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HomeMy WebLinkAboutReports - 2023.12.07 - 40868 AGENDA ITEM: Subrecipient Agreement with Oakland Livingston Human Services Agency for FY 2024 Woman, Infants and Children Services DEPARTMENT: Health & Human Services MEETING: Board of Commissioners DATE: Thursday, December 7, 2023 6:00 PM - Click to View Agenda ITEM SUMMARY SHEET COMMITTEE REPORT TO BOARD Resolution #2023-3575 Motion to approve the subrecipient agreement with Oakland Livingston Human Service Agency and authorize the Chair of the Board of Commissioners to execute the attached agreement. ITEM CATEGORY SPONSORED BY Contract Penny Luebs INTRODUCTION AND BACKGROUND Miscellaneous Resolution (MR) #22-3305 approved the FY 2024 Michigan Department of Health and Human Services (MDHHS) Local Health Department (Comprehensive) Agreement for the period October 1, 2023 through September 30, 2024 with the Health Division. A portion of the grant award, in the amount of $608,484, will be used to reimburse Oakland Livingston Human Service Agency (OLHSA) for services provided to Woman, Infants and Children (WIC) program participants. Of the $604,848, $519,981 will be used for reimbursement of WIC Residential Services and $84,867 for reimbursement of WIC Breastfeeding and Peer Counseling services. The attached subrecipient agreement between Oakland County and OLHSA has completed the Grant Review Process in accordance with the Grants Policy. BUDGET AMENDMENT REQUIRED: No Committee members can contact Michael Andrews, Policy and Fiscal Analysis Supervisor at 248.425.5572 or andrewsmb@oakgov.com, or the department contact persons listed for additional information. CONTACT Leigh-Anne Stafford, Director Health & Human Services ITEM REVIEW TRACKING Aaron Snover, Board of Commissioners Created/Initiated - 12/7/2023 AGENDA DEADLINE: 12/07/2023 6:00 PM ATTACHMENTS 1. FY2024 LHD Addendum A 2. Final Contract 3. Grant Amendment Sign-Off #2 4. OLHSA_FY24_Sub-Recipient_Contract - Signed COMMITTEE TRACKING 2023-11-28 Public Health & Safety - Recommend to Board 2023-12-07 Full Board - Adopt Motioned by: Commissioner Charles Cavell Seconded by: Commissioner Ajay Raman Yes: David Woodward, Michael Spisz, Michael Gingell, Penny Luebs, Karen Joliat, Kristen Nelson, Christine Long, Robert Hoffman, Philip Weipert, Gwen Markham, Angela Powell, Marcia Gershenson, William Miller III, Yolanda Smith Charles, Charles Cavell, Brendan Johnson, Ajay Raman, Ann Erickson Gault (18) No: None (0) Abstain: None (0) Absent: (0) Passed Version: Comprehensive 1 MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES FY 23/24 AGREEMENT ADDENDUM A 1. This addendum adds the following section to Part I and Renumbers existing 11 Special Certification to 12 and existing 12 Signature Section to 13: Part I 11. Agreement Exceptions and Limitations Notwithstanding any other term or condition in this Agreement including, but not limited to, any provisions related to any services as described in the Annual Action Plan, any Contractor (Oakland County) services provided pursuant to this Agreement, or any limitations upon any Department funding obligations herein, the Parties specifically intend and agree that the Contractor may discontinue, without any penalty or liability whatsoever, any Contractor services or performance obligations under this Agreement when and if it becomes apparent that State or Department funds for any such services will be no longer available. Notwithstanding any other term or condition in this Agreement, the Parties specifically understand and agree that no provision in this Agreement shall operate as a waiver, bar or limitation of any kind, on any legal claim or right the Contractor may have at any time under any Michigan constitutional provision or other legal basis (e.g., any Headlee Amendment limitations) to challenge any State or Department program funding obligations; and, the parties further agree that no term or condition in this Agreement is intended and no such provision shall be argued to state or imply that the Contractor voluntarily assumed or undertook to provide any services as described in the Annual Action Plan, and thereby, waived any rights the Contractor may have had under any legal theory, in law or equity, without regard to whether or not the Contractor continued to perform any services herein after any State or Department funding ends. 2. This addendum modifies the following sections of Part II, General Provisions: Part II I. Responsibilities-Grantee J. Software Compliance. This section will be deleted in its entirety and replaced with the following language: Version: Comprehensive 2 The Michigan Department of Health and Human Services and the County of Oakland will work together to identify and overcome potential data incompatibility problems. III. Assurances A. Compliance with Applicable Laws. This first sentence of this paragraph will be stricken in its entirety and replace with the following language: The Contractor will comply with applicable Federal and State laws, and lawfully enacted administrative rules or regulations, in carrying out the terms of this agreement. M. Health Insurance Portability and Accountability Act. The provisions in this section shall be deleted in their entirety and replaced with the following language: The Grantee agrees that it will comply with the Health Insurance Portability and Accountability Act of 1996, and the lawfully enacted and applicable Regulations promulgated there under. S. Grant Data 1. Grant Data. The Department’s and Grantee’s data (“Grant Data,” which will be treated by the Parties as Confidential Information) includes: (a) the Department’s data, user data, and any other data collected, used, processed, stored, or generated as the result of this Agreement; (b) personally identifiable information (“PII“) collected, used, processed, stored, or generated as the result of this Agreement, including, without limitation, any information that identifies an individual, such as an individual’s social security number or other government-issued identification number, date of birth, address, telephone number, biometric data, mother’s maiden name, email address, credit card information, or an individual’s name in combination with any other of the elements here listed; and, (c) protected health information (“PHI”) collected, used, processed, stored, or generated as the result of this Agreement, which is defined under the Health Insurance Portability and Accountability Act (HIPAA) and its related rules and regulations. 2. Grantee Use of Grant Data. Grantee must: (a) keep and maintain Grant Data, using such degree of care as is Version: Comprehensive 3 appropriate and consistent with its obligations as further described in this Agreement and applicable law to avoid unauthorized access, use, disclosure, or loss; (b) use and disclose Grant Data solely and exclusively for the purpose of providing the activities described in the Statement of Work, such use and disclosure being in accordance with this Agreement, any applicable Statement of Work, and applicable law; (c) keep and maintain Grant Data in the continental United States and (d) not sell, rent, or commercially exploit Grant Data. Grantee's misuse of Grant Data may violate state or federal laws, including but not limited to MCL 752.795. 3. Extraction of Grant Data. Grantee must, within a reasonable timeframe of the Department’s request, provide the Department, an extract of the Grant Data in the format agreed upon by the Department and Grantee. 4. Backup and Recovery of Grant Data. Grantee is responsible for maintaining a backup of Grant Data and for an orderly and timely recovery of such data. 5. Loss or Compromise of Data. In the event of any act, error or omission, negligence, misconduct, or breach on the part of Grantee that compromises or is suspected to compromise the security, confidentiality, or integrity of Grant Data or the physical, technical, administrative, or organizational safeguards put in place by Grantee that relate to the protection of the security, confidentiality, or integrity of Grant Data, Grantee must work with the Department to comply with all applicable laws regarding such an incident. 6. Surrender of Confidential Information upon Termination. Upon termination or expiration of this Contract or a Statement of Work, in whole or in part, each party must upon request, within a reasonable timeframe from the date of termination, return to the other party any and all Confidential Information received from the other party, or created or received by a party on behalf of the other party, which are in such party’s possession, custody, or control. Upon confirmation from the State, of receipt of all data, Grantee must permanently sanitize or destroy the State’s Confidential Information, including Grant Data, from all media including backups using National Security Agency (“NSA”) and/or National Institute of Standards and Technology (“NIST”) (NIST Guide for Media Sanitization 800-88) data sanitization methods or as otherwise instructed by the State. If the State determines that the return of any Confidential Information is Version: Comprehensive 4 not feasible or necessary, Grantee must destroy the Confidential Information as specified above. The Grantee must certify the destruction of Confidential Information (including Grant Data) in writing within 5 Business Days from the date of confirmation from the State. Any requirement on the Grantee’s part to retain data beyond the end of this contract must be authorized by the State. Notwithstanding the language herein, the Grantee shall retain any Confidential Information that it is required to retain by law. T. Data Privacy and Information Security 1. Undertaking by Grantee. Without limiting Grantee’s obligation of confidentiality as further described, Grantee is responsible for establishing and maintaining a data privacy and information security program, including physical, technical, administrative, and organizational safeguards, that is designed to: (a) ensure the security and confidentiality of the Grant Data; (b) protect against any anticipated threats or hazards to the security or integrity of the Grant Data; (c) protect against unauthorized disclosure, access to, or use of the Grant Data; (d) ensure the proper disposal of Grant Data; and (e) ensure that all employees, agents, and subcontractors of Grantee, if any, comply with all of the foregoing. 2. Right of Audit by the State. Without limiting any other audit rights of the Department, the Department has the right to review Grantee’s data privacy and information security program prior to the commencement of the Agreement’s Statement of Work and from time to time during the term of this Agreement. During the providing of the Agreement’s Statement of Work, on an ongoing basis from time to time and without notice, the Department, at its own expense, is entitled to perform, or to have performed, an on-site audit of Grantee’s data privacy and information security program. In lieu of an on-site audit, upon request by the Department, Grantee agrees to complete, within 45 calendar days of receipt, an audit questionnaire provided by the Department regarding Grantee’s data privacy and information security program. 3. Audit Findings. Grantee must implement any reasonable safeguards as identified by the Department or by any audit of Grantee’s data privacy and information security program. Version: Comprehensive 5 X. Liability. Paragraph A. will be deleted in its entirety and replaced with the following language. A. Except as otherwise provided by law neither Party shall be obligated to the other, or indemnify the other for any third party claims, demands, costs, or judgments arising out of activities to be carried out pursuant to the obligations of either party under this Contract, nothing herein shall be construed as a waiver of any governmental immunity for either party or its agencies, or officers and employees as provided by statute or modified by court decisions. Agreement #: 20240239-00 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, Unique Entity Identifier: HZ4EUKDD7AB4 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, 2023, whichever is later, and continue through September 30, 2024. Throughout the Agreement, the date of the Grantee’s signature or October 1, 2023, whichever is later, will 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 $12,096,246.00. Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 1 of 210 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 will 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 will 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 C.1 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 will 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 2 of 210 5.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. 6.Financial Requirements The financial requirements must be followed as described in Part 2 and Attachment I - Annual Budget and Attachment IV - Funding/Reimbursement Matrix, which are part of this Agreement. 7.Performance/Progress Report Requirements The progress reporting methods, as applicable, must be followed as described in part 2 and Attachment III, Program Specific Assurances and Requirements, which are part of this Agreement. 8.General Provisions The Grantee agrees to comply with the General Provisions outlined in Part 2, which is part of this Agreement. 9.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: Karrie Jager Accountant ___________________________________________________________________ Name Title jagerk@oakgov.com (248) 858-5468 ___________________________________________________________________ E-Mail Address Telephone No. Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 3 of 210 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 Administrator ___________________________________________________________________ Name Title For the Michigan Department of Health and Human Services Christine H. Sanches 08/31/2023 ___________________________________________________________________ Christine H. Sanches, Director Date Bureau of Grants and Purchasing Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 4 of 210 Part 2 General Provisions I.Responsibilities - Grantee The Grantee, in accordance with the general purposes and objectives of this Agreement, must: 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 will not be financed by any sources other than the Department under the terms of this Agreement. If funding is received Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 5 of 210 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 6 of 210 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 the earlier of 30 calendar days after receipt of the auditor’s report(s) or nine months after the end of the Grantee’s fiscal year by e- mail to 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 submissions must be assembled in PDF files 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 7 of 210 the Department. The Department may retain the amount 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. Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 8 of 210 3.Establish requirements to ensure compliance for for-profit subrecipients 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. I.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 must 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; Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 9 of 210 d.A Proceeding under the Sarbanes-Oxley Act; e.A civil Proceeding involving: A claim that might reasonably be expected to adversely affect Grantee’s viability or financial stability; or 1. A governmental or public entity’s claim or written allegation of fraud; or 2. Any complaint filed in a legal or administrative proceeding alleging the Grantee or its subcontractors discriminated against its employees, subcontractors, vendors, or suppliers during the term of this Agreement; or 3. f.A Proceeding involving any license that 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 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 I, 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 10 of 210 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 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 will 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 will 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. Q.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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 11 of 210 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 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 2024, 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 costs (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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 12 of 210 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. b.State of Michigan travel rates may be found at the following website: https://www.michigan.gov/dtmb/0,5552,7-358- 82548_13132---,00.html. 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 20 37 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 13 of 210 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 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.ICHAT: 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 14 of 210 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 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. Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 15 of 210 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. 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 fiscal year Omnibus Consolidated Appropriations Act. Further, the Grantee must require that the language of this Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 16 of 210 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 must certify and disclose accordingly. 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 17 of 210 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, 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 must 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 18 of 210 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, 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 must 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 must 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 must 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. 1251-1388), as amended. 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 19 of 210 The Grantee will comply with the Victims of Trafficking and Violence Protection Act of 2000 (P.L. 106-386), as amended. This Agreement and anyone working on this Agreement will be subject to P.L. 106-386 and must comply with all applicable standards, orders 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. 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 must 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 will prevail. A conflict between this Agreement and a subcontract, however, will 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. Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 20 of 210 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 must contain provisions or conditions 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 must 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 must 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 1.Grantee will ensure that all purchase transactions, whether negotiated or advertised, are conducted openly and competitively in accordance with the principles and requirements of 2 CFR 200. 2.Funding from this Agreement must not be used for the purchase of foreign goods or services. 3.Preference must be given to goods and services manufactured or provided by Michigan businesses, if they are competitively priced and of Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 21 of 210 comparable quality. 4.Preference must be given to goods and services that are manufactured or provided by Michigan businesses owned and operated by veterans, if they are competitively priced and of comparable quality. 5.Records must be sufficient to document the significant history of all purchases and must 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 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 22 of 210 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. N.Home Health Services If the Grantee provides Home Health Services (as defined in Medicare Part B), the following requirements apply: 1.The Grantee must not use State ELPHS or categorical grant funds provided under this Agreement to unfairly compete for home health services available from private providers of the same type of services in the Grantee’s service area. 2.For purposes of this Agreement, the term “unfair competition” will 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 will 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 must 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 1.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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 23 of 210 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” 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 will be used Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 24 of 210 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. S.State Data 1.Ownership. The Department’s data (“State Data,” which will be treated by Grantee as Confidential Information) includes: (a) the Department’s data, user data, and any other data collected, used, processed, stored, or generated as the result of this Agreement; (b) personally identifiable information (“PII“) collected, used, processed, stored, or generated as the result of this Agreement, including, without limitation, any information that identifies an individual, such as an individual’s social security number or other government-issued identification number, date of birth, address, telephone number, biometric data, mother’s maiden name, email address, credit card information, or an individual’s name in combination with any other of the elements here listed; and, (c) protected health information (“PHI”) collected, used, processed, stored, or generated as the result of this Agreement, which is defined under the Health Insurance Portability and Accountability Act (HIPAA) and its related rules and regulations. State Data is and will remain the sole and exclusive property of the Department and all right, title, and interest in the same is reserved by the Department. 2.Grantee Use of State Data. Grantee is provided a limited license to State Data for the sole and exclusive purpose of providing the activities outlined in the Agreement’s Statement of Work, including a license to collect, process, store, generate, and display State Data only to the extent necessary in the provision of the Agreement’s Statement of Work. Grantee must: (a) keep and maintain State Data in strict confidence, using such degree of care as is appropriate and consistent with its obligations as further described in this Agreement and applicable law to avoid unauthorized access, use, disclosure, or loss; (b) use and disclose State Data solely and exclusively for the purpose of providing the activities described in the Statement of Work, such use and disclosure being in accordance with this Agreement, any applicable Statement of Work, and applicable law; (c) keep and maintain State Data in the continental United States and (d) not use, sell, rent, transfer, distribute, commercially exploit, or otherwise disclose or make available State Data for Grantee’s own purposes or for the benefit of anyone other than the Department without the Department’s prior written Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 25 of 210 consent. Grantee's misuse of State Data may violate state or federal laws, including but not limited to MCL 752.795. 3.Extraction of State Data. Grantee must, within five business days of the Department’s request, provide the Department, without charge and without any conditions or contingencies whatsoever (including but not limited to the payment of any fees due to Grantee), an extract of the State Data in the format specified by the Department. 4.Backup and Recovery of State Data. Grantee is responsible for maintaining a backup of State Data and for an orderly and timely recovery of such data. Grantee must maintain a contemporaneous backup of State Data that can be recovered within two hours at any point in time. 5.Loss or Compromise of Data. In the event of any act, error or omission, negligence, misconduct, or breach on the part of Grantee that compromises or is suspected to compromise the security, confidentiality, or integrity of State Data or the physical, technical, administrative, or organizational safeguards put in place by Grantee that relate to the protection of the security, confidentiality, or integrity of State Data, Grantee must, as applicable: (a) notify the Department as soon as practicable but no later than 24 hours of becoming aware of such occurrence; (b) cooperate with the Department in investigating the occurrence, including making available all relevant records, logs, files, data reporting, and other materials required to comply with applicable law or as otherwise required by the Department; (c) in the case of PII or PHI, at the Department’s sole election, (i) with approval and assistance from the Department, notify the affected individuals who comprise the PII or PHI as soon as practicable but no later than is required to comply with applicable law, or, in the absence of any legally required notification period, within five calendar days of the occurrence; or (ii) reimburse the Department for any costs in notifying the affected individuals; (d) in the case of PII, provide third-party credit and identity monitoring services to each of the affected individuals who comprise the PII for the period required to comply with applicable law, or, in the absence of any legally required monitoring services, for no less than 24 months following the date of notification to such individuals; (e) perform or take any other actions required to comply with applicable law as a result of the occurrence; (f) pay for any costs associated with the occurrence, including but not limited to any costs incurred by the Department in investigating and resolving the occurrence, including reasonable attorney’s fees associated with such investigation and resolution; (g) without limiting Grantee’s obligations of indemnification as further described in this Agreement, indemnify, defend, and hold harmless the Department for any and all claims, including reasonable attorneys’ fees, Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 26 of 210 costs, and incidental expenses, which may be suffered by, accrued against, charged to, or recoverable from the Department in connection with the occurrence; (h) be responsible for recreating lost State Data in the manner and on the schedule set by the Department without charge to the Department; and, (i) provide to the Department a detailed plan within 10 calendar days of the occurrence describing the measures Grantee will undertake to prevent a future occurrence. Notification to affected individuals, as described above, must comply with applicable law, be written in plain language, not be tangentially used for any solicitation purposes, and contain, at a minimum: name and contact information of Grantee’s representative; a description of the nature of the loss; a list of the types of data involved; the known or approximate date of the loss; how such loss may affect the affected individual; what steps Grantee has taken to protect the affected individual; what steps the affected individual can take to protect himself or herself; contact information for major credit card reporting agencies; and, information regarding the credit and identity monitoring services to be provided by Grantee. The Department will have the option to review and approve any notification sent to affected individuals prior to its delivery. Notification to any other party, including but not limited to public media outlets, must be reviewed, and approved by the Department in writing prior to its dissemination. The parties agree that any damages relating to a breach of this section are to be considered direct damages and not consequential damages. 