00 I
0,00 I
0.00
(Required Match - Local I
0.00
0.00 I
0.00
0.00
I(Local Non-ELPHS I
0.00
0.00 I
0.00
0.00
I(Local Non-ELPHS I
0.00
I 0.00
0.00
0.00 I
(Local Non-ELPHS
0.00
0.00
0.00
0.00
10therNon-ELPHS
0.00
0.00
0.00
0.00MDHHS
Non Comprehensive I
0.00
I 0.00
0.00
0.00
IMDHHS Comprehensive I
76,221.00
76,221,00
0.00
0.00
IMCH Funding I
0.00
0.00
0.00 I
0.00
ILocal Funds - Other I
12,976.00
0.00
12,976.00
0.00
Ilnkind Match I
0.00 I
0.00 I
000 I
0.00 I
IMDHHS Fixed Unit Rate
ITotais I
89,197.00 I
76,221.00 I
12,976.00 I
0,00
Data 0911712021 Contract # 20220358-00, Oakland County Department of Health and Human Services) Page: 74 of 179
Health Damson, Loral Health Department -2022
3 Program Budget - Cost Detail
I !Line Item I Qtyl
(DIRECT EXPENSES
(Program Expenses
1 Salary & Wages
lAuxiffary Health Worker
I2 (Fringe Benefits
All Composite Rate
Notes : Fica
Unemp Ins
Retirement
Hosp Ins
Life Ins
Vision Ins
Dental Ins
Work Camp
Short/Long Term Disability
3 ICap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
(Postage
(Office Supplies
(Printing
(Educational Supplies
IIncentives
(Computer Supplies
(Medical Supplies
Total for Supplies and Materials
I6 ITravel
Mileage
Notes : 3,080 miles tat .56 per
mile
(Conferences
(Total for Travel
I7 (Communication
Contract#20220359-eC Date 09/17/2021
Ratel unitsluoM I Totad
l
I0.48081
42351.0001
0.0001FTE
, 20,362,00
1
00000
5,378
20362.000
1,095.00
0.0000
0.000
0.0001
0.0000
0.000
0.000I
II
0.0000
0.0001
0.000�
Il+j 00000)
0.000+
0.000
0.0000I
0.0001
0.0001
Ij 0.000O Ij
0.000
00001
I 0.00001
0.000
0 0001
0.00001 0.0001 0.000
0.00001 0.0001 0.0001
I
830.001
1,475.001
2,500.001
2,500.001
2,000.00I
500.001
1,500.001
11,305.00I
l
1,725.00
2,000.001
3,725.001
l
Data 09/17/2021 Contract # 2022036MO, Oakland County Department of Health and Human Services/ Page. 75 of 179
Health Division, Local Health Department - 2022
Contract # 20220358-00 Date- 09/17/2021
Line Item IQty
Rate
Units UOM
Total)
Telephone Cornrnunicatt, 0.0000
0.000
0.000
336.00I1
8 County -City Central Services
1
9 Space Costs
I10 IAH Others (ADP, Con. Employees, Misc.)
IIT Operations , 0.0000
0.000
0.000
I 6,520.001
Insurance I 0.0000
0.000
0.000
I 101.001
Interpretation Fees I 0.0000
0 000
0.000
250.001
IAdvertising I 0,0000
0,000
0.000
27,649.00
(1-ab Fees 0.0000
0.000
0.0001
I 2,000.00
Expendable Equipment - Office I 0.0000
Ij
0,000
0.000
I
I 860.00
Furniture
(Total for All Others (ADP, Con. Employees, Misc.)
I 37,3W001
(Total Program Expenses
I 74,203.001
(TOTAL DIRECT EXPENSES
, 74,203.001
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
J
Cost Allocation Plan 0.0000 0.000 0.000
2,018.00
l
Notes . 9.91%
Health Adult Distribution 0.0000 0.000 0.000
12,976.001
(Total for Cost Allocation Plan I Other
I 14,994.001
(Total Indirect Costs
I 14,994,001
(TOTAL INDIRECT EXPENSES
I 14,994.001
ITOTAL EXPENDITURES
I 89,197.001
Date 09/17/2021 Contract # 2022035"0, Oakland County Department of Health and Human Services/ Page: 76 of 179
Health Division. Local Health Department - 2022
Contract#20220358-00 Dat,.09/17/2021
1 Program Budget Summary
PPR ROGRAM I OJECT
DATE PREPARED
Local Health Department - 20221 Fetal Infant Mortality
Renew (FIMR) Case Abstraction
g/17/2021
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
BUDGET PERIOD
Health Division
From 10/1/2021 To : 9/30/2022
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
AMENDMENT#
1200 N. Telegraph Rd,
34 East
C' {` Amendment
0
CITY ATE 1ZIP 0-1032
IMI
D NUMBER
Pontiac I48341
38-6004876Original
l
1 Category
Total I
Amount
DIRECT EXPENSES
Program Expenses
J
1 I Salary & Wages
J
I 0.00
0.00
i2 Ij Fringe Benefits
Ij 0.00
0.00
3 I Cap. Exp. for Equip & Fac.
I 000
0.00
4 Contractual
I 0.00
0.00
jI
5 Supplies and Materials
0.00
0.00
6 Travel
0.00
0.00I
7 ( Communication
0.00
a00
8 I County -City Central Services
0.00
(
0.00
9 Space Costs
0.00
0.00
10 All Others (ADP, Con. Employees, Misc.)
I 0.00
0.00
INDIRECT EXPENSES
Indirect Costs
J
1 Indirect Costs
0.00
0.00 l
J2 1 Cost Allocation Plan / Other
! 6,480.00
6,480.00
Total Indirect Costs
I 6,48000
6,480.00
TOTAL INDIRECT EXPENSES
J 6,48000
6,48000
TOTAL EXPENDITURES
I 6,480.00
6,480.00
Date 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human services/ Page,. 77 of 179
Heath D,es,rn, Loral Health Depatlmeal-2022
2 Program Budget - Source of Funds
SOURCE OF FUNDS
Category
1 Source of Funds
Fees and Collections - 1 st and 2nd I
Party
Fees and Collections - 3rd Party
IFederal or State (Non MDHHS)
IFederal Cost Based Reimbursement
I(Federally Provided Vaccines
Federal Medicaid Outreach
Required Match - Local
ILocal Non-ELPHS
I(Local Non-ELPHS
I (Local Non-ELPHS `I
IOther Non-ELPHS
MDHHS Non Comprehensive Ij
MDHHS Comprehensive
I IMCH Funding
IILocal Funds -Other
I Ilnklnd Match
I(MDHHS Fixed Unit Rate
II Fetal Infant Mortality Review
I (Totals
contrail*;(1'20353-00 Dota'09177L'C.`t
Total +
Amount I
Cash
000
0.00
0.00
000
0.00
0,00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
I
0.00
0.00
I
0,00
I
0.00
0.00
I
0.00
0.00
000
000
0.00
0.00
000
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
000
I
0.00
j
0.00
000
I
0.00
0.00
0.00
I
0.00
I
0.00
000
I
000
I
0.00
6,480.00 6,480.00 0.00
6,480.00 I 6,480.00 I 0.00
Inkind
000
000
0.00'
0.00 I
0.00
0.00
0.00
0.00
0.00 I
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Date 09/1712021 Contract # 20220158-00, Oakland County Department of Health and Human Services/ Page. 78 of 179
Health Divisor, Local Health Department-2022
Conao,t#20%20356-00 03te-0&1'/2021
3 Program Budget- Cost Detail
'Line Item I QtyI Rate UnitsIUOM I Total
,DIRECT EXPENSES
(Program Expenses
1 ISalary & Wages
2 (Fringe Benefits
3 Cap, Exp. for Equip & Fac.
4 Contractual
1 5 Supplies and Materials
I6 (Travel
7 Communication
8 County -City Central Services
9 ISpace Costs
1 10 IAII Others (ADP, Con. Employees, Misc.)
(INDIRECT EXPENSES
Ilndirect Costs
I1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Distributions for Fees-FIMR 00000 0.000 0 000 6,480.00
Cases
Notes. Cost Distribution for
FIMR fees from Community
Nursing
(Total Indirect Costs 6,480.001
(TOTAL INDIRECT EXPENSES 6,480M01
(TOTAL EXPENDITURES 6,480.001
Date, 09117/2021 Gontocl # 20220358-00, Oakland County Department of Health and Human services/ Page: 79 of 179
Health Division Local Health Department- 2022
Contract it 20220,8-03 Dateox/J 712021
1 Program Budget Summary
PROGRAM / PROJECT
DATE PREPARED
Local Health Department - 2022 / Food ELPHS
9/17/2021
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
BUDGET D
PERIOD
Health Division
From: 10(To 9l30/2022
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
AMENDMENT #
1200 N. Telegraph Rd.
34 East
F Original I— Amendment
0
CIT
IPontrac
ATE
IMI
IP CODE
I48341--1032
FEDERAL ID NUMBER
38-6004876
JI
ICategory
Total I
Amount
DIRECT EXPENSES
J
Program Expenses
J
1 Salary & Wages
D 00 !
0,00
2 Fringe Benefits
0.00,
0.00
3 Cap. Exp. for Equip & Fac.
0.00
I
0.00
4
I Contractual
I 0.00
I
0.00
5
I Supplies and Materials
I 0.00
I
0.00
6 Travel
0.00
0.00,
7 Communication
000,
0.00,
8 County -City Central Services
0.00
I
0.00
9 Space Costs
I 0.00
+
0.00
10
I All Others (ADP, Con. Employees, Misc.)
I 0.00 I
0.00
INDIRECT EXPENSES
Indirect Costs
1
I
Indirect Costs
0 00
+
0.00
I 2
Cost Allocation Plan / Other
4,672,334.00
I
4,672,334.00
iTotal Indirect Costs
4,672,334.00
I
4,672,334.00
TOTAL INDIRECT EXPENSES
4,672,334,00
4,672,334.00
TOTAL EXPENDITURES
4,672,334.00
4,672,334.00
Date 09/17/2021 Contract k 20220358-00, Oakland County Department of Health and Human Sermnesl Page: 80 of 179
Health D'rmsion, Local Health Department -2022
2 Program Budget- Source of Funds
SOURCE OF FUNDS
Category
1 Source of Funds
Fees and Collections - 1st and 2nd
1,
Party
Fees and Collections - 3rd Party
iFederal or Slate (Non MDHHS)
Federal Cost Based Reimbursement
Federally Provided Vaccines
IFederal Medicaid Outreach
Required Match - Local
Local Non-ELPHS
Local Non-ELPHS
Local Non-ELPHS
Other Non-ELPHS
MDHHS Non Comprehensive
MDHHS Comprehensive I
1,
MCH Funding
Ij Local Funds - Other
1,
Inkind Match
MDHHS Fixed Unit Rate
Totals I
4.
Contract#20220358-00 Date 04117/2021
Total I Amount I Cash
595,710.00
0.00
1,595,710,00
0.00
0.00
000
0.00
0.00
0,00
0.00
0.00
0.00
0.00
0.00
0.00
0.00I
0,00
0.00
0.00 I
000
0.00
0.00 Ij
0.00
0.00
0,00
0.00
0.00
0.00
0,00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
176,612.00I
1,176,612.00
0.00
0.00 I
0.00
0.00
900, 012.0 0 I
0.00
1, 900, 012.00
0.00 I
0.00
0.00
672,334.00 1 1,176,612.00 1 3,496,722.00
Inkind
0.00
am
0.00 I
0.00
0.00
0.00
0.00
0.00 I
0.00
0.00
0.00 I
0.00
0.00
0.00
0.00
0.00
W1
Data 09/17I2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page: 81 of 179
Health Dmsion, Local Health Dep carom - 2012
3 Program Budget - Cost Detail
l lLine Item l cityl
DIRECT EXPENSES
(Program Expenses
1 Salary & Wages
2 Fringe Benefits
3 Cap. Exp. for Equip & Fac.
4 Contractual
i5 Supplies and Materials
6 Travel
7 Communication
8 County -City Central Services
9 Space Costs
10 All Others (ADP, Can. Employees, Misc.)
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan I Other
Cantrect#20220358-00 Date 99/17/2021
Ratel UnitsJUOM J Total!
