HomeMy WebLinkAboutInterlocal Agreements - 2021.12.09 - 37479
August 1, 2022
Michigan Department of State
Office of the Great Seal
Richard H. Austin Building, 1st Floor
430 W. Allegan
Lansing, MI 48918
Dear Office of the Great Seal:
On December 9, 2021 the Board of Commissioners for Oakland County entered into an agreement per MR #21502 –
Health and Human Services – Health Division – Grant Acceptance FY 2022 Interlocal Agreement between Oakland
County and Oakland Community Health Network for Substance Use Disorder Prevention Services.
As required by Urban Cooperation Act 7 of 1967 - MCL 124.510(4), a copy of the signed agreement with the County of
Oakland and the Oakland Community Health Network, and the authorizing Board of Commissioners Resolution are
enclosed for filing by your office.
Send confirmation of receipt of this agreement to:
Mr. Joseph Rozell, Director of Elections
Oakland County Clerk/Register of Deeds
County Service Center, Building #14 East
1200 N. Telegraph Rd.
Pontiac, MI 48341
(Please include our Miscellaneous Resolution number on the confirmation of receipt l etter for filing purposes.)
Contact our office at (248) 858-0564 if you have any questions regarding this matter.
Sincerely,
COUNTY OF OAKLAND
Joseph J. Rozell, CERA
Director of Elections
Cc: Donna Dyer, Corporation Counsel, Oakland County
Erika Munoz-Flores, Corporation Counsel, Oakland County
Stacey Smith, Administrator, Oakland County Health Department
Callana Ollie, Chief Legal Officer, Oakland Community Health Network
Enclosures
DocuSign Envelope ID: 849A7C44-A6F9-421D-A248-8CF4FE4D0337
Oakland Community Health Network
Amendment Number 1 of Contract Number 2022-0215-SUDP
Page 1 of 7
OAKLAND COUNTY INTERLOCAL AGREEMENT BETWEEN
OAKLAND COUNTY
AND
OAKLAND COMMUNITY HEALTH NETWORK
FOR
Substance Use Disorder Prevention Services
2022-0215-SUDP #1
The Parties, Oakland County ("County") and Oakland Community Health Network ("OCHN"), agree
and acknowledge that the purpose of this Amendment is to modify as provided herein and otherwise
continue the present contractual relationship between the Parties as described in their current
Substance Use Disorder Prevention Services, ("Contract").
In consideration of the mutual promises, representations, assurances, agreements, and provisions
in the Contract and this Amendment, the adequacy of which is hereby acknowledged by the
Parties, the Parties agree to amend the Contract as follows:
1. The Parties acknowledge and agree to the replace the FY22 Exhibit I: Financial and Reporting
Obligations, as attached hereto.
2. The Parties acknowledge and agree that the FY22 American Rescue Plan Act Funding
(ARPA) Scope of work, as attached hereto, shall be added to Exhibit II.
3. The Parties acknowledge and agree to the addition of ARPA Management by Objectives to
Attachment B in Exhibit IV, as attached hereto.