6.Surrender of Confidential Information upon Termination. Upon termination or expiration of this Contract or a Statement of Work, in whole or in part, each party must, within 5 Business Days from the date of termination, return to the other party any and all Confidential Information received from the other party, or created or received by a party on behalf of the other party, which are in such party’s possession, custody, or control. Upon confirmation from the State, of receipt of all data, Grantee must permanently sanitize or destroy the State’s Confidential Information, including State Data, from all media including backups using National Security Agency (“NSA”) and/or National Institute of Standards and Technology (“NIST”) (NIST Guide for Media Sanitization 800-88) data sanitization methods or as otherwise instructed by the State. If the State determines that the return of any Confidential Information is not feasible or necessary, Grantee must destroy the Confidential Information as specified above. The Grantee must certify the destruction of Confidential Information (including State Data) in writing within 5 Business Days from the date of confirmation from the State. Any requirement on the Grantee’s part to retain data beyond the end of this contract must be authorized by the State. Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 27 of 210 T.Data Privacy and Information Security 1.Undertaking by Grantee. Without limiting Grantee’s obligation of confidentiality as further described, Grantee is responsible for establishing and maintaining a data privacy and information security program, including physical, technical, administrative, and organizational safeguards, that is designed to: (a) ensure the security and confidentiality of the State Data; (b) protect against any anticipated threats or hazards to the security or integrity of the State Data; (c) protect against unauthorized disclosure, access to, or use of the State Data; (d) ensure the proper disposal of State Data; and (e) ensure that all employees, agents, and subcontractors of Grantee, if any, comply with all of the foregoing. In no case will the safeguards of Grantee’s data privacy and information security program be less stringent than the safeguards used by the Department, and Grantee must at all times comply with all applicable State policies and standards, which are available to Grantee upon request. 2.Audit by Grantee. No less than annually, Grantee must conduct a comprehensive independent third-party audit of its data privacy and information security program and provide such audit findings to the Department. 3.Right of Audit by the State. Without limiting any other audit rights of the Department, the Department has the right to review Grantee’s data privacy and information security program prior to the commencement of the Agreement’s Statement of Work and from time to time during the term of this Agreement. During the providing of the Agreement’s Statement of Work, on an ongoing basis from time to time and without notice, the Department, at its own expense, is entitled to perform, or to have performed, an on-site audit of Grantee’s data privacy and information security program. In lieu of an on-site audit, upon request by the Department, Grantee agrees to complete, within 45 calendar days of receipt, an audit questionnaire provided by the Department regarding Grantee’s data privacy and information security program. 4.Audit Findings. Grantee must implement any required safeguards as identified by the Department or by any audit of Grantee’s data privacy and information security program. 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 28 of 210 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 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 must electronically prepare and submit FSRs to the Department via the EGrAMS website (http://egrams-mi.com/mdhhs). Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 29 of 210 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/dch. 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 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 30 of 210 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/sigmavss 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 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 31 of 210 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 will 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 11/15/2024 All Remaining Projects 11/30/2024 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 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; Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 32 of 210 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 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. Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 33 of 210 VII.Final Reporting upon Termination Should this Agreement be terminated by either party, within 30 days after the termination, the Grantee must 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 must 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. VIII.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 will 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, 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. Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 34 of 210 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 will be the responsibility of the Grantee, and not the responsibility of the Department. Nothing herein will 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 will be borne by the Grantee and the Department in relation to each party's responsibilities under these joint activities, provided that nothing herein will 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 Agreement is governed, construed, and enforced in accordance with Michigan law, excluding choice-of-law principles, and all claims relating to or arising out of this Agreement are governed by Michigan law, excluding choice-of-law principles. Any dispute arising from this Agreement must be resolved in the Michigan Court of Claims. Complaints against the State must be initiated in Ingham County, Michigan. Grantee waives any objections, such as lack of personal jurisdiction or forum non conveniens. Grantee must appoint an agent in Michigan to receive service of process. XIII.Funding A.State funding for this Agreement will be provided from the applicable and available Department appropriations for the current fiscal year. The Department provided funds will be as stated in the approved Annual Budget - Attachment I Instructions for the Annual Budget, Attachment III, Program Specific Assurances and Requirements, and as outlined in Attachment IV, Funding/Reimbursement Matrix. B.The funding provided through the Department for this Agreement will 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 35 of 210 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: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 36 of 210 AA Attachments A1 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 37 of 210 Contract # 20240239-00 Date: 08/31/2023MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICESATTACHMENT IV - Local Health Department - 2024CONTRACT MANAGEMENT SECTIONOakland County Department of Health and Human Services/ Health Division Program Element/Funding Source(a)MDHHSSourceFed/StFundingAmountReimbursementMethod(b)PerformanceTargetOutputMeasurementTotal (c)PerformExpectState (d)FundedTargetPerformState Funded MinimumPerformancePercentNumber (e)Contractor /Subrecepient(f)Adolescent STI ScreeningReg. Alloc.F73,000Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientBody Art Fixed FeeCalc. Amt.S0Fixed Unit Rate (2)N/AN/AN/AN/AN/ARecepientChildren's Special Hlth CareServices (CSHCS) CareCoordinationCalc. Amt.S0Fixed Unit Rate (1),(7)N/AN/AN/AN/AN/ASubrecepientChildren's Special Hlth CareServices (CSHCS) Outreach &AdvocacyReg. Alloc.F147,201Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientReg. Alloc.S147,201CSHCS Medicaid Elevated BloodLead Case MgmtCalc. Amt.F0Fixed Unit Rate (2)N/AN/AN/AN/AN/ASubrecepientCSHCS Vaccine InitiativeReg. Alloc.F18,968Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientEastern Equine Encephalitis VirusSurveillance ProjectReg. Alloc.F15,000Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientEGLE Drinking Water and OnsiteWastewater ManagementReg. Alloc.S985,042ELPHS (3), (6)N/AN/AN/AN/AN/ARecepientEmerging Threats - Hepatitis CReg. Alloc.S166,000Actual CostReimbursementN/AN/AN/AN/AN/ARecepientFetal Infant Mortality Review(FIMR) Case AbstractionCalc. Amt.S0Fixed Unit Rate (2)N/AN/AN/AN/AN/ASubrecepientFIMR InterviewsCalc. Amt.S0Fixed Unit Rate (2),(11)N/AN/AN/AN/AN/ASubrecepientFood ELPHSReg. Alloc.S1,176,612ELPHS (3), (4)N/AN/AN/AN/AN/ARecepientGonococcal Isolate SurveillanceProjectReg. Alloc.F6,178Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientReg. Alloc.S18,535Harm Reduction Support ServicesReg. Alloc.F250,000Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientHearing ELPHSReg. Alloc.L253,969ELPHS (3), (6)N/AN/AN/AN/AN/ARecepientDate: 08/31/2023Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 ________________________________________________________________________________________________________________Page: 38 of 210 Contract # 20240239-00 Date: 08/31/2023MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICESATTACHMENT IV - Local Health Department - 2024CONTRACT MANAGEMENT SECTIONOakland County Department of Health and Human Services/ Health Division Program Element/Funding Source(a)MDHHSSourceFed/StFundingAmountReimbursementMethod(b)PerformanceTargetOutputMeasurementTotal (c)PerformExpectState (d)FundedTargetPerformState Funded MinimumPerformancePercentNumber (e)Contractor /Subrecepient(f)HIV PrEP ClinicReg. Alloc.F343,000Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientReg. Alloc.P3,500Reg. Alloc.S3,500HIV PreventionReg. Alloc.F22,612Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientReg. Alloc.P22,612Reg. Alloc.S407,021Immunization Action Plan (IAP)Reg. Alloc.F526,990Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientImmunization Fixed FeesCalc. Amt.S0Fixed Unit Rate (2),(7)N/AN/AN/AN/AN/ASubrecepientImmunization Vaccine QualityAssuranceReg. Alloc.S105,347Actual CostReimbursementN/AN/AN/AN/AN/ARecepientInfant Safe SleepReg. Alloc.F7,000Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientReg. Alloc.S63,000Integrating MPOX into STI ClinicsReg. Alloc.F6,500Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientLaboratory Services BioReg. Alloc.F1,500Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientMCH - All OtherLocal MCHS249,377Local MCH (3), (6)N/AN/AN/AN/AN/ASubrecepientMCH - ChildrenLocal MCHS72,080Local MCH (3), (6)N/AN/AN/AN/AN/ASubrecepientMDHHS-Essential Local PublicHealth Services (ELPHS)Reg. Alloc.S2,557,216ELPHS (3),(6)N/AN/AN/AN/AN/ARecepientNurse Family PartnershipServicesReg. Alloc.F405,324Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientReg. Alloc.S270,216Oral Health- KindergartenAssessmentReg. Alloc.S110,597Actual CostReimbursementN/AN/AN/AN/AN/ARecepientDate: 08/31/2023Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 ________________________________________________________________________________________________________________Page: 39 of 210 Contract # 20240239-00 Date: 08/31/2023MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICESATTACHMENT IV - Local Health Department - 2024CONTRACT MANAGEMENT SECTIONOakland County Department of Health and Human Services/ Health Division Program Element/Funding Source(a)MDHHSSourceFed/StFundingAmountReimbursementMethod(b)PerformanceTargetOutputMeasurementTotal (c)PerformExpectState (d)FundedTargetPerformState Funded MinimumPerformancePercentNumber (e)Contractor /Subrecepient(f)Public Health EmergencyPreparedness (PHEP) 10/1 - 6/30Reg. Alloc.F222,449Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientPublic Health EmergencyPreparedness (PHEP) CRI 10/1 -6/30Reg. Alloc.F196,551Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientSexually Transmitted Infection(STI) ControlReg. Alloc.F33,418Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientReg. Alloc.S703Reg. Alloc.S36,144Statewide Lead CaseManagement - Fixed FeeCalc. Amt.S0Fixed Unit Rate (7),(11)N/AN/AN/AN/AN/ARecepientTuberculosis (TB) ControlReg. Alloc.F15,426Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientVector-Borne Surveillance &PreventionReg. Alloc.S9,000Actual CostReimbursementN/AN/AN/AN/AN/ARecepientVision ELPHSReg. Alloc.L253,968ELPHS (3), (6)N/AN/AN/AN/AN/ARecepientWest Nile Virus CommunitySurveillanceReg. Alloc.F10,000Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientWIC BreastfeedingReg. Alloc.F267,619Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientWIC Resident ServicesReg. Alloc.F2,615,870Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientTOTAL MDHHS FUNDING12,096,246*SPECIFIC OUTPUT PERFORMANCE MEASURES WILL BE INCORPORATED VIA AMENDMENTAttachment IV NotesAttachment IV NotesDate: 08/31/2023Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 ________________________________________________________________________________________________________________Page: 40 of 210 Contract # 20240239-00 Date: 08/31/2023 Attachment V Oakland County FY Agreement Addendum A Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 41 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Administration DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 7,103,938.00 7,103,938.00 2 Fringe Benefits 3,941,263.00 3,941,263.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 146,794.00 146,794.00 5 Supplies and Materials 399,250.00 399,250.00 6 Travel 53,608.00 53,608.00 7 Communication 128,001.00 128,001.00 8 County-City Central Services 0.00 0.00 9 Space Costs 1,498,797.00 1,498,797.00 10 All Others (ADP, Con. Employees, Misc.)1,673,965.00 1,673,965.00 Total Program Expenses 14,945,616.00 14,945,616.00 TOTAL DIRECT EXPENSES 14,945,616.00 14,945,616.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 981,054.00 981,054.00 2 Cost Allocation Plan / Other -11,775,639.00 -11,775,639.00 Total Indirect Costs -10,794,585.00 -10,794,585.00 TOTAL INDIRECT EXPENSES -10,794,585.00 -10,794,585.00 TOTAL EXPENDITURES 4,151,031.00 4,151,031.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 42 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 511,950.00 0.00 511,950.00 0.00 Fees and Collections - 3rd Party 156,000.00 0.00 156,000.00 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 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 0.00 MDHHSComprehensive 0.00 0.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 3,483,081.00 0.00 3,483,081.00 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 4,151,031.00 0.00 4,151,031.00 0.00 Totals 4,151,031.00 0.00 4,151,031.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 43 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Total DIRECT EXPENSES Program Expenses 1 Salary & Wages 7,103,938.00 2 Fringe Benefits 3,941,263.00 3 Cap. Exp. for Equip & Fac.0.00 4 Contractual 146,794.00 5 Supplies and Materials 399,250.00 6 Travel 53,608.00 7 Communication 128,001.00 8 County-City Central Services 0.00 9 Space Costs 1,498,797.00 10 All Others (ADP, Con. Employees, Misc.)1,673,965.00 Total Program Expenses 14,945,616.00 TOTAL DIRECT EXPENSES 14,945,616.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 981,054.00 2 Cost Allocation Plan / Other Other Cost Distributions-Other Inf Disease/CD -1,765,402.00 Other Cost Distributions-Misc Distribution -2,449,322.00 Other Cost Distributions-SIDS fee -2,000.00 Health Adm Distribution -9,427,728.00 Other Cost Distributions-Education 1,868,813.00 Total for Cost Allocation Plan / Other -11,775,639.00 Total Indirect Costs -10,794,585.00 TOTAL INDIRECT EXPENSES -10,794,585.00 TOTAL EXPENDITURES 4,151,031.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 44 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Administration - Environmental DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 6,600,051.00 6,600,051.00 2 Fringe Benefits 3,407,754.00 3,407,754.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 0.00 0.00 5 Supplies and Materials 60,300.00 60,300.00 6 Travel 256,739.00 256,739.00 7 Communication 78,396.00 78,396.00 8 County-City Central Services 0.00 0.00 9 Space Costs 65,262.00 65,262.00 10 All Others (ADP, Con. Employees, Misc.)564,819.00 564,819.00 Total Program Expenses 11,033,321.00 11,033,321.00 TOTAL DIRECT EXPENSES 11,033,321.00 11,033,321.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 911,467.00 911,467.00 2 Cost Allocation Plan / Other -2,231,082.00 -2,231,082.00 Total Indirect Costs -1,319,615.00 -1,319,615.00 TOTAL INDIRECT EXPENSES -1,319,615.00 -1,319,615.00 TOTAL EXPENDITURES 9,713,706.00 9,713,706.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 45 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 1,114,756.00 0.00 1,114,756.00 0.00 Fees and Collections - 3rd Party 0.00 0.00 0.00 0.00 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 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 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 0.00 MDHHS Comprehensive 0.00 0.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 6,160,724.00 0.00 6,160,724.00 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 9,713,706.00 0.00 9,713,706.00 0.00 Totals 9,713,706.00 0.00 9,713,706.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 46 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Total DIRECT EXPENSES Program Expenses 1 Salary & Wages 6,600,051.00 2 Fringe Benefits 3,407,754.00 3 Cap. Exp. for Equip & Fac.0.00 4 Contractual 0.00 5 Supplies and Materials 60,300.00 6 Travel 256,739.00 7 Communication 78,396.00 8 County-City Central Services 0.00 9 Space Costs 65,262.00 10 All Others (ADP, Con. Employees, Misc.)564,819.00 Total Program Expenses 11,033,321.00 TOTAL DIRECT EXPENSES 11,033,321.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 911,467.00 2 Cost Allocation Plan / Other EH Adm Distribtions -6,049,324.00 Other Cost Distributions-Body Art Fees -50,000.00 Health Adm Distribution 3,839,676.00 Other Cost Distributions-Misc 28,566.00 Total for Cost Allocation Plan / Other -2,231,082.00 Total Indirect Costs -1,319,615.00 TOTAL INDIRECT EXPENSES -1,319,615.00 TOTAL EXPENDITURES 9,713,706.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 47 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Adolescent STI Screening DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 41,858.00 41,858.00 2 Fringe Benefits 21,076.00 21,076.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 0.00 0.00 5 Supplies and Materials 3,616.00 3,616.00 6 Travel 66.00 66.00 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.)603.00 603.00 Total Program Expenses 67,219.00 67,219.00 TOTAL DIRECT EXPENSES 67,219.00 67,219.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 20,095.00 20,095.00 Total Indirect Costs 20,095.00 20,095.00 TOTAL INDIRECT EXPENSES 20,095.00 20,095.00 TOTAL EXPENDITURES 87,314.00 87,314.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 48 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 73,000.00 73,000.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 14,314.00 0.00 14,314.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 87,314.00 73,000.00 14,314.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 49 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages Public Health Nurse Notes : PH Nurse 3 R. Ross Position P00000755 Notes: This position is responsible for testing clients in OCJ, treatment of clients as needed, and educational support. 0.1202 82457.000 0.000 FTE 9,911.00 Public Health Nurse Notes : PH Nurse 3 D. Vines Position P00002616 Notes: This position is responsible for testing clients in OCJ, treatment of clients as needed, and educational support. 0.1202 82457.000 0.000 FTE 9,911.00 Medical Technologist Notes : Z. Zelmanov Position P00012305 Notes: This position is responsible for running lab work in OC labs from client testing. 0.0961 75800.000 0.000 FTE 7,284.00 Clerk Notes : Office Support Clerk Senior S. Cloutier Position P00006538 Notes: This position is responsible for intake paperwork, scheduling of clients, follow-up with nurses and clients. 0.2885 51135.000 0.000 FTE 14,752.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 50 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total Total for Salary & Wages 41,858.00 2 Fringe Benefits Composite Rate Notes : FICA Unemployment Insurance Retirement Insurance Hospital Insurance Life Insurance Vision Insurance Dental Insurance Workers Comp Short and Long Term Disability Insurance 0.0000 50.350 41858.000 21,076.00 3 Cap. Exp. for Equip & Fac. 4 Contractual 5 Supplies and Materials Office Supplies Notes : Notes: Supplies and materials needed for general office use such as paper, pes, envelopes, folders, etc. 0.0000 0.000 0.000 1,000.00 Medical Supplies Notes : Notes: lancets, blood tubes, specimen cups, gauze, band aids, etc for speciman collecting and handling $167/mo *12 months 0.0000 0.000 0.000 1,043.00 Printing Notes : Notes: Printing costs of service for client charts, treatment sheets, etc 0.0000 0.000 0.000 573.00 Educational Supplies Notes : Notes: Pamphlets for client education 0.0000 0.000 0.000 1,000.00 Total for Supplies and Materials 3,616.00 6 Travel Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 51 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total Mileage Notes : 100 miles @ 0.655 0.0000 0.000 0.000 66.00 7 Communication 8 County-City Central Services 9 Space Costs 10 All Others (ADP, Con. Employees, Misc.) Insurance 0.0000 0.000 0.000 603.00 Total Program Expenses 67,219.00 TOTAL DIRECT EXPENSES 67,219.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Cost Allocation Plan Notes : 13.81% 0.0000 0.000 0.000 5,781.00 Health Adm Distribution 0.0000 0.000 0.000 9,405.00 Nursing Adm Distribution 0.0000 0.000 0.000 4,909.00 Total for Cost Allocation Plan / Other 20,095.00 Total Indirect Costs 20,095.00 TOTAL INDIRECT EXPENSES 20,095.00 TOTAL EXPENDITURES 87,314.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 52 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Public Health Emergency Preparedness (PHEP) 10/1 - 6/30 DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 6/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 123,254.00 123,254.00 2 Fringe Benefits 67,081.00 67,081.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 0.00 0.00 5 Supplies and Materials 14,162.00 14,162.00 6 Travel 0.00 0.00 7 Communication 1,980.00 1,980.00 8 County-City Central Services 0.00 0.00 9 Space Costs 7,643.00 7,643.00 10 All Others (ADP, Con. Employees, Misc.)14,823.00 14,823.00 Total Program Expenses 228,943.00 228,943.00 TOTAL DIRECT EXPENSES 228,943.00 228,943.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 47,276.00 47,276.00 Total Indirect Costs 47,276.00 47,276.00 TOTAL INDIRECT EXPENSES 47,276.00 47,276.00 TOTAL EXPENDITURES 276,219.00 276,219.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 53 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 22,245.00 0.00 22,245.00 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 Other Non-ELPHS 0.00 0.00 0.00 0.00 MDHHS Non Comprehensive 0.00 0.00 0.00 0.00 MDHHS Comprehensive 222,449.00 222,449.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 31,525.00 0.00 31,525.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 276,219.00 222,449.00 53,770.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 54 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages Chief Public Health Notes : PO00015362 Marci Wiegers, Chief Public Health Match $9,197 0.0938 98049.000 0.000 FTE 9,197.00 Coordinator Notes : PO00003094 Samantha Montney Health Program Coodinator 0.7500 95352.000 0.000 71,514.00 Specialist Notes : PO00007416 Lyndsey Chiasson Public Health Emergency Preparedness Specialist 0.5962 71357.000 0.000 42,543.00 Total for Salary & Wages 123,254.00 2 Fringe Benefits Composite Rate Notes : MATCH $5,405 FICA Unemp Ins Retirement Hospital Ins Life Ins Vision Ins Short/Long Term Disability Dental Ins Work Comp 0.0000 54.425 123254.000 67,081.00 3 Cap. Exp. for Equip & Fac. 4 Contractual 5 Supplies and Materials Office Supplies 0.0000 0.000 0.000 1,024.00 Disaster Supplies 0.0000 0.000 0.000 13,138.00 Total for Supplies and Materials 14,162.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 55 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total 6 Travel 7 Communication Telephone Communications 0.0000 0.000 0.000 1,980.00 8 County-City Central Services 9 Space Costs Building Space Rental Notes : MATCH $7,643 0.0000 0.000 0.000 7,643.00 10 All Others (ADP, Con. Employees, Misc.) Insurance 0.0000 0.000 0.000 873.00 IT Operations 0.0000 0.000 0.000 11,100.00 Interpretation Fees 0.0000 0.000 0.000 600.00 Print services 0.0000 0.000 0.000 2,250.00 Total for All Others (ADP, Con. Employees, Misc.)14,823.00 Total Program Expenses 228,943.00 TOTAL DIRECT EXPENSES 228,943.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Cost Allocation Plan Notes : 13.81% 0.0000 0.000 0.000 15,751.00 Health Adm Distribution 0.0000 0.000 0.000 31,525.00 Total for Cost Allocation Plan / Other 47,276.00 Total Indirect Costs 47,276.00 TOTAL INDIRECT EXPENSES 47,276.00 TOTAL EXPENDITURES 276,219.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 56 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Body Art Fixed Fee DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total 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 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 50,000.00 50,000.00 Total Indirect Costs 50,000.00 50,000.00 TOTAL INDIRECT EXPENSES 50,000.00 50,000.00 TOTAL EXPENDITURES 50,000.00 50,000.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 57 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 0.00 0.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 0.00 0.00 0.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Body Art Fee 50,000.00 50,000.00 0.00 0.00 Totals 50,000.00 50,000.00 0.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 58 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total 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 Cost Distributions for Fees-from Environmental Administration 0.0000 0.000 0.000 50,000.00 Total Indirect Costs 50,000.00 TOTAL INDIRECT EXPENSES 50,000.00 TOTAL EXPENDITURES 50,000.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 59 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Children's Special Hlth Care Services (CSHCS) Care Coordination DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total 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 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 234,794.00 234,794.00 Total Indirect Costs 234,794.00 234,794.00 TOTAL INDIRECT EXPENSES 234,794.00 234,794.00 TOTAL EXPENDITURES 234,794.00 234,794.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 60 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 0.00 0.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 0.00 0.00 0.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate CSHCS Care Coordination 234,794.00 234,794.00 0.00 0.00 Totals 234,794.00 234,794.00 0.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 61 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total 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 Cost Distributions for Fees-from CSHCS Outreach & Advoc 0.0000 0.000 0.000 234,794.00 Total Indirect Costs 234,794.00 TOTAL INDIRECT EXPENSES 234,794.00 TOTAL EXPENDITURES 234,794.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 62 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / CSHCS Medicaid Outreach DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total 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 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 295,861.00 295,861.00 Total Indirect Costs 295,861.00 295,861.00 TOTAL INDIRECT EXPENSES 295,861.00 295,861.00 TOTAL EXPENDITURES 295,861.00 295,861.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 63 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 113,344.00 113,344.00 0.00 0.00 Required Match - Local 113,344.00 0.00 113,344.00 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 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 69,173.00 0.00 69,173.