Environmental Hlth Adm 0.0000 0.000 0.000
3,419,840.00
Distribution
Health Adm Distribution 0.0000 0.000 0.000
1,252,494A0I
(Total for Cost Allocation Plan I Other
4,672,334 001
(Total Indirect Costs
4,672,334,001
(TOTAL INDIRECT EXPENSES
4,672,334.001
TOTAL EXPENDITURES
4,672,334.00
Date: 09/1712021 Contract # 20220358 00, Oakland County Department of Health and Human Senncesl Page: 82 of 179
Health Division, Local Health Department -2022
�nntra:.Y k 20220358-00 Date: 09I17/2021
I Program Budget Summary
PROGRAM l PROJECT
Local Health Department - 2022 / Gonococcal Isolate
DATEPREPARED
Surveillance Proiect
9/17/2021
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
BUDGET PERIOD
Health Division
From : 10/1/2021 To : 9/30/2022
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
1200 N. Telegraph Rd.
34 East
r Original E— Amendment
CITY
STATE
ZIP CODE
148341-1032
FEDERAL ID NUMBER
Pontiac
MI
38-6004876
I Category
I Total I
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
2 Fringe Benefits
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
6 Travel
7 Communication
8 County -City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Total Program Expenses
TOTAL DIRECT EXPENSES
INDIRECT EXPENSES
Indirect Costs
I J Indirect Costs f
2 Cost Allocation Plan / Other
Total Indirect Costs
TOTAL INDIRECT EXPENSES
TOTAL EXPENDITURES
34,518.00
19,642.00
0.00
0.00
929.00
4,406.00
0.00
0.00
0.00
84.00
59,579 00
59,579.00
0.00
16,120.00
16,120.00
16,120.001
75, 699.00
AMENDMENT#
0
-1
Amount II
1
l
34,518.00
19,642.00
0.00
0.00
929.00
4,406.00
0.00 1
0.00 1
0.00
8400
59,579 00 f
59,579.00
1
l
0.00
16,120 00
16,120.00
16,120.00
75, 699.00
Date 09/17/2021 Contract # 2022035MO, Oakland County Department of Health and Human Services/ Page 83 of 179
Health Dhasion, Local Health Department - 2022
2 Program Budget - Source of Funds
SOURCE OF FUNDS
ICategory
1 Source of Funds
Fees and Collections - 1st and 2nd
Party
(Fees and Collections - 3rd Party
Federal or State (Non MDHHS)
Federal Cost Based Reimbursement
Federally Provided Vaccines
Federal Medicaid Outreach
Required Match - Local
Local Non-ELPHS
Local Non-ELPHS
(Local Non-ELPHS
(Other Non-ELPHS
+MDHHS Non Comprehensive
IMDHHS Comprehensive Ij
MCH Funding
Local Funds- Other
Ilnkind Match
IIMDHHS Fixed Unit Rate
I (Totals
Contract # 20220358-00 Date, 09W12021
Total +
Amount (
Cash I
Inkind
I
0.00
0.00
0,00I
0.00I
000
0.00
0.00
I
0.00'
0.00
I
000
I
0,00
I
0.00
0.00
0.00
+
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00I
0.00
000
I
000
0.00
I
0.00
0.00
a00I
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
a00
I
0.00
0,00 I
jI
0.00 f
63,000.00
I
63, 000.00
I
0.00 I
0.00 I
0.00
I
0.00 I
0.00
0.00
12,699.00I
0.00
12,699,00
0.00
000 I
0.00
0.00
0.00
75,699.00 ) 63,000.00 1 12,699,00 1 0.00
Date09/1712021 Contract It 20220358-00, Oakland County Department of Health and Human Services/ Page' 84 of 179
Health Dmis,om, Laval Health Department - 2022
3 Prodrarn Budget - Cost Detail
(Line Item I
Qtyl
DIRECT EXPENSES
(Program Expenses
1
(Salary & Wages
Public Health Nurse
464,0000
(Public Health Nurse
464.0000
(Total `or Salary & Wages
2 Fringe Benefits
All Composite Rate
0.0000
Notes FICA
Unemployment Insurance
Retirement Insurance
Hospital Insurance
Life Insurance
Vision Insurance
Dental Insurance
Workers Comp
Short and Long Term Disability
Insurance
3 Cap. Exp. for Equip & Fee.
4 Contractual
5 Supplies and Materials
Lab Supplies 1
000001
6 Travel
Conferences I
0.0000I
1 7 Communication
8 County -City Central Services
1 9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Insurance
1 000001
(Total Program Expenses
(TOTAL DIRECT EXPENSES
11NDIRECT EXPENSES
11ndirect Costs
Contract#20220353-00
Date 09/17/2021
Rate
UnitslUOM I
Totall
1
37.197
0.000
17,259.00
37 197
0 000
17,259.00
1
34,518.001
1
56.904
34518.000
19,642.00
0.0001 0.0001
0.0001 0.0001
0.000I 0.000I
1
929.001
1
4,406.001
84.001
59,579.001
59,579.001
Page 85 of 179
Date 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department -2022
COp IZ40#202203,16-00
Utlo 09117;WfA
,Line Item I
Owl
Rate,
Units+llOM (
Total+
t Ilndirect Costs
J
I2 ICost Allocation Plan / Other
I
(llooc�ation Plan
0.00001
0.000�
I
0A00 I
3,421.00
Notes1
(Health Arm Distribution
0.00001
0.0001
0 000 I
10,725.00
(Nursing Adm Distribution
0.00001
0,0001
0.0001 I
1,974 001
(Total for Cost Allocation Plan / Other
I
16,120.001
ITotal Indirect Costs
I
16,120 001
(TOTAL INDIRECT EXPENSES
,
16,120.001
(TOTAL EXPENDITURES
I
75,699.001
Date 09I1712021 Contract # 20220358-00, Oakland County Department of Health and Human Senncesl Page 86 of 179
Health Drvrston, Local Health Department - 2022
Comract# 2(1226358-00 0te
1 Program Budget Summary
PROGRAM / PROJECT
DATE PREPARED
Local Health Department - 2022 / Heanno ELPHS
9/17/2021
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
PER
PERIOD
BUDGET PER21
Health Division
From, To : 9/3012022
ADDRESS (Number and Street)
BUDGET AGREEMENT
�MAILING
1200 N. Telegraph Rd.
34 East
Fv Original r Amendment
(CITY
IMI ATE
ZIP CODE
I48341-1032
FEDERAL NUMBER
Pontiac
8-6004876
1 Category
! Total
DIRECT EXPENSES
IProgram Expenses
1
I Salary & Wages
I 384,500.00,
2
1 Fringe Benefits
I 97,505.00
3
I Cap. Exp. for Equip & Fac.
I 0.00
!
4
I Contractual
I 0.00
5
I Supplies and Materials
, 11,297.00
6
Travel
I 7,304.00I
I7
Communication
' 1,069.00I
8
I County -City Central Services
I 0.00
I9
I Space Costs
I 14,752.00
10
I All Others (ADP, Con. Employees, Misc.)
I 10,906.00
!I
Total Program Expenses
I 527,333.00
TOTAL DIRECT EXPENSES
i 527,333.00
INDIRECT EXPENSES
Indirect Costs
1
I
Indirect Costs
'
000
I 2
Cost Allocation Plan / Other
475,705.00
Total Indirect Costs
I
475,705.00
TOTAL INDIRECT EXPENSES
I
475,705.00
TOTAL EXPENDITURES
I
1,003,038.00
AMENDMENT#
0
J
Amount J
384,500 00
97,505.00
0.00
000
11,297.00
7,304.00 Ij
1,06900
0.00'
14,752.00 I
10,906.00
527,333.00 I
527,333.00
0.00
475,705 00
475,705.00
475,705 00
1,003,038.00 l
Date 09/1712021 Contract # 20220358-Oq Oakland County Department of Health and Human services/
Health Division, Local Health Department -2022
Page: 87 of 179
Program Budget - Source of Funds
SOU 2CE OF FUNDS
Category
1 Source of Funds
Fees and Collections - 1st and 2nd
Party
Fees and Collections - 3rd Party
Federal or State (Non MDHHS)
Federal Cost Based Reimbursement
Federally Provided Vaccines
Federal Medicaid Outreach
Required Match - Local
Local Non-ELPHS
Local Non-ELPHS
Local Non-ELPHS
Other Non-ELPHS
MDHHS Non Comprehensive
MDHHS Comprehensive
MCH Funding
Local Funds - Other
Inkind Match
MDHHS Fixed Unit Rate
Totals
Contract#271220358-00 Date: 39/17/.2021
Total I Amount I Cash
0.00
0.00
000
0.00
0.00
0.00
0.00
0.00
0.00
000
0.00
I
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
253,969.00
253,969.00
0.00
0.00
0.00
0.00
749,069.00
0.00
749,069.00
0.00
0.00
0.00
, 003, 03 8.00 I
253,969.00 I
749, 069.00
Inkind
0.00
0.00
0.00
0.00
0.00
0.00
000
0.00
0.00
0.00
0.00
000
0.00
0.00
0.00
0.00
0.00 (
Date- 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page: 88 of 179
Health Division, Laval Health Department -2022
3 Program Budget - Cost Detail
Line Item I Qtyl
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Supervisor
Technician
(Technician
Technician
(Technician
(Technician
Technician
(Technician
ITechnician
ITechnician
Technician
TechnicianTechnician
ICoordi nator
IAuxtilary Health Worker
(Assistant
Total `or Salary & Wages
2 Fringe Benefits
All Composite Rate
Notes : FICA
UNEMPLOYMENT INS
RETIREMENT
HOSPITAL INS
LIFE INS
VISION INS
HEARING INS
DENTAL INS
WORKCOMP
SHORT/LONG TERM
DISABILITY
3 Cap. Exp. for Equip & Fac.
Contract# 20220358-00 Date 09/17/2021
Ratel UnitslUOM I Total!
1.0000
59065.000
0.000
FTE
1
59,065.00
04736
42353.000
0.000
FTE
20,057.00
0.4736
38911.000
0.000
FTE
18,427.00
0.4736
38911 000
0.000
FTE
18,427.001
9850000
17.051
0.000
FTE
16,795.001
985.0000
17.051
0.000
FTE
16,795,001
0.4736
38911.000
0,000
FTE
18,427,001
04736
42353.000
0.000
FTE
20,057.001
0.4736
45797000
0.000
FTE
21,688.00
985.0000
17.051
0.000
FTE
16,795.00
0.5000
86357.000
0.000
FTE
43,179.0011
985.0000
17 051
0.000
FTE
16,795 001
0.5000
86357.000
0,000
FTE
43, 179.001
0.7000
47519.000
0.000
FTE
33,263.001
0.5000
43101.000
0.000
FTE
21,551.001
384,500.001
0.0000 25 359 384500.000 97,505.00
Dale 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page 89 of 179
Health Division, Local Health Department - 2022
,Lime Item
4lContractual
5 Supplies and Materials
(Medical Supplies
IOffce Supplies
+Printing
(Postage
(Total for Supplies and Materials
6 Travel
(2tyl
000001
0 00001
0.00001
0.00001
I
Personal Mileage
0.0000
II
Notes :.56 PER MILE I
1 7
Communication
(Telephone I
000001
8
County -City Central Services
9
Space Costs
Space/Rental Costs I
0.00001
10
All Others (ADP, Con. Employees,
Misc.)
'
IT Print Services
0.0000
(Insurance
0.0000
(Equipment Repair 1
0.0000
Staff Training
0.0000
(interpreter Fees
0.0000�
(Expendable Equipment I
0.00001
Total for All Others (ADP, Con. Employees, Misc.)
Total Program Expenses
(TOTAL DIRECT EXPENSES
INDIRECT EXPENSES
Ratel
0.000
0.000
0.0001
0.0001
Contract#20220353-00 Oace 09/17/2021
UoitslUOM l Total+
0.0001
0.0001
0.0001
0.0001
0.0001 0,0001
0.0001 0.0001
0,0001 0.0001
0.000
0.000
0.000
0.000
0 000
0.000
0.0001
9o
0.0001
0.0001
0.0001
0 OOO
Indirect Costs
1 11ndirect Costs
2 JCost Allocation Plan I Other
Cost (Notes Allocation Plan 0.0000 0.000 0.000
c
Health Adm Distribution 1 0A000 0.000 0.0001
Date 09/17/2021 Contract # 0220359-00, Oakland County Department of Health and Human Semcesl
Health DiOsion, Loral Health Department -2022
828.001
974.00
2,435.00
7,060.00
11,297.00
7304.00I
1,069.00
1
14,752.00!
1
311.001
2,633 001
2,727.001
2,678.001
122.001
2,435.001
10,906.001
527,333.001
527,333.001
1
If
II
{
38,104.00 J
1 96,259.001
Page: 90 of 179
l: oniract#20220358-00
lure 091
j Lind Item Otyl
Rate UnitsluOM I
Totall
I
tither Cost Distributions-Pdisr. 0.00001
0.000 0 000
341,34200
Distributions
Total for Cost Allocation Plan J Other
475,705.00I
(Total Indirect Costs
I 475,705.00
(TOTAL INDIRECT EXPENSES
I 475,705.00
}TOTAL EXPENDITURES
I 1,003,038.00
Dale 09/1712021 Contract # 20220358-00, Oakland County Department of Health and Human services/ Page: 91 of 179
Health Division, Local Health Department-2022
:nntract 4 20220358-OC Date 090712021
1 Program Budget Summary
PROGRAM / PROJECT DATE PREPARED
Local Health Department - 2022 / HIV Data to Care 9/17/2021 _
CONTRACTOR NAME BUDGET PERIOD
Oakland County Department of Health and Human Services/ From, 10/l/2021 To : 9/30/2022
Health Division
MAILING ADDRESS (Number and Street) BUDGET AGREEMENT AMENDMENT #
1200 N. Telegraph Rd. 0
34 East fv Original F' Amendment j
CITY (STATE (ZIP CODE FEDERAL ID NUMBER 1
Pontiac MI 48341-1032 38-6004876
Category I Total Amount
DIRECT EXPENSES
Program Expenses 1�
1 Salary & Wages 77,370.00 77,370.00 1
2 Fringe Benefits 42,027.00 42,027.00 1j
3 Cap. Ex . for Equip & Fac. 0.00 0.00 1
p P i
4 Contractual 0.00 0 00 1
5 Supplies and Materials 273.00 I 273.00
6 Travel 0.00I 0.00
7 Communication 492 00 492.00
8 County -City Central Services 0.00 I 0.00
9 Space Costs 0.00 0.00
10 All Others (ADP, Con. Employees, Misc.) 171.00 171.001
Total Program Expenses 120,333.00 120,333 00
TOTAL DIRECT EXPENSES 120,333 00 120,333.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 I Cost Allocation Plan / Other 33,467 00 33,467 00
Total Indirect Costs 33,467.00 33,467.00
TOTAL INDIRECT EXPENSES 33,467.00 33,467.00
TOTAL EXPENDITURES 153,800.00 153,800.00
Date' 09/17/2021 Contract # 20220350-00, Oakland County Department of Health and Human Serva'esl Page: 92 of 179
Health Division, Local Health Department -2022
Coctra.:c�?0�201od-Jil Date n0,1112021
2 Program Budget - Source of Funds
SOU 2CE OF FUNDS
Category I
Total I
Amount I
Cash
Inkind
1 Source of Funds
Fees and Collections - 1st and 2nd
0.00
0.00
0.00
0.00 1
Party
Fees and Collections - 3rd Party
0.00
0.00
0.00 I
0.00
Federal or State (Non MDHHS)