DocuSign Envelope ID: 849A7C44-A6F9-421D-A248-8CF4FE4D0337
Oakland Community Health Network
Amendment Number 1 of Contract Number 2022-0215-SUDP
Page 2 of 7
For and in consideration of the mutual assurances, promises, acknowledgments,
warrants, representations and agreements set forth in the Contract and this Amendment,
and for other good and valuable consideration, the receipt and adequacy of which is
hereby acknowledged, the undersigned hereby execute this Amendment on behalf of
the OCHN and County and by doing so legally obligate and bind the OCHN and
County to the terms and conditions of the Contract and this Amendment:
OAKLAND COMMUNITY HEALTH NETWORK:
BY: DATE: _7/25/2022
Callana Ollie,
Chief Legal Officer
BY: DATE:
7/25/2022
Anya Eliassen,
Chief Financial Officer
THE COUNTY OF OAKLAND
BY: DATE:
David T. Woodward ,
Chairperson, Oakland County Board of Commissioners
David T. Woodward (Jul 27, 2022 13:12 EDT)
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DocuSign Envelope ID: 849A7C44-A6F9-421D-A248-8CF4FE4D0337
Oakland Community Health Network
Amendment Number 1 of Contract Number 2022-0215-SUDP
Page 3 of 7
OAKLAND COUNTY INTERLOCAL AGREEMENT
BETWEEN
OAKLAND COUNTY
AND
OAKLAND COMMUNITY HEALTH NETWORK
EXHIBIT I: Financial1 and Reporting Obligations
Health Education SUD Prevention Services
October 1, 2021 – September 30, 2022
Description Budget
FY22 Travel 1,060
Supplies & Materials 2,310
Contractual 191,196
Other 25,925
OCHN Funding 199,992
Local Match 20,499
Total Budget – Health Education 220,491
American Rescue Plan Act Grant (ARPA)
October 1, 2021 – September 30, 2022
Description Budget
FY22 Travel 293
Supplies & Materials 4,754
Contractual 14,653
Other 300
Total Budget 20,000
The County shall submit an invoice to the OCHN on a monthly basis, which shall itemize all
amounts due and or owing by OCHN. The monthly invoice must reflect total actual program
expenditures by category. The invoices shall be submitted in a form and format agreed upon by
the Parties.
1 Some or all of the funds provided by OCHN are federal funds. Department of Health and Human
Services/Substance Abuse and Mental Health Services Administration (SAMHSA), CFDA NO. 93.959, Block Grant
for Prevention and Treatment of Substance Abuse. Grant NO. 13 B1 MI SAPT, award phase 2022. Title SAPT
Block Grant sub-recipient relationship, non-research and development project.
DocuSign Envelope ID: 849A7C44-A6F9-421D-A248-8CF4FE4D0337
Oakland Community Health Network
Amendment Number 1 of Contract Number 2022-0215-SUDP
Page 4 of 7
OAKLAND COUNTY INTERLOCAL AGREEMENT
BETWEEN
OAKLAND COUNTY
AND
OAKLAND COMMUNITY HEALTH NETWORK
EXHIBIT II: Scope of Services
American Rescue Plan Act Funding (ARPA)
The purpose of the ARPA Evidenced-Based Prevention Program (EBP) Project is to increase the
capacity of the Oakland Community Health Network (OCHN) provider system to effectively
address the social emotional needs of youth and risks for substance and mental health that was
identified in our needs assessment. OCHN prevention providers received training in the following
EBP, Michigan Model for Health (MMH).
Michigan Model for Health (MMH) is an evidenced-based comprehensive health education
curriculum that targets Pre-K through 12th grade students utilizing a skills-based approach.
Students are taught the knowledge and skills they need to build and maintain healthy behaviors
and lifestyles. It is age-appropriate and provides sequential lessons that focus on the serious health
challenges school-aged children face.
I. Eligibility Requirements
• The County is a current provider or registered vendor of OCHN
• The County staff have experience in interacting with families and teens with knowledge of
social emotional needs of youth.
II. Scope of Service
• The County has attended a training in the program outlined above.
• The County agrees to provide at least ninety (90) outputs of the program (in the first year
of the grant and 236 outputs consecutively each year for the life of the grant) in which
they were trained during FY22.
• The County will submit an invoice (ATTACHMENT B 2) for ARPA EBP funded activity
that may include registration cost, travel expenses, and curriculum materials and facilitator
charges. Invoices specific to the ARPA EBP grant (separate from the SAPT invoice) are
sent electronically to Janet Selberg, selbergJ@oaklandchn.org with cc. to Rachel Rhodes,
rhodesr@oaklandchn.org
• The County will provide OCHN with proof of training attendance in the form of a
certificate, sign-in sheet or other document with supervisor signature.