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 295,861.00 113,344.00 182,517.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 64 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total 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 0.0000 0.000 0.000 295,861.00 Total Indirect Costs 295,861.00 TOTAL INDIRECT EXPENSES 295,861.00 TOTAL EXPENDITURES 295,861.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 65 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / CSHCS Medicaid Elevated Blood Lead Case Mgmt DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total 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 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 75,000.00 75,000.00 Total Indirect Costs 75,000.00 75,000.00 TOTAL INDIRECT EXPENSES 75,000.00 75,000.00 TOTAL EXPENDITURES 75,000.00 75,000.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 66 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 0.00 0.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 0.00 0.00 0.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate CSHCS Medicaid Elevated Blood Lead Case 75,000.00 75,000.00 0.00 0.00 Totals 75,000.00 75,000.00 0.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 67 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total 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 Cost Distributions for Fees-Fees for Lead Case Mgt Notes : $40,000 non-Medicaid home visits $20,000 Medicaid home visits $15,000 CHW visits 0.0000 0.000 0.000 75,000.00 Total Indirect Costs 75,000.00 TOTAL INDIRECT EXPENSES 75,000.00 TOTAL EXPENDITURES 75,000.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 68 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Public Health Emergency Preparedness (PHEP) CRI 10/1 - 6/30 DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 6/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 88,192.00 88,192.00 2 Fringe Benefits 49,634.00 49,634.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 0.00 0.00 5 Supplies and Materials 24,458.00 24,458.00 6 Travel 8,214.00 8,214.00 7 Communication 1,674.00 1,674.00 8 County-City Central Services 0.00 0.00 9 Space Costs 5,053.00 5,053.00 10 All Others (ADP, Con. Employees, Misc.)28,072.00 28,072.00 Total Program Expenses 205,297.00 205,297.00 TOTAL DIRECT EXPENSES 205,297.00 205,297.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 38,764.00 38,764.00 Total Indirect Costs 38,764.00 38,764.00 TOTAL INDIRECT EXPENSES 38,764.00 38,764.00 TOTAL EXPENDITURES 244,061.00 244,061.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 69 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 19,655.00 0.00 19,655.00 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 Other Non-ELPHS 0.00 0.00 0.00 0.00 MDHHS Non Comprehensive 0.00 0.00 0.00 0.00 MDHHS Comprehensive 196,551.00 196,551.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 27,855.00 0.00 27,855.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 244,061.00 196,551.00 47,510.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 70 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages Specialist Notes : Emergency Preparedness Specialist T. Bravender Position P00009999 0.7500 90688.000 0.000 FTE 68,016.00 Chief Notes : PO00015362 M. Wiegers Chief Match 0.0938 98050.000 0.000 FTE 9,197.00 Specialist Notes : PH Emerg Preparedness Specialist Pos#P00007416 L Chiasson 0.1538 71382.000 0.000 FTE 10,979.00 Total for Salary & Wages 88,192.00 2 Fringe Benefits Composite Rate Notes : MATCH $2,916 FICA Unemp Ins Retirement Hospital Insurance Life Insurance Vision Ins. Short/Long Term Disability Dental Insurance Work Comp 0.0000 56.280 88192.000 49,634.00 3 Cap. Exp. for Equip & Fac. 4 Contractual 5 Supplies and Materials Office Supplies 0.0000 0.000 0.000 1,000.00 Disaster Supplies 0.0000 0.000 0.000 23,458.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 71 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total Total for Supplies and Materials 24,458.00 6 Travel Mileage Notes : 785 x 0..655 per mile 0.0000 0.000 0.000 514.00 Conferences 0.0000 0.000 0.000 7,700.00 Total for Travel 8,214.00 7 Communication Telephone 0.0000 0.000 0.000 1,674.00 8 County-City Central Services 9 Space Costs Space/Rental Costs Notes : MATCH $15,039 0.0000 0.000 0.000 5,053.00 10 All Others (ADP, Con. Employees, Misc.) Insurance 0.0000 0.000 0.000 558.00 IT Operations 0.0000 0.000 0.000 2,514.00 Professional Services 0.0000 0.000 0.000 25,000.00 Total for All Others (ADP, Con. Employees, Misc.)28,072.00 Total Program Expenses 205,297.00 TOTAL DIRECT EXPENSES 205,297.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Cost Allocation Plan Notes : 13.81% 0.0000 0.000 0.000 10,909.00 Health Adm Distribution 0.0000 0.000 0.000 27,855.00 Total for Cost Allocation Plan / Other 38,764.00 Total Indirect Costs 38,764.00 TOTAL INDIRECT EXPENSES 38,764.00 TOTAL EXPENDITURES 244,061.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 72 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Children's Special Hlth Care Services (CSHCS) Outreach & Advocacy DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 258,990.00 258,990.00 2 Fringe Benefits 121,261.00 121,261.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 0.00 0.00 5 Supplies and Materials 12,200.00 12,200.00 6 Travel 1,155.00 1,155.00 7 Communication 9,720.00 9,720.00 8 County-City Central Services 0.00 0.00 9 Space Costs 30,966.00 30,966.00 10 All Others (ADP, Con. Employees, Misc.)59,137.00 59,137.00 Total Program Expenses 493,429.00 493,429.00 TOTAL DIRECT EXPENSES 493,429.00 493,429.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other -199,027.00 -199,027.00 Total Indirect Costs -199,027.00 -199,027.00 TOTAL INDIRECT EXPENSES -199,027.00 -199,027.00 TOTAL EXPENDITURES 294,402.00 294,402.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 73 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 294,402.00 294,402.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 0.00 0.00 0.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 294,402.00 294,402.00 0.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 74 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages Clerk Notes : PH Clerk 2 1.0000 51140.000 0.000 FTE 51,140.00 Supervisor Notes : PH Nursing Supervisor 1.0000 101871.000 0.000 FTE 101,871.00 Nurse Notes : PH Nurse 2 0.4808 67173.460 0.000 FTE 32,297.00 Clerk Notes : PH Clerk 2 1.0000 49928.000 0.000 FTE 49,928.00 Clerk Notes : Auxiliary Health Clerk 0.4808 27106.000 0.000 FTE 13,032.00 Clerk Notes : Office Support Clerk 0.4808 22301.000 0.000 FTE 10,722.00 Total for Salary & Wages 258,990.00 2 Fringe Benefits Composite Rate Notes : FICA Unemployment Insurance Retirement Insurance Hospital Insurance Life Insurance Vision Insurance Dental Insurance Workers Comp Short and Long Term Disability Insurance 0.0000 46.820 258990.000 121,259.00 Rounding 0.0000 100.000 2.000 2.00 Total for Fringe Benefits 121,261.00 3 Cap. Exp. for Equip & Fac. 4 Contractual Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 75 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total 5 Supplies and Materials Office Supplies 0.0000 0.000 0.000 3,000.00 Postage 0.0000 0.000 0.000 3,600.00 Printing 0.0000 0.000 0.000 5,600.00 Total for Supplies and Materials 12,200.00 6 Travel Mileage Notes : 1,000 miles @.0.655 0.0000 0.000 0.000 655.00 Conferences 0.0000 0.000 0.000 500.00 Total for Travel 1,155.00 7 Communication Telephone 0.0000 0.000 0.000 9,720.00 8 County-City Central Services 9 Space Costs Building Space Rental 0.0000 0.000 0.000 30,966.00 10 All Others (ADP, Con. Employees, Misc.) IT Print Services 0.0000 0.000 0.000 5,928.00 Insurance 0.0000 0.000 0.000 2,429.00 IT Operations 0.0000 0.000 0.000 49,280.00 Incentives 0.0000 0.000 0.000 1,500.00 Total for All Others (ADP, Con. Employees, Misc.)59,137.00 Total Program Expenses 493,429.00 TOTAL DIRECT EXPENSES 493,429.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Other Cost Distributions-CSHCS Care Coor Fees 0.0000 0.000 0.000 -234,794.00 Health Adm Distribution 0.0000 0.000 0.000 68,270.00 Other Cost Distributions-Nursing Staff 0.0000 0.000 0.000 191,996.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 76 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total Nursing Adm Distribution 0.0000 0.000 0.000 35,595.00 Other Cost Distributions-CSHCS - Medicaid Outreach 0.0000 0.000 0.000 -295,861.00 Cost Allocation Plan Notes : 13.81% 0.0000 0.000 0.000 35,767.00 Total for Cost Allocation Plan / Other -199,027.00 Total Indirect Costs -199,027.00 TOTAL INDIRECT EXPENSES -199,027.00 TOTAL EXPENDITURES 294,402.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 77 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / CSHCS Vaccine Initiative DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 6/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total 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 17,007.00 17,007.00 6 Travel 65.00 65.00 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.)1,896.00 1,896.00 Total Program Expenses 18,968.00 18,968.00 TOTAL DIRECT EXPENSES 18,968.00 18,968.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 0.00 0.00 Total Indirect Costs 0.00 0.00 TOTAL INDIRECT EXPENSES 0.00 0.00 TOTAL EXPENDITURES 18,968.00 18,968.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 78 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 18,968.00 18,968.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 0.00 0.00 0.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 18,968.00 18,968.00 0.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 79 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages 2 Fringe Benefits 3 Cap. Exp. for Equip & Fac. 4 Contractual 5 Supplies and Materials Materials and Supplies 0.0000 0.000 0.000 14,257.00 Postage 0.0000 0.000 0.000 350.00 Printing 0.0000 0.000 0.000 400.00 Medical Supplies 0.0000 0.000 0.000 2,000.00 Total for Supplies and Materials 17,007.00 6 Travel Mileage Notes : 0.655 per mile x 100 miles 0.0000 0.000 0.000 65.00 7 Communication 8 County-City Central Services 9 Space Costs 10 All Others (ADP, Con. Employees, Misc.) Incentives Notes : CSHCS Incentives 10% of grant 0.0000 0.000 0.000 1,896.00 Total Program Expenses 18,968.00 TOTAL DIRECT EXPENSES 18,968.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Total Indirect Costs 0.00 TOTAL INDIRECT EXPENSES 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 80 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total TOTAL EXPENDITURES 18,968.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 81 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Eastern Equine Encephalitis Virus Surveillance Project DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 7,665.00 7,665.00 2 Fringe Benefits 3,749.00 3,749.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 0.00 0.00 5 Supplies and Materials 199.00 199.00 6 Travel 2,328.00 2,328.00 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 Total Program Expenses 13,941.00 13,941.00 TOTAL DIRECT EXPENSES 13,941.00 13,941.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 2,992.00 2,992.00 Total Indirect Costs 2,992.00 2,992.00 TOTAL INDIRECT EXPENSES 2,992.00 2,992.00 TOTAL EXPENDITURES 16,933.00 16,933.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 82 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 15,000.00 15,000.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 1,933.00 0.00 1,933.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 16,933.00 15,000.00 1,933.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 83 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages Sanitarian Notes : Jerry Jacobs Position # P00006721 Senior Public Health Sanitarian 0.0240 95125.000 0.000 FTE 2,283.00 Sanitarian Notes : Julia Reykdal Position # P00008128 Public Health Sanitarian 0.0337 79941.000 0.000 FTE 2,694.00 Epidemiologist Notes : Michael Swain Position # P00007258 Epidemiologist 0.0096 92241.000 0.000 FTE 887.00 Supervisor Notes : Jeanine McCloskey Position # P00012307 Public Health Sanitarian Supervisor 0.0048 106316.000 0.000 FTE 511.00 Public Health Chief Notes : Mark Hansell Position P0000746 Public Health Chief 0.0024 111632.000 0.000 FTE 268.00 Supervisor Notes : Deb McArthur Position # P00012306 Public Health Sanitarian Supervisor 0.0096 106316.000 0.000 FTE 1,022.00 Total for Salary & Wages 7,665.00 2 Fringe Benefits Composite Rate Notes : FICA Unemployment Insurance Retirement Insurance Hospital Insurance Life Insurance 0.0000 48.910 7665.000 3,749.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 84 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total Vision Insurance Dental Insurance Workers Comp Short and Long Term Disability Insurance 3 Cap. Exp. for Equip & Fac. 4 Contractual 5 Supplies and Materials Materials and Supplies 0.0000 0.000 0.000 199.00 6 Travel Mileage Notes : 500 miles * 0.655 per mile 0.0000 0.000 0.000 328.00 Conferences 0.0000 0.000 0.000 2,000.00 Total for Travel 2,328.00 7 Communication 8 County-City Central Services 9 Space Costs 10 All Others (ADP, Con. Employees, Misc.) Total Program Expenses 13,941.00 TOTAL DIRECT EXPENSES 13,941.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Cost Allocation Plan Notes : 13.81% 0.0000 0.000 0.000 1,059.00 Health Adm Distribution 0.0000 0.000 0.000 1,933.00 Total for Cost Allocation Plan / Other 2,992.00 Total Indirect Costs 2,992.00 TOTAL INDIRECT EXPENSES 2,992.00 TOTAL EXPENDITURES 16,933.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 85 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / MCH - Children DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 45,890.00 45,890.00 2 Fringe Benefits 25,547.00 25,547.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 0.00 0.00 5 Supplies and Materials 0.00 0.00 6 Travel 643.00 643.00 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 Total Program Expenses 72,080.00 72,080.00 TOTAL DIRECT EXPENSES 72,080.00 72,080.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 9,288.00 9,288.00 Total Indirect Costs 9,288.00 9,288.00 TOTAL INDIRECT EXPENSES 9,288.00 9,288.00 TOTAL EXPENDITURES 81,368.00 81,368.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 86 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 0.00 0.00 0.00 0.00 MCH Funding 72,080.00 72,080.00 0.00 0.00 Local Funds - Other 9,288.00 0.00 9,288.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 81,368.00 72,080.00 9,288.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 87 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages Nutritionist/Dietician Notes : Melinda Blesch P0005401 PH Nutritionist 3 83134.0000 0.552 0.000 FTE 45,890.00 2 Fringe Benefits Composite Rate Notes : FICA Unemployment Retirement Hosp Life Insurance Vision Dental Workers Comp Short and Long Term Disability 0.0000 55.670 45890.000 25,547.00 3 Cap. Exp. for Equip & Fac. 4 Contractual 5 Supplies and Materials 6 Travel Mileage Notes : $0.655 per mile 0.0000 0.000 0.000 643.00 7 Communication 8 County-City Central Services 9 Space Costs 10 All Others (ADP, Con. Employees, Misc.) Total Program Expenses 72,080.00 TOTAL DIRECT EXPENSES 72,080.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 88 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total Health Adm Distribution 0.0000 0.000 0.000 9,288.00 Total Indirect Costs 9,288.00 TOTAL INDIRECT EXPENSES 9,288.00 TOTAL EXPENDITURES 81,368.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 89 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Emerging Threats - Hepatitis C DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 82,457.00 82,457.00 2 Fringe Benefits 52,459.00 52,459.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 0.00 0.00 5 Supplies and Materials 3,740.00 3,740.00 6 Travel 2,155.00 2,155.00 7 Communication 1,080.00 1,080.00 8 County-City Central Services 0.00 0.00 9 Space Costs 0.00 0.00 10 All Others (ADP, Con. Employees, Misc.)12,722.00 12,722.00 Total Program Expenses 154,613.00 154,613.00 TOTAL DIRECT EXPENSES 154,613.00 154,613.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 32,773.00 32,773.00 Total Indirect Costs 32,773.00 32,773.00 TOTAL INDIRECT EXPENSES 32,773.00 32,773.00 TOTAL EXPENDITURES 187,386.00 187,386.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 90 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 166,000.00 166,000.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 21,386.00 0.00 21,386.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 187,386.00 166,000.00 21,386.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 91 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages Public Health Nurse Notes : PHN III Sasha Mievski Position P00007565 1.0000 82457.000 0.000 FTE 82,457.00 2 Fringe Benefits Composite Rate Notes : Fica Unemp Ins Retirement Hosp Ins Life Ins Vision Ins Dental Ins Work Comp Short/Long Term Disability 0.0000 63.620 82457.000 52,459.00 3 Cap. Exp. for Equip & Fac. 4 Contractual 5 Supplies and Materials Postage 0.0000 0.000 0.000 56.00 Office Supplies 0.0000 0.000 0.000 500.00 Medical Supplies 0.0000 0.000 0.000 1,184.00 Drugs 0.0000 0.000 0.000 1,500.00 Educational Supplies 0.0000 0.000 0.000 500.00 Total for Supplies and Materials 3,740.00 6 Travel Mileage Notes : 1000 miles @ 0.655 per mile 0.0000 0.000 0.000 655.00 Conferences 0.0000 0.000 0.000 1,500.00 Total for Travel 2,155.00 7 Communication Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 92 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total Telephone Communications 0.0000 0.000 0.000 1,080.00 8 County-City Central Services 9 Space Costs 10 All Others (ADP, Con. Employees, Misc.) IT Operations 0.0000 0.000 0.000 3,352.00 Insurance 0.0000 0.000 0.000 1,370.00 Incentives 0.0000 0.000 0.000 1,000.00 Lab Fees 0.0000 0.000 0.000 1,500.00 Advertising 0.0000 0.000 0.000 5,000.00 Staff Training 0.0000 0.000 0.000 500.00 Total for All Others (ADP, Con. Employees, Misc.)12,722.00 Total Program Expenses 154,613.00 TOTAL DIRECT EXPENSES 154,613.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Cost Allocation Plan Notes : 13.81% 0.0000 0.000 0.000 11,387.00 Health Adm Distribution 0.0000 0.000 0.000 21,386.00 Total for Cost Allocation Plan / Other 32,773.00 Total Indirect Costs 32,773.00 TOTAL INDIRECT EXPENSES 32,773.00 TOTAL EXPENDITURES 187,386.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 93 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Fetal Infant Mortality Review (FIMR) Case Abstraction DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total 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 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 6,480.00 6,480.00 Total Indirect Costs 6,480.00 6,480.00 TOTAL INDIRECT EXPENSES 6,480.00 6,480.00 TOTAL EXPENDITURES 6,480.00 6,480.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 94 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 0.00 0.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 0.00 0.00 0.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Fetal Infant Mortality Review 6,480.00 6,480.00 0.00 0.00 Totals 6,480.00 6,480.00 0.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 95 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total 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 Cost Distributions for Fees-FIMR Cases Notes : Cost Distribution for FIMR fees from Community Nursing 0.0000 0.000 0.000 6,480.00 Total Indirect Costs 6,480.00 TOTAL INDIRECT EXPENSES 6,480.00 TOTAL EXPENDITURES 6,480.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 96 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Food ELPHS DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total 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 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 5,080,338.00 5,080,338.00 Total Indirect Costs 5,080,338.00 5,080,338.00 TOTAL INDIRECT EXPENSES 5,080,338.00 5,080,338.00 TOTAL EXPENDITURES 5,080,338.00 5,080,338.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 97 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 1,595,710.00 0.00 1,595,710.00 0.00 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 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 0.00 MDHHS Comprehensive 1,176,612.00 1,176,612.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 2,308,016.00 0.00 2,308,016.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 5,080,338.00 1,176,612.00 3,903,726.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 98 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total 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 Environmental Hlth Adm Distribution 0.0000 0.000 0.000 3,702,469.00 Health Adm Distribution 0.0000 0.000 0.000 1,377,869.00 Total for Cost Allocation Plan / Other 5,080,338.00 Total Indirect Costs 5,080,338.00 TOTAL INDIRECT EXPENSES 5,080,338.00 TOTAL EXPENDITURES 5,080,338.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 99 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Gonococcal Isolate Surveillance Project DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 13,478.00 13,478.00 2 Fringe Benefits 8,310.00 8,310.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 0.00 0.00 5 Supplies and Materials 860.00 860.00 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.)204.00 204.00 Total Program Expenses 22,852.00 22,852.00 TOTAL DIRECT EXPENSES 22,852.00 22,852.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 6,707.00 6,707.00 Total Indirect Costs 6,707.00 6,707.00 TOTAL INDIRECT EXPENSES 6,707.00 6,707.00 TOTAL EXPENDITURES 29,559.00 29,559.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 100 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 24,713.00 24,713.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 4,846.00 0.00 4,846.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 29,559.00 24,713.00 4,846.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 101 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages Public Health Nurse Notes : PH Nurse 3 F. McClish Position P00002147 This position is responsible for the preparation & collection of GISP, N. gonorrhoeae specimens and result reporting of specimens collected in Oakland County Health Division's STI clinics. 0.0817 82480.000 0.000 FTE 6,739.00 Public Health Nurse Notes : PH Nurse 3 M. McCarthy Position P00001122 This position is responsible for the preparation & collection of GISP, N. gonorrhoeae specimens and result reporting of specimens collected in Oakland County Health Division's STI clinics. 0.0817 82480.000 0.000 FTE 6,739.00 Total for Salary & Wages 13,478.00 2 Fringe Benefits Composite Rate Notes : FICA Unemployment Insurance Retirement Insurance Hospital Insurance Life Insurance Vision Insurance Dental Insurance Workers Comp Short and Long Term Disability 0.0000 61.656 13478.000 8,310.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 102 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total Insurance 3 Cap. Exp. for Equip & Fac. 4 Contractual 5 Supplies and Materials Office Supplies Notes : Purchase of supplies necessary for all services related directly to the GISP: MTM plates, chocolate plates, disposable transfer pipets, KWIK sticks for QC organisms, culture loops, 2 ml tubes for freezing broth, Tsoy broth, cryo pens, NAAT urine and swab collection kits 0.0000 0.000 0.000 860.00 6 Travel 7 Communication 8 County-City Central Services 9 Space Costs 10 All Others (ADP, Con. Employees, Misc.) Insurance 0.0000 0.000 0.000 204.00 Total Program Expenses 22,852.00 TOTAL DIRECT EXPENSES 22,852.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Cost Allocation Plan Notes : 13.81% 0.0000 0.000 0.000 1,861.00 Health Adm Distribution 0.0000 0.000 0.000 3,184.00 Nursing Adm Distribution 0.0000 0.000 0.000 1,662.00 Total for Cost Allocation Plan / Other 6,707.00 Total Indirect Costs 6,707.00 TOTAL INDIRECT EXPENSES 6,707.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 103 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total TOTAL EXPENDITURES 29,559.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 104 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Hearing ELPHS DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 366,263.00 366,263.00 2 Fringe Benefits 114,248.00 114,248.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 0.00 0.00 5 Supplies and Materials 9,778.00 9,778.00 6 Travel 9,189.00 9,189.00 7 Communication 1,071.00 1,071.00 8 County-City Central Services 0.00 0.00 9 Space Costs 7,773.00 7,773.00 10 All Others (ADP, Con. Employees, Misc.)9,512.00 9,512.00 Total Program Expenses 517,834.00 517,834.00 TOTAL DIRECT EXPENSES 517,834.00 517,834.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 473,090.00 473,090.00 Total Indirect Costs 473,090.00 473,090.00 TOTAL INDIRECT EXPENSES 473,090.00 473,090.00 TOTAL EXPENDITURES 990,924.00 990,924.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 105 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 253,969.00 253,969.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 736,955.00 0.00 736,955.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 990,924.00 253,969.00 736,955.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 106 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages Supervisor Notes : Lynn Covarubbias Position P00001402 Hearing and Vision Tech Supervisor 1.0000 72818.000 0.000 FTE 72,818.00 Technician Notes : Casey Sinacola Position P00000631 PH Tech 0.4567 45581.000 0.000 FTE 20,818.00 Technician Notes : Charlene Whitt Position P00012314 PH Tech 0.2404 41872.000 0.000 FTE 10,066.00 Technician Notes : Therese Spedding Position P00012320 PH Tech 0.3365 43732.000 0.000 FTE 14,716.00 Technician Notes : Vacant Position P00012321 PH Tech 0.3966 38169.000 0.000 FTE 15,139.00 Technician Notes : Cindy Vieregge Position P00012323 PH Tech 0.4567 43728.000 0.000 FTE 19,972.00 Technician Notes : Adrienne Lynch Position P000000642 PH Tech 0.4567 45581.000 0.000 FTE 20,818.00 Technician Notes : Diane Roeder Position P00010837 PH Tech 0.4567 49286.000 0.000 FTE 22,510.00 Technician Notes : Karen McPherson Position P00010838 PH Tech 0.4567 40022.000 0.000 FTE 18,279.00 Technician Notes : Denise Gaarder Position P00010841 PH Tech 0.4567 40022.000 0.000 FTE 18,279.00 Technician Notes : Vacant Position 0.4567 38169.000 0.000 FTE 17,433.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 107 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total P00010842 PH Tech Supervisor Notes : Diane Ferber Position P00001917 Hearing and Vision Program Supervisor 0.5000 106316.000 0.000 FTE 53,158.00 Auxillary Health Clerk Notes : Billie-Jean Wright Position P00006736 Aux Health Clerk 0.7000 56381.000 0.000 FTE 39,467.00 Clerk Notes : Soon to be vacant Position P00002891 PH Clerk 2 0.5000 45580.000 0.000 FTE 22,790.00 Total for Salary & Wages 366,263.00 2 Fringe Benefits Composite Rate Notes : FICA UNEMPLOYMENT INS RETIREMENT HOSPITAL INS LIFE INS VISION INS DENTAL INS WORK COMP SHORT/LONG TERM DISABILITY 0.0000 31.193 366263.000 114,248.00 3 Cap. Exp. for Equip & Fac. 4 Contractual 5 Supplies and Materials Office Supplies 0.0000 0.000 0.000 942.00 Printing 0.0000 0.000 0.000 1,927.00 Postage 0.0000 0.000 0.000 6,110.00 Medical Supplies 0.0000 0.000 0.000 799.00 Total for Supplies and Materials 9,778.00 6 Travel Personal Mileage Notes : 0.655 PER MILE 0.0000 0.000 0.000 9,189.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 108 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total 7 Communication Telephone 0.0000 0.000 0.000 1,071.00 8 County-City Central Services 9 Space Costs Space/Rental Costs 0.0000 0.000 0.000 7,773.00 10 All Others (ADP, Con. Employees, Misc.) IT Print Services 0.0000 0.000 0.000 300.00 Insurance 0.0000 0.000 0.000 3,336.00 Equipment Repair 0.0000 0.000 0.000 1,434.00 Staff Training 0.0000 0.000 0.000 2,021.00 Interpreter Fees 0.0000 0.000 0.000 71.00 Expendable Equipment 0.0000 0.000 0.000 2,350.00 Total for All Others (ADP, Con. Employees, Misc.)9,512.00 Total Program Expenses 517,834.00 TOTAL DIRECT EXPENSES 517,834.