0.00
000
0.00
0.00
Federal Cost Based Reimbursement
000
0.00
000
0.00
Federally Provided Vaccines
000
0.00
0.00
0.00
Federal Medicaid Outreach
0.00
0.00
0.00
0.00
Required Match - Local
000
0.00
0.00
0.00
Local Non-ELPHS
0.00
0.00
0.00
0.00 1
Local Non-ELPHS
0.00
000
0.00 I
0.00
Local Non-ELPHS
0.00
0.00
0.00
0.00
Other Non-ELPHS
0.00
0.00
0.00
0.00
MDHHS Non Comprehensive
0.00
0.00
0.00
0.00
MDHHS Comprehensive
128,000.00
128,000.00
0.00
0.00
MCH Funding
0.00
0.00
0.00
0.00
Local Funds - Other
25,800.00
0.00
25,800.00 I
0.00
Inkind Match
0.00
0.00
0.00 I
0.00
MDHHS Fixed Unit Rate
Totals I
153,800.00I
128,000.00I
25,800.00I
0.00
Date 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page: 93 of 179
Health Division, Local Health Department -2022
Contract 9 202203;8-00 Date 0911712021
3 Program Budget - Cost Detail
I (Line Item
I Qtyl
Ratel
UnitslUOM
I Totall
DIRECT EXPENSES
lProgram Expenses
1 Salary & Wages
lPublic Health Nurse
I 1.00001
77370.000I
0.0001 FTE
I 77,370.001
l2 Fringe Benefits
l
All Composite Rate
0.0000
54 319
77370.000
42,027.00
Notes: FICA, UNEMP INS,
RETIREMENT, HOSPITAL INS,
LIFE INS, VISION INS,
HEARING INS, DENTAL, WORK
COMP, SHORT/LONG TERM
DISABILITY
3 Cap. Exp. for Equip & Fac.
l
4 Contractual
5 Supplies and Materials
lOffice Supplies
I 0.00001
0.0001
0.0001
1 273.001
l6 Travel
7 Communication
l
Telephone
I 0.00001
00001
00001
I 492.001
8 County -City Central Services
l
l9 Space Costs
l
110 All Others (ADP, Con. Employees, Misc.)
Insurance
l 0,00001
th000l
0.0001
171.00
lTotal Program Expenses
120,333.00
(TOTAL DIRECT EXPENSES
120,333.00
(INDIRECT EXPENSES
(Indirect Costs
1 Indirect Costs
l
i2 Cost Allocation Plan / Other
Cost Allocation Plan
0.0000
0 000
0.000
7,66700
Notes 9.91
Health Adm Distribution
0.0000
0.000
0.000
21,790.001
Date 09/1712021 Contiact # 20220358-00,
Oakland County Department
at Health and Hurnan
Servmesl
Page 94 of 179
Health Division, Local Health Department- 2022
1 (Line Item Qty)
Nursing Adm Distribution 0.0000
(Total for Cost Allocation Plan / Other
(Total Indirect Costs
ITOTAL INDIRECT EXPENSES
(TOTAL EXPENDITURES
Contract # 20220:,58-00 D„ re 09/17/2021
Rate Units UOM Totall
0.000 0.000 I 4,010 0011
33,467 001
33,467.001
33,467.00
153,800.00
Date 09J17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page. 95 of 179
Health Division, Local Health Department- 2022
Cuniract#202203a6-00 Date 09/17,12,I21
1 Program Budget Summary
PROGRAM/PROJECT DATEPREPARED
Local Health Department - 20221 HIV PrEP Clinic 9/17/2021
CONTRACTOR NAME PERIOD
PER
Oakland County Department of Health and Human Services/ From. 1BUDGET PER21 To 9/30/2022
Health Division
MAILING ADDRESS (Number and Street) BUDGET AGREEMENT
1200 N. Telegraph Rd.
34 East ry Original r Amendment
CITY (STATE (ZIP CODE FEDERAL ID NUMBER
Pontiac MI 48341-1032 38-6004876
Category I Total
AMENDMENT#
0
Amount I
DIRECT EXPENSES
f
Program Expenses
7
1 I Salary& Wages
92,293,00
92,293,00,
2 !I Fringe Benefits
I 25,085.00 I
25,085.00
3 Cap. Exp. for Equip & Fac.
I 0.00 !
000
4 Contractual
i
J 0.00 I
0.00
5 Supplies and Materials
I 0.00,
0.00,
6 I Travel
, 2,116.00 I
2,116.00
7 I Communication
I 540.00 I
54C.00,
8 I County -City Central Services
I 0.00 I
000
9 Space Costs
I 0.00 I
0.00
10 All Others (ADP, Con. Employees, Misc.)
' 3,516.00 I
3,51600
Total Program Expenses
( 123,550 00 I
123,550 00 Ilj
TOTAL DIRECT EXPENSES
I 123,550.00 I
123,55000
INDIRECT EXPENSES
1
!�
Indirect Costs
1 Indirect Costs
!
I 0.00
000
2 Cost Allocation Plan / Other
I 35,893.00
35,893.00
Total Indirect Costs
I 35,893.00
35,893 00
TOTAL INDIRECT EXPENSES
35,893.00
35,893.00
TOTAL EXPENDITURES
I 159,443.00
159,443.00
Dale. 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department -2029
Page: 96 of 179
2 Program Budget - Source of Funds
SOURCE OF FUNDS
1 iCategory
Source of Funds
Fees and Collections - 1st and 21nd
Party
I(Fees and Collections - 3rd Party
Federal or State (Non MDHHS)
IFederal Cost Based Reimbursement i
IIFederally Provided Vaccines IFederal
Medicaid Outreach
Required Match - Local
(Local Non-ELPHS
Local Non-ELPHS
ILocal Non-ELPHS
Other Non-ELPHS
MDHHS Non Comprehensive
MDHHS Comprehensive j
MCH Funding I
I(Local Funds - Other Ij
I I Inkind Match
IMDHHS Fixed Unit Rate
I (Totals
Contract#-,w20358,0 Date: 091712t21
Total +
Amount I
Cash I
Inkind
0.00 I
0.00
0.00
0.00
0.00I
0.00
0.00
0.00I
0.00
0.00
I
0.00
000 I
0.00
0.00
I
0.00
I
0.00
0.00
I
0.00
I
0.00
0.00
0.00
0.00
0.00
0.00 I
0.00
0.00
I
0.00
000 I
0.00
0.0o
0.00I
0.00I
0.00I
0.00
0.00
0.00
0.00
0.00I
0,00
0.00
0.00
0.00
0.00
0.00
0.00I
0.00
0.00
0.00
132,696.00
132,696.00
0.00
0.00 I
0.00
0.00
0.00
000
26,747.00
0.00
26,747.00
0.00I
0.00 (
0.00 I
0.00 (
0.00 I
1
159,443 00 (
132,696.00 I
26,747.00 I
0.00
Date, 09/1712021 contract # 2D22035"0, Oakland County Department of I lealth and Human Serves/ Page: 97 of 179
Health Division, Local Health Department -2022
Contract 4 20220358-00 Dateb9i 17 21121
3 Program Budget - Cost Detail
(Line Item I Cityl
(DIRECT EXPENSES
,Program Expenses
1 Salary & Wages
Specialist ( 0.48081
Nurse 1.00001
(Total for Salary & Wages
1 2 Fringe Benefits
All Composite Rate 0,0000
Notes Fica, Unemp Ins,
Retirement, Hospital Ins, Life Ins,
Vision Ins, Dental Ins,
Workcomp, Short/Long Term
Disability
1 3 Cap. Exp. for Equip & Fac.
I4 Contractual
1 5 Supplies and Materials
6 Travel
Mileage 0.0000
Notes : 0 56 per mile
Client Transportation 0.0000
(Total for Travel
1 7 (Communication
Telephone Communications I 0.00001
1 8 County -City Central Services
I9 Space Costs
1 10 All Others (ADP, Con. Employees, Misc.)
Insurance 00000
IT Operations I 0.000
(Total for All Others (ADP. Con. Employees, Misc.)
(Total Program Expenses
(TOTAL DIRECT EXPENSES
IINDIRECT EXPENSES
Rate I UnitsIUOM I
93124.000
47519,000
0.000 FTE
0.000 FTE
27,180 92293.000
0.000
0.000
0.000
0.000
0.0001
0.0001
0.0001
0.0001
0.000I
a000
Date 09I7I2021 Contractif 2022035a-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department-2022
Total
1
1
44,774.001
47,519.00111
92,293.001
1
25,085.00
1,000.00
1 540.00
164.001
3,352.001
3,516.001
123,550.001
123,550.0011
1
Page: 98 of 179
l ILine Item i
1Indirect Costs
1 IIndirect Costs
2 ICost Allocation Plan / Other
Cost Allocation Plan
Notes : 9.91 %
(Health Arm Distribution
Nursing Adm Distribution
Total for Cost Allocation Plan I Other
(Total Indirect Costs
(TOTAL INDIRECT EXPENSES
(TOTAL EXPENDITURES
City
00000
0,0000
00000
Contr:ct # 20220358-00 Date U911712021
Ratel UnitsIUOM I Totall
0.000
0.000
0.000
0.000
0.000
0-000
I
9,146.00
22,590.001
4,157MI
35,893.001
35,893.001
35,893.00 I
159,443.001
Dale0911712021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page: 99 Of 179
Health Division. Local Health Department - 2022
CoNract # 20220358-00 Date- 09/17/2021
1 Program Budget Summary
PROGRAM 1 PROJECT
DATE PREPARED
Local Health Department - 2022 / HIV Prevention
9/17/2021
CONTRACTOR NAME
BUDGET PERIOD
Oakland County Department of Health and Human Services/
From: 10/1/2021
To : 9/30/2022
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
AMENDMENT # 1
1200 N. Telegraph Rd
1✓ Original
Amendment
0
34 East
j1
CIT
ATE
ZIP CODE
I4
FEDERAL 1 NUMBER
Pontiac
MI
341- 032
38 60048760
1 Category
I
Total I
Amount
DIRECT EXPENSES
Program Expenses
1�
1 Salary & Wages
I
245,193.00
245,193.00 1
2 Fringe Benefits
109,116.00
109,116.00
3 Cap. Exp. for Equip & Fac.
0.00
0.00 1
4 Contractual
0.00
0.001
5 Supplies and Materials
13,328.00
13,328.00
6 Travel
I
11,34300
111�
11,343.001
rl
7 Communication
3,108.00
3,108.00
8 County -City Central Services
I
0.00
0.00
9 Space Costs
10,276.00
10,276.00
10 All Others (ADP, Con Employees, Misc.)
35,582,00
35,582 00
Total Program Expenses
427,946.00
427,946.00
TOTAL DIRECT EXPENSES
I
427,946.00
427,946 00
INDIRECT EXPENSES
Indirect Costs
1
1
Indirect Costs
I
0.00
0.00 1
2
Cost Allocation Plan / Other
101,745.00
101,745.00 1{
Total Indirect Costs
101,745.00
101,745001
01,745 00 1
TOTAL INDIRECT EXPENSES
101,745.00
101,745.00 11
TOTAL EXPENDITURES
529,691.00
529,691.00 I
Date 09/1712021 Contract # 20220358-00, Oakland County Department of Health and Human services/ Page. 100 of 179
Health Division, Local Health Department -2022
( onlract#20Jl153-till C.ue 09)17'J021
Program Budget - Source of Funds
SOURCE OF FUNDS
Category ,
Total
Amount I
Cash I
Inkind
1 Source of Funds
Fees and Collections - 1 st and 2nd
0.00
0.00
000
0.00
Party
Fees and Collections - 3rd Party
0.00
I 0.00
0.00
0.00
Federal or State (Non MDHHS)
0.00
0.00
0.00
0.00
Federal Cost Based Reimbursement
0.00
I 0.00
0.00
0.00
Federally Provided Vaccines
0.00
I 0.00
0.00
0.00
Federal Medicaid Outreach
0.00
I 0.00
0.00
0.00
Required Match - Local
0.00
( 0.00
0.00
0.00
Local Non-ELPHS
0.00
I 0.00
0.00
0.00
Local Non-ELPHS
0.00
I 0.00
0.00
0.00
Local Non-ELPHS
0.00
I 0.00
0.00
000
Other Non-ELPHS
0.00
I 0.00
0.00
000
MDHHS Non Comprehensive
0.00
I 0.00
0.00
0.00
MDHHS Comprehensive
452,245.00
I 452,245.00
0.00
0.00
MCH Funding
0.00
I 0.00
0.00
0.00
Local Funds - Other
77,446.00
I 0.00
77,446.00
0.00
Inkind Match
0.00
I 000
0.00
000
MDHHS Fixed Unit Rate
Totals I
529,691,00
I 452,245.00 I
77,446.00 I
0.00
Dale.