DocuSign Envelope ID: 849A7C44-A6F9-421D-A248-8CF4FE4D0337
Oakland Community Health Network
Amendment Number 1 of Contract Number 2022-0215-SUDP
Page 5 of 7
• The County agrees to a site visit and programmatic review.
• The County agrees to monthly reporting for data gathering purposes.
III. Obligations of OCHN
• OCHN, in collaboration with MDHHS, will provide technical assistance to The County
upon request
• OCHN will reimburse The County for registration cost, mileage, curriculum and other
educational materials necessary to conducting the programs including facilitation charges
as outlined in ATTACHMENT B2 of this amendment.
IV. Outcomes/ Deliverables
• Provide the OCHN with a participant sign-in sheet with time and date noted for all sessions
of the program
• Provide an invoice for ARPA-EBP implementation expenses to OCHN as noted above by
the 10th day of the month following the service month utilizing the Budget Summary &
Billing Pages provided with this agreement (ATTACHMENT B2)- and as delineated in the
Scope of Service
• Provide OCHN with outcome evaluation using the tool provided by the program
developers.
• Enter group information into the Michigan Prevention Database System (MPDS).
V. Technical Assistance
Provided by the SUD Prevention Coordinator, Rachel Rhodes- rhodesr@oaklandchn.org
or 248.452-9850
DocuSign Envelope ID: 849A7C44-A6F9-421D-A248-8CF4FE4D0337
Oakland Community Health Network
Amendment Number 1 of Contract Number 2022-0215-SUDP
Page 6 of 7
OAKLAND COUNTY INTERLOCAL AGREEMENT
BETWEEN
OAKLAND COUNTY
AND
OAKLAND COMMUNITY HEALTH NETWORK
EXHIBIT IV: Attachments
ATTACHMENT B
Management by Objective for ARPA Funding
DocuSign Envelope ID: 849A7C44-A6F9-421D-A248-8CF4FE4D0337
Oakland Community Health Network
Amendment Number 1 of Contract Number 2022-0215-SUDP
Page 7 of 7
Certificate Of Completion
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Envelope Id: 849A7C44A6F9421DA2488CF4FE4D0337 Status: Completed
Subject: Please DocuSign: 2022-0215-SUDP #1.pdf
Source Envelope:
Document Pages: 7 Signatures: 2 Envelope Originator:
Certificate Pages: 2 Initials: 0 June A Lewis
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-05:00) Eastern Time (US & Canada)
5505 Corporate Drive
Troy, MI 48098
lewisj@oaklandchn.org
IP Address: 68.55.24.4
Status: Original
7/25/2022 9:25:20 AM
Holder: June A Lewis
lewisj@oaklandchn.org
Location: DocuSign
Security Appliance Status: Connected Pool: StateLocal
Storage Appliance Status: Connected Pool: Oakland Community Health Network Location: DocuSign
Anya Eliassena
eliassena@oaklandchn.org
CFO
Oakland County Community Mental Health Authority
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 68.42.108.162
Sent: 7/25/2022 9:26:57 AM
Viewed: 7/25/2022 10:28:23 AM
Signed: 7/25/2022 10:28:41 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Callana Ollie
olliec@oaklandchn.org
Chief Legal Officer
OCHN
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 69.230.135.9
Sent: 7/25/2022 10:28:42 AM
Viewed: 7/25/2022 3:25:40 PM
Signed: 7/25/2022 3:25:47 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Carbon Copy Events Status Timestamp
Lisa McKay
mckay-chiassonl@oakgov.com
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Sent: 7/25/2022 3:25:48 PM
Viewed: 7/25/2022 3:49:48 PM
Witness Events Signature Timestamp
Signer Events Signature Timestamp
Record Tracking
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 7/25/2022 9:26:58 AM
Certified Delivered Security Checked 7/25/2022 3:25:40 PM
Signing Complete Security Checked 7/25/2022 3:25:47 PM
Completed Security Checked 7/25/2022 3:25:48 PM
Payment Events Status Timestamps