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Health Adm Distribution 0.0000 0.000 0.000 73,231.00 Other Cost Distributions-Misc Distributions 0.0000 0.000 0.000 349,278.00 Cost Allocation Plan Notes : 13.81% 0.0000 0.000 0.000 50,581.00 Total for Cost Allocation Plan / Other 473,090.00 Total Indirect Costs 473,090.00 TOTAL INDIRECT EXPENSES 473,090.00 TOTAL EXPENDITURES 990,924.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 109 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / HIV PrEP Clinic DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 151,366.00 151,366.00 2 Fringe Benefits 86,814.00 86,814.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 0.00 0.00 5 Supplies and Materials 8,636.00 8,636.00 6 Travel 828.00 828.00 7 Communication 2,160.00 2,160.00 8 County-City Central Services 0.00 0.00 9 Space Costs 0.00 0.00 10 All Others (ADP, Con. Employees, Misc.)79,292.00 79,292.00 Total Program Expenses 329,096.00 329,096.00 TOTAL DIRECT EXPENSES 329,096.00 329,096.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 65,996.00 65,996.00 Total Indirect Costs 65,996.00 65,996.00 TOTAL INDIRECT EXPENSES 65,996.00 65,996.00 TOTAL EXPENDITURES 395,092.00 395,092.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 110 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 350,000.00 350,000.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 45,092.00 0.00 45,092.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 395,092.00 350,000.00 45,092.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 111 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages Specialist Notes : Clinical Health Specialist E. Mazur Kozio Po#P00015913 1.0000 91732.000 0.000 FTE 91,732.00 Clerk Notes : Auxilary Health Clerk Po#0006100 VACANT 1.0577 56381.000 0.000 FTE 59,634.00 Total for Salary & Wages 151,366.00 2 Fringe Benefits Composite Rate Notes : Fica, Unemp Ins, Retirement, Hospital Ins, Life Ins, Vision Ins, Dental Ins, Workcomp, Short/Long Term Disability 0.0000 57.354 151366.000 86,814.00 3 Cap. Exp. for Equip & Fac. 4 Contractual 5 Supplies and Materials Office Supplies 0.0000 0.000 0.000 2,136.00 Drugs 0.0000 0.000 0.000 500.00 Medical Supplies 0.0000 0.000 0.000 6,000.00 Total for Supplies and Materials 8,636.00 6 Travel Mileage Notes : 0.655 per mile x 500 miles 0.0000 0.000 0.000 328.00 Conferences 0.0000 0.000 0.000 500.00 Total for Travel 828.00 7 Communication Telephone Communications 0.0000 0.000 0.000 2,160.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 112 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total 8 County-City Central Services 9 Space Costs 10 All Others (ADP, Con. Employees, Misc.) Insurance 0.0000 0.000 0.000 2,888.00 IT Operations 0.0000 0.000 0.000 16,404.00 Professional Services 0.0000 0.000 0.000 48,000.00 Lab Fees - PrEP Creatine Clearance 0.0000 0.000 0.000 12,000.00 Total for All Others (ADP, Con. Employees, Misc.)79,292.00 Total Program Expenses 329,096.00 TOTAL DIRECT EXPENSES 329,096.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Cost Allocation Plan Notes : 13.81% 0.0000 0.000 0.000 20,904.00 Health Adm Distribution 0.0000 0.000 0.000 45,092.00 Total for Cost Allocation Plan / Other 65,996.00 Total Indirect Costs 65,996.00 TOTAL INDIRECT EXPENSES 65,996.00 TOTAL EXPENDITURES 395,092.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 113 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / HIV Prevention DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 250,197.00 250,197.00 2 Fringe Benefits 120,002.00 120,002.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 0.00 0.00 5 Supplies and Materials 10,498.00 10,498.00 6 Travel 1,328.00 1,328.00 7 Communication 3,300.00 3,300.00 8 County-City Central Services 0.00 0.00 9 Space Costs 10,276.00 10,276.00 10 All Others (ADP, Con. Employees, Misc.)22,092.00 22,092.00 Total Program Expenses 417,693.00 417,693.00 TOTAL DIRECT EXPENSES 417,693.00 417,693.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 92,908.00 92,908.00 Total Indirect Costs 92,908.00 92,908.00 TOTAL INDIRECT EXPENSES 92,908.00 92,908.00 TOTAL EXPENDITURES 510,601.00 510,601.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 114 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 452,245.00 452,245.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 58,356.00 0.00 58,356.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 510,601.00 452,245.00 58,356.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 115 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages Coordinator Notes : Health Program Coordinator E. Trepkowski Position P00006426 1.0000 94953.000 0.000 FTE 94,953.00 Clerk Notes : Office Support Clerk Senior S. Cloutier Position P00006538 0.7115 51142.000 0.000 FTE 36,388.00 Public Health Nurse Notes : Public Health Nurse III J. Lombardi-Perwerton Position P00007557 0.4327 84122.000 0.000 FTE 36,399.00 Public Health Nurse Notes : Public Heath Nurse III L. Drouillard Position P00009668 1.0000 82457.000 0.000 FTE 82,457.00 Total for Salary & Wages 250,197.00 2 Fringe Benefits Composite Rate Notes : FICA Unemployment Insurance Retirement Insurance Hospital Insurance Life Insurance Vision Insurance Dental Insurance Workers Comp Short and Long Term Disability Insurance 0.0000 47.963 250197.000 120,002.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 116 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total 3 Cap. Exp. for Equip & Fac. 4 Contractual 5 Supplies and Materials Office Supplies 0.0000 0.000 0.000 3,000.00 Medical Supplies 0.0000 0.000 0.000 1,000.00 Postage 0.0000 0.000 0.000 2,000.00 Printing 0.0000 0.000 0.000 2,000.00 Supplies & Materials 0.0000 0.000 0.000 890.00 Training-Ed Supplies 0.0000 0.000 0.000 1,608.00 Total for Supplies and Materials 10,498.00 6 Travel Mileage Notes : 500 miles @ 0.655 0.0000 0.000 0.000 328.00 Conferences 0.0000 0.000 0.000 1,000.00 Total for Travel 1,328.00 7 Communication Telephone 0.0000 0.000 0.000 3,300.00 8 County-City Central Services 9 Space Costs Space/Rental Costs 0.0000 0.000 0.000 10,276.00 10 All Others (ADP, Con. Employees, Misc.) IT Operations Notes : HP LJ 4250 NOHC ($416 x1) Laptop computers: Trepkowski, Drouillard, Cloutier, Lombardi-Pewerton ($838 x4) Mobile Printer ($369x1) Scanner ($369x1) Office Jet Pro at 148 N Saginaw ($369x1) x4 0.0000 0.000 0.000 16,360.00 Insurance 0.0000 0.000 0.000 3,732.00 Interpretation 0.0000 0.000 0.000 200.00 Miscellaneous Notes : subscriptions 0.0000 0.000 0.000 1,800.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 117 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total Total for All Others (ADP, Con. Employees, Misc.)22,092.00 Total Program Expenses 417,693.00 TOTAL DIRECT EXPENSES 417,693.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Cost Allocation Plan Notes : 13.81% 0.0000 0.000 0.000 34,552.00 Health Adm Distribution 0.0000 0.000 0.000 58,356.00 Total for Cost Allocation Plan / Other 92,908.00 Total Indirect Costs 92,908.00 TOTAL INDIRECT EXPENSES 92,908.00 TOTAL EXPENDITURES 510,601.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 118 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Harm Reduction Support Services DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total 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 60,988.00 60,988.00 6 Travel 9,828.00 9,828.00 7 Communication 4,721.00 4,721.00 8 County-City Central Services 0.00 0.00 9 Space Costs 32,400.00 32,400.00 10 All Others (ADP, Con. Employees, Misc.)142,063.00 142,063.00 Total Program Expenses 250,000.00 250,000.00 TOTAL DIRECT EXPENSES 250,000.00 250,000.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 32,209.00 32,209.00 Total Indirect Costs 32,209.00 32,209.00 TOTAL INDIRECT EXPENSES 32,209.00 32,209.00 TOTAL EXPENDITURES 282,209.00 282,209.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 119 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 250,000.00 250,000.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 32,209.00 0.00 32,209.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 282,209.00 250,000.00 32,209.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 120 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages 2 Fringe Benefits 3 Cap. Exp. for Equip & Fac. 4 Contractual 5 Supplies and Materials Office Supplies 0.0000 0.000 0.000 3,000.00 Materials and Supplies 0.0000 0.000 0.000 9,000.00 Printing 0.0000 0.000 0.000 1,500.00 Medical Supplies 0.0000 0.000 0.000 40,988.00 Educational Supplies 0.0000 0.000 0.000 2,000.00 Drugs 0.0000 0.000 0.000 2,500.00 Computer Supplies 0.0000 0.000 0.000 1,500.00 Postage 0.0000 0.000 0.000 500.00 Total for Supplies and Materials 60,988.00 6 Travel Transportation of Clients 0.0000 0.000 0.000 6,500.00 Conferences 0.0000 0.000 0.000 3,000.00 Mileage Notes : 500 miles @ .655 0.0000 0.000 0.000 328.00 Total for Travel 9,828.00 7 Communication Telephone Communications 0.0000 0.000 0.000 1,980.00 WiFi 0.0000 0.000 0.000 2,741.00 Total for Communication 4,721.00 8 County-City Central Services 9 Space Costs Rent 0.0000 0.000 0.000 30,000.00 Building Space Rental (Electrical) 0.0000 0.000 0.000 2,400.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 121 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total Total for Space Costs 32,400.00 10 All Others (ADP, Con. Employees, Misc.) Professional Services 0.0000 0.000 0.000 125,000.00 IT Operations 0.0000 0.000 0.000 6,703.00 Interpretation Fees 0.0000 0.000 0.000 500.00 Incentives 0.0000 0.000 0.000 2,000.00 Laundry and Cleaning 0.0000 0.000 0.000 3,360.00 Advertising 0.0000 0.000 0.000 4,500.00 Total for All Others (ADP, Con. Employees, Misc.)142,063.00 Total Program Expenses 250,000.00 TOTAL DIRECT EXPENSES 250,000.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Health Adm Distribution 0.0000 0.000 0.000 32,209.00 Total Indirect Costs 32,209.00 TOTAL INDIRECT EXPENSES 32,209.00 TOTAL EXPENDITURES 282,209.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 122 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Immunization Action Plan (IAP) DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 300,752.00 300,752.00 2 Fringe Benefits 179,426.00 179,426.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 0.00 0.00 5 Supplies and Materials 570.00 570.00 6 Travel 0.00 0.00 7 Communication 3,180.00 3,180.00 8 County-City Central Services 0.00 0.00 9 Space Costs 9,047.00 9,047.00 10 All Others (ADP, Con. Employees, Misc.)17,481.00 17,481.00 Total Program Expenses 510,456.00 510,456.00 TOTAL DIRECT EXPENSES 510,456.00 510,456.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 124,771.00 124,771.00 Total Indirect Costs 124,771.00 124,771.00 TOTAL INDIRECT EXPENSES 124,771.00 124,771.00 TOTAL EXPENDITURES 635,227.00 635,227.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 123 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 Fees and Collections - 3rd Party 0.00 0.00 0.00 0.00 Federal or State (Non MDHHS)25,000.00 0.00 25,000.00 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 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 0.00 MDHHS Comprehensive 526,990.00 526,990.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 83,237.00 0.00 83,237.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 635,227.00 526,990.00 108,237.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 124 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages Supervisor Notes : Immunization Program Supervisor Letha Martin Position P00002070 1.0000 104093.000 0.000 FTE 104,093.00 Coordinator Notes : Vaccine Supply Coordinator Sean Crottie Position P00007559 1.0000 62161.000 0.000 FTE 62,161.00 Public Health Nurse Notes : Heather Webber Position P00007413 PH Nurse 2 0.3726 67177.000 0.000 FTE 25,030.00 Office Leader Notes : Jacqueline Vermilya Position P00007414 Office Leader 1.0000 53696.000 0.000 FTE 53,696.00 Clerk Notes : Meghan Rompa Position P00007415 PH Clerk 2 1.0000 51140.000 0.000 FTE 51,140.00 Coordinator Notes : Irene Highfield Position P00002436 Vaccine Supply Coordinator 0.0745 62161.000 0.000 FTE 4,632.00 Total for Salary & Wages 300,752.00 2 Fringe Benefits Composite Rate Notes : FICA Unemployment Insurance Retirement Insurance Hospital Insurance Life Insurance Vision Insurance Dental Insurance Workers Comp Short and Long Term Disability 0.0000 59.659 300752.000 179,426.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 125 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total Insurance 3 Cap. Exp. for Equip & Fac. 4 Contractual 5 Supplies and Materials Postage 0.0000 0.000 0.000 570.00 6 Travel 7 Communication Telephone 0.0000 0.000 0.000 3,180.00 8 County-City Central Services 9 Space Costs Building Space Rental 0.0000 0.000 0.000 9,047.00 10 All Others (ADP, Con. Employees, Misc.) IT Operations 0.0000 0.000 0.000 13,132.00 Insurance 0.0000 0.000 0.000 4,349.00 Total for All Others (ADP, Con. Employees, Misc.)17,481.00 Total Program Expenses 510,456.00 TOTAL DIRECT EXPENSES 510,456.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Other Cost Distributions-Nurse Train/VFC/AFIX 0.0000 0.000 0.000 -25,000.00 Cost Allocation Plan Notes : 13.81% 0.0000 0.000 0.000 41,534.00 Health Adm Distribution 0.0000 0.000 0.000 71,115.00 Nursing Adm Distribution 0.0000 0.000 0.000 37,122.00 Total for Cost Allocation Plan / Other 124,771.00 Total Indirect Costs 124,771.00 TOTAL INDIRECT EXPENSES 124,771.00 TOTAL EXPENDITURES 635,227.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 126 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Integrating MPOX into STI Clinics DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total 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 6,500.00 6,500.00 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 Total Program Expenses 6,500.00 6,500.00 TOTAL DIRECT EXPENSES 6,500.00 6,500.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 837.00 837.00 Total Indirect Costs 837.00 837.00 TOTAL INDIRECT EXPENSES 837.00 837.00 TOTAL EXPENDITURES 7,337.00 7,337.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 127 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 6,500.00 6,500.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 837.00 0.00 837.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 7,337.00 6,500.00 837.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 128 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages 2 Fringe Benefits 3 Cap. Exp. for Equip & Fac. 4 Contractual 5 Supplies and Materials Office Supplies 0.0000 0.000 0.000 300.00 Supplies & Materials 0.0000 0.000 0.000 2,000.00 Printing 0.0000 0.000 0.000 700.00 Medical Supplies 0.0000 0.000 0.000 1,500.00 Educational Supplies 0.0000 0.000 0.000 2,000.00 Total for Supplies and Materials 6,500.00 6 Travel 7 Communication 8 County-City Central Services 9 Space Costs 10 All Others (ADP, Con. Employees, Misc.) Total Program Expenses 6,500.00 TOTAL DIRECT EXPENSES 6,500.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Health Adm Distribution 0.0000 0.000 0.000 837.00 Total Indirect Costs 837.00 TOTAL INDIRECT EXPENSES 837.00 TOTAL EXPENDITURES 7,337.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 129 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Infant Safe Sleep DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 11,860.00 11,860.00 2 Fringe Benefits 5,974.00 5,974.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 0.00 0.00 5 Supplies and Materials 27,853.00 27,853.00 6 Travel 5,700.00 5,700.00 7 Communication 540.00 540.00 8 County-City Central Services 0.00 0.00 9 Space Costs 0.00 0.00 10 All Others (ADP, Con. Employees, Misc.)16,435.00 16,435.00 Total Program Expenses 68,362.00 68,362.00 TOTAL DIRECT EXPENSES 68,362.00 68,362.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 15,386.00 15,386.00 Total Indirect Costs 15,386.00 15,386.00 TOTAL INDIRECT EXPENSES 15,386.00 15,386.00 TOTAL EXPENDITURES 83,748.00 83,748.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 130 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 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 13,748.00 0.00 13,748.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 83,748.00 70,000.00 13,748.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 131 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages Health Educator Notes : PH Educator III Pos#P00006735 Carla Roseman 0.0769 70440.000 0.000 FTE 5,417.00 Chief Public Health Notes : Chief PH Pos#P00000733 Lisa Hahn 0.0101 111632.000 0.000 FTE 1,127.00 Supervisor Notes : PH Nursing Supervisor Pos#P00000865 David Roth 0.0500 106316.000 0.000 FTE 5,316.00 Total for Salary & Wages 11,860.00 2 Fringe Benefits Composite Rate Notes : FICA, UNEMP INS, RETIREMENT, HOSPITAL INS, LIFE INS, VISION INS, SHORT/LONG TERM DISABILITY, DENTAL INS, WORK COMP 0.0000 50.370 11860.000 5,974.00 3 Cap. Exp. for Equip & Fac. 4 Contractual 5 Supplies and Materials Office Supplies 0.0000 0.000 0.000 225.00 Incentives 0.0000 0.000 0.000 4,900.00 Supplies & Materials Notes : BF Gift Bag Supplies 0.0000 0.000 0.000 646.00 Postage Notes : Safety Fair 0.0000 0.000 0.000 1,000.00 Training - Educational Supplies Notes : Safety Fair Ed supplies items 0.0000 0.000 0.000 12,200.00 Printing Notes : Safety Fair Ed supplies 0.0000 0.000 0.000 8,882.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 132 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total items Total for Supplies and Materials 27,853.00 6 Travel Conferences Notes : Staff Training, MALC Conference, Charlies Safe Sleep Conference (PA), MIHS 0.0000 0.000 0.000 5,700.00 7 Communication Telephone Communications 0.0000 0.000 0.000 540.00 8 County-City Central Services 9 Space Costs 10 All Others (ADP, Con. Employees, Misc.) IT Operations 0.0000 0.000 0.000 3,352.00 Interpretation Fees Notes : Translate ISS Books and Baby Shower Gift Cards 0.0000 0.000 0.000 583.00 Advertising Notes : Social Media posts, bus ads, Metro Parent 0.0000 0.000 0.000 3,500.00 Staff Training Notes : IBCLC and CLC Certifications 0.0000 0.000 0.000 9,000.00 Total for All Others (ADP, Con. Employees, Misc.)16,435.00 Total Program Expenses 68,362.00 TOTAL DIRECT EXPENSES 68,362.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Cost Allocation Plan Notes : 13.81% 0.0000 0.000 0.000 1,638.00 Health Adm Distribution 0.0000 0.000 0.000 9,020.00 Nursing Adm Distribution 0.0000 0.000 0.000 4,728.00 Total for Cost Allocation Plan / Other 15,386.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 133 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total Total Indirect Costs 15,386.00 TOTAL INDIRECT EXPENSES 15,386.00 TOTAL EXPENDITURES 83,748.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 134 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Laboratory Services Bio DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total 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 1,500.00 1,500.00 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 Total Program Expenses 1,500.00 1,500.00 TOTAL DIRECT EXPENSES 1,500.00 1,500.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 193.00 193.00 Total Indirect Costs 193.00 193.00 TOTAL INDIRECT EXPENSES 193.00 193.00 TOTAL EXPENDITURES 1,693.00 1,693.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 135 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 1,500.00 1,500.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 193.00 0.00 193.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 1,693.00 1,500.00 193.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 136 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages 2 Fringe Benefits 3 Cap. Exp. for Equip & Fac. 4 Contractual 5 Supplies and Materials Materials & Supplies 0.0000 0.000 0.000 1,500.00 6 Travel 7 Communication 8 County-City Central Services 9 Space Costs 10 All Others (ADP, Con. Employees, Misc.) Total Program Expenses 1,500.00 TOTAL DIRECT EXPENSES 1,500.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Health Adm Distribution 0.0000 0.000 0.000 193.00 Total Indirect Costs 193.00 TOTAL INDIRECT EXPENSES 193.00 TOTAL EXPENDITURES 1,693.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 137 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Nurse Family Partnership Services DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 394,267.00 394,267.00 2 Fringe Benefits 210,116.00 210,116.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 0.00 0.00 5 Supplies and Materials 6,536.00 6,536.00 6 Travel 21,710.00 21,710.00 7 Communication 5,100.00 5,100.00 8 County-City Central Services 0.00 0.00 9 Space Costs 0.00 0.00 10 All Others (ADP, Con. Employees, Misc.)37,811.00 37,811.00 Total Program Expenses 675,540.00 675,540.00 TOTAL DIRECT EXPENSES 675,540.00 675,540.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 132,464.00 132,464.00 Total Indirect Costs 132,464.00 132,464.00 TOTAL INDIRECT EXPENSES 132,464.00 132,464.00 TOTAL EXPENDITURES 808,004.00 808,004.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 138 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 675,540.00 675,540.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 132,464.00 0.00 132,464.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 808,004.00 675,540.00 132,464.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 139 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages Public Health Nurse Notes : Angela Varela Position P00003427 PH Nurse 3 0.2500 82457.000 0.000 FTE 20,614.00 Public Health Nurse Notes : Susan Martinez Position P00000906 PH Nurse 3 1.0000 82457.000 0.000 FTE 82,457.00 Public Health Nurse Notes : Tamera Gordon Position P00003107 PH Nurse 3 1.0000 82457.000 0.000 FTE 82,457.00 Public Health Nurse Notes : Marybeth Reader Position P00003183 PH Nurse 3 0.5000 82457.000 0.000 FTE 41,229.00 Public Health Nurse Notes : Katie Smedley Positon P00000752 PH Nurse 3 1.0000 82457.000 0.000 FTE 82,457.00 Supervisor Notes : Michele Maloff Position P00004736 NFP Program Supervisor 0.8000 106316.000 0.000 FTE 85,053.00 Total for Salary & Wages 394,267.00 2 Fringe Benefits Composite Rate Notes : Fica Unemp Ins Retirement Hosp Ins Life Ins Vision Ins Dental Ins Work Comp Short/Long Term Disability 0.0000 53.293 394267.000 210,116.00 3 Cap. Exp. for Equip & Fac. 4 Contractual Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 140 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total 5 Supplies and Materials Office Supplies 0.0000 0.000 0.000 1,500.00 Educational Supplies 0.0000 0.000 0.000 2,500.00 Printing 0.0000 0.000 0.000 1,200.00 Socialization 0.0000 0.000 0.000 1,336.00 Total for Supplies and Materials 6,536.00 6 Travel Mileage Notes : 12,000 miles @ .655 0.0000 0.000 0.000 7,860.00 Conferences 0.0000 0.000 0.000 13,850.00 Total for Travel 21,710.00 7 Communication Telephone Communications 0.0000 0.000 0.000 2,700.00 Wi-Fi 0.0000 0.000 0.000 2,400.00 Total for Communication 5,100.00 8 County-City Central Services 9 Space Costs 10 All Others (ADP, Con. Employees, Misc.) Insurance 0.0000 0.000 0.000 5,575.00 IT Operations-laptops 0.0000 0.000 0.000 18,236.00 Staff Training 0.0000 0.000 0.000 1,500.00 Translation and Interpretation 0.0000 0.000 0.000 10,000.00 Incentives 0.0000 0.000 0.000 2,500.00 Total for All Others (ADP, Con. Employees, Misc.)37,811.00 Total Program Expenses 675,540.00 TOTAL DIRECT EXPENSES 675,540.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Health Adm Distribution 0.0000 0.000 0.000 87,033.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 141 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total Nursing Adm Distribution 0.0000 0.000 0.000 45,431.00 Total for Cost Allocation Plan / Other 132,464.00 Total Indirect Costs 132,464.00 TOTAL INDIRECT EXPENSES 132,464.00 TOTAL EXPENDITURES 808,004.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 142 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Oral Health- Kindergarten Assessment DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 43,404.00 43,404.00 2 Fringe Benefits 20,075.00 20,075.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 12,800.00 12,800.00 5 Supplies and Materials 20,751.00 20,751.00 6 Travel 3,120.00 3,120.00 7 Communication 540.00 540.00 8 County-City Central Services 0.00 0.00 9 Space Costs 0.00 0.00 10 All Others (ADP, Con. Employees, Misc.)3,913.00 3,913.00 Total Program Expenses 104,603.00 104,603.00 TOTAL DIRECT EXPENSES 104,603.00 104,603.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 20,243.00 20,243.00 Total Indirect Costs 20,243.00 20,243.00 TOTAL INDIRECT EXPENSES 20,243.00 20,243.00 TOTAL EXPENDITURES 124,846.00 124,846.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 143 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 110,597.00 110,597.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 14,249.00 0.00 14,249.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 124,846.00 110,597.00 14,249.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 144 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages Public Health Clerk Notes : PH Clerk Pos#P00002029 Andrea Addison 0.2404 51140.000 0.000 FTE 12,293.00 Coordinator 0.2404 70292.000 0.000 FTE 16,897.00 Dental Hygenist Notes : PH Dental Hygenist Pos#P00015844 VACANT 0.2404 59131.000 0.000 FTE 14,214.00 Total for Salary & Wages 43,404.00 2 Fringe Benefits Composite Rate Notes : FICA UNEMPLOYMENT INS RETIREMENT HOSPITAL INS LIFE INS VISION INS DENTAL INS WORK COMP SHORT AND LONG TERM DISABILITY 0.0000 46.251 43404.000 20,075.00 3 Cap. Exp. for Equip & Fac. 4 Contractual Professional Services Notes : Dr Joe 0.0000 0.000 0.000 12,800.00 5 Supplies and Materials Office Supplies 0.0000 0.000 0.000 500.00 Postage 0.0000 0.000 0.000 250.00 Printing 0.0000 0.000 0.000 5,254.00 Medical Supplies 0.0000 0.000 0.000 8,500.00 Educational Supplies 0.0000 0.000 0.000 3,747.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 145 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total Materials and Supplies 0.0000 0.000 0.000 2,500.00 Total for Supplies and Materials 20,751.00 6 Travel Mileage Notes : 4000miles * 0.655 per mile 0.0000 0.000 0.000 2,620.00 Conferences 0.0000 0.000 0.000 500.00 Total for Travel 3,120.00 7 Communication Telephone Communications 0.0000 0.000 0.000 540.00 8 County-City Central Services 9 Space Costs 10 All Others (ADP, Con. Employees, Misc.) Insurance 0.0000 0.000 0.000 913.00 Interpretation Fees 0.0000 0.000 0.000 2,000.00 Advertising 0.0000 0.000 0.000 1,000.00 Total for All Others (ADP, Con. Employees, Misc.)3,913.00 Total Program Expenses 104,603.00 TOTAL DIRECT EXPENSES 104,603.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Cost Allocation Plan Notes : 13.81% 0.0000 0.000 0.000 5,994.00 Health Adm Distribution 0.0000 0.000 0.000 14,249.00 Total for Cost Allocation Plan / Other 20,243.00 Total Indirect Costs 20,243.00 TOTAL INDIRECT EXPENSES 20,243.00 TOTAL EXPENDITURES 124,846.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 146 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Medicaid Outreach DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 494,910.00 494,910.00 2 Fringe Benefits 277,150.00 277,150.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 0.00 0.00 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 28,432.00 28,432.00 10 All Others (ADP, Con. Employees, Misc.)0.00 0.00 Total Program Expenses 800,492.00 800,492.00 TOTAL DIRECT EXPENSES 800,492.00 800,492.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 180,284.00 180,284.00 Total Indirect Costs 180,284.00 180,284.00 TOTAL INDIRECT EXPENSES 180,284.00 180,284.00 TOTAL EXPENDITURES 980,776.00 980,776.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 147 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 434,420.00 434,420.00 0.00 0.00 Required Match - Local 434,420.00 0.00 434,420.00 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 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 111,936.00 0.00 111,936.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 980,776.00 434,420.00 546,356.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 148 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages Multiple positons Notes : Amount determined based on time studies. 1.0000 494910.000 0.000 FTE 494,910.00 2 Fringe Benefits Composite Rate Notes : FICA UNEMPLOY RETIREMENT HOSPITAL LIFE INSURANCE VISION DENTAL WORKERS COMP SHORT/LONG TERM DISABILITY 0.0000 56.000 494910.000 277,150.00 3 Cap. Exp. for Equip & Fac. 4 Contractual 5 Supplies and Materials 6 Travel 7 Communication 8 County-City Central Services 9 Space Costs Office Space Rental 0.0000 0.000 0.000 28,432.00 10 All Others (ADP, Con. Employees, Misc.) Total Program Expenses 800,492.00 TOTAL DIRECT EXPENSES 800,492.