09/1712021
Contract # 20220358-00, Oakland County Department of Health and Human Services/
Page:
101
of 179
Health Division, Local Health Department - 2022
C,rtractk202;'0353-90 Data 09n7%?021
3 Program Budget - Cost Detail
'Line Item
l Qtyl
Ratel
unitsluDM
DIRECT EXPENSES
Program Expenses
1
Salary & Wages
Coordinator
1.0000
86357.000
0.000
FTE
Clerk
0.7212
41517.000
0.000
FTE
Notes: Office Support Clerk
Senior
Public Health Nurse
I 0.4808
77365.0001
0.000
FTE
Public Health Nurse
I 1.0000
77370 0001
0.000
FTE
(OVERTIME
I 1.0000
10000.0001
0.000
FTE
Total `or Salary & Wages
2 Fringe Benefits
All Composite Rate
0.0000
44.502 245193.000
Notes: FICA
Unemployment Insurance
Retirement Insurance
Hospital Insurance
Life Insurance
Vision Insurance
Dental Insurance
Workers Comp
Short and Long Term Disability
Insurance
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies
0.0000
0.000
0.000
Medical Supplies
0,0000
0.000
0 000
Postage
0,0000
0 000
0.000
Printing
I 0.0000
0,0001
0.000
Incentives -gas cards
1 0 0000
00001
0.000
Training -Ed Supplies
1 0,0000
00001
0.000
Total for Supplies and Materials
Date 0011712021 Contract 4 20220358-00, Oakland County Department of Health and Human Services/
Health Divisioq Local Health Department - 2022
Total!
I
86,357.001
34,269.00
37,197.001
77,370.001
10,000.001
245,193.001
109,116.00
2,500-00
1,127.001
1,000.00 l
500.001
6,700.001
1,501.001
13,328.001
Page: 102 of 179
Line Item I City
6 Travel
Mileage
0.0000
Notes : 10,970 miles @ .56
Client Transportation
0.0000
Conferences
0.0000
(Total for Travel
1 7 Communication
Telephone I
0.00001
1 8 County -City Central Services
9 Space Costs
Space/Rental Costs I
0,00001
1 10 All Others (ADP, Con. Employees,
Misc.)
IT Operations
0.0000
IT Mangaged Print Svcs
0.0000
Insurance
0.0000
Lab Fees
0.0000
Notes : PrEP Creatinine
Clearance
(Advertising
0.0000
1Interpretation
0.0000
1 Professional Services - TLO
0.0000
(Total for All Others (ADP, Con. Employees, Misc.)
(Total Program Expenses
(TOTAL DIRECT EXPENSES
(INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
0.0000
Notes : 9.91 %
Health Adult Distribution
0.0000
(Total for Cost Allocation Plan / Other
Contract#20220358-00 Dater 09/17/2021
Ratel UnitsIUOM I Total
0.000
0,000
6,143.001
0.000
0.000
3,000.001
0.000
0.000
2,200.001
11,343.001
0.0001
0.0001
1 3,108.00
0.()001
0.0001
1 10, 276.00
0.000
0,000
19,131.001
0.000
0.000
4,152.001
0.000
0.000
1,055.001
0.000
0.000
2,500.001
0,000 0.000 6,744.00
0.000 0.000 200.00
0.000 0.000 1,800.00
35,582.00
427,946.00
427,946.00
0.000 0.000 24,299.00
0.0001 0.000 77,446 00
101,745.00
Data: 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Semcesl Page: 103 of 179
Health Division, Local Health Department - 2022
Contract # 20220358-00 Date 09117/2021
l ILine Item
(Total Indirect Costs
(TOTAL INDIRECT EXPENSES
(TOTAL EXPENDITURES
Qtyl Ratel UnitslUOM
Total
101,745.001
101,745.00�
529,691.00
Data 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page. 104 of 179
Health Division, Local Health Department -2022
Contract # 20220358-00 Date. 09/1712021
1 Program Budget Summary
PROGRAM I PROJECT
DATEPREPARED
Local Health Department - 2022 / Immunization Action Plan
9/17/2021
(IAP)
CONTRACTOR NAME
BUDGET PERIOD
Oakland County Department of Health and Human Services/
From : 10/1/2021 To : 9/30/2022
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
AMENDMENT #
1200 N. Telegraph Rd.
ry Original f" Amendment
0
34 East
CI
STATE
IMI
ZIP CDE
I483410-1032
FEDERAL ID NUMBER
Pontiac
38-60 4876
Category
I Total I
Amount
DIRECT EXPENSES
Program Expenses
1 Salary &Wages
281,829.00
281,829.00
2 Fringe Benefits
158,388-00
158,388.00
3 Cap. Exp. for Equip & Fac.
0.00
0.00
4 Contractual
0.00
0.00
5 Supplies and Materials
23,075.00
23,075.00
6 Travel
5,800.00
5,800.00
7 Communication
3,432.00
3,432.00
8 County -City Central Services
0.00
0.00
9 Space Costs
10,783 00
10,783.00
10 All Others (ADP, Con. Employees, Misc.)
20,658.00
20,658.00
Total Program Expenses
503,965.00
503,965.00
TOTAL DIRECT EXPENSES
503,965.00
503,965.00
INDIRECT EXPENSES
Indirect Costs
I
I Indirect Costs
0.00
0.00
2
Cost Allocation Plan / Other
105,142.00
105,142 00
Total Indirect Costs
105,142 00
1l
105,142.00 I
TOTAL INDIRECT EXPENSES
105,142.00
105,142.00
TOTAL EXPENDITURES
609,107.00
609,107.00
Date' 09/1712021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page: 105 of 179
Health D1m91on, Loral Health Department- 2022
Contract# 20220358-00 Date- 09/17/2021
2 Program Budget - Source of Funds
SOURCE OF FUNDS
Category I
Total +
Amount (
Cash I
Inkind I
I1 Source of Funds
A
�Fees and Collections - 1st and 2nd I
0.00 I
0.00
0,00
0.00
Party
Fees and Collections - 3rd Party I
0.00 I
0.00
0.00
0.00
IIFederal or State (Non MDHHS) +
30,000.00
0.00 +
30,000,00 I
0.00
IIFederal Cost Based Reimbursement I
0.00 +
0.00 I
0.00
0.00
IIFederally Provided Vaccines +
0.00
0.00
0.00
0.00
IIFederal Medicaid Outreach I
0.00
0.00 I
0.00
0.00
I(Required Match - Local +
0.00
0.00 I
0.00
0.00
I(Local Non-ELPHS I
0.00
0.00
0,00 I
0.00
I(Local Non-ELPHS I
0.00
0.00
0.00 I
0.00
IILocal Non-ELPHS I
0.00
0.00
o.00
0,00
I(Other Non-ELPHS I
0.00
0.00
0.00
0.00
IMDHHS Non Comprehensive I
'MDHHS
0.00
0.00
0.00 I
0.00
I Comprehensive I
501,895.00
501,895.00
0.00 I
0.00
IIMCH Funding I
0.00
0.00 (
0.00 I
0.00
IILocal Funds - Other I
77,212.00
0.00I
77,212.00
0.00
I lnkind Match I
0.00 I
0,00 I
0.00 I
0.00
I(MDHHS Fixed Unit Rate
II
1
II Tota Is I
609,107.00 I
501,895 00 I
107,212.00 I
0.00 l
Date09117/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page 106 of 179
Health Division, Loral Haalib Depadment - 2022
3 Program Budget- Cost Detail
ILine Item I
QtyI
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Coordinator
1.0000
Notes : Health Program
Coodinator
Coordinator
1,0000
Notes : Vaccine Supply
Coordinator
Public Health Nurse
990.0000
IOffce Leader
1.0000
Clerk
1.0000
Notes: Office Support Clerk
Senior
Oventme
1.0000
Total `or Salary & Wages
2 Fringe Benefits
All Composite Rate
0M000
Notes : FICA
Unemployment Insurance
Retirement Insurance
Hospital Insurance
Life Insurance
Vision Insurance
Dental Insurance
Workers Comp
Short and Long Term Disability
Insurance
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies
0.0000
Postage
0,0000
Printing
0.0000
Contractit 20220358-00 Date 09/17/2021
Ratel unitsluQM I Total)
1
86357.000 0.000 FTE 86,357.00
57760.000 0.000 FTE
37.197
49894.000
47519.000
0.000 FTE
0.000 FTE
0.000 FTE
3474.000 0.000 FTE
56.200 281829.000
0.000
0.000
0.000
0 000
0.000
0.000
57,760.00
36,825.00
49,894.001
47,519.00
3,474.001
281,829.001
158,388.00
4,075 001
15,000.001
2,000.00
Date09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/
Health Dweton, Local Health Department -2022
Page. 107 of 179
Contract ft 20220358-00 Date 09/17/2021
(Line Item
QtY
1 Educational Supplies I
0.0000
(Total for Supplies and Materials
1 6 Travel
Mileage
0.0000
Notes : 5,000 miles @ .56
Conferences
0.0000
(Total for Travel
1 7 Communication
1 Telephone 1
0.00001
8 County -City Central Services
1 9 Space Costs
Building Space Rental I
0.00001
i10 All Others (ADP, Con. Employees,
Misc.)
Expendable Equipment
0.0000
Convenience Copier
0.0000
IT Operation
0.0000
Insurance
0.0000
Professional Services - Econtrol
0.0000
(Total for All Others (ADP, Con. Employees, Misc.)
(Total Program Expenses
(TOTAL DIRECT EXPENSES
INDIRECT EXPENSES
11ndirect Costs
1 Indirect Costs
1 2 Cost Allocation Plan I Other
Other Cost Distributions -Nurse
0.0000
TramNFC/AFIX
Cost Allocation Plan
0.0000
Notes : 9.91
(Health Adm Distribution
0.0000
INursing Adm Distribution
0.0000
ITotai for Cost Allocation Plan / Other
Rate Units UOM
Total
0.000 0.000
2,000.00�
23,075.00
0.000 0.000
I 2,800.00
0.000 0.000
0.0001 0.0001
3,000.001
5,800.001
3,432.00
0.0001
0.0001
1 10,783.001
1
0.000
0.000
2,000.001
0.000
0.000
3,860.00
0.000
0.000
13,132.00
0.000
0.000
666.00
0.000
0.000
1,000.001
20,658.001
503,965.001
503,965.00
0.000
0.000
1
-30,000.00
0.000
0.000
27,929.00
0.000
0.000
90,549.00
0.000
0,000
16,664.001
105,142.00
Date09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page: 108 of 179
Health Division, Local Health Department - 2022
I (Line Item
(Total Indirect Costs
ITOTAL INDIRECT EXPENSES
ITOTAL EXPENDITURES
Contract # 20220358-00 Date09/17/2021
Otyl Ratel UnitslUOM Totall
105,142.001
105,142.00
609,107.00
Date' 09117/2021 Contract # 20220358-00, Oakland Gounty Department of Health and Human Services/ Page: 109 of 179
Health Dmis,on, Local Health Department- 2022
1 Program Budget Summary
PROGRAM / PROJECT DATE PREPARED
Local Health Department - 2022 / Infant Safe Sleep 9/17/2021
CONTRACTOR NAME BUDGET PERIOD
Oakland County Department of Health and Human Services/ From : 101112021
Health Division
MAILING ADDRESS N be d S
Contract#20220358-00 Date 09/17/2021
To: 9/30/2022
1200 N. Telegraph Rd.
( um ran treet) BUDGETAGREEMENT
34 East r Original ("" Amendment
Pontiac IMI CIATE ZIP CODE FEDERAL ID I4 341- 032 38-6004876 NUMBER
Category I Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages 10,613.00
2 Fringe Benefits
4,589.00
! 3 Cap. Exp. for Equip & Fac.
0.00
4 I Contractual
0.00
5 I Supplies and Materials
38,112.00
6 I Travel
4,000.00
7 + Communication
0.00
8 County -City Central Services
0.00
9 Space Costs I
0.00
10 All Others (ADP, Con. Employees, Misc.) I
11,634.00
Total Program Expenses I
68,948.00
TOTAL DIRECT EXPENSES I
68,948.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00
2' Cost Allocation Plan / Other 15,162.00
iTotal Indirect Costs 15,162.00
TOTAL INDIRECT EXPENSES 15,162.00
j TOTAL EXPENDITURES 84,110.00
Date 09/1712021 Contract 420220358-00, Oakland County Department of Health and Human Services/
Health Division, Loral Health Department -2022
AMENDMENT#
0
Amount
I
l
10,613.00
4,589.00
0.00
0.00
38,112.00
4,000.00
0.00
0,00
0.00
11,634.00
68,948.00
68,948.00
0.001
15,162.00
15,162.00 i
15,162.00 I
84,110.00
Page: 110 of 179
Contract#20220358-00 Date:09/17/2021
2 Program Budget- Source of Funds
SOURCE OF FUNDS
Category I
Total I
Amount I
Cash (
Inkind 1I
1 Source of Funds
1
Fees and Collections - 1st and 2nd
0.00
0.00
0.00
0.00
Party
Fees and Collections - 3rd Party
0.00
0.00
0.00
0.00
Federal or State (Non MDHHS)
0.00
0.00
0.00
0.00
Federal Cost Based Reimbursement
0.00
0.00
0.00
0.00
Federally Provided Vaccines
0.00
0.00
0.00
0.00
Federal Medicaid Outreach
0.00
0.00
0.00
0.00
Required Match - Local
0.00
0.00
0.00
0.00
Local Non-ELPHS
0.00
0.00
0.00
0.00 1
Local Non-ELPHS
0.00
0.00
0.00
0.00
Local Nan-ELPHS
0.00
0.00
0.00
0.00
Other Non-ELPHS
0.00
0.00
0.00
0.00
MDHHS Non Comprehensive
0.00
0.00
0.00
0.00
MDHHS Comprehensive
70,000.00
70,000.00
0.00
0.00
MCH Funding
0.00
0.00
0.00
0.00
Local Funds - Other
14,110 00
0.00
14,110.00
0.00
Inkind Match
0.00
0.00
0.00
000
MDHHS Fixed Unit Rate
Totals I
84,110.00 (
70,000.00 I
14,110.00 I
0.00
Date Page: 111 of 179
0911712021
Contract # 2022035MO, Oakland County Department of Health and Human
Services/
Health Division, Local Health Department - 2022
Contract # 20220358-00 Date: 09/1712021
3 Program Budget - Cost Detail
(Line Item
' Qtyl
Ratel
UnitsluoM
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Health Educator
160.0000
30.472
0.000 FTE
Notes : Step 4 GFGP
PH Chief
16.0000
49,869
0.000 FTE
Notes : Step 5 GFGP
(Supervisor
104.0000
47.494
0.000 FTE
Total 'or Salary & Wages
2 Fringe Benefits
All Composite Rate
0.0000
43.243
10613.000
Notes : FICA
Unemployment Ins
Retirement Ins
Hospital Ins
Life Ins
Vision Ins
Dental Ins
Workers Comp
Short/Long Terms Disability Ins
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Printing
0.0000
0.000
0.000
Notes: "We print a significant
quantity of locally developed
client education materials and
distribute them to 15,000+ WIC
clients annually, as well as our
other community outreach."