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 149 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total Cost Allocation Plan Notes : 13.81% 0.0000 0.000 0.000 68,348.00 Health Adm Distribution 0.0000 0.000 0.000 111,936.00 Total for Cost Allocation Plan / Other 180,284.00 Total Indirect Costs 180,284.00 TOTAL INDIRECT EXPENSES 180,284.00 TOTAL EXPENDITURES 980,776.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 150 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / MCH - All Other DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 135,306.00 135,306.00 2 Fringe Benefits 83,120.00 83,120.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 0.00 0.00 5 Supplies and Materials 0.00 0.00 6 Travel 0.00 0.00 7 Communication 566.00 566.00 8 County-City Central Services 0.00 0.00 9 Space Costs 0.00 0.00 10 All Others (ADP, Con. Employees, Misc.)11,699.00 11,699.00 Total Program Expenses 230,691.00 230,691.00 TOTAL DIRECT EXPENSES 230,691.00 230,691.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 4,741,586.00 4,741,586.00 Total Indirect Costs 4,741,586.00 4,741,586.00 TOTAL INDIRECT EXPENSES 4,741,586.00 4,741,586.00 TOTAL EXPENDITURES 4,972,277.00 4,972,277.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 151 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 0.00 0.00 0.00 0.00 MCH Funding 249,377.00 249,377.00 0.00 0.00 Local Funds - Other 4,722,900.00 0.00 4,722,900.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 4,972,277.00 249,377.00 4,722,900.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 152 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages Nutritionist/Dietician Notes : Melinda Blesch Position P00005401 PH Nutritionist 2 0.4471 83003.802 0.000 FTE 37,111.00 Public Health Nurse Notes : Angela Varela Position P00003427 PH Nurse 2 0.7486 82452.000 0.000 FTE 61,724.00 Public Health Nurse Notes : Marybeth Reader Position P00003183 PH Nurse 2 0.4423 82457.000 0.000 FTE 36,471.00 Total for Salary & Wages 135,306.00 2 Fringe Benefits Composite Rate Notes : FICA, LIFE INS, DENTAL, UNEMPLOYMENT, VISION, WORK COMP, RETIREMENT, HOSPITALIZATION, SHORT/LONG TERM DISABILITY 0.0000 61.431 135306.000 83,120.00 3 Cap. Exp. for Equip & Fac. 4 Contractual 5 Supplies and Materials 6 Travel 7 Communication Telephone 0.0000 0.000 0.000 566.00 8 County-City Central Services 9 Space Costs 10 All Others (ADP, Con. Employees, Misc.) Info Tech Operations 0.0000 0.000 0.000 3,352.00 Insurance 0.0000 0.000 0.000 2,653.00 Incentives 0.0000 0.000 0.000 5,694.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 153 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total Total for All Others (ADP, Con. Employees, Misc.)11,699.00 Total Program Expenses 230,691.00 TOTAL DIRECT EXPENSES 230,691.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Cost Allocation Plan Notes : 13.81% 0.0000 0.000 0.000 18,686.00 Health Adm Distribution 0.0000 0.000 0.000 34,102.00 Other Cost Distributions-Nursing 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 55.12% 0.0000 0.000 0.000 4,622,503.00 Nursing Adm Distribution 0.0000 0.000 0.000 16,960.00 Other Cost Distributions- 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 1.727% 0.0000 0.000 0.000 49,335.00 Total for Cost Allocation Plan / Other 4,741,586.00 Total Indirect Costs 4,741,586.00 TOTAL INDIRECT EXPENSES 4,741,586.00 TOTAL EXPENDITURES 4,972,277.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 154 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / MDHHS-Essential Local Public Health Services (ELPHS) DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total 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 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 8,766,438.00 8,766,438.00 Total Indirect Costs 8,766,438.00 8,766,438.00 TOTAL INDIRECT EXPENSES 8,766,438.00 8,766,438.00 TOTAL EXPENDITURES 8,766,438.00 8,766,438.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 155 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 720,413.00 0.00 720,413.00 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 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 0.00 MDHHS Comprehensive 2,557,216.00 2,557,216.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 5,488,809.00 0.00 5,488,809.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 8,766,438.00 2,557,216.00 6,209,222.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 156 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total 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 Health Adm Distribution 0.0000 0.000 0.000 239,431.00 Nursing Adm Distribution 0.0000 0.000 0.000 189,159.00 Other Cost Distributions-MISC Distributions 0.0000 0.000 0.000 5,852,033.00 Federally Provided Vaccines 0.0000 0.000 0.000 720,413.00 Other Cost Distributions-Non Community Water & Std 0.0000 0.000 0.000 1,765,402.00 Total for Cost Allocation Plan / Other 8,766,438.00 Total Indirect Costs 8,766,438.00 TOTAL INDIRECT EXPENSES 8,766,438.00 TOTAL EXPENDITURES 8,766,438.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 157 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / FIMR Interviews DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total 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 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 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: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 158 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 0.00 0.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 0.00 0.00 0.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Sudden Infant Death Syndrome Fees 2,000.00 2,000.00 0.00 0.00 Totals 2,000.00 2,000.00 0.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 159 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total 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 Health Adm Distribution Notes : Cost Distributions for FIMR Interviews (SIDS) Fees from Health Adminstration 0.0000 0.000 0.000 2,000.00 Total Indirect Costs 2,000.00 TOTAL INDIRECT EXPENSES 2,000.00 TOTAL EXPENDITURES 2,000.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 160 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Statewide Lead Case Management - Fixed Fee DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total 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 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 54,255.00 54,255.00 Total Indirect Costs 54,255.00 54,255.00 TOTAL INDIRECT EXPENSES 54,255.00 54,255.00 TOTAL EXPENDITURES 54,255.00 54,255.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 161 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 0.00 0.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 0.00 0.00 0.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Statewide Lead Case Management Fees 54,255.00 54,255.00 0.00 0.00 Totals 54,255.00 54,255.00 0.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 162 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total 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 Cost Distributions for Fees- Reimb for Nurse Case Mgt visits Non MA 0.0000 0.000 0.000 54,255.00 Total Indirect Costs 54,255.00 TOTAL INDIRECT EXPENSES 54,255.00 TOTAL EXPENDITURES 54,255.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 163 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Sexually Transmitted Infection (STI) Control DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 40,049.00 40,049.00 2 Fringe Benefits 24,474.00 24,474.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 0.00 0.00 5 Supplies and Materials 211.00 211.00 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 Total Program Expenses 64,734.00 64,734.00 TOTAL DIRECT EXPENSES 64,734.00 64,734.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 18,747.00 18,747.00 Total Indirect Costs 18,747.00 18,747.00 TOTAL INDIRECT EXPENSES 18,747.00 18,747.00 TOTAL EXPENDITURES 83,481.00 83,481.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 164 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 70,265.00 70,265.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 13,216.00 0.00 13,216.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 83,481.00 70,265.00 13,216.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 165 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages Medical Technologist Notes : P. Lafroy-Wolff Position P00002106 Medical Technologist: This position is responsible for the preparation, analysis and result reporting of specimens collected in Oakland County Health Division's STI clinics. 0.4808 83297.000 0.000 FTE 40,049.00 2 Fringe Benefits Composite Rate Notes : FICA Unemployment Insurance Retirement Insurance Hospital Insurance Life Insurance Vision Insurance Dental Insurance Workers Comp Short and Long Term Disability Insurance 0.0000 61.110 40049.000 24,474.00 3 Cap. Exp. for Equip & Fac. 4 Contractual 5 Supplies and Materials Office Supplies 0.0000 0.000 0.000 211.00 6 Travel 7 Communication 8 County-City Central Services 9 Space Costs 10 All Others (ADP, Con. Employees, Misc.) Total Program Expenses 64,734.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 166 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total TOTAL DIRECT EXPENSES 64,734.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Health Adm Distribution 0.0000 0.000 0.000 13,216.00 Cost Allocation Plan Notes : 13.81% 0.0000 0.000 0.000 5,531.00 Total for Cost Allocation Plan / Other 18,747.00 Total Indirect Costs 18,747.00 TOTAL INDIRECT EXPENSES 18,747.00 TOTAL EXPENDITURES 83,481.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 167 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Tuberculosis (TB) Control DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total 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 81,475.00 81,475.00 6 Travel 3,200.00 3,200.00 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.)39,832.00 39,832.00 Total Program Expenses 124,507.00 124,507.00 TOTAL DIRECT EXPENSES 124,507.00 124,507.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 1,252,048.00 1,252,048.00 Total Indirect Costs 1,252,048.00 1,252,048.00 TOTAL INDIRECT EXPENSES 1,252,048.00 1,252,048.00 TOTAL EXPENDITURES 1,376,555.00 1,376,555.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 168 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 15,426.00 15,426.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 1,361,129.00 0.00 1,361,129.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 1,376,555.00 15,426.00 1,361,129.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 169 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages 2 Fringe Benefits 3 Cap. Exp. for Equip & Fac. 4 Contractual 5 Supplies and Materials Client Supp Material/Incentives Enablers Notes : TB GRANT 0.0000 0.000 0.000 1,000.00 Postage Notes : TB GRANT 0.0000 0.000 0.000 75.00 Medical Supplies Notes : TB GRANT 0.0000 0.000 0.000 100.00 Office Supplies Notes : TB GRANT 0.0000 0.000 0.000 300.00 Drugs Notes : COUNTY BUDGET 0.0000 0.000 0.000 80,000.00 Total for Supplies and Materials 81,475.00 6 Travel Client Transportation Notes : TB GRANT 0.0000 0.000 0.000 200.00 Conferences Notes : TB GRANT 0.0000 0.000 0.000 3,000.00 Total for Travel 3,200.00 7 Communication 8 County-City Central Services 9 Space Costs 10 All Others (ADP, Con. Employees, Misc.) Lab Fees Notes : TB GRANT $3,011.00 COUNTY BUDGET $8,000.00 0.0000 0.000 0.000 11,011.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 170 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total IT Print Services Notes : COUNTY BUDGET 0.0000 0.000 0.000 71.00 Professional Services Notes : COUNTY BUDGET 0.0000 0.000 0.000 11,910.00 TB Cases/Outside Notes : COUNTY BUDGET 0.0000 0.000 0.000 9,000.00 Translation & Interpretation Notes : TB GRANT $300.00 COUNTY BUDGET $100.00 0.0000 0.000 0.000 400.00 Software Support Maintenance Notes : TB GRANT 0.0000 0.000 0.000 7,440.00 Total for All Others (ADP, Con. Employees, Misc.)39,832.00 Total Program Expenses 124,507.00 TOTAL DIRECT EXPENSES 124,507.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Health Adm Distribution 0.0000 0.000 0.000 19,426.00 Nursing Adm Distribution 0.0000 0.000 0.000 17,436.00 Other Cost Distributions-Misc Distribution 0.0000 0.000 0.000 1,215,186.00 Total for Cost Allocation Plan / Other 1,252,048.00 Total Indirect Costs 1,252,048.00 TOTAL INDIRECT EXPENSES 1,252,048.00 TOTAL EXPENDITURES 1,376,555.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 171 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Vector-Borne Surveillance & Prevention DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 4,459.00 4,459.00 2 Fringe Benefits 2,286.00 2,286.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 0.00 0.00 5 Supplies and Materials 237.00 237.00 6 Travel 1,328.00 1,328.00 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.)74.00 74.00 Total Program Expenses 8,384.00 8,384.00 TOTAL DIRECT EXPENSES 8,384.00 8,384.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 1,776.00 1,776.00 Total Indirect Costs 1,776.00 1,776.00 TOTAL INDIRECT EXPENSES 1,776.00 1,776.00 TOTAL EXPENDITURES 10,160.00 10,160.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 172 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 9,000.00 9,000.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 1,160.00 0.00 1,160.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 10,160.00 9,000.00 1,160.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 173 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages Sanitarian Notes : Public Health Sanitarian Pos#00008128 Julia Reykdal 0.0250 80051.000 0.000 FTE 2,001.00 Sanitarian Notes : Senior PH Sanitarian J. Jacobs Position P00006721 0.0120 94990.000 0.000 FTE 1,141.00 Supervisor Notes : Program Supervisor D. McArthur/J. McCloskey Position P00012307 0.0024 106316.000 0.000 FTE 256.00 Epidemiologist Notes : M. Swain Position P00007258 0.0048 92241.000 0.000 FTE 443.00 Supervisor Notes : PH Sanitarian Supervisor Pos#P00012306 Deb McArthur 0.0048 106316.000 0.000 FTE 511.00 Public Health Chief Notes : Public Health Chief Pos#P0000746 Mark Hansell 0.0009 118888.000 0.000 FTE 107.00 Total for Salary & Wages 4,459.00 2 Fringe Benefits Composite Rate Notes : FICA Unemp Ins Retirement Hospital Insurance Life Insurance Vision Ins. Short/Long Term Disability Dental Insurance Work Comp 0.0000 51.270 4459.000 2,286.00 3 Cap. Exp. for Equip & Fac. 4 Contractual Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 174 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total 5 Supplies and Materials Materials & Supplies 0.0000 0.000 0.000 237.00 6 Travel Mileage Notes : 500 miles @.655 0.0000 0.000 0.000 328.00 Motor Pool Charges 0.0000 0.000 0.000 1,000.00 Total for Travel 1,328.00 7 Communication 8 County-City Central Services 9 Space Costs 10 All Others (ADP, Con. Employees, Misc.) Insurance 0.0000 0.000 0.000 74.00 Total Program Expenses 8,384.00 TOTAL DIRECT EXPENSES 8,384.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Cost Allocation Plan Notes : 13.81% 0.0000 0.000 0.000 616.00 Health Adm Distribution 0.0000 0.000 0.000 1,160.00 Total for Cost Allocation Plan / Other 1,776.00 Total Indirect Costs 1,776.00 TOTAL INDIRECT EXPENSES 1,776.00 TOTAL EXPENDITURES 10,160.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 175 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Immunization Fixed Fees DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total 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 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 25,000.00 25,000.00 Total Indirect Costs 25,000.00 25,000.00 TOTAL INDIRECT EXPENSES 25,000.00 25,000.00 TOTAL EXPENDITURES 25,000.00 25,000.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 176 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 0.00 0.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 0.00 0.00 0.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate IMM: VFC - AFIX Visits 25,000.00 25,000.00 0.00 0.00 Totals 25,000.00 25,000.00 0.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 177 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total 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 Cost Distributions for Fees-from IAP 0.0000 0.000 0.000 25,000.00 Total Indirect Costs 25,000.00 TOTAL INDIRECT EXPENSES 25,000.00 TOTAL EXPENDITURES 25,000.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 178 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Vision ELPHS DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 419,038.00 419,038.00 2 Fringe Benefits 116,438.00 116,438.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 0.00 0.00 5 Supplies and Materials 11,024.00 11,024.00 6 Travel 10,362.00 10,362.00 7 Communication 1,208.00 1,208.00 8 County-City Central Services 0.00 0.00 9 Space Costs 8,766.00 8,766.00 10 All Others (ADP, Con. Employees, Misc.)10,725.00 10,725.00 Total Program Expenses 577,561.00 577,561.00 TOTAL DIRECT EXPENSES 577,561.00 577,561.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 359,179.00 359,179.00 Total Indirect Costs 359,179.00 359,179.00 TOTAL INDIRECT EXPENSES 359,179.00 359,179.00 TOTAL EXPENDITURES 936,740.00 936,740.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 179 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 253,968.00 253,968.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 682,772.00 0.00 682,772.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 936,740.00 253,968.00 682,772.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 180 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages Supervisor Notes : S. Jodway Position P00011503 Hearing and Vision Tech Supervisor 1.0000 70082.000 0.000 FTE 70,082.00 Technician Notes : Evelyn James Position P00000632 PH Tech 0.4567 45581.000 0.000 FTE 20,818.00 Technician Notes : Terri Alcocer Position P00000633 PH Tech 0.3846 51140.000 0.000 FTE 19,669.00 Technician Notes : Kelly Feld Position P00000634 PH Tech 0.4567 43728.000 0.000 FTE 19,972.00 Technician Notes : Kim Ferrell Position P00000636 PH Tech 0.4567 40022.000 0.000 FTE 18,279.00 Technician Notes : Theresa Pechy Position P0012316 PH Tech 0.4087 51135.000 0.000 FTE 20,899.00 Technician Notes : Natalie Hall Position P00012317 PH Tech 0.4087 45628.000 0.000 FTE 18,648.00 Technician Notes : Lisa Arden Position P00012318 PH Tech 0.4087 47428.000 0.000 FTE 19,384.00 Technician Notes : Meghan O'Connell Position P00012319 PH Tech 0.3606 41872.000 0.000 FTE 15,099.00 Technician Notes : Karen Peterson Position P00000639 PH Tech 0.4567 41879.000 0.000 FTE 19,126.00 Technician Notes : Vacant Position 0.4567 40022.000 0.000 FTE 18,279.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 181 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total P00000644 PH Tech Technician Notes : Vacant Position P00012315 PH Tech 0.2404 40022.000 0.000 FTE 9,621.00 Technician Notes : Kimberly Shepard Position P00003672 PH Tech 0.4567 45581.000 0.000 FTE 20,818.00 Technician Notes : Vacant Position P00010836 PH Tech 0.1923 40022.000 0.000 FTE 7,697.00 Technician Notes : Vacant Position P00010839 PH Tech 0.2164 40014.000 0.000 FTE 8,659.00 Technician Notes : Kathryn Buchler Position P00010840 PH Tech 0.4567 41879.000 0.000 FTE 19,126.00 Supervisor Notes : Diane Ferber Position P00001917 Hearing and Vision Program Supervisor 0.5000 106316.000 0.000 FTE 53,158.00 Auxillary Health Clerk Notes : Billie-Jean Wright Position P00006736 Aux Health Clerk 0.3000 56381.000 0.000 FTE 16,914.00 Clerk Notes : Soon to be vacant Position P00002891 PH Clerk 2 0.5000 45580.000 0.000 FTE 22,790.00 Total for Salary & Wages 419,038.00 2 Fringe Benefits Composite Rate Notes : FICA UNEMPLOYMENT INS RETIREMENT HOSPITAL INS LIFE INS VISION INS HEARING INS DENTAL INS 0.0000 27.787 419038.000 116,438.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 182 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total WORK COMP SHORT/LONG TERM DISABILITY 3 Cap. Exp. for Equip & Fac. 4 Contractual 5 Supplies and Materials Office Supplies 0.0000 0.000 0.000 1,060.00 Printing 0.0000 0.000 0.000 2,173.00 Postage 0.0000 0.000 0.000 6,890.00 Medical Supplies 0.0000 0.000 0.000 901.00 Total for Supplies and Materials 11,024.00 6 Travel Personal Mileage Notes : $0.655 per mile 0.0000 0.000 0.000 10,362.00 7 Communication Telephone 0.0000 0.000 0.000 1,208.00 8 County-City Central Services 9 Space Costs Space/Rental Costs 0.0000 0.000 0.000 8,766.00 10 All Others (ADP, Con. Employees, Misc.) Staff Training 0.0000 0.000 0.000 2,279.00 Equipment Repair 0.0000 0.000 0.000 1,617.00 IT Print Services 0.0000 0.000 0.000 338.00 Insurance 0.0000 0.000 0.000 3,761.00 Interpreter Fees 0.0000 0.000 0.000 80.00 Expendable Equipment 0.0000 0.000 0.000 2,650.00 Total for All Others (ADP, Con. Employees, Misc.)10,725.00 Total Program Expenses 577,561.00 TOTAL DIRECT EXPENSES 577,561.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 183 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total 2 Cost Allocation Plan / Other Cost Allocation Plan Notes : 13.81% 0.0000 0.000 0.000 57,869.00 Health Adm Distribution 0.0000 0.000 0.000 81,865.00 Other Cost Distributions-Misc Distribution 0.0000 0.000 0.000 219,445.00 Total for Cost Allocation Plan / Other 359,179.00 Total Indirect Costs 359,179.00 TOTAL INDIRECT EXPENSES 359,179.00 TOTAL EXPENDITURES 936,740.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 184 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / Immunization Vaccine Quality Assurance DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 2,441,870.00 2,441,870.00 2 Fringe Benefits 1,302,855.00 1,302,855.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 0.00 0.00 5 Supplies and Materials 1,323,604.00 1,323,604.00 6 Travel 8,000.00 8,000.00 7 Communication 29,364.00 29,364.00 8 County-City Central Services 0.00 0.00 9 Space Costs 114,244.00 114,244.00 10 All Others (ADP, Con. Employees, Misc.)395,617.00 395,617.00 Total Program Expenses 5,615,554.00 5,615,554.00 TOTAL DIRECT EXPENSES 5,615,554.00 5,615,554.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other -4,719,700.00 -4,719,700.00 Total Indirect Costs -4,719,700.00 -4,719,700.00 TOTAL INDIRECT EXPENSES -4,719,700.00 -4,719,700.00 TOTAL EXPENDITURES 895,854.00 895,854.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 185 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 705,507.00 0.00 705,507.00 0.00 Fees and Collections - 3rd Party 85,000.00 0.00 85,000.00 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 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 0.00 MDHHS Comprehensive 105,347.00 105,347.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 0.00 0.00 0.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 895,854.00 105,347.00 790,507.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 186 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages Coordinator Notes : VQA GRANT Vaccine Supply Coordinator L. HIghfield Position P00002436 0.9399 62161.000 0.000 FTE 58,425.00 PH Clinic Nurses-COUNTY BUDGET 1.0000 2383445.000 0.000 FTE 2,383,445.00 Total for Salary & Wages 2,441,870.00 2 Fringe Benefits Composite Rate Notes : FICA Unemployment Insurance Retirement Insurance Hospital Insurance Life Insurance Vision Insurance Dental Insurance Workers Comp Short and Long Term Disability Insurance VQA GRANT 0.0000 64.809 58425.000 37,865.00 Composite Rate - COUNTY BUDGET Notes : FICA Unemployment Insurance Retirement Insurance Hospital Insurance Life Insurance Vision Insurance Dental Insurance Workers Comp Short and Long Term Disability Insurance 0.0000 53.074 2383445.00 0 1,264,990.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 187 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total Total for Fringe Benefits 1,302,855.00 3 Cap. Exp. for Equip & Fac. 4 Contractual 5 Supplies and Materials Drugs/Vaccines-COUNTY BUDGET 0.0000 0.000 0.000 1,244,685.00 Medical Supply-COUNTY BUDGET 0.0000 0.000 0.000 64,900.00 Office Supplies-COUNTY BUDGET 0.0000 0.000 0.000 10,000.00 Printing-COUNTY BUDGET 0.0000 0.000 0.000 3,900.00 Materials & Supplies - VQA GRANT Notes : VQA GRANT 0.0000 0.000 0.000 119.00 Total for Supplies and Materials 1,323,604.00 6 Travel Mileage Notes : COUNTY BUDGET 0.655 per mile 0.0000 0.000 0.000 4,000.00 Conferences Notes : COUNTY BUDGET 0.0000 0.000 0.000 3,800.00 Transportation of Clients- COUNTY BUDGET 0.0000 0.000 0.000 200.00 Total for Travel 8,000.00 7 Communication Telephone-COUNTY BUDGET 0.0000 0.000 0.000 29,364.00 8 County-City Central Services 9 Space Costs Space/Rental Costs Notes : COUNTY BUDGET 0.0000 0.000 0.000 114,244.00 10 All Others (ADP, Con. Employees, Misc.) Insurance Notes : VQA GRANT 0.0000 0.000 0.000 869.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 188 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total Insurance Notes : COUNTY BUDGET 0.0000 0.000 0.000 15,368.00 Professional Services-COUNTY BUDGET 0.0000 0.000 0.000 1,500.00 IT Oper-COUNTY BUDGET 0.0000 0.000 0.000 209,496.00 Staff Training Notes : COUNTY BUDGET 0.0000 0.000 0.000 200.00 Laundry-COUNTY BUDGET 0.0000 0.000 0.000 74,430.00 Uniforms-COUNTY BUDGET Notes : COUNTY BUDGET 0.0000 0.000 0.000 81,351.00 Interpreter Fees - COUNTY BUDGET Notes : COUNTY BUDGET 0.0000 0.000 0.000 1,000.00 Equipment Rental - COUNTY BUDGET 0.0000 0.000 0.000 840.00 IT Managed Print Svs - COUNTY BUDGET 0.0000 0.000 0.000 2,322.00 Employee License-Cert COUNTY BUDGET 0.0000 0.000 0.000 4,241.00 Equipment Repair Notes : COUNTY BUDGET 0.0000 0.000 0.000 4,000.00 Total for All Others (ADP, Con. Employees, Misc.)395,617.00 Total Program Expenses 5,615,554.00 TOTAL DIRECT EXPENSES 5,615,554.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Cost Allocation Plan Notes : VQA GRANT 13.81% 0.0000 0.000 0.000 8,068.00 Cost Allocation Plan Notes : 13.81% COUNTY BUDGET 0.0000 0.000 0.000 329,154.00 Health Adm Distribution 0.0000 0.000 0.000 766,920.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 189 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total Nursing Adm Distribution 0.0000 0.000 0.000 400,332.00 Other Cost Distributions-Misc Distributions 0.0000 0.000 0.000 -6,224,174.00 Total for Cost Allocation Plan / Other -4,719,700.00 Total Indirect Costs -4,719,700.00 TOTAL INDIRECT EXPENSES -4,719,700.00 TOTAL EXPENDITURES 895,854.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 190 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / WIC Breastfeeding DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 91,455.00 91,455.00 2 Fringe Benefits 74,462.00 74,462.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 84,867.00 84,867.00 5 Supplies and Materials 175.00 175.00 6 Travel 59.00 59.00 7 Communication 1,500.00 1,500.00 8 County-City Central Services 0.00 0.00 9 Space Costs 0.00 0.00 10 All Others (ADP, Con. Employees, Misc.)2,471.00 2,471.00 Total Program Expenses 254,989.00 254,989.00 TOTAL DIRECT EXPENSES 254,989.00 254,989.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 47,108.00 47,108.00 Total Indirect Costs 47,108.00 47,108.00 TOTAL INDIRECT EXPENSES 47,108.00 47,108.00 TOTAL EXPENDITURES 302,097.00 302,097.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 191 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 267,619.00 267,619.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 34,478.00 0.00 34,478.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 302,097.00 267,619.00 34,478.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 192 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages Lactation Specialist Notes : T. Brickey Position P00011579 1.0000 42924.000 0.000 FTE 42,924.00 Lactation Specialist Notes : S. Palanjian Position P00015436 1.0000 42924.000 0.000 FTE 42,924.00 Nutritionist/Dietician 0.0673 83301.000 0.000 FTE 5,607.00 Total for Salary & Wages 91,455.00 2 Fringe Benefits Composite Rate Notes : FICA UNEMP INS RETIREMENT HOSPITAL INS LIFE INS VISION INS DENTAL INS WORK COMP SHORT/LONG TERM DISABILITY 0.0000 81.419 91455.000 74,462.00 3 Cap. Exp. for Equip & Fac. 4 Contractual Subcontracting Agency-OLSHA Notes : OLSHA 0.0000 0.000 0.000 84,867.00 5 Supplies and Materials Office Supplies 0.0000 0.000 0.000 75.00 Printing 0.0000 0.000 0.000 50.00 Postage 0.0000 0.000 0.000 50.00 Total for Supplies and Materials 175.00 6 Travel Mileage 0.0000 0.000 0.000 59.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 193 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total Notes : 90 miles * 0.655 per mile 7 Communication Telephone Communications 0.0000 0.000 0.000 1,500.00 8 County-City Central Services 9 Space Costs 10 All Others (ADP, Con. Employees, Misc.) Insurance 0.0000 0.000 0.000 2,267.00 Interpretation 0.0000 0.000 0.000 204.00 Total for All Others (ADP, Con. Employees, Misc.)2,471.00 Total Program Expenses 254,989.00 TOTAL DIRECT EXPENSES 254,989.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Cost Allocation Plan Notes : 13.81% 0.0000 0.000 0.000 12,630.00 Health Adm Distribution 0.0000 0.000 0.000 34,478.00 Total for Cost Allocation Plan / Other 47,108.00 Total Indirect Costs 47,108.00 TOTAL INDIRECT EXPENSES 47,108.00 TOTAL EXPENDITURES 302,097.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 194 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / WIC Resident Services DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 1,098,078.00 1,098,078.00 2 Fringe Benefits 683,718.00 683,718.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 522,000.00 522,000.00 5 Supplies and Materials 19,780.00 19,780.00 6 Travel 1,024.00 1,024.00 7 Communication 7,920.00 7,920.00 8 County-City Central Services 0.00 0.00 9 Space Costs 57,177.00 57,177.00 10 All Others (ADP, Con. Employees, Misc.)74,528.00 74,528.00 Total Program Expenses 2,464,225.00 2,464,225.00 TOTAL DIRECT EXPENSES 2,464,225.00 2,464,225.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 610,721.00 610,721.00 Total Indirect Costs 610,721.00 610,721.00 TOTAL INDIRECT EXPENSES 610,721.00 610,721.00 TOTAL EXPENDITURES 3,074,946.00 3,074,946.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 195 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 2,615,870.00 2,615,870.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 459,076.00 0.00 459,076.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 3,074,946.00 2,615,870.00 459,076.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 196 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages Supervisor Notes : Lisa Banks Position P00001865 PH Nutrition Supervisor 1.0000 106316.000 0.000 FTE 106,316.00 Supervisor Notes : Kai Scott Position P00000958 Office Supervisor 2 1.0000 61869.000 0.000 FTE 61,869.00 Supervisor Notes : Katharine Beszka Position P00003073 Office Supervisor 2 1.0000 75556.000 0.000 FTE 75,556.00 Clerk Notes : Latoya Anderson Position P00001328 Aux Health Clerk 1.0000 56381.000 0.000 FTE 56,381.00 Clerk Notes : Nicole Case Position P00000674 Aux Health Clerk 1.0000 56381.000 0.000 FTE 56,381.00 Clerk Notes : Linda Crowder Position P00004771 Aux Health Clerk 1.0000 46167.000 0.000 FTE 46,167.00 Clerk Notes : Joyce Heenan Position P00007563 Aux Health Clerk 1.0000 56381.000 0.000 FTE 56,381.00 Clerk Notes : Josh Hutson Position P00007384 Aux Health Clerk 1.0000 56381.000 0.000 FTE 56,381.00 Technician Notes : Cathrice Bacon Position P00002509 Nutrition Tech - WIC 1.0000 59200.000 0.000 FTE 59,200.00 Technician Notes : Vacant Position P00007382 Nutrition Tech - WIC 0.1202 46330.000 0.000 FTE 5,569.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 197 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total Technician Notes : Olivia Schuelke Position P00007562 Nutrition Tech - WIC 1.0000 59200.000 0.000 FTE 59,200.00 Technician Notes : Tammy Shaffer Position P00005234 Nutrition Technician 1.0000 59200.000 0.000 FTE 59,200.00 Technician Notes : Debra Calhoun Position P00005233 Nutrition Technician 1.0000 57055.000 0.000 FTE 57,055.00 Nutritionist/Dietician Notes : Amanda Vagts Position P00000912 PH Nutritionist 0.9327 83301.000 0.000 FTE 77,694.00 Nutritionist/Dietician Notes : Jennifer Cook Position P00002074 PH Nutritionist 2 1.0000 59131.000 0.000 FTE 59,131.00 Nutritionist/Dietician Notes : M. Seefelt Position P00005693 PH Nutritionist 2 1.0000 75557.000 0.000 FTE 75,557.00 Nutritionist/Dietician Notes : Jez Vedua-Cardenas Position P00007381 PH Nutritionist 3 1.0000 80283.000 0.000 FTE 80,283.00 Technician Notes : Teresa Saputo Position P00005235 Nutrition Technician 1.0000 48476.000 0.000 FTE 48,476.00 OCHD Staff Overtime - Various positions 1.0000 1281.000 0.000 FTE 1,281.00 Total for Salary & Wages 1,098,078.00 2 Fringe Benefits Composite Rate Notes : FICA UNEMPLOYMENT INS RETIREMENT HOSPITAL INS LIFE INS VISION INS DENTAL INS WORK COMP 0.0000 62.265 1098078.00 0 683,718.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 198 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total SHORT AND LONG TERM DISABILITY 3 Cap. Exp. for Equip & Fac. 4 Contractual Subcontracting Agency-OLSHA- WIC svcs in Oakland Co. 0.0000 0.000 0.000 522,000.00 5 Supplies and Materials Office Supplies 0.0000 0.000 0.000 2,000.00 Medical Supplies 0.0000 0.000 0.000 6,000.00 Educational Supplies 0.0000 0.000 0.000 2,100.00 Postage 0.0000 0.000 0.000 5,180.00 Printing 0.0000 0.000 0.000 3,500.00 Materials & Supplies 0.0000 0.000 0.000 500.00 Computer Supplies 0.0000 0.000 0.000 500.00 Total for Supplies and Materials 19,780.00 6 Travel Mileage Notes : 800 Miles * 0.655 per mile 0.0000 0.000 0.000 524.00 Conferences 0.0000 0.000 0.000 500.00 Total for Travel 1,024.00 7 Communication Telephone 0.0000 0.000 0.000 7,920.00 8 County-City Central Services 9 Space Costs Space/Rental Costs 0.0000 0.000 0.000 37,892.00 Rent 0.0000 0.000 0.000 19,285.00 Total for Space Costs 57,177.00 10 All Others (ADP, Con. Employees, Misc.) Insurance 0.0000 0.000 0.000 22,180.00 Equipment Maintenance 0.0000 0.000 0.000 850.00 Info Tech Print Managed Svcs 0.0000 0.000 0.000 3,500.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 199 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total IT Operations 0.0000 0.000 0.000 42,440.00 Staff Training 0.0000 0.000 0.000 500.00 Interpretation 0.0000 0.000 0.000 4,458.00 Laundry & Cleaning 0.0000 0.000 0.000 600.00 Total for All Others (ADP, Con. Employees, Misc.)74,528.00 Total Program Expenses 2,464,225.00 TOTAL DIRECT EXPENSES 2,464,225.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Cost Allocation Plan Notes : 13.81% 0.0000 0.000 0.000 151,645.00 Health Adm Distribution 0.0000 0.000 0.000 337,013.00 Other Cost Distributions-Misc Distributions 0.0000 0.000 0.000 122,063.00 Total for Cost Allocation Plan / Other 610,721.00 Total Indirect Costs 610,721.00 TOTAL INDIRECT EXPENSES 610,721.00 TOTAL EXPENDITURES 3,074,946.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 200 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / West Nile Virus Community Surveillance DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 3,810.00 3,810.00 2 Fringe Benefits 1,954.00 1,954.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 0.00 0.00 5 Supplies and Materials 1,980.00 1,980.00 6 Travel 1,647.00 1,647.00 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.)83.00 83.00 Total Program Expenses 9,474.00 9,474.00 TOTAL DIRECT EXPENSES 9,474.00 9,474.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 0.00 0.00 2 Cost Allocation Plan / Other 1,814.00 1,814.00 Total Indirect Costs 1,814.00 1,814.00 TOTAL INDIRECT EXPENSES 1,814.00 1,814.00 TOTAL EXPENDITURES 11,288.00 11,288.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 201 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 10,000.00 10,000.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 1,288.00 0.00 1,288.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 11,288.00 10,000.00 1,288.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 202 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total DIRECT EXPENSES Program Expenses 1 Salary & Wages Sanitarian Notes : Senior PH Sanitarian J Reykdal Pos#P00008128 0.0221 80051.000 0.000 FTE 1,770.00 Sanitarian Notes : Senior PH Sanitarian J. Jacobs Position P00006721 0.0096 94953.000 0.000 FTE 913.00 Epidemiologist Notes : M. Swain Position P00007258 0.0038 93300.000 0.000 FTE 355.00 Supervisor Notes : PH Sanitarian Supervisor J McClosky Pos#P00012307 0.0024 106316.000 0.000 FTE 256.00 Supervisor Notes : PH Sanitarian Supervisor Pos#P00012306 D McArthur 0.0038 107500.000 0.000 FTE 409.00 PH Chief Notes : PH Chief M Hansell Pos#P00000746 0.0009 119000.000 0.000 FTE 107.00 Total for Salary & Wages 3,810.00 2 Fringe Benefits Composite Rate Notes : FICA, UNEMP INS, RETIREMENT, HOSP INS, LIFE INS, VISION INS, DENTAL INS, WORK COMP, SHORT/LONG TERM DISABILITY 0.0000 51.290 3810.000 1,954.00 3 Cap. Exp. for Equip & Fac. 4 Contractual 5 Supplies and Materials Testing Materials 0.0000 0.000 0.000 1,000.00 Supplies & Materials 0.0000 0.000 0.000 980.00 Total for Supplies and Materials 1,980.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 203 of 210 Contract # 20240239-00 Date: 08/31/2023 Line Item Qty Rate Units UOM Total 6 Travel Mileage Notes : 1,000 miles @ .655 0.0000 0.000 0.000 665.00 Motor Pool Charges 0.0000 0.000 0.000 982.00 Total for Travel 1,647.00 7 Communication 8 County-City Central Services 9 Space Costs 10 All Others (ADP, Con. Employees, Misc.) Insurance 0.0000 0.000 0.000 83.00 Total Program Expenses 9,474.00 TOTAL DIRECT EXPENSES 9,474.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 2 Cost Allocation Plan / Other Cost Allocation Plan Notes : 13.81% 0.0000 0.000 0.000 526.00 Health Adm Distribution 0.0000 0.000 0.000 1,288.00 Total for Cost Allocation Plan / Other 1,814.00 Total Indirect Costs 1,814.00 TOTAL INDIRECT EXPENSES 1,814.00 TOTAL EXPENDITURES 11,288.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 204 of 210 Contract # 20240239-00 Date: 08/31/2023 1 Program Budget Summary PROGRAM / PROJECT Local Health Department - 2024 / EGLE Drinking Water and Onsite Wastewater Management DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341-1032 FEDERAL ID NUMBER 38-6004876 Category Total 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 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 3,180,868.00 3,180,868.00 Total Indirect Costs 3,180,868.00 3,180,868.00 TOTAL INDIRECT EXPENSES 3,180,868.00 3,180,868.00 TOTAL EXPENDITURES 3,180,868.00 3,180,868.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 205 of 210 Contract # 20240239-00 Date: 08/31/2023 2 Program Budget - Source of Funds SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Source of Funds Fees and Collections - 1st and 2nd Party 0.00 0.00 0.00 0.00 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 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 0.00 MDHHS Comprehensive 985,042.00 985,042.00 0.00 0.00 MCH Funding 0.00 0.00 0.00 0.00 Local Funds - Other 2,195,826.00 0.00 2,195,826.00 0.00 Inkind Match 0.00 0.00 0.00 0.00 MDHHS Fixed Unit Rate Totals 3,180,868.00 985,042.00 2,195,826.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 206 of 210 Contract # 20240239-00 Date: 08/31/2023 3 Program Budget - Cost Detail Line Item Qty Rate Units UOM Total 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 Environmental Hlth Adm Distribution 0.0000 0.000 0.000 2,138,307.00 Health Adm Distribution 0.0000 0.000 0.000 795,765.00 Other Cost Distributions-Misc Distribution 0.0000 0.000 0.000 246,796.00 Total for Cost Allocation Plan / Other 3,180,868.00 Total Indirect Costs 3,180,868.00 TOTAL INDIRECT EXPENSES 3,180,868.00 TOTAL EXPENDITURES 3,180,868.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 207 of 210 Contract # 20240239-00 Date: 08/31/2023 Summary of Budget PROGRAM / PROJECT Local Health Department - 2024 / Local Health Department - 2024 DATE PREPARED 9/25/2023 CONTRACTOR NAME Oakland County Department of Health and Human Services/ Health Division BUDGET PERIOD From : 10/1/2023 To : 9/30/2024 MAILING ADDRESS (Number and Street) 1200 N. Telegraph Rd. 34 East BUDGET AGREEMENT Original Amendment AMENDMENT # 0 CITY Pontiac STATE MI ZIP CODE 48341- 1032 FEDERAL ID NUMBER 38-6004876 Category Total Amount DIRECT EXPENSES Program Expenses 1 Salary & Wages 20,612,857.00 20,612,857.00 2 Fringe Benefits 11,001,246.00 11,001,246.00 3 Cap. Exp. for Equip & Fac.0.00 0.00 4 Contractual 766,461.00 766,461.00 5 Supplies and Materials 2,127,888.00 2,127,888.00 6 Travel 402,296.00 402,296.00 7 Communication 282,021.00 282,021.00 8 County-City Central Services 0.00 0.00 9 Space Costs 1,875,836.00 1,875,836.00 10 All Others (ADP, Con. Employees, Misc.)3,219,869.00 3,219,869.00 Total Program Expenses 40,288,474.00 40,288,474.00 TOTAL DIRECT EXPENSES 40,288,474.00 40,288,474.00 INDIRECT EXPENSES Indirect Costs 1 Indirect Costs 1,892,521.00 1,892,521.00 2 Cost Allocation Plan / Other 7,174,841.00 7,174,841.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 208 of 210 Contract # 20240239-00 Date: 08/31/2023 Total Indirect Costs 9,067,362.00 9,067,362.00 TOTAL INDIRECT EXPENSES 9,067,362.00 9,067,362.00 TOTAL EXPENDITURES 49,355,836.00 49,355,836.00 SOURCE OF FUNDS Category Total Amount Cash Inkind 1 Fees and Collections - 1st and 2nd Party 3,927,923.00 0.00 3,927,923.00 0.00 2 Fees and Collections - 3rd Party 241,000.00 0.00 241,000.00 0.00 3 Federal or State (Non MDHHS) 2,463,226.00 0.00 2,463,226.00 0.00 4 Federal Cost Based Reimbursement 0.00 0.00 0.00 0.00 5 Federally Provided Vaccines 720,413.00 0.00 720,413.00 0.00 6 Federal Medicaid Outreach 547,764.00 547,764.00 0.00 0.00 7 Required Match - Local 589,664.00 0.00 589,664.00 0.00 8 Local Non-ELPHS 0.00 0.00 0.00 0.00 9 Local Non-ELPHS 0.00 0.00 0.00 0.00 10 Local Non-ELPHS 0.00 0.00 0.00 0.00 11 Other Non-ELPHS 0.00 0.00 0.00 0.00 12 MDHHS Non Comprehensive 0.00 0.00 0.00 0.00 13 MDHHS Comprehensive 11,774,789.0 0 11,774,789. 00 0.00 0.00 14 MCH Funding 321,457.00 321,457.00 0.00 0.00 15 Local Funds - Other 28,322,071.0 0 0.00 28,322,071.0 0 0.00 16 Inkind Match 0.00 0.00 0.00 0.00 17 MDHHS Fixed Unit Rate 447,529.00 447,529.00 0.00 0.00 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 209 of 210 Contract # 20240239-00 Date: 08/31/2023 TOTAL 49,355,836.0 0 13,091,539. 00 36,264,297.0 0 0.00 Source of Funds Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 210 of 210 GRANT REVIEW SIGN-OFF – Health & Human Services/Health GRANT NAME: FY 2024 Local Health Department (Comprehensive) Agreement FUNDING AGENCY: Michigan Department of Health & Human Services (MDHHS) DEPARTMENT CONTACT PERSON: Stacey Smith 248-452-2151 STATUS: Amendment (Less than 15% Variance from Current Award) DATE: 11/17/2023 Original grant contract authorized by MR #2023-3305 SUMMARY: To add the OLHSA subrecipient agreement. Corporation Counsel: Approved. – Bradley Benn (11/13/2023) Please be advised that the captioned grant materials have completed internal grant review. Below are the returned comments. The Board of Commissioners’ liaison committee resolution and grant amendment package (which should include this sign-off and the grant amendment with related documentation) should be placed on the next agenda(s) of the appropriate Board of Commissioners’ committee(s) for grant amendment by Board resolution. _________________________________________________________________________________________________________________ FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT SUBRECIPIENT AGREEMENT BETWEEN THE COUNTY OF OAKLAND AND OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA) Page 1 of 22 FY 2024 MDHHS LOCAL HEALTH DEPARTMENT COMPREHENSIVE AGREEMENT SUBRECIPIENT AGREEMENT BETWEEN THE COUNTY OF OAKLAND AND OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA) Unique Entity Identifier #:J25FVSQGPKM1 This Agreement is made between Oakland County, a Constitutional Corporation, 1200 North Telegraph, Pontiac, Michigan 48341 ("County") and Oakland Livingston Human Service Agency (OLHSA), 196 Cesar E. Chavez Ave., Pontiac, Michigan 48343-0598, a Michigan Municipal Corporation ("Subrecipient"). The County and Subrecipient shall be collectively referred to as the “Parties.” Part I 1.Purpose: The Parties enter into this Agreement for the purpose of delineating their relationship and responsibilities regarding the County’s use of Grant funds to reimburse the Subrecipient to implement WIC Resident and WIC Breastfeeding Peer Counseling Services. The County has entered into a Grant Agreement with the State of Michigan (State) where the County is eligible to receive reimbursement for facilitating the delivery of public health services to the citizens of Michigan within its jurisdiction. The County intends to use a portion of the Grant funds to reimburse the Subrecipient, as described below, subject to the terms and conditions of this Agreement. In consideration of the mutual promises, obligations, representations, and assurances in this Agreement, the Parties agree to the following: 2.Period of Agreement: This Agreement will commence on October 1, 2023, and continue through September 30, 2024. No service will be provided and no costs to the County will be incurred by the Subrecipient outside tthe Period of the Agreement. This Agreement is in full force and effect for the period specified. 3.Program Budget and Agreement Amount: A. Agreement Amount The total amount of the federal award committed to the Subrecipient under this Agreement is not DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 _________________________________________________________________________________________________________________ FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT SUBRECIPIENT AGREEMENT BETWEEN THE COUNTY OF OAKLAND AND OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA) Page 2 of 22 to exceed $604,848 and is allocated as follows: •$84,867– WIC Breastfeeding Peer Counseling Funding to fund 1.5 FTE peer counseling time and does not include supervisor or mentor time. Oakland County Health Division WIC program will provide Oakland Livingston Human Service Agency’s IBCLC services. •$519,981 – WIC Resident Services and reflects a budget submitted by OLHSA and approved by OCHD and State WIC to achieve an average monthly caseload of 3,676. Any adjustment to the total amount of this Agreement, must be made in writing and executed by all parties to this Agreement before the modifications can be implemented. The grant Agreement is designated as a: X Subrecipient relationship (federal funding); or Recipient (non-federal funding). The grant Agreement is designated as: Research and development project; or X Not a research and development project. B. Identification of Federal Dollars Awarded CFDA Title: Special Supplemental Nutrition Program for Women, Infants and Children CFDA Number: 10.557 Award Name: Women Infants and Children Award Number (FAIN): 232MI003W1003 Award Date: 10/18/22 CFDA Number: 10.557 Award Name: Women Infants and Children Breastfeeding Peer Counseling Program Award Number (FAIN): 232MI013W5003 Federal Agency Name: USDA Food and Nutrition Services Awarding Official Contact Information: Cecilia Hutson, Manager, Financial Management & FMNP Section Period of Performance: October 1, 2022, through September 30, 2023 Pass Through Entity (PTE): Michigan Department of Health & Human Services (MDHHS) DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 _________________________________________________________________________________________________________________ FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT SUBRECIPIENT AGREEMENT BETWEEN THE COUNTY OF OAKLAND AND OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA) Page 3 of 22 MDHHS Indirect Cost Rate: 10% De Minimis C. Equipment Purchases and Title Subrecipient will not purchase capital assets or equipment using funds from this Agreement without the approval of the County. 4.Statement of Work: The Subrecipient agrees to undertake, perform and complete the services described in Attachment A, which is part of this Agreement through reference. 5.Financial Requirements: The financial requirements shall be followed as described in Part II of this Agreement and Attachments B1 through B4, which are part of this Agreement. 6.Performance/Progress Report Requirements: The progress reporting methods shall be followed as described in Part II and Attachment C, which are part of this Agreement. 7.General Provisions: The Subrecipient agrees to comply with the General Provisions outlined in Part II, which are part of this Agreement. The Subrecipient also agrees that it will comply with all of the terms and conditions of the County’s Grant Agreement with the State (Grant Agreement), which is included and incorporated into this Agreement as Attachment E. In the event of a conflict between the Grant Agreement and this Agreement or any subcontract, the provisions of the Grant Agreement will prevail. 8.Administration of the Agreement: The person acting for the County in administering this Agreement (hereinafter referred to as the Project Manager) is: Lisa McKay-Chiasson, Public Health Administrator (248) 858-1395 mckay- chiassonl@oakgov.com 9.Subrecipient's Financial Contact for the Agreement: The person acting for the Subrecipient on the financial reporting for this Agreement is: Name: Charles Blake, Deputy Director for Financial Compliance DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 _________________________________________________________________________________________________________________ FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT SUBRECIPIENT AGREEMENT BETWEEN THE COUNTY OF OAKLAND AND OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA) Page 4 of 22 E-Mail Address: Charlesb@olhsa.org Telephone No.: (248) 209-2632/210-8025 10.Special Conditions: A. This Agreement is valid upon approval and execution by the County and Signature by the Subrecipient. B. This Agreement is conditionally approved subject to and contingent upon the availability of funds. C. The County will not assume any responsibility or liability for costs incurred by the Subrecipient prior to the signing of this Agreement. Upon signature by all parties, the Agreement shall be effective for the period specified in Section 2., Period of Agreement above. Part II General Provisions 1.Responsibilities - Subrecipient The Subrecipient in accordance with the general purposes and objectives of this Agreement shall: A.Royalty Free Rights to Use Software or Documentation Developed Agree that the federal government reserves a royalty-free, non-exclusive, and irrevocable license to reproduce, publish, or otherwise use, and to authorize others to use, for federal government purposes, the copyright in any work developed under a grant, subgrant, or contract under grant or subgrant or any rights of copyright to which a contractor purchases ownership. B.Fees Guarantee that any claims made to the County under this Agreement shall not be financed by any sources other than the County under the terms of this Agreement. If funding is received through any other source, the Subrecipient agrees to budget the additional source of funds and reflect the source of funding in the Financial Status Report. C.Grant Program Operation Provide the necessary administrative, professional, and technical staff for the operation of the grant program. The Subrecipient must obtain and maintain all necessary licenses, permits, and insurances under Part II.1.L, and any other authorizations necessary for the performance of this Agreement. D.Reporting Utilize all report forms and reporting formats required by the County at the effective date of DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 _________________________________________________________________________________________________________________ FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT SUBRECIPIENT AGREEMENT BETWEEN THE COUNTY OF OAKLAND AND OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA) Page 5 of 22 this Agreement and provide the County 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 Subrecipient 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 Subrecipient, any parent, affiliate, or subsidiary organization of Subrecipient, and any subcontractor that performs Agreement activities in connection with this Agreement. F.Audit and Access to Records Subrecipient certifies by signing this Agreement that it complies with regulations set forth in Title 2 Code of Federal Regulations (CFR) Part 200 and will provide notice of the completion of required audits and any adverse findings which impact this subaward as required by parts 200.501-200.521 and will provide access to records as required by parts 200.336, 200.337 and 200.201, as applicable. The County, MDHHS or federal agencies may also conduct or arrange for “agreed upon procedures” or additional audits to meet their needs. G.Notification of Modifications Provide timely notification to the County, in writing, of any action by its governing board or any other funding source that would require or result in significant modification in the provision of services, funding or compliance with operational procedures. H.Mandatory Disclosures i.Disclose to the County in writing within 14 days of receiving notice of any litigation, investigation, arbitration, or other proceeding (collectively, “Proceeding”) involving Subrecipient, a subcontractor, or an officer or director of Subrecipient or subcontractor, or that arises during the term of this Agreement including: 1.All violations of federal and state criminal law involving fraud, bribery, or gratuity violations potentially affecting the Agreement. 2.A criminal Proceeding. 3.A parole or probation Proceeding. 4.A Proceeding under the Sarbanes-Oxley Act. DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 _________________________________________________________________________________________________________________ FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT SUBRECIPIENT AGREEMENT BETWEEN THE COUNTY OF OAKLAND AND OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA) Page 6 of 22 5.A civil Proceeding involving: a.A claim that might reasonably be expected to adversely affect Subrecipient’s viability or financial stability; or b.A governmental or public entity’s claim or written allegation of fraud; or c.Any complaint filed in a legal or administrative proceeding alleging the Subrecipient or its subcontractors discriminated against its employees, subcontractors, vendors, or suppliers during the term of this Agreement. 6.A Proceeding involving any license that Subrecipient is required to possess in order to perform under this Agreement. ii.Notify the County, at least 90 calendar days before the effective date, of a change in Subrecipient’s ownership or executive management I.Statement of Work Progress Reports Reserved J.Conflict of Interest and Code of Conduct Standards i.The Subrecipient is subject to the provisions of 1968 PA 317, as amended, 1973 PA 196, as amended, and Title 2 Code of Federal Regulations, Section 200.318 (c) (1) and (2). ii.The Subrecipient will uphold high ethical standards and is prohibited from: 1.Holding or acquiring an interest that would conflict with this Agreement. 2.Doing anything that creates an appearance of impropriety with respect to the award or performance of this Agreement. 3.Attempting to influence or appearing to influence any County employee by the direct or indirect offer of anything of value; or 4.Paying or agreeing to pay any person, other than employees and consultants working for Subrecipient, any consideration contingent upon the award of this Agreement. iii.Immediately notify the County of any violation or potential violation of these standards. This Section applies to Subrecipient, any parent, affiliate, or subsidiary organization of Subrecipient, and any subcontractor that performs activities in connection with this Agreement. K.Travel Costs i.Be reimbursed for travel cost (including mileage, meals, and lodging) budgeted and incurred related to services provided under this Agreement. DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 _________________________________________________________________________________________________________________ FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT SUBRECIPIENT AGREEMENT BETWEEN THE COUNTY OF OAKLAND AND OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA) Page 7 of 22 1.If the Subrecipient has a documented policy related to travel reimbursement for employees and if the Subrecipient follows that documented policy, the County will reimburse the Subrecipient for travel costs at the Subrecipient’s documented reimbursement rate for employees. Otherwise, the State of Michigan reimbursement rate for applies. 