Materials and Supplies
0,0000
0.000
0.000
Office Supplies
0.0000
0.000
0.000
Educational Supplies
0.0000
0.000
0.000
Incentives
0.0000
0.000
0.000
Total for Supplies and Materials
Date 09/17/2021 Contract # 20220358-00, Oakland County Department
of Health and
Human Services/
Health Division, Local Health
Department - 2022
Total
4,876.00
798.00
4,939.00
10,613.00
4,589.00
16,000.00
1,212.00
500.00
15,500.00
4,900.00
38,112.00
Page. 112 of 179
l
ILine item l
Qtyl
I 6
ITravel
MilealNolesg
0.0000
e0,56 PER MILE 1
7
(Communication
8
(County -City, Central Services
9
Ispace Costs
I10
All Others (ADP, Can. Employees, Misc.)
Advertising
1
0.0000
I Insurance
0.00001
(Training I
0.00001
IInterpretation Fees I
0.0000
IIT Operations I
0.00001
Total for All Others (ADP, Con, Employees, Misc.)
Total Program Expenses
TOTAL DIRECT EXPENSES
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan 0,0000
Notes: 9.91 %
Health Adm Distribution 0.0000
Nursing Adm Distribution 0.0000
(Total for Cost Allocation Plan I Other
(Total Indirect Costs
(TOTAL INDIRECT EXPENSES
(TOTAL EXPENDITURES
Ratel
0.0001
0.000
0.000
0.000
0 000
0.000
Contract#20220358-00 Date:09/1712021
UnitslUOM l Total
t e
0.000
0.000
0.000
0.000
0.000
0.000 0.0001
0 000 0.0001
0.000 0.00ol
4,000.00
33.00
3,750.00
1,000.00
3,351.00
11,634.00
68,948.001
68,948.001
1
_l
_l
1,052.00
11,917.00
2,193.001
15,162.001
15,162.001
15,162.001
84,110.00
Date 0911712021 Contract ft 20220358-00, Oakland County Department of Health and Human Services/ Page: 113 of 179
Health Diwsrn, Local Health Department-2022
Contract # 20220358-00 Date: 09/17/2021
1 Program Budget Summary
PROGRAM / PROJECT
DATE PREPARED
Local Health Department - 2022 / Laboratory Services Bio
9/17/2021
CONTRACTOR NAME
BUDGET PERIOD
Oakland County Department of Health and Human Services/
From . 1011/2021 To : 9/30/2022
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT AMENDMENT #
1200 N. Telegraph Rd.
r Original {" Amendment 0
34 East
CODE
(L
IMICISTATE I4
ID
4876 NUMBER
Pontac 341-1032
8-600ZIP
Category
I Total I Amount
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
0.00
0.00
2 Fringe Benefits
0.00
0.00
3 Cap. Exp. for Equip & Fac.
0.00
0.00
4 Contractual
0.00
0.00
5 Supplies and Materials
500.00
500.00 l
6 Travel
0.00
0.00
7 Communication
0.00
0.00I
8 County -City Central Services
0.00
0.00
9 Space Costs
0.00
0.00 l
10 All Others (ADP, Con. Employees, Misc.)
0.00
0.00
Total Program Expenses
500.00
500.00
TOTAL DIRECT EXPENSES
500.00
500.00
INDIRECT EXPENSES
Indirect Costs
1
I
1
Indirect Costs
I
0.00
0.00
2
Cost Allocation Plan / Other
85.00
85.00 l
Total Indirect Costs
85.00
85.00
TOTAL INDIRECT EXPENSES
85.00
85.00,
TOTAL EXPENDITURES
585.00
585.00
Date 09/1712021 Contract # 20220358-00, Oakland County Department of Health and Human Sei lcesl Page: 114 of 179
Health Dnts,on, Local Health Department - 2022
Contract#20220358-00 Date.09/17/2021
2 Program Budget - Source of Funds
SOUICE OF FUNDS
Category I
Total I
Amount I
Cash I
Inkind
1 Source of Funds
Fees and Collections - 1st and 2nd
0.00
0.00
000
0.00 1
Party
Fees and Collections - 3rd Party
0.00
0.00
0.00
0.00
Federal or State (Non MDHHS)
0.00
0.00
0.00
0.00
Federal Cost Based Reimbursement
0.00
0.00
0.00
0.00
Federally Provided Vaccines
0.00
0.00
0.00
0.00
Federal Medicaid Outreach
0.00
0.00
0.00
0.00
Required Match - Local
0.00
0.00
0.00
0.00 1I
Local Non-ELPHS
0.00
0.00
0.00
0.00 I
Local Non-ELPHS
0.00
0.00
0.00
0.00
Local Non-ELPHS
0.00
0.00
0.00
0.00
Other Non-ELPHS
0.00
0.00
0.00
0.00
MDHHS Non Comprehensive
0.00
0.00
0.00
0.o0
MDHHS Comprehensive
500.00
500.00
0.00
0.00
MCH Funding
0.00
0.00
0.00
0.00 1I
Local Funds -Other
85.00
0.00
85.00
0.00 I
Inkind Match
0.00
0.00
0.00
0.00
MDHHS Fixed Unit Rate
I,
Totals I
585.00 I
500.00 I
85.00 I
0.00
Date- 09/1712021 Contract # 20220358-00, Oakland County Department of Health and Human Srmdi esl Page115 of 179
Health Division, Local Health Department -2022
Contract#20220358-00 Date 09/17/2021
3 Program Budget- Cost Detail
I Line Item I Qtyl
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
2 Fringe Benefits
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Lab supplies I 0.00001
6 Travel
7 Communication
8 County -City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
(Total Program Expenses
TOTAL DIRECT EXPENSES
INDIRECT EXPENSES
Ilndirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan 0.0000
Notes : 12.29%
(Total Indirect Costs
(TOTAL INDIRECT EXPENSES
'TOTAL EXPENDITURES
Rate UnitslUOM
AM
0.000
E
r MEr
Total
500.00
500.00
500.00
85.00
85.00
85.00
585.00
Date 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page116 of 179
Health Division, Local Health Department - 2022
Contract#20220358-00 Date: 09/17/2021
1 Program Budget Summary
PROGRAM I PROJECT
DATEPREPARED
Local Health Department - 2022 / Nurse Family Partnership
9/17/2021
Services
CONTRACTOR NAME
BUDGET PERIOD
Oakland County Department of Health and Human Services/
From : 10/1/2021 To: 9/30/2022
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
DG
l
AMENDMENT # 1
1200 N. Telegraph Rd.
T 'Amendment
34 East
CI
STZIP
IMI ATE
CDE
FEDERAL ID NUMBER
Pontiac
4 3410032
3860 4876
Category
I Total I
Amount
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
366,063.00
366,063.00
2 Fringe Benefits
191,839.00
191,839.001
3 Cap. Exp. for Equip & Fac.
0.00
0.00111
4 Contractual
18,312.00
18,312.001
5 Supplies and Materials
4,495.00
4,495.00
6 Travel
4,760.00
4,760.00
7 Communication
5,616.00
5,616.00
8 County -City Central Services
0.00
0.00
9 Space Costs
17,201.00
17,201.001
11
10 All Others (ADP, Con. Employees, Misc.)
28,371.00
28,371.00 I
Total Program Expenses
636,657.00
636,657.00
TOTAL DIRECT EXPENSES
636,657.00
636,657.00
INDIRECT EXPENSES
Indirect Costs
1
I Indirect Costs
0.00
0.00 1
2
Cost Allocation Plan / Other
135,398.00
135,398.00 I
Total Indirect Costs
135,398.00
135,398.00
TOTAL INDIRECT EXPENSES
135,398.00
135,398.00
TOTAL EXPENDITURES
772,055.00
772,055.00
Date0911712021 Contract # 2022036MO, Oakland County Department of Health and Human Services/ Page: 117 of 179
Health Division, Loral Health Department -2022
Contract#20220358-00 Date:09/17/2021
2 Program Budget - Source of Funds
SOURCE OF FUNDS
Category I
Total I
Amount +
Cash I
Inkind
1 Source of Funds
Fees and Collections - 1 st and 2nd
0.00
0.00
0.00 I
0.00
Party
Fees and Collections - 3rd Party
0.00
0.00
0.00 I
0.00
Federal or State (Non MDHHS)
0.00
0.00
0.00 I
0.00
Federal Cost Based Reimbursement I
0.00
0.00
0.00 I
0.00 Ij
Federally Provided Vaccines i
0.00
0.00
0.00
0.00
I(Federal Medicaid Outreach
0.00
0.00
0.00
0.00
IRequired Match - Local
0.00
0.00
0.00
0.00
ILocal Non-ELPHS
0.00
0.00
0.00
0.00
ILocal Non-ELPHS I
0.00 I
0.00
0.00 I
0.00
ILocal Non-ELPHS I
0.00 I
0.00
0.00 I
0.00
IOther Non-ELPHS
0.00
0.00
0.00 I
0.00
I(MDHHS Non Comprehensive
0.00
0,00
0.00
0.00
IIMDHHS Comprehensive
642,540.00
642,540.00
0.00
0.00
IIMCH Funding I
0.00 I
0.00
0.00
0.00
ILocal Funds -Other I
129,515.00I
0.00
129,515.00I
0.00I
IIlnkind Match I
0.00 I
0.00
0.00 I
0.00 1
IIMDHHS Fixed Unit Rate
I(Totals I
772,055.001
642,540.001
129,515.001
0.001
Date 09/1712021 Contract It 20220158-00, Oakland County Department of Health and Human Smwres/ Page: 118 of 179
Health Divismn, Lora) Health Department - 2022
Contract # 20220358-00
Date: 09/17/2021
3 Program Budget -Cost
Detail
'Line Item
Qtyl
Ratel
UnitsIUDM I
Total
DIRECT EXPENSES
Program Expenses
1 (Salary & Wages
Public Health Nurse
0.2500
77370.000
0.000 FTE
19,343.00
Public Health Nurse
1.0000
54228.000
0.000 FTE
54,228.00
Public Health Nurse
1.0000
77370.000
0.000 FTE
77,370.00
Public Health Nurse
1.0000
77370 000
0.000 FTE
77,370.001
Public Health Nurse
1.0000
77370.000
0.000 FTE
77,370.001
OVERTIME
0.0096
105390.000
0.000 FTE
1,012.00
Notes: Overtime (PHNs)
(Coordinator
0,6875
86357.000
0.000 FTE
59,370.001
Total or Salary & Wages
366,063.001
2 Fringe Benefits
All Composite Rate
0.0000
52.406
366063.000
191,839.00
Notes : Fica
Unemp Ins
Retirement
Hosp Ins
Life Ins
Vision Ins
Dental Ins
Work Comp
Short/Long Term Disability
3 Cap. Exp. for Equip & Fac.
1
4 Contractual
NFP National Office Program
0.0000
0.000
0.000
8,328.00�
Support
NFP Consultation
0.0000
0.000
0.000
9,984.001
Total for Contractual
18,312.001
5 Supplies and Materials
1
Office Supplies
0.0000
0.000
0.000
495.001
Client Support Materials
0.0000
0.000
0.000
1,500.001
(Educational Supplies
0,0000
0.000
0.000
2,500.001
Date 09117/2021 Contract If 20220358-00, Oakland County Department of Health and Human Services/ Page 119 of 179
Health Division, Loral Health Department -2022
ILine Item
OtyI
(Total For Supplies and Materials
6 Travel
Mileage
I
0.0000
I
Notes : 8500 miles @ .56
7 Communication
Telephone Communications 1
0.00001
1 8 County -City Central Services
9 Space Costs
1 Building Space Rental I
0.00001
10 All Others (ADP, Con. Employees,
Misc.)
Insurance
0.0000
Copier
0.0000
IT Operations -laptops
0.0000
Staff Training
0.0000
(Total for All Others (ADP, Con. Employees, Misc.)