2.State of Michigan travel rates may be found at the following website: http://www.michigan.gov/dtmb/0.5552.7-150- 141_13132-00.html. 3.International travel must be preapproved by the County and itemized in the budget. L.Insurance Requirements i.Maintain a minimum of the insurances or governmental self-insurances listed below and be responsible for all deductibles. All required insurance or self- insurance must: 1.Protect the state of Michigan and the County from claims that may a rise out of, are alleged to arise out of, or result from Subrecipient or a subcontractor’s performance. 2.Be primary and non-contributing to any comparable liability insurance (including self-insurance) carried by the state and County; and 3.Be provided by a company with an A.M. Best rating of “A” or better and a financial size of VII or better. ii.Insurance Types 1.Commercial General Liability Insurance or Governmental Self- Insurance: Except for Governmental Self-Insurance, policies must be endorsed to add “the County of Oakland, and its officers, directors, employees, appointees, and commissioners” and “the state of Michigan, its departments, divisions, agencies, office, commissions, officers, employees, and agents” as additional insureds using endorsement CG 20 10 11 85, or both CG 2010 12 19 and CG 20 37 12 19. 2.If the Subrecipient will interact with children, schools, or the cognitively impaired, the Subrecipient must maintain appropriate insurance coverage related to sexual abuse and molestation liability. 3.Workers’ Compensation Insurance or Governmental Self-Insurance: Coverage according to applicable laws governing work activities. Policies must include DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 _________________________________________________________________________________________________________________ FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT SUBRECIPIENT AGREEMENT BETWEEN THE COUNTY OF OAKLAND AND OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA) Page 8 of 22 waiver of subrogation, except where waiver is prohibited by law. 4.Employers Liability Insurance or Governmental Self-Insurance. 5.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. iii.At all times during this Agreement, the Subrecipient shall obtain and maintain insurance according to this Section and the specific County requirements listed in Attachment D, which is incorporated into this Agreement. iv.Subrecipient must require that subcontractors maintain the required insurances contained in this Section. v.This Section is not intended to and is not to be construed in any manner as waiving, restricting or limiting the liability of the Subrecipient from any obligations under this Agreement. vi.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. M.Fiscal Questionnaire i.Submit yearly fiscal questionnaire to the County by the 15th of December. ii.The fiscal questionnaire template will be provided by Oakland County Fiscal Services. N.Criminal Background Check i.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. 1.ICHAT: http://apps.michigan.gov/ichat 2.Michigan Public Sex Offender Registry: http://www.mipsor.state.mi.us 3.National Sex Offender Registry: http://www.nsopw.gov ii.Conduct or cause to be conducted a Central Registry (CR) check for each employee, DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 _________________________________________________________________________________________________________________ FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT SUBRECIPIENT AGREEMENT BETWEEN THE COUNTY OF OAKLAND AND OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA) Page 9 of 22 subcontractor, subcontractor employee, or volunteer who, under this Agreement, works directly with children. 1.Central Register: https://www.michigan.gov/mdhhs/0,5885,7-339- 73971_7119_50648_48330-180331--,00.html. iii.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 Subrecipient 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. iv.Determine whether to prohibit any employee, subcontractor, subcontractor employee, or volunteer from performing work directly with clients or accessing client information under this Agreement, based on a positive ICHAT response or reported criminal felony conviction or perpetrator identification. v.Determine whether to prohibit any employee, subcontractor, subcontractor employee, or volunteer from performing work directly with children under this Agreement, based on the results of a positive CR response or reported perpetrator identification. vi.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. 2.Responsibilities - County The County 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 Subrecipient. B.Report Forms Provide any report forms and reporting formats required by the County at the effective date of this Agreement and provide to the Subrecipient 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 Subrecipient an opportunity to review. 3.Assurances The following assurances are hereby given to the County: A.Compliance with Applicable Laws DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 _________________________________________________________________________________________________________________ FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT SUBRECIPIENT AGREEMENT BETWEEN THE COUNTY OF OAKLAND AND OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA) Page 10 of 22 The Subrecipient will comply with applicable federal and state laws, guidelines, rules and regulations in carrying out the terms of this Agreement. The Subrecipient will also comply with all applicable general administrative requirements, such as Title 2 Code of Federal Regulations (CFR) covering cost principles, grant/agreement principles, and audits, in carrying out the terms of this Agreement. The Subrecipient will comply with all applicable requirements in the original grant awarded to the County. The County may determine that the Subrecipient 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 II, Section 4, G. Agreement Termination. B.Anti-Lobbying Act The Subrecipient will comply with the Anti-Lobbying Act, 31 USC 1352 as revised by the Lobbying Disclosure Act of 1995, 2 USC 1601 et seq, Federal Acquisition Regulations 52.203.11 and 52.203.12, and Section 503 of the Departments of Labor, Health and Human Services and Education, and Related Agencies section of the current FY Omnibus Consolidated Appropriations Act. Further, the Subrecipient shall require that the language of this assurance be included in the award documents of all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. C.Non-Discrimination i.The Subrecipient must comply with MDHHS’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 Subrecipient 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. ii.The Subrecipient will comply with all federal statutes relating to nondiscrimination. These include but are not limited to: DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 _________________________________________________________________________________________________________________ FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT SUBRECIPIENT AGREEMENT BETWEEN THE COUNTY OF OAKLAND AND OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA) Page 11 of 22 1.Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination based on race, color or national origin. 2.Title IX of the Education Amendments of 1972, as amended (20 U.S.C. §§1681-1683, and 1685-1686), which prohibits discrimination based on sex. 3.Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. §794), which prohibits discrimination based on disabilities. 4.The Age Discrimination Act of 1975, as amended (42 U.S.C. §§6101- 6107), which prohibits discrimination based on age. 5.The Drug Abuse Office and Treatment Act of 1972 (P.L. 92- 255), as amended, relating to nondiscrimination based on drug abuse. 6.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. 7.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. 8.Any other nondiscrimination provisions in the specific statute(s) under which application for federal assistance is being made; and 9.The requirements of any other nondiscrimination statute(s) which may apply to the application. iii.Additionally, assurance is given to the County 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 Subrecipient shall incorporate 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 Subrecipient will comply with Federal Regulation, 2 CFR part 180 and certifies to the best of its knowledge and belief that it, its employees and its subcontractors: i.Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or contractor. ii.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 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 _________________________________________________________________________________________________________________ FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT SUBRECIPIENT AGREEMENT BETWEEN THE COUNTY OF OAKLAND AND OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA) Page 12 of 22 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 or private 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. iii.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. iv.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 v.Have not committed an act of so serious or compelling a nature that it affects your present responsibilities. E.Federal Requirement: Pro-Children Act i.The Subrecipient will comply with the Pro-Children Act of 1994 (P.L. 103-227; 20 USC 6081, et seq.), which requires that smoking not be permitted in any portion of any indoor facility owned or leased or contracted by and used routinely or regularly for the provision of health, day care, early childhood development 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, 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 Subrecipient also assures that this language will be included in any subawards which contain provisions for children’s activities. ii.The Subrecipient also assures, in addition to compliance with Public Law 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 Subrecipient. If activities are delivered in facilities or areas that are not under the control of the Subrecipient (e.g., a mall, restaurant or private work site), the activities shall be smoke-free. DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 _________________________________________________________________________________________________________________ FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT SUBRECIPIENT AGREEMENT BETWEEN THE COUNTY OF OAKLAND AND OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA) Page 13 of 22 F.Hatch Political Activity Act and Intergovernmental Personnel Act The Subrecipient will comply with the Hatch Political Activity Act, 5 USC 1501-1508 and 7321-7326, and the Intergovernmental Personnel Act of 1970 (PL 91-648), as amended by Title VI of the Civil Service Reform Act of 1978 (PL 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.National Defense Authorization Act Employee Whistleblower Protections The Subrecipient will comply with 41 USC 4712 and shall insert this clause in all subcontracts. H.Clean Air Act and Federal Water Pollution Control Act The Subrecipient 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. i.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 County. I.Trafficking Victims Protection Act The Subrecipient will comply with the Victims of Trafficking and Violence Protection Act of 2000 (P.L. 106-386), as amended. i.This Agreement and anyone working on this Agreement will be subject to P.L. 106-386 and must comply with all applicable standards, orders or regulations issued pursuant to this Act. Violations must be reported to the County. J.Procurement of Recovered Materials The Subrecipient will comply with section 6002 of the Solid Waste Disposal Act of 1965 (P.L. 89-272), as amended. i.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 County. K.Procurement i.Subrecipient will ensure that all purchase transactions, whether negotiated or advertised, shall be conducted openly and competitively in accordance with the principles and requirements of Title 2 Code of Federal Regulations, Part 200. ii.Funding from this Agreement shall not be used for the purchase of foreign goods or DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 _________________________________________________________________________________________________________________ FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT SUBRECIPIENT AGREEMENT BETWEEN THE COUNTY OF OAKLAND AND OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA) Page 14 of 22 services or both. iii.Preference must be given to goods and services manufactured or provided by Michigan businesses, if they are competitively priced and of comparable quality. iv.Preference must be given to goods and services that are manufactured or provided by Michigan businesses owned and operated by veterans, if they are competitively bid and of comparable quality. v.Records must 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. L.Health Insurance Portability and Accountability Act To the extent that the Health Insurance Portability and Accountability Act (HIPAA) is applicable to the Subrecipient under this Agreement, the Subrecipient assures that it is in compliance with requirements of HIPAA including the following: i.The Subrecipient must not share any protected health data and information provided by the County that is covered by HIPAA except as permitted or required by applicable law, or to a subcontractor as appropriate under this Agreement. ii.The Subrecipient will ensure that any subcontractor will have the same obligations as the Subrecipient not to share any protected health data and information from the County that falls under HIPAA requirements in the terms and conditions of the subcontract. iii.The Subrecipient must only use the protected health data and information for the purposes of this Agreement. iv.The Subrecipient 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 Subrecipient’s employees. v.The Subrecipient must have a policy and procedure to immediately report to the County any suspected or confirmed unauthorized use or disclosure of protected health information that falls under the HIPAA requirements of which the Subrecipient becomes aware. The Subrecipient will work with the County to mitigate the breach and will provide assurances to the County of corrective actions to prevent further unauthorized uses or disclosures. The County may demand specific corrective actions and assurances and the Subrecipient must provide the same to the County. vi.Failure to comply with any of these contractual requirements may result in the DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 _________________________________________________________________________________________________________________ FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT SUBRECIPIENT AGREEMENT BETWEEN THE COUNTY OF OAKLAND AND OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA) Page 15 of 22 termination of this Agreement in accordance with Part II, Section 4, G. Agreement Termination. vi.In accordance with HIPAA requirements, the Subrecipient is liable for any claim, loss or damage relating to unauthorized use or disclosure of protected health data and information, including without limitation, the County’s and/or state’s costs in responding to a breach, received by the Subrecipient from the State, County, or any other source. vii.The Subrecipient will enter into a business associate agreement should the County determine such an agreement is required under HIPAA. M.Website Incorporation The County is not bound by any content on Subrecipient’s website or other internet communication platforms or technologies, unless expressly incorporated directly into this Agreement. The County 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 County. The Subrecipient may not refer to the County on the Subrecipient's website or other internet communication platforms or technologies without the prior written approval of the County. N.Survival The provisions of this Agreement that impose continuing obligations will survive the expiration or termination of this Agreement. O.Non-Disclosure of Confidential Information i.The Subrecipient agrees that it will use Confidential Information solely for the purpose of this Agreement. The Subrecipient 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 subcontracts 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 Subrecipient must take all reasonable precautions to safeguard the Confidential Information. These precautions must be at least as great as the precautions the Subrecipient takes to protect its own confidential or proprietary information. ii.Meaning of Confidential Information For the purpose of this Agreement the term “Confidential Information” means all information and documentation that: 1.Has been marked “confidential” or with words of similar meaning, at the time DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 _________________________________________________________________________________________________________________ FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT SUBRECIPIENT AGREEMENT BETWEEN THE COUNTY OF OAKLAND AND OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA) Page 16 of 22 of disclosure by such party. 2.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. 3.Should reasonably be recognized as confidential information of the disclosing party. 4.Is unpublished or not available to the general public; or 5.Is designated by law as confidential. iii.The term “Confidential Information” does not include any information or documentation that was: 1.Subject to disclosure under the Michigan Freedom of Information Act (FOIA). 2.Already in the possession of the receiving party without an obligation of confidentiality. 3.Developed independently by the receiving party, as demonstrated by the receiving party, without violating the disclosing party’s proprietary rights. 4.Obtained from a source other than the disclosing party without an obligation of confidentiality; or 5.Publicly available when received or thereafter became publicly available (other than through an unauthorized disclosure by, through or on behalf of, the receiving party). iv.The Subrecipient must notify the County within one (1) business day after discovering any unauthorized use or disclosure of Confidential Information. The Subrecipient will cooperate with the County in every way possible to regain possession of the Confidential Information and prevent further unauthorized use or disclosure. 4.Financial Requirements A.Requests for Reimbursement i.Invoices shall be prepared and submitted to the Project Manager using forms provided by the County. Invoices must be submitted on a monthly basis, no later than fifteen (15) days after the close of each calendar month. The monthly invoice must reflect total actual program expenditures, regardless of the source of funds. Failure to meet financial reporting responsibilities as identified in this Agreement may result in withholding future payments. ii.By submitting the invoice, the individual is certifying to the best of their knowledge and DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 _________________________________________________________________________________________________________________ FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT SUBRECIPIENT AGREEMENT BETWEEN THE COUNTY OF OAKLAND AND OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA) Page 17 of 22 belief that the information included therein 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 invoice 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. B.Requests for an Amendment to Budget i.A request for an amendment can be submitted at any time up until June 1, 2023. ii.A written request for a budget amendment with revised budget pages is required when there is a change in a budget category over $5,000 or 15% of the category, whichever constitutes the greater amount. The deviation allowance does not authorize new categories or line items within the category. iii.A determination of approval, disapproval or pending status will be sent within 10 business days or comments/questions if further clarification is required. iv.Submit amendment requests to Lisa McKay-Chiasson at mckay- chiassonl@oakgov.com. For questions, call 248-858-1395, Lisa McKay-Chiasson. C.Reimbursement Method The Grantee will be reimbursed in accordance with the staffing grant reimbursement method as follows: i.Reimbursement from the County is based on the understanding that County funds will be paid up to the total County allocation as agreed to in the approved budget. County funds are the first source after the application of fees and earmarked sources unless a specific local match condition exists. ii.To request reimbursement for eligible expenditures, the Subrecipient shall submit to the County the documentation described in the following subparagraphs with the monthly invoice. If the County, in its sole discretion, determines the documentation submitted by the Subrecipient does not reconcile, then the Subrecipient shall provide any additional documentation requested by the County in order to process payment. 1.A fully completed and signed invoice provided by Oakland County Health Division. 2.A payroll report that supports reimbursement requests for salaries and/or fringe benefits. 3.Employee timesheets with a signature from the project manager or supervisor for those individuals whose time is requested for reimbursement. 4.General ledger listing qualified expenditures requested for reimbursement. DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 _________________________________________________________________________________________________________________ FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT SUBRECIPIENT AGREEMENT BETWEEN THE COUNTY OF OAKLAND AND OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA) Page 18 of 22 5.Receipts or invoices that include date of service, cost, and/rate for qualified expenditures. 6.Date and detail of miles traveled for allowable travel expenditures. D.Final Obligations and Financial Status Reporting Requirements i.Obligation Report The Obligation Report, based on annual guidelines, must be submitted by the third Friday in September using the format provided by the County. The Subrecipient must provide an estimate of total expenditures for the entire Agreement period. The information on the report will be used to record the County’s year-end accounts payables and receivables for this Agreement. ii.Final Invoices Final invoices are due nine (9) days following the end of the Agreement period. The final invoice must be clearly marked “Final." Final invoices not received by the due date may result in the loss of funding requested on the Obligation Report and may result in the potential reduction in the subsequent year’s agreement amount. E.Unobligated Funds Any unobligated balance of funds held by the Subrecipient at the end of the Agreement period will be returned to the County within 30 days of the end of the Agreement or treated in accordance with instructions provided by the County. F.Indirect Costs The Subrecipient is allowed to use a 10% de minimis rate in accordance with Title 2 Code of Federal Regulations (CFR) Part 200 to recover their indirect costs. G.Agreement Termination The County may terminate this Agreement without further liability or penalty to the County for any of the following reasons: i.This Agreement may be terminated by either party by giving 30 days written notice to the other party stating the reasons for termination and the effective date. ii.This Agreement may be terminated by either party with 30 days prior written notice upon the failure of either party to carry out the terms and conditions of this Agreement provided the alleged defaulting party is given notice of the alleged breach and fails to cure the default within the 30-day period. iii.This Agreement may be terminated immediately if the Subrecipient or an official of the Subrecipient or an owner is convicted of any activity referenced in Part II, Section 3, D. DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 _________________________________________________________________________________________________________________ FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT SUBRECIPIENT AGREEMENT BETWEEN THE COUNTY OF OAKLAND AND OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA) Page 19 of 22 Debarment and Suspension, of this Agreement during the term of this Agreement or any extension thereof. The County or the Michigan Department of Health and Human Services may seek administrative, contractual, or legal remedies if the Subrecipient violates or breaches any contract terms. H.Stop Work Order The County may suspend any or all activities under this Agreement at any time. The County will provide the Subrecipient with a written stop order detailing the suspension. Subrecipient must comply with the stop work order upon receipt. The County will not pay for activities, Subrecipient’s incurred expenses or financial losses, or any additional compensation during a stop work order. I.Final Reporting Upon Termination Should this Agreement be terminated by either party, within 30 days after the termination, the Subrecipient shall provide the County with all financial, performance and other reports required as a condition of this Agreement. The County will make payments to the Subrecipient for allowable reimbursable costs not covered by previous payments or other state or federal programs. The Subrecipient shall immediately refund to the County any funds not authorized for use and any payments or funds advanced to the Subrecipient in excess of allowable reimbursable expenditures. J.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. K.Waiver Failure to enforce any provision of this Agreement will not constitute a waiver to enforce any other provision of this Agreement. 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 County or the Subrecipient, 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. DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 _________________________________________________________________________________________________________________ FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT SUBRECIPIENT AGREEMENT BETWEEN THE COUNTY OF OAKLAND AND OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA) Page 20 of 22 Any changes to this Agreement will be valid only if made in writing and accepted by all Parties to this Agreement. Any change proposed by the Subrecipient which would affect the County’s funding of any project, in whole or in part of the Agreement, must be submitted in writing to the County for approval immediately upon determining the need for such change. M.Liability The Subrecipient assumes all liability to third parties, loss, or damage as a result of claims, demands, costs, or judgments arising out of activities, such as direct service delivery, to be carried out by the Subrecipient in the performance of this Agreement, under the following conditions: i.The liability, loss, or damage is caused by, or arises out of, the actions of or failure to act on the part of the Subrecipient, any of its subcontractors, or anyone directly or indirectly employed by the Subrecipient. ii.Nothing herein shall be construed as a waiver of any governmental immunity that has been provided to the Subrecipient or its employees by statute or court decisions. The County is not liable for consequential, incidental, indirect, or special damages, regardless of the nature of the action. N.Governing Law This Agreement shall be governed, interpreted, and enforced by the laws of the State of Michigan, excluding Michigan’s conflict of law principles. Except as otherwise provided by law or court rule any action or claim to enforce, interpret, or arising under or related to this Agreement shall be brought in the Sixth Judicial Circuit Court of the State of Michigan, the 50th District of the State of Michigan, or the United State District Court for the Eastern District of Michigan, Southern Division, as dictated by the applicable jurisdiction of the court. Except as otherwise required by law or court rule venue is proper in the courts set forth above. Notwithstanding the above, any complaints against or involving the State must be resolved in the Court of Claims and initiated in Ingham County. Subrecipient waives any objections, such as lack of personal jurisdiction or forum non conveniens. Subrecipient must appoint an agent in Michigan to receive service of process. L. Amendments DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 _________________________________________________________________________________________________________________ FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT SUBRECIPIENT AGREEMENT BETWEEN THE COUNTY OF OAKLAND AND OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA) Page 21 of 22 O.Entire Agreement This Agreement represents the entire agreement and understanding between the Parties. This Agreement supersedes all other oral or written agreements between the Parties. The language of this Agreement shall be construed as a whole according to its fair meaning, and not construed strictly for or against any Party. DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 _________________________________________________________________________________________________________________ FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT SUBRECIPIENT AGREEMENT BETWEEN THE COUNTY OF OAKLAND AND OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA) Page 22 of 22 IN WITNESS WHEREOF, David T. Woodward, Chairperson, Oakland County Board of Commissioners, acknowledges that he has been authorized by a resolution of the Oakland County Board of Commissioners, and hereby accepts and binds the County to the terms and conditions of this Agreement. EXECUTED: David T. Woodward, Chairperson Oakland County Board of Commissioners DATE: IN WITNESS WHEREOF, _________________ , acknowledges that he/she has been authorized to sign this Agreement on behalf of the responsible governing board or official of the Subrecipient, and hereby accepts and binds the Subrecipient to the terms and conditions of this Agreement EXECUTED: Printed Name: Susan Harding Title: CEO Oakland Livingston Human Service Agency DATE:_______________ DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 11/2/2023 Attachment A Minimum Contractor Scope of Service Requirements Subrecipient, in accordance with the general purposes and objectives of this Agreement, will provide Women, Infants and Children’s Program (WIC) and Peer Counseling services as follows: •Comply with all applicable WIC federal regulations, policy, guidance and requirements of the WIC program as prescribed in the Code of Federal Regulations (7 CFR, Part 246). •Follow the allowable expense guidelines provided by USDA FNS for the Peer Counselor Grant. •Cooperate with an annual site visit by OCHD and develop and adhere to a Corrective Action Plan developed because of audit exceptions. The program must comply with all State and Federal audit requirements as applicable. •Assure that the sub-recipients financial system meets generally accepted accounting principles and systems. The sub-recipient must provide the most recent Financial Audit or Financial Statement (if an audit was not done) and the accompanying management letter. •Coordinate with the Contract Administrator and comply with all program, financial and reporting procedures. •Provide for security of Project FRESH coupons, as applicable and WIC EBT cards stored prior to issuance. Subrecipient must notify the Oakland County Health Division WIC program and the State WIC Division in writing of any lost, stolen, inappropriately issued or otherwise unaccounted for Project FRESH coupons or EBT cards, immediately upon recognition of such condition. •Maintain an inventory of all equipment purchased with WIC program funds and maintain such inventory at each WIC clinic location. •Install and maintain WIC hardware according to guidance provided by the Department WIC Program. •Ensure each OLHSA employee authorized for or requesting access to the automated WIC system has completed and signed a security agreement. •Provide personnel possessing at least the minimum qualifications as set by MDHHS – WIC Division, to deliver WIC services to the identified target population. DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 • Maintain confidentiality of records on clients served and allow for the sharing of client information between the County and Subrecipient staff. Obtain signed Release of Information forms for sharing client information with other community service agencies/providers unless mutual aid agreements are available from the State WIC agency. • Create a nutrition education, breastfeeding promotions and outreach plans per WIC policy and submit to OCHD for review and approval by the designated due date. Implement the plan to conduct outreach to identify and bring hard to reach women and children into the WIC Program from communities that have been identified as undeserved by the Oakland County Health Division WIC Program (OCHD WIC). • Provide an annual plan and corresponding budget for the delivery of WIC services and WIC Breastfeeding Peer Counseling Services, specifically dealing with timelines and expected activity and productivity. • Must participate in mandatory nutrition education and breastfeeding time studies as determined by the State Agency. • Act as a resource to additional health and human services in the community. • Responsible for all expenses incurred to support and maintain delivering WIC services. • All materials and advertising used to promote the WIC Program shall also include information about WIC services offered by Oakland County Health Division and refer clients to Oakland County Health Division WIC clinics if those clinics provide the best access to services for clients. • Refer all ante partum women to the Oakland County Health Division in partnership with OCHD Infant Mortality Reduction efforts. • Coordinate with the Contract Administrator and comply with all program, financial and reporting procedures. • Breastfeeding Peer Counseling (BFPC) funds distributed to State agencies by the Food and Nutrition Service (FNS) are to be used to develop or expand activities necessary to sustain a peer counseling program based on the FNS Loving Support Model. The primary purpose of the funds is to provide direct breastfeeding support services through peer counseling to WIC participants. The use of BFPC funds for expenditures that are not supported by the Loving Support Model are not authorized. • Funds allocated for the Breastfeeding Peer Counseling Program are exempt from the WIC Nutrition Education and Breastfeeding Time Study. DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 Implement WIC Breastfeeding Peer Counseling services by following these guidelines: 10 Components of Loving Support Peer Counseling Program 1. Hire staff that meets the definition of Peer Counselor 2. Designate a Breastfeeding Peer Counselor Manager at the local level 3. Establish job parameters and description for peer counselors consistent with State WIC policy 4. Establish compensation and reimbursement rates for peer counselors 5. Train appropriate WIC local peer counseling management and clinic staff 6. Establish standardized breastfeeding peer counseling program procedures at the local level as part of the Agency’s WIC Nutrition Services Plan 7. Supervise and monitor peer counselors 8. Establish community partnerships to enhance the effectiveness of the WIC peer counseling program 9. Provide: o Timely access to breastfeeding coordinators/lactation experts for assistance outside peer counselor scope of practice o Regular, systematic contact with supervisor o Participation in clinic staff Meetings and breastfeeding in-services as part of the WIC team o Opportunities to meet regularly with other peer counselors 10. Provide training and continuing education of peer counselors DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 OLHSA WIC clinic locations and dates and times of service are listed below. Any change to location must be approved by Oakland County Health Division by following the procedures described below. Clinic Location Service Days Open C.A.R.E.S. of Farmington 21840 Independence St Farmington Hills, MI 48336 1st and 3rd Friday Karl Richter Center 920 Baird St. Holly, MI 48442 Every Tuesday Madison Heights 711 West 13 Mile Rd. Madison Heights, MI 48071 Tuesday, Wednesday and Thursday OLHSA Building 196 Cesar E. Chavez Ave. Pontiac, MI 48342 Monday, Wednesday, Thursday and Friday Journey Lutheran Church 136 S. Washington Oxford, MI 48371 2nd Monday (Once a Month) Requirements for Relocating, Adding or Closing a WIC Clinic A request to move, add or close a WIC clinic shall be submitted to OCHD in writing 60 days prior the clinic change occurring. The written request must include: • The reason for the move, closure, or additional clinic • Describe how many clients are impacted by the clinic change and how they will receive information about the change in WIC services • Identification of the proposed site • Justification for the location being proposed including: o Analysis of caseload and how the move or addition of a clinic will impact caseload o Documentation of need o Number of clients estimated to be served at the location • Location of clinic including zip codes served • Frequency of the proposed clinic The Oakland County Health Division WIC Supervisor shall complete a site visit if provisional approval is granted for the proposed site. When the site visit is successfully completed and any concerns about the location addressed, final, written approval will be provided. DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 Use WHOLE DOLLARS Only ATTACHMENT B.1 Page Of From:To: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 16. Oakland Livingston Human Service Agency WIC Program CONTRACTOR NAME BUDGET PERIOD PROGRAM BUDGET SUMMARY For WIC Peer Counselor Funding Application View at 100% or Larger MICHIGAN DEPARTMENT OF COMMUNITY HEALTH PROGRAM DATE PREPARED 6/12/23 Oakland Livingston Human Service Agency WIC Program 10/1/2023 9/30/2024 MAILING ADDRESS (Number and Street) BUDGET AGREEMENT AMENDMENT # 196 Cesar E. Chavez Pontiac, Michigan 48343 EXPENDITURE CATEGORY (Use Whole Dollars) TOTAL BUDGET SALARY & WAGES FRINGE BENEFITS TRAVEL SUPPLIES & MATERIALS OTHER EXPENSES - list below Flyers, advertising, social media CONTRACTUAL (Subcontracts/Subrecipients) EQUIPMENT Telephones for staff IT Cost Pool HR Cost Pool Audit TOTAL DIRECT EXPENDITURES (Sum of Lines 1-7) INDIRECT COSTS: Rate #1 % TOTAL EXPENDITURES SOURCE OF FUNDS: COMPLETION: Is Voluntary, but is required as a condition of funding. TOTAL FUNDING $2,500 $1,000 $8,000 $2,000 $2,000 $425 DCH-0385(E) (Rev. 01/09) $47,587 $12,970 $3,580 $4,805 $84,867 $84,867 $84,867 ORIGINAL AMENDMENT DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 ATTACHMENT B.2 Page Of Use WHOLE DOLLARS Only DATE PREPARED From:To: 10/1/2023 9/30/2024 AMENDMENT # POSITIONS REQUIRED TOTAL SALARY 5,528$ 5,154$ 8,599$ 8,598$ 7,900$ Lactation Specialist 1@18 hours x 52 weeks 11,808$ 47,587$ 2. FRINGE BENEFITS: (Specify) Composite Rate % 45% Part Time X% Full Time 12,970$ $3,580 3. TOTAL TRAVEL:3,580$ 4,805$ 4,805$ Name Amount Audit -$ 5. TOTAL CONTRACTUAL:-$ Amount $2,500 6. TOTAL EQUIPMENT:2,500$ Amount Communication:$1,000 Space Cost:$8,000 Others (explain):$2,000 $2,000 $425 13,425$ 84,867$ Rate #1 Base $x Rate = -$ Rate #2 Base $- x Rate = -$ -$ 84,867$ DCH-0386(E) (Rev. 01/09) (EXCEL) PROGRAM BUDGET - COST DETAIL SCHEDULE Use Additional Sheets as Needed View at 100% or Larger MICHIGAN DEPARTMENT OF COMMUNITY HEALTH OLHSA WIC PROGRAM (PEER COUNSELING) BUDGET PERIOD CONTRACTOR NAME POSITION DESCRIPTION COMMENTS Associate Director Nutrition 1@4 hours/week x 52 weeks Oakland Livingston Human Agency 1. SALARY & WAGES: Peer Counselor 1@6hours/week x 52 weeks Breastfeeding Peer Counselor 1@4 hours/week x 52 weeks Peer Counselor 1@6 hours/week x 52 weeks 1. TOTAL SALARY & WAGES: 3. TRAVEL: (Specify if category exceeds 10% of Total Expenditures) 4 Trips to Lansing for 3 staff members, local travel, conferences, and add'l trainings 2. TOTAL FRINGE BENEFITS: Lactation Specialist 1@6hours/week x 52 weeks 4. TOTAL SUPPLIES & MATERIALS: 5. CONTRACTUAL: (Subcontracts/Subrecipients) Local Mileage Rate @.58 per mile - 1,000 miles - $580 4. SUPPLIES & MATERIALS: (Specify if category exceeds 10% of Total Expenditures) 6. EQUIPMENT: (Specify) Replace computers and equipment that are no longer functioning. Address Audit 7. TOTAL OTHER EXPENSES: 7. OTHER EXPENSES: (Specify if category exceeds 10% of Total Expenditures) Flyers, advertising, business cards, news ads Telephones for Staff COMPLETION: Is Voluntary, but is required as a condition of funding. 10. TOTAL ALL EXPENDITURES: (Sum of lines 8-9) 8. TOTAL DIRECT EXPENDITURES: (Sum of Totals 1-7)8. TOTAL DIRECT EXPENDITURES: 9. INDIRECT COST CALCULATIONS: 9. TOTAL INDIRECT EXPENDITURES: IT Cost Pool (X/fte/hr) HR Cost Pool )X/fte/hr) ORIGINAL AMENDMENT OTHER:specify- ORIGINAL AMENDMENT LIFE INS VISION INS HEARING INS DENTAL INS WORKERS COMP ORIGINAL AMENDMENT RETIREMENT ORIGINAL AMENDMENT UNEMPLOY INS ORIGINAL AMENDMENTORIGINALAMENDMENT HOSPITAL INS OTHER:specify- ORIGINAL AMENDMENTORIGINALAMENDMENT FICA ORIGINAL AMENDMENT DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 Use WHOLE DOLLARS Only ATTACHMENT B.3 Page Of From:To: STATE ZIP CODE Mi 48343 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. $69,774 $519,981 $519,981 $519,981 DCH-0385(E) (Rev. 01/09) (Excel) Previous Edition Obsolete. $342,559 $94,068 $3,580 $6,000 $4,000 AUTHORITY: P.A. 368 of 1978 The Department of Community Health is an equal opportunity COMPLETION: Is Voluntary, but is required as a condition of funding. employer, services and programs provider. TOTAL FUNDING OTHER(S) FEDERAL LOCAL TOTAL DIRECT EXPENDITURES (Sum of Lines 1-7) INDIRECT COSTS: STATE AGREEMENT INDIRECT COSTS: TOTAL EXPENDITURES SOURCE OF FUNDS: FEES & COLLECTIONS OTHER EXPENSES CONTRACTUAL (Subcontracts/Subrecipients) EQUIPMENT TRAVEL SUPPLIES & MATERIALS SALARY & WAGES FRINGE BENEFITS EXPENDITURE CATEGORY (Use Whole Dollars) TOTAL BUDGET CITY FEDERAL ID NUMBER Pontiac 38-1785665 Oakland Livingston Human Service Agency WIC program 6/12/2023 CONTRACTOR NAME BUDGET PERIOD PROGRAM BUDGET SUMMARY For WIC Funding Application View at 100% or Larger MICHIGAN DEPARTMENT OF COMMUNITY HEALTH PROGRAM DATE PREPARED 196 Cesar E. Chavez Oakland Livingston Human Service Agency 10/1/2023 9/30/2024 MAILING ADDRESS (Number and Street) BUDGET AGREEMENT AMENDMENT # ORIGINAL AMENDMENT DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 ATTACHMENT B.4 Page Of Use WHOLE DOLLARS Only DATE PREPARED From:To:9/11/2019 10/1/2023 9/30/2024 AMENDMENT # POSITIONS REQUIRED TOTAL SALARY 0.900 50,224$ 0.900 46,779$ 0.500 24,122$ 0.525 15,937$ 2.250 80,019$ 2.000 75,394$ 1.000 39,331$ HR Cost Pool HR Cost Pool (x/fte/hr)10,753$ 0.100 2,100$ 8.075 342,559$ 2. FRINGE BENEFITS: (Specify) Composite Rate % 45% full time 18% part time LTD 94,068$ 3. TOTAL TRAVEL:3,580$ 6,000$ Name Amount 5. TOTAL CONTRACTUAL: Amount 6. TOTAL EQUIPMENT:$4,000 Amount Communication:$1,000 Space Cost:$15,000 Farmington Clinic $4,000 Madision Heights Cleaning $6,000 Others (explain):$19,000 $17,191 Audit $2,583 Translation Services - Bromberg $5,000 Total $69,774 519,981$ Rate #1 Base $x Rate = Rate #2 Base $- x Rate = -$ -$ 519,981$ DCH-0386(E) (Rev. 01/09) (EXCEL) Previous Edition Obsolete COMPLETION: Is Voluntary, but is required as a condition of funding. 10. TOTAL ALL EXPENDITURES: (Sum of lines 8-9) AUTHORITY: P.A. 368 of 1978 8. TOTAL DIRECT EXPENDITURES: (Sum of Totals 1-7)8. TOTAL DIRECT EXPENDITURES: 9. INDIRECT COST CALCULATIONS: 9. TOTAL INDIRECT EXPENDITURES: Telephones IT Cost pool (X/fte/hr.) 7. OTHER EXPENSES: (Specify if category exceeds 10% of Total Expenditures) flyers, advertizing, business cards, news ads Madison Heights clinic 6. EQUIPMENT: (Specify) Replacement of outdated or non functioning printers, scanners, computers as needed to update technology Address 4. TOTAL SUPPLIES & MATERIALS: 5. CONTRACTUAL: (Subcontracts/Subrecipients) Conferences, required training-all staff $3,000.00 for conferences 4. SUPPLIES & MATERIALS: (Specify if category exceeds 10% of Total Expenditures) Including gloves, controls, office/cleaning/sanitizing supplies and any materials required to run clinics Local Travel Mileage Rate @ .58 cents per mile 1,000 miles = $580.00 1. TOTAL SALARY & WAGES: 3. TRAVEL: (Specify if category exceeds 10% of Total Expenditures) 2. TOTAL FRINGE BENEFITS: Reigstered Dietitian 1@40 hours/week x 52 weeks 1@28 hours/week x 52 weeks CPA 1@40 hours/week x 52 weeks OLHSA Receptionist 1@4hours/weekx 52 weeks 1. SALARY & WAGES: Health Tech 1@21 hours/week x 52 weekds Health Tech Coordinator 2@40 hours/week x weeks 1@10 hours/week x 52 weeks Breasfeeding Coordinator 1@ 36 hours/week x 52 weeks Nutrition Education Coordinator 1@ 20/hour/week x 52 weeks PROGRAM BUDGET - COST DETAIL SCHEDULE Use Additional Sheets as Needed View at 100% or Larger MICHIGAN DEPARTMENT OF COMMUNITY HEALTH The Department of Community Health is an equal opportunity employer, services and programs provider. OLHSA WIC ProgramPROGRAM BUDGET PERIOD CONTRACTOR NAME BUDGET AGREEMENT POSITION DESCRIPTION COMMENTS WIC Associate Director/RD 1@ 36 hours/week x 52 weeks Oakland Livingston Human Service Agency FICA UNEMPLOY RETIREME HEARING DENTAL INS ORIGINAL AMENDMENT FICA UNEMPLOY RETIREME HOSPITAL LIFE INS VISION WORK COMP OTHER:spe ORIGINAL AMENDMENT DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 Costs Allowable Only with Prior Approval - The following costs are allowable only with prior review/approval of the Michigan Department of Health & Human Services as specified by the U.S. Department of Agriculture, Food and Nutrition Service (Ref.: 7 CFR Part 246, and USDA- WIC Administrative Cost Handbook 3/86). Prior approval is accomplished by providing appropriate detail in the budget request to OHCD which is approved by MDHHS or subsequently in a written request to OCHD and approved in writing by MDHHS and provided to OCHD. A.Automated Information Systems - which are required by a local Grantees except for those used in general management and payroll, including acquisition of automated data processing hardware or software whether by outright purchase or rental-purchase agreement or other method of acquisition. B.Capital Expenditures of $2,500 or More - such as the cost of facilities, equipment, including medical equipment, other capital assets and any repairs that materially increase the value or useful life of capital assets. C.Management Studies - performed by agencies or departments other than the local Grantee or those performed by outside consultants under contract with the local Grantee. D.Accounting and Auditing Services - performed by private sector firms under professional service contracts for purposes of preparation or audit of program and financial records/reports. E.Other Professional Services - rendered by individuals or organizations, not a part of the local Grantee, such as: 1.Contractual private physician providing certification data. 2.Contractual organization providing laboratory data. 3.Contractual translators and interpreters at the local Grantee level. F.Training and Education - provided for employee development, which directly or indirectly benefits the grant program, to the extent that such training is contracted for or involves out- of-service training over extended periods of time. G.Building Space and Related Facilities - the cost to buy, lease or rent space in privately or publicly owned buildings for the benefit of the program. H.Non-Fringe Insurance and Indemnification Costs - all charges to WIC must be necessary, reasonable, allowable, and allocable for the proper and efficient administration of the program. Further information and cost standards are provided in federal instructions including Title 2 CFR, Part 200 and 7 CFR Part 3015. Breastfeeding Peer Counseling Program The sub-recipient must follow the allowable expense guidelines provided by USDA FNS for the Peer Counselor grant. The use of BFPC funds for expenditures that are not supported by the Loving Support Model are not authorized. Expenses for Breastfeeding education and supplies must be charged to the normal WIC budget, not the Peer Counselor Grant. DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 1 Allowable Costs for Breastfeeding Peer Counseling Programs Breastfeeding peer counseling (BFPC) funds that the Food and Nutrition Service (FNS) distributes to State agencies are to be used to develop or expand activities necessary to sustain a peer counseling program based on the FNS WIC Breastfeeding Model for Peer Counseling. The primary purpose of BFPC funds is to provide direct peer counselor to WIC mother breastfeeding support services. A State agency’s peer counseling implementation plan and annual line item budget addendum to its State Plan must demonstrate an appropriate balance between the costs of equipment, materials, and staff that manage or provide expertise to peer counselors and the costs of direct service delivery by peer counselors. The use of BFPC funds for expenditures that are not supported by the WIC Breastfeeding Model for Peer Counseling are not authorized. The table below helps to identify allowable BFPC costs.* Item or Service Allowable Costs Comments Durable Goods and Space Furniture, desktop computers/laptops/tablets, and office equipment used to provide peer counseling services and training Yes Phone lines, internet service, cell/smartphones, pagers and answering machines for contacts between peer counselors and mothers Yes Portable baby scales to weigh infants outside of the WIC clinic or scales marketed for pre- and post-breastfeeding weight checks No Nutrition Services and Administration (NSA) funds may be used to purchase scales for clinical assessment for use by staff other than peer counselors. Space and lease costs for peer counselors to provide services Yes Incentives and Educational Materials to Promote Breastfeeding Breastfeeding educational materials for mothers No NSA funds may be used to purchase participant educational material. DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 2 Item or Service Allowable Costs Comments Breast pumps and breastfeeding aids for mothers Breast pumps and breastfeeding aids for demonstration purposes by peer counseling staff No Yes Refer to Breastfeeding Policy and Guidance for more information on breast pumps and allowable breastfeeding aids. Incentive items distributed to WIC participants to encourage breastfeeding (e.g., breast pumps, breastfeeding aids, breastfeeding promotion and support incentive items, written materials, etc.) No NSA funds may be used to purchase participant incentive items. Personnel and Compensation Salaries and compensation for peer counseling staff: peer counselors, designated peer counselor coordinators, and WIC Designated Breastfeeding Experts (DBE) Yes. BFPC funds may be used to fund staff to provide oversight/management of peer counseling programs and/or supervision, mentoring and referral expertise for peer counselors. BFPC funds may be used to pay for DBE time if a peer counselor refers a WIC mother to a DBE for problems that are outside of the peer counselor’s scope of practice. The DBE may be compensated using BFPC funds if the mother continues to be supported by the peer counselor and remains part of the peer counselor’s caseload. BFPC funds cannot be used to disproportionately hire WIC DBEs versus peer counselors. NSA funds must be used for consultations for WIC mothers who are not referred by peer counselors and are not part of a peer counselor’s caseload. Refer to the Nutrition Services Standards for DBE qualifications, roles and responsibilities. DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 3 Item or Service Allowable Costs Comments Salaries and compensation for dual-role staff (e.g., part- time WIC Nutrition Assistant and part-time peer counselor or part-time CPA and part- time DBE) Yes, but costs must be allocated between the two positions held. BFPC funds may be used for the portion of time spent as peer counselor or the DBE. See FNS Breastfeeding Policy and Guidance document for additional information on dual- role staff. State agency policies must be approved by FNS Regional Offices. Males as breastfeeding peer counselors No. The definition of peer counselor in the WIC Breastfeeding Model for Peer Counseling is based on research demonstrating the benefit of hiring peer counselors from WIC’s target population of WIC-eligible women. Father-to-Father Breastfeeding Support Group No Fathers are valuable partners of breastfeeding promotion and support in WIC. However, father-led activities are outside of those defined by the WIC Breastfeeding Model for Peer Counseling. See FNS Peer Counseling Management Curriculum for additional information. Virtual Breastfeeding Support Groups (i.e., Facebook, Zoom) Yes, only for PC/DBE staff hours for monitoring and engaging with WIC participants in a Virtual Support Group that provides breastfeeding support services. BFPC funds cannot be used for breastfeeding support to non-WIC participants. Recruitment of peer counselors and related staff Yes DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 4 Item or Service Allowable Costs Comments Staffing and expenses related to WIC Peer Counselor support to breastfeeding hotlines and call centers Yes. BFPC funds may be used to fund peer counselors to answer calls to a WIC breastfeeding hotline if the peer counselor: 1) meets the definition of peer counselor; 2) receives the appropriate training and supervision as outlined in the WIC Breastfeeding Model for Peer Counseling; and 3) does not provide services to non-WIC participants. Other expenses related to the hotline/call center (e.g., rent, phone lines, equipment, etc.) are allowable for any portion of those expenses that are for the purpose of a WIC peer counselor providing WIC participant contacts through the hotline/call center. BFPC funds cannot be used for breastfeeding hotline support to non-WIC participants. Milk Banks/Depots No. BFPC funds cannot be used for services related to milk banks/depots. Drop-In Breastfeeding Groups Yes. BFPC/DBE time may only be used for WIC participants. BFPC/DBE time may not be counted toward nutrition education contacts. Staffing and expenses related to WIC Peer Counselor support to the Buddy Program Yes. Duties such as matching buddy pairs, responding to buddy requests/inquiries, following up on buddy interactions, prompting discussions with conversation starters, and other duties as assigned by peer counselor supervisor. Staff Training and Resources Travel for WIC State- required training of peer counselors/DBE and peer counseling staff/managers Yes, only for the FNS Breastfeeding trainings or WIC State-developed approved comparable training. NSA funds may be used for attendance at a state/national breastfeeding conference. DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 5 Item or Service Allowable Costs Comments Travel for home and hospital visits by peer counseling staff Yes, for visits to WIC participants; peer counselors may not provide services to non-WIC participants. Continuing education for DBEs Yes, if it relates to servicing peer counseling programs (e.g., mentoring, serving as a referral, etc.) Breastfeeding resources for peer counseling staff Breastfeeding resources for WIC staff not related to peer counseling Yes, if the resources are related to peer counseling (e.g., training materials for peer counselors). No NSA funds may be used to purchase general breastfeeding resources for WIC staff. Training and coursework for peer counselors to become International Board Certified Lactation Consultant (IBCLC) or Certified Lactation Counselor (CLC) No