1Total Program Expenses
ITOTAL DIRECT EXPENSES
11NDIRECT EXPENSES
Ilndirect Costs
i Indirect Costs
1 2 Cost Allocation Plan / Other
Health Adm Distribution
0.0000
Nursing Adm Distribution
0.0000
Cost Allocation Plan
0.0000
Notes : 9.91
ITotal for Cost Allocation Plan / Other
Total Indirect Costs
(TOTAL INDIRECT EXPENSES
ITOTAL EXPENDITURES
Contract # 20220358-00 Date: 09/17/2021
Ratel UnitsluOM I Total
4,495.001
0.0001 0.0001
0.0001 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 0.0001
0.000 0 000
0.000 0.000
4,760.00
1 5,616.001
1
17,201.001
875.00
7,860.00
16,760.0011
2,876.001
28,371.001
636,657.001
636,657.00
1
109,384.001
20,130.001
5,884.00
135,398.00
135,398.00
135,398.001
772,055.001
Date 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department- 2022
Page: 120 of 179
Contract# 20220358-00 Date09Y17/2021
1 Program Budget Summary
PROGRAM I PROJECT
DATE PREPARED
Local Health Department - 2022 / Medicaid Outreach
9/17/2021
CONTRACTOR NAME
BUDGET PERIOD
I
Oakland County Department of Health and Human Services/
From : 10/1/2021 To : 9/30/2022
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
AMENDMENT #
1200 N. Telegraph Rd.
0
34 East
r OriginalCIr Amendment
ZIP CODE
IMIATE I48341--1032
FEDERAL ID NUMBER
Pontiac
38-6004876
Category
I Total I
Amount
jl
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
506,562.00
506,562.00
2 Fringe Benefits
283,675.00
283,675.00
3 Cap. Exp. for Equip & Fee.
0.00
0.00 III
4 Contractual
0.00
0.001
5 Supplies and Materials
0.00
0.00
6 Travel
0.00
0.001
7 Communication
0.00
0.00I
8 County -City Central Services
0.00
0.00
9 Space Costs
28,402.00
28,402.00
10 All Others (ADP, Con. Employees, Misc.)
0.00
0.00
Total Program Expenses
818,639.00
818,639 00
TOTAL DIRECT EXPENSES
818,639.00
818,639 00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
0.00
0.00
2 Cost Allocation Plan / Other
198,109.00
198,109.00
Total Indirect Costs
198,109.00
198,109 00
TOTAL INDIRECT EXPENSES
198,109.00
198,109.00
TOTAL EXPENDITURES
1,016,748.00
1,016,748-00
Date 0911712021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page: 121 of 179
Health Dimslon, Local Health Department- 2022
Contract # 20220356-00 Date 09/17/2021
2 Program Budget - Source of Funds
SOURCE OF FUNDS
Category
1 Source of Funds
Fees and Collections - 1 st and 2nd
IJ Party
(Fees and Collections - 3rd Party
I(Federal or State (Non MDHHS)
I(Federal Cost Based Reimbursement
I(Federally Provided Vaccines
I(Federal Medicaid Outreach
IRequired Match - Local
I(Local Non-ELPHS
(Local Non-ELPHS i
(Local Non-ELPHS
(Other Non-ELPHS
(MDHHS Non Comprehensive
(MDHHS Comprehensive
IMCH Funding
I ILocal Funds -Other I 1
IInkind Match
IMDHHS Fixed Unit Rate
Total I Amount I
, �e
0.00
0.00
0.00
0.00
434,420.00
434,420.00
0.00
0.00
0.00 I]
0.00
0.00
0.00
0.00
47,908.00
0.00
0.00
0.00
0.00
0.00 I
0.00
434,420.00 I
0.00
0.00
0.00
0.00
0.00
0.00 IJ
0.00
0.00
0.00
0.00
IITotals I 1,016,748.00 I 434,420.00 I
Cash I Inkind
t ��
0.001
0.00
0.00
0.00
0.00 !+
434,420.00
0.00
0.00 I
0.00
000
0.00
0.00
0.00
147,908.00
0.00
582,328.00
mm
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Date. 09/17/2021 Contract It 202203511-00, Oakland County Department of Heaph and Human Services/
Health Division, Local Health Department - 2022
Page: 122 of 179
3 Program Budget - Cost Detail
(Line Item I Qtyl
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Multiple positons 1.0000
Notes : Amount determined
based on time studies.
2 Fringe Benefits
All Composite Rate 0.0000
Notes: FICA
UNEMPLOY
RETIREMENT
HOSPITAL
LIFE INSURANCE
VISION
DENTAL
WORKERS COMP
SHORT/LONG TERM
DISABILITY
3 Cap. Exp. for Equip 8: Fac.
4 Contractual
5 Supplies and Materials
6 Travel
7 Communication
8 County -City Central Services
9 Space Costs
Office Space Rental 1 0.00001
10 All Others (ADP, Con. Employees, Misc.)
iTotal Program Expenses
TOTAL DIRECT EXPENSES
(INDIRECT EXPENSES
(Indirect Costs
1 I Indirect Costs
2 Cost Allocation Plan / Other
Contract#20220358-00 Date 09/1712021
Ratel UnitslUOM I Total
506562.000 0.000 FTE 506,562.00
1
56.000 506562.000 283,675.00
0.0001 0.0001
28,402,001
1
818,639.001
818,639.001
1
1
Data 09117/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2022
Page: 123 of 179
Line Item
Cost Allocation Plan
Notes : 9.91 %
Health Adm Distnbution
(Total for Cost Allocation Plan / Other
(Total Indirect Costs
ITOTAL INDIRECT EXPENSES
ITOTAL EXPENDITURES
Qty
0.0000
0.0000
Contract#20220358-00
Date:09/17/2021
Rate Units UOM
Total
0.000 0.000
50,200.00
0.000 0.000
147,909.00
198,109.00
198,109.00
198,109.00
1,016,748.00
Data 09/17/2021 Contract # 2022035MO, Oakland County Department of Health and Human Services/ Page 124 of 179
Health Division, Local Health Department -2022
Contract#20220358-00 Date.09/17/2021
1 Program Budget Summary
PROGRAM / PROJECT
(DATE PREPARED
Local Health Department - 2022 / MCH - All Other
9/17/2021
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
BUDGET OD
PERIOD
Health Division
From : 10/To : 9/30/2022
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
1200 N. Telegraph Rd.
34 East
Fo Original F- Amendment
(Pontiac
STATE
ZIP CODE
I48341-
FEDERAL ID
I386004876 NUMBER
++CITY
032
Category
I Total
DIRECT EXPENSES
Program Expenses
1
Salary & Wages
2
Fringe Benefits
3
Cap. Exp. for Equip & Fac.
4
II
Contractual
5
Supplies and Materials
6
I Travel
7
Communication
8
County -City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Total Program Expenses
TOTAL DIRECT EXPENSES
INDIRECT EXPENSES
Indirect Costs
1 1 Indirect Costs
2 I Cost Allocation Plan / Other
Total Indirect Costs
TOTAL INDIRECT EXPENSES
TOTAL EXPENDITURES
191,249.00
98,784.00
0.00
0.00
6,863.00
2,800.00
492.00
0.00
0.00
4,991.00
305,179.00
305,179.00
0.00
3,864,962.00
3,864,962.00
3,864,962.00
4,170,141.00
(AMENDMENT#
0
J
Amount II
_ J
191,249.001
98,784.00
0.00 I
0.00
6,863.00
2,800.00
492.00
0.00
0.00
4,991.00
305,179.00
305,179.00
l
J
0.00 l
3,864,962.00 I
3,864,962.00
3,864,962.00
4,170,141.00
Date 09/1712021 Gontract # 20220358-00, Oakland County Department of Health and Human Servicres/ Page: 125 of 179
Health Division, Local Health Department - 2022
Contract # 20220358-00 Date0911712021
2 Program Budget - Source of Funds
SOURCE OF FUNDS
ICategory I
Total I
Amount I
Cash I
Inkind
1 Source of Funds
I+
J
Fees and Collections - 1 stand 2nd
0.00
i
0.00
0.00
0.00
Party
Fees and Collections - 3rd Party
0.00 +
0.00
0.00
0.00
Federal or State (Non MDHHS)
0.00 I
0.00
0.00
0.00
(Federal Cost Based Reimbursement I
0.00 I
0.00
0.00 I
0.00'
'
I(Federally Provided Vaccines
0.00
0.00
0.00
0.00
(Federal Medicaid Outreach
0.00
0.00
0.00
0.00
IRequired Match - Local
0.00 I
0.00 I
0,00 I
0.00
ILocal Non-ELPHS
0.00
0.00
0.00
0.00
ILocal Non-ELPHS I
0.00
0.00
0.00
0.00
ILocal Non-ELPHS I
0.00
0.00
0.00 I
0.00
IOther Non-ELPHS Ij
0.00
0.00 I
0.00
0.00
I(MDHHS Non Comprehensive I
0.00
0.00 I
0.00
0.00
I(MDHHS Comprehensive I
0.00 I
0.00 I
0.00 I
0.00
IMCH Funding I
321,457 00 I
321,457.00 I
0.00 I
0.00
(Local Funds - Other I
3,848,684.00 I
0.00 I
3,848,684.00 I
0.00
IIlnIond Match I
0.00 I
0.00 I
0.00 I
0.00 I
(MDHHS Fixed Unit Rate
I
I(Totals I
4,170,141.00 I
321,457.00 I
3,848,684.00 I
0.00
Date: 09/17/2021 Contract If 20220358-00, Oakland County Department of Health and Human Servmes/ Page: 126 of 179
Health Division, Local Health Department- 2022
Contract # 20220358-00 Date09/17/2021
3 Program Budget- Cost Detail
(Line Item I QtyI Ratel UnitsIUOM
DIRECT EXPENSES
(Program Expenses
1 Salary & Wages
Nutritionist/Dietician
N utrition i st/Dieticia n
Public Health Nurse
(Coordinator
(OVERTIME
(Total -or Salary & Wages
I2 Fringe Benefits
All Composite Rate
Notes : FICA, LIFE INS,
DENTAL, UNEMPLOYMENT,
VISION, WORK COMP,
RETIREMENT,
HOSPITALIZATION,
SHORT/LONG TERM
DISABILITY
I3 Cap. Exp. for Equip & Fac.
I4 Contractual
I5 Supplies and Materials
Office Supplies
Printing
Educational Supplies
Breast feeding Supplies
(Total `or Supplies and Materials
I6 Travel
Mileage
Notes : 5,000 miles @ .56
I7 Communication
ITelephone
( 8 County -City Central Services
Total
0.4808
77399.000
0.000
FTE
37,213.00
1.0000
70207.000
0.000
FTE
70,207.00
0.6687
77370.000
0.000
FTE
51,736.00
0.3125
86357.000
0.000
FTE
26,987.00
0.0481
106150.000
0.000
5,106.00
191,249.00
0.0000 51.652 191249.000
0.0000
0.000
0.000
0.0000
0.000
0.000
0.0000
0.000
0.000
0.0000
0.000
0.000
0.0000 0.000 0.000
0.0000I 0,0001 0.0001
98,784.00
I
250.00
250.00
1,000.00
5,363.00
6,863.00
2,800.00
492.00
Date: 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page' 127 of 179
Health Division, Local Health Department - 2022
Line Item I Otyl
( 9 Space Costs
Ij 10 All Others (ADP, Con. Employees, Misc.)
Info Tech Operations
0.0000
•I
Interpretation Fees
0.0000
Outreach -Staff training/att at
0,0000
Comm mtgs
(Total for All Others (ADP, Con. Employees, Misc.)
(Total Program Expenses
'TOTAL DIRECT EXPENSES
INDIRECT EXPENSES
(Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan I Other
Cost Allocation Plan
0.0000
Notes: 9.91 %
Health Adm Distribution
0.0000
Other Cost Distributions -Nursing
0.0000
Notes : This distribution takes
total costs of Field Nursing and
allocates them back to various
cost centers by a time study.
The % back to MCH is 47.04%
Nursing Adm Distribution
0.0000
Other Cost Distributions-
0.0000
Education
Notes: this distribution takes
total costs of Education and
allocates them back to various
cost centers by a time study.
The % back to MCH is 1.838%
(Total for Cost Allocation Plan / Other
(Total Indirect Costs
(TOTAL INDIRECT EXPENSES
(TOTAL EXPENDITURES
Contract#20220358-00
Date-0911712021
Ratel
UnitslUOM I
Total
l
0.000
0.000
1
3,260.001
0.000
0.000
231.001
0.000
0.000
1,500.001
4,991.00I
305,179.00
305,179.00
0.000
0.000
Il
1
16,278.00
0.000
0.000
55,554.001
0.000
0.000
3,722,543.00
0.000
0.000 I
10,093.001
0.000
0.000
60,494.00
3,864,962.001
3,864,962,001
3,864,962.001
4,170,141.001
Date. 09/17/2021 Contract p 20220358-00, Oakland County Department of Health and Human Services/ Page: 128 of 179
Health Division, Local Health Department - 2022
Contract # 20220358-00 Date 09/1712021
1 Program Budget Summary
PROGRAM / PROJECT DATE PREPARED
Local Health Department - 2022 / MDHHS-Essential Local 9/1712021
Public Health Services (ELPHS)
CONTRACTOR NAME BUDGET PERIOD
Oakland County Department of Health and Human Services/ From: 10/1/2021 To : 9/30/2022
Health Division
MAILING ADDRESS (Number and Street) BUDGET AGREEMENT AMENDMENT #
1200 N. Telegraph Rd.
34 East �" Original r AmendmentCIST0
ZIP CDE FEDERAL ID
Pontiac (MI ATE I483410-1-1032 386004876 NUMBER
Category
I - Total I
Amount
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
0.00
0.00
2 Fringe Benefits
0.00
0.00
3 Cap. Exp. for Equip & Fac.
0.00
0.00
4 Contractual
0.00
0.00I
5 Supplies and Materials
0.00
0.00
6 Travel
0.00
0.00
7 Communication
0.00
0.00
8 County -City Central Services
0.00
0.00
9 Space Costs
0.00
0.00
10 All Others (ADP, Con. Employees, Misc.)
0.00
0.00
INDIRECT EXPENSES
Indirect Costs
1
Indirect Costs
0.00
0.00
2
Cost Allocation Plan / Other
9,310,487.00
9,310,487.00
Total Indirect Costs
9,310,487.00
9,310,487.00
TOTAL INDIRECT EXPENSES
9,310,487.00
9,310,487.00
TOTAL EXPENDITURES
9,310,487.00
9,310,487.00
Date 09/1712021 Contract # 20220358-00, Oakland County Department of Health and Human services/ Page: 129 of 179
Health Division, Local Health Department-2022
2 Program Budget - Source of Funds
SOURCE OF FUNDS
I
Totall
1'Category
Source of Funds
Fees and Collections - 1st and 2nd
0.00
Party
I (Fees and Collections - 3rd Parry
0.00
IFederal
Ior State (Non MDHHS)
0.00
Federal Cost Based Reimbursement I
0.00
Ij IFederally Provided Vaccines I
1,444,452.00
IFederal Medicaid Outreach I
II
0.00
Required Match - Local I
0.00 Ij
I(Local Non-ELPHS I
0.00
I(Local Non-ELPHS
0.00
+I
(Local Non-ELPHS
0.00
I(Other Non-ELPHS
0.00
IMDHHS Non Comprehensive I
'MDHHS
0.00 I
Comprehensive
2,557,216,00
I IMCH Funding
0.00'
ILocal Funds - Other
5,308,819.00 I
I Ilnkind Match I
0.00
Contract # 20220358-00 Date: 0911712021
Amount I Cash I Inkind
M
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
2557,216.00
0.00
0.00
0.00
M
0.00
0.00
0.00
1,444,452.00
0.00
0.00 I+
0.00
0.00
0.00
0.00
0.00
0.00 I]
0.00
5,308,819.00
0,00
MMDHHS Fixed Unit Rate
(Totals I 9,310,487.00I 2,557,216.00I 6,753,271.00I
t 1f
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
1 /1
Dale. 09/1712021 Contract # 2022035MO, Oakland County Department of Health and Human Services/
Health Division Loral Health Department - 2022
Page 130 of 179
Contract # 20220358-00 Date: 09/17/2021
3 Program Budget - Cost Detail
i (Line Item l
Qtyl
DIRECT EXPENSES
Progrm Expenses
1 Salary & Wages
2 Fringe Benefits
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
6 Travel
7 Communication
8 County -City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
INDIRECT EXPENSES
Ilndlrect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Health Adm Distribution
0,0000
Nursing Adm Distribution
0.0000
(Other Cost Distributions-MISC
0.0000
Distnbutions
Federally Provided Vaccines
0.0000
Other Cost Distributions -Non
0.0000
Community Water & Std
(Total for Cost Allocation Plan / Other
Total Indirect Costs
(TOTAL INDIRECT EXPENSES
(TOTAL EXPENDITURES
Ratel UnitsluOM
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0,000
Total
1
1
1
1
1
1
285,004.001
78,739.00
5,872,745.00
1,444,452.001
1,629,547.001
9,310,487.00
9,310,487.00
9,310,487.00
9,310,487.0011
Date. 09/17/2021 Contract # 2022035MO, Oakland County Department of Health and Human Services/ Page: 131 of 179
Health Division, Local Health Department-2022
Contract#20220358-00 Date. 09/17/2021
1 Program Budget Summary
(PROGRAM/PROJECT
DATEPREPARED
Local Health Department - 2022 / FIMR Interviews
9/17/2021
CONTRACTOR NAME
BUDGET PERIOD
Oakland County Department of Health and Human Services/
From: 10/112021 To : 9/30/2022
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
AMENDMENT #
1200 N. Telegraph Rd.
)r Original i Amendment
0
34 East
ATE
CITY ZIP CODE
FEDERAL ID NUMBER
Pontiac MI48341- 032
38-60 4876
Category
I Total I
Amount
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
0.00
0.00
2 Fringe Benefits
0.00
0.00
3 Cap. Exp. for Equip & Fac.
0.00
0.00
4 Contractual
0.00
0.001�
5 Supplies and Materials
0.00
0.00 I
6 Travel
0.00
0.00
7 Communication
0.00
0.001�
8 County -City Central Services
0.00
0.00 I
9 Space Costs
0.00
0.00
10 All Others (ADP, Con. Employees, Misc.)
0.00
0.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
0.00
0.00
2 Cost Allocation Plan / Other
2,000.00
2,000.00
Total Indirect Costs
2,000.00
2,000.00
TOTAL INDIRECT EXPENSES
2,000.00
2,000.00
TOTAL EXPENDITURES
2,000.00
2,000.00
Date 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page: 132 of 179
Health Dwmsion, Local Health Depadment - 2022
2 Program Budget - Source of Funds
SOURCE OF FUNDS
Category
1 Source of Funds
Fees and Collections - 1 st and 2nd
Party
Fees and Collections - 3rd Party
Federal or State (Non MDHHS)
Federal Cost Based Reimbursement
Federally Provided Vaccines
Federal Medicaid Outreach
Required Match - Local
Local Non-ELPHS
Local Non-ELPHS
Local Non-ELPHS
Other Non-ELPHS
MDHHS Non Comprehensive
MDHHS Comprehensive
MCH Funding
Local Funds - Other
Inklnd Match
MDHHS Fixed Unit Rate
Sudden Infant Death Syndrome Fees
Totals
Contract # 20220358-00 Date 09Y 1712021
Total I Amount I Cash I Inkind
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0,00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
2,000.00 2,000.00 ( 0.00
2,000.00 2,000.00 0.00
r,.
Date: 09/1712021 Contract # 20220358-00, Oakland County Department of Health and Human Services/
Health Drvisloo, Local Health Department- 2022
Page: 133 of 179
3 Program Budget - Cost Detail
Mine Item I Qtyl
DIRECT EXPENSES
(Program Expenses
1 Salary & Wages
2 Fringe Benefits
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 ISupplies and Materials
I6 ITravel
I7 Communication
i6 County -City Central Services
9 Space Costs
I10 IAII Others (ADP, Can. Employees, Misc.)
(INDIRECT EXPENSES
Ilndirect Costs
i1 Indirect Costs
2 Cost Allocation Plan / Other
Health Adm Distribution 0.0000
Notes: Cost Distributions for
FIMR Interviews (S(DS) Fees
from Health Adminstration
ITotal Indirect Costs
ITOTAL INDIRECT EXPENSES
ITOTAL EXPENDITURES
Gonfract # 20220358-00 Dafe: 09A7/2021
Ratel UnitsluOM
1111 il/l
2,000.00
I2,000,00I
2,000.00I
1 2,000.001
Data: 09/1712021 Contract # 2022036MO, Oakland County Department of Health and Human Services/ Page: 134 of 179
Health Division, Local Health Department- 2022
Contract # 20220358-00 Date- 09/17/2021
1 Program Budget Summary
PROGRAM I PROJECT
DATE PREPARED
Local Health Department - 2022 / Sexually Transmitted
9/17/2021
Infection (STI) Control
CONTRACTOR NAME
BUDGET PERIOD
Oakland County Department of Health and Human Services/
From: 10/1/2021 To : 9/30/2022
Health Division
MAILING ADDRESS (Number and Street)
EMAENT
#
1200 N. Telegraph Rd.
IBUODrGgETaAGR
mendment
AMENDMENT
34 East
CI
ATE
ZIP CODE
148341-
FEDERAL ID NUMBER
Pontac
MI
032
386004876
Category
I Total I
Amount
DIRECT EXPENSES
Progrm Expenses
1 Salary & Wages
42,471.00
42,471.00
2 Fringe Benefits
23,588.00
23,588.00
3 Cap. Exp. for Equip & Fac.
0.00
_ 0.00
4 Contractual
0.00
0.00 III
5 Supplies and Materials
0.00
0.00 I
6 Travel
0.00
0,00
7 Communication
0.00
0.00
8 County -City Central Services
0.00
0.00
9 Space Costs
0.00
mo
10 All Others (ADP, Con. Employees, Misc.)
0.00
0.00 I
Total Program Expenses
66,059.00
66,059.001
TOTAL DIRECT EXPENSES
66,059.00
66,059,00
INDIRECT EXPENSES
Indirect Costs
1
Indirect Costs
I
0.00
0.00
2
Cost Allocation Plan / Other
18,326.00
18,326.00
Total Indirect Costs
18,326.00
18,326.00
TOTAL INDIRECT EXPENSES
18,326.00
18,326.00
TOTAL EXPENDITURES
84,385.00
84,385.00
Date09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page: 135 of 179
Health Division, Local Health Department- 2022
Contract#20220358-00 Date:09/17/2021
2 Program Budget- Source of Funds
SOURCE OF FUNDS
Category I
Total I
Amount +
Cash I
Inkind
1 Source of Funds
Fees and Collections - 1st and 2nd
0.00
0.00
0.00
0.00
Party
(Fees and Collections - 3rd Party
0.00
0.00
0.00
0.00
Federal or State (Non MDHHS)
0.00
0,00
0.00
0.00
Federal Cost Based Reimbursement I
0.00
0.00
0.00
0.00
(Federally Provided Vaccines I
0.00
0.00
0.00 I
0.00
(Federal Medicaid Outreach I
0.00
0,00
0.00 I
0.00
I(Required Match - Local
0.00
0.00
0.00 I
0.00
Local Non-ELPHS
0.00 I
0.00
0.00 I
0.00
Local Non-ELPHS
0.00 I
0.00
0.00
0.00
Local Non-ELPHS
0.00 I
0.00
0.00
0.00
Other Non-ELPHS I
0.00
0.00
0.00
0.00
MDHHS Non Comprehensive
0.00
0.00
0,00
0.00
jI
I(MDHHS Comprehensive
70,265.00
70,265.00
0.00
0.00 I
I IMCH Funding
0.00 I
0.00
0.00 I
0.00
ILocal Funds - Other I
14,120.00 1
0.00
14,120.00 I
0.00 I
IIlnkind Match I
0.00 I
0.00
0.00 I
0.00 I
I(MDHHS Fixed Unit Rate
I
I(Totals I
84,385 00 I
70,265.00 I
14,120.00 I
0.00 I
Date 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page: 136 of 179
Health Division, Local Health Department - 2022
Contract # 20220358-00 Date09/1712021
3 Program Budget- Cost Detail
(Line Item l Qtyl
1DIRECT EXPENSES
Program Expenses
1 1 Salary & Wages
Medical Technologist 1 0.54871
2 Fringe Benefits
All Composite Rate 0.0000
Notes: FICA
Unemployment Insurance
Retirement Insurance
Hospital Insurance
Life Insurance
Vision Insurance
Dental Insurance
Workers Comp
Short and Long Term Disability
Insurance
1 3 Cap. Exp. for Equip & Fac.
4 Contractual
1 5 Supplies and Materials
6 Travel
1 7 Communication
8 County -City Central Services
1 9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Total Program Expenses
(TOTAL DIRECT EXPENSES
11NDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
1 2 Cost Allocation Plan I Other
Health Adm Distribution 0.00001
Cost Allocation Plan 0.0000)
Notes: 9.91 % 1
Ratel UnitsluOM
77403.0001 0.0001 FTE
55.539 42471.000
0.000 0.000
0.000 0.000
Total
11
42,471.001
1
23,588.00
1
1
1
1
1
66,059.001
66,059.001
14,120.00
4,206.00
Date 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Sewmes/ Page: 137 of 179
Health Division, Loral Health Department-2022
+Line Item
Total for Cost Allocation Plan / Otber
Total Indirect Costs
TOTAL INDIRECT EXPENSES
TOTAL EXPENDITURES
Contract # 20220358-00 Date: 091171`2021
Oty) Rate UnitsjUOM
Totals
18,326.001
18,326.001
18,326.001
84,385.001
Date. 0911712021 Contract k 2022035MO, Oaland County Department of Health and Human Semcea/ Page: 138 of 179
Health Division, Loral Health Department- 2022
Contract#20220358-00 Date:09/17/2021
1 Program Budget Summary
PROGRAM / PROJECT
DATE PREPARED
Local Health Department - 2022 / Tuberculosis (TB) Control
9/17/2021
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
BUDGET ERR
PERI OD
Health Division
From : To : 9130/2022
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
1200 N. Telegraph Rd.
34 East
ry Original I— Amendment
CITY
IPo
IMIATE
ZIP CODE
I48341--1032
FEDERAL NUMBER
ntac
38-6004876D
Category I Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
2 ( Fringe Benefits
3 I Cap. Exp. for Equip & Fac.
4 I Contractual
5 I Supplies and Materials
6 I Travel
7 I Communication
8 I County -City Central Services
9 J Space Costs
! 10 I All Others (ADP, Con. Employees, Misc.)
Total Program Expenses
TOTAL DIRECT EXPENSES
INDIRECT EXPENSES
Indirect Costs
i I Indirect Costs
2 1 Cost Allocation Plan / Other
Total Indirect Costs
TOTAL INDIRECT EXPENSES
TOTAL EXPENDITURES
0.00
0.00
0.00
0.00
82,515.00
1,510.00
0.00
0.00
0.00
38,117.00
122,142.00
122,142.00
0.00
324,550.00
324,550.00
324,550.00
446,692.00
AMENDMENT#
0
Amount
1
0.00
0.00
0.00
0.00
82,515.00
1,510.00
0.00
0.00
0.00
38,117.00
122,142.00
122,142.00 II
1
0.00
324,550.00
324,550.00
324,550.00
446,692.00
Date 0911712021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page. 139 of 179
Health Division, Local Health Department -2022
2 Program Budget - Source of Funds
SOURCE OF FUNDS
Category
1 Source of Funds
Fees and Collections - 1 st and 2nd
Party
(Fees and Collections - 3rd Party
I(Federal or State (Non MDHHS)
I(Federal Cost Based Reimbursement
IIFederally Provided Vaccines
IIFederai Medicaid Outreach
Required Match - Local
ILocal Non-ELPHS
I(Local Non-ELPHS
I(Local Non-ELPHS
I(Other Non-ELPHS
I(MDHHS Non Comprehensive
IIMDHHS Comprehensive
IMCH Funding
Local Funds - Other
I lInkind Match
MDHHS Fixed Unit Rate
I (Totals
Contract#20220358-00 Date 09117/2021
ITotal I Amount I Cash I InkindI
9.00I
0.00
0.00
0.00
0.00I
0.00
0.00
0.00
I+ 0.00I
0.00I
0.00I
0.00
0.00I
0.00I
0.00I
0.00
I�
+ 0.00
i
0.00
I
0.00
I
0.00
0.00
I
0.00
I
0.00
I
0.00
_
II
j 0.00
I
0.00
I
0.00
I
0,00 I
0.00
I
0.00
I
0.00
I
0.00 I
-
0.00
0.00
I
0.00
I
0.00
Ij 0.00
0.00
I]
0.00
I
0.00
0.00
0.00I
0.00I
0.00
0.00 I
0.00
I
0.00
I
0.00
13,061.00 I
13,061.00
I
000
I
0.00
0.00 I
0.00 I
0.00 I
0.00
433,631.00
0.001j
433,631.00
0.00I
I0.00
0.00 I
0.00
0.00
446,692.00 1 13,061.00 1 433,631.00 1 0.00
Date: 09/1712021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page: 140 of 179
Health Division, Local Health Department - 2022
Contract At 202203.58-00 Date: 09/17/2021
3 Program Budget - Cost Detail
I ILine Item I Qtyl Rate unitslUOM
IDIRECT EXPENSES
(Program Expenses
1 1 Salary & Wages
1 2 Fringe Benefits
1 3 Cap. Exp. for Equip & Fac.
1 4 Contractual
5 Supplies and Materials
Client Supp Material/Incentives
0.0000
0.000
0.000
Enablers
Notes: TB GRANT
Postage
0.0000
0.000
0.000
Notes: TB GRANT
Medical Supplies
0.0000
0.000
0.000
Notes: TB GRANT
Office Supplies
0.0000
0.000
0.000
Notes: TB GRANT
Drugs
0.0000
0.000
0.000
Notes: COUNTY BUDGET
1 Total for Supplies and Materials
1 6 Travel
Client Transportation
0.0000
0.000
0.000
Notes: TB GRANT
Conferences
00000
0.000
0.000
Notes: TB GRANT
Mileage
0.0000
0.000
0.000
Notes: TB GRANT
1000 MILES @ 0.56
+Total "or Travel
7 Communication
1 8 County -City Central Services
1 9 Space Costs
1 10 All Others (ADP, Con. Employees, Misc.)
Lab Fees
1 0.00001
0.0001
0.0001
Date 09/17/2021 Contract p 20220358-00, Oakland County Department
of Health and Human
Services/
Health Division, Local Health
Department- 2022
I Totalljl
I
1,915.00
100.00
300.00
80,000.00
82,515.001
200.00
750.00
560.00
1,510.001
1
16,736.001
Page: 141 of 179
' Line Item City
Notes: TB GRANT $8,736.00
COUNTY BUDGET $8,000.00
IT Print Services
0.0000
Notes: COUNTY BUDGET
Memberships & Dues
0.0000
Notes: COUNTY BUDGET
Professional Services
0.0000
Notes: COUNTY BUDGET
ITB Cases/Outside
0.0000
Notes: COUNTY BUDGET
(Translation & Interpretation
0.0000
Notes: TB GRANT
(Total for All Others (ADP, Con. Employees, Misc.)
Total Program Expenses
TOTAL DIRECT EXPENSES
(INDIRECT EXPENSES
(Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Health Adm Distribution
0.0000
Nursing Adm Distribution
0.0000
Other Cost Distributions-Mlsc
0.0000
Distribution
(Total for Cost Allocation Plan / Other
(Total Indirect Costs
ITOTAL INDIRECT EXPENSES
ITOTAL EXPENDITURES
Contract # 20220358-00 Oate 09/17/2021
Rate Units UOM Totall
0.000 0.000 71.00)
0.000 0.000 760.00
0.000 0.000 10,250.00
0.000 0.000 10,000.00
0,000 0.000 300.00
38,117.001
122,142.001
122,142.001
I
0.000
0.000
20,876.00
0.000
0.000
10,535.00
0A00
0.000
293,139.00
324,550.00
324,550A0
324,550.00
446,692.001
Data: 09/1712021 Contract # 20220358-00, Oakland County Department of Health and Human services/
Health Division, Loral Health Department - 2022
Page: 142 of 179
Contract # 20220358-00 Date: 09117/2021
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2022 / Vector -Borne Surveillance
PREPARED
DATE DATE021
& Prevention
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
PERI BUDGET
PERT OD
Health Division
From : 4To : 9/30/2022
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
1200 N. Telegraph Rd.
34 East
ry Original r Amendment
CI(ZIP
IMIATE
CODE
I48341
FEDERAL ID NUMBER
Pontiac
032
38-6004876
Category
Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
I 5,456.00
2 Fringe Benefits
' 2,042.00
3 Cap. Exp. for Equip & Fac.
I 0.00 I
4
I Contractual
I 0.00
5
I Supplies and Materials
I 150.00
6
I Travel
I 800m
i7
Communication
I 0.00
8
County -City Central Services
I 0,00
9
Space Costs
I 0.00
10
All Others (ADP, Can. Employees, Misc.)
I 11.00
Total Program Expenses
I 8,459.00
TOTAL DIRECT EXPENSES
I 8,459.00
INDIRECT EXPENSES
Indirect Costs
1 J
Indirect Costs
I
0.00
2 I
Cost Allocation Plan / Other
I
2,073.001
Total Indirect Costs
I
2,073.00
TOTAL INDIRECT EXPENSES
I
2,073,00
TOTAL EXPENDITURES
I 10,532.00
(AMENDMENT#
0
1
Amount
�I
5,456.00 f
2,042.00
0.00 i
0.00
15000 I
800.00
0.00
0.00
0.00
11.00
8,459.00
8,459.00
-11
0.00
2,073.00
2.073.00 1
2,073.00
10,532.00
Dale. 09/1712021 Contract It 20220358-00, Oakland County Department of Health and Human Services/
Health Dimsion, Local Health Department -2022
Page: 143 of 179
Contract#20220358-00 Date:09/17/2021
2 Program Budget - Source of Funds
SOURCE OF FUNDS
Category
1 Source of Funds
Fees and Collections - 1 st and 2nd
Party
Fees and Collections - 3rd Party
Federal or State (Non MDHHS)
IFederal Cost Based Reimbursement
IFederally Provided Vaccines
IIFederal Medicaid Outreach
Required Match - Local
I ILocal Non-ELPHS
IILocal Non-ELPHS
ILocal Non-ELPHS
(Other Non-ELPHS
IIMDHHS Non Comprehensive
IIMDHHS Comprehensive
I IMCH Funding
I ILocal Funds - Other
I Ilnkind Match
IIMDHHS Fixed Unit Rate
I (Totals I
Total I Amount I Cash I Inkind
I
0.00 0.00 0.00 0.00
0.00
0.00
0.00
0.00I
0.00
0.00
0.00
0.00I
0.00
0.00
0.00
0.00I
0.00
0.00
0.00
0.00I
0.00
0.00
0.00
0.00I
0.00
0.00
0.00
0.00I
0.00
0.00
0.00
0.00I
0.00
0.00
0.00
0.00I
0.00
0.00
0.00
0.00I
0.00
0.00
0.00
0,00I
0.00
0.00
0.00
0.00I
9,00000
9,000.00
0.00
0.00
0.00
0.00
0.00
0.00
1,532.00
0.00
1,532.00
0.00
0.00
0.00
0.00
0.00
10,532.00 1 9,000.00 1 1,532.00 1 0.00
Date 0911712021 Contract # 20220358-00, Oakland County Department of Health and Human services/ Page: 144 of 179
Health Dlviaon, Local Health Department - 2022
Contract # 2022035MO Date 09117/2021
3 Program Budget - Cost Detail
Line Item I
Otyl
DIRECT EXPENSES
Program Expenses
1 ISalary& Wages
Sanitarian
51 A000
ISanitarian
71.0000
ISupervisor
0.0210
Epidemiologist
10.0000
ITotal or Salary & Wages
2 Fringe Benefits
All Composite Rate
0,0000
Notes: FICA
Unemp Ins
Retirement
Hospital Insurance
Life Insurance
Vision Ins.
Short/Long Term Disability
Dental Insurance
Work Comp
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies I
0.00001
6 Travel
Mileage
0.0000
Notes: 1,428 MILES @ 0.56
7 Communication
8 County -City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Insurance I
O.00001
ITotal Program Expenses
ITOTAL DIRECT EXPENSES
Ratel UnitsIUOM I Total
39.957
0.000
FTE
2,038.00
29.123
0.000
FTE
2,068.00
47494.000
0.000
FTE
997.00
35.275
0,000
FTE
353.00
5,456.00
37.427
5456,000
2,042.00
0.0001 0.0001 I 150.00
0.0001 0,0001 800.00
0.0001 0,0001
11.00
8,459.00
8,459.00
Date 09/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page145 of 179
Health Division, Local Health Department -2022
I(Line Item I
(INDIRECT EXPENSES
Ilndirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes: 9.91 %
Health Adm Distribution
(Total for Cost Allocation Plan / Other
(Total Indirect Costs
ITOTAL INDIRECT EXPENSES
ITOTAL EXPENDITURES
Oty I
0.0000
0,0000
Contract # 20220358-00 Date, 09/17/2021
Rate UnitsIUOM I Total
0.000
0.000
r t��
MM
1
541.00
1,532.00
2,073-001
2,073.00
2,073.00
10,532.00
Date: 0911712021 Contract # 20220358-00, Oakland County Department of Health and Human services/ Page: 146 of 179
Health Division, Local Health Department -2022
Contract # 20220358-00 Date: 09/17/2021
1 Program Budget Summary
PROGRAM I PROJECT
DATE PREPARED
Loral Health Department - 2022 / Immunization Fixed Fees
9/17/2021
CONTRACTOR NAME
BUDGET PERIOD
Oakland County Department of Health and Human Services/
From : 10/l/2021 To: 9/30/2022
Health Division
MAILING ADDRESS (Number and Street)
BUDGET AGREEMENT
AMENDMENT #
1200 N. Telegraph Rd.
0
34 East
r, Original I— Amendment
CI
STPontiac IMIATE
CDE
I48341O032
FEDERAL6 NUMBER
38-600487ZIP
Category
I Total I
Amount
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
0.00
0.00
2 Fringe Benefits
0.00
0.00
3 Cap. Exp. for Equip & Fac.
0.00
_ _ 0.0
4 Contractual
0.00
0.001
5 Supplies and Materials
0.00
0.00
6 Travel
0.00
0.001
7 Communication
0.00
0.00I
8 County -City Central Services
0.00
0.00
9 Space Costs
0.00
0.00
10 All Others (ADP, Con. Employees, Misc.)
0.00
0.00
INDIRECT EXPENSES
Indirect Costs
1
Indirect Costs
I
0.00
0.00
2
Cost Allocation Plan / Other
30,000.00
30,000.00
Total Indirect Costs
30,000.00
30,000.00
TOTAL INDIRECT EXPENSES
30,000.00
30,000.00
TOTAL EXPENDITURES
30,000.00
30,000.00
Dale 00/17/2021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page: 147 of 179
Health Dlvislon, Local Health Department -2022
Contract # 20220358-00 Date, 09/17/2021
2 Program Budget - Source of Funds
SOURCE OF FUNDS
Category
1 Source of Funds
Fees and Collections - 1 st and 2nd
Party
Fees and Collections - 3rd Party
Federal or State (Non MDHHS)
Federal Cost Based Reimbursement
Federally Provided Vaccines
Federal Medicaid Outreach
Required Match - Local
Local Non-ELPHS
Local Non-ELPHS
Local Non-ELPHS
Other Non-ELPHS
MDHHS Non Comprehensive
MDHHS Comprehensive
MCH Funding
Local Funds - Other
Inkind Match
MDHHS Fixed Unit Rate
IMM, VFC - AFIX Visits
Totals
Total (
Amount I
Cash
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
30,000.00
30,000.00
0.00I
30,000.00
30,000.00
0.00I
Inkind
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
om1
0.00
0.00
0.00
0.00
0.00
0.00
1
0.00
0.00
Date. 09/1712021 Contract # 20220358-00, Oakland County Department of Health and Human Services/ Page: 148 of 179
Health Division, Local Health Department- 2022
3 Program Budget - Cast Detail
(Line Item l Qtyl
IDIRECT EXPENSES
(Program Expenses
1 lFringe
Salary&Wages
2 Benefits
3 (Cap. Exp. for Equip & Fac.
4 (Contractual
5 (Supplies and Materials
6 (Travel
I7 (Communication
I8 (County -City Central Services
9 ISpace Costs
10 IAII Others (ADP, Can. Employees, Misc.)
(INDIRECT EXPENSES
Ilndirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Distributions for Fees -from 0.0000
IAP
(Total Indirect Costs
ITOTAL INDIRECT EXPENSES
ITOTAL EXPENDITURES
Contract # 20220358-00 Date 09117/2021
Ratel UnitsIUOM l Total
M tti
0.000I
30,000.00
30,000.001
30,000.001
30,000.001
Date: 0911712021 Contract # 2022035MO, Oakland County Department of Health and Human Services/ Page: 149 of 179
Health Division, Local Health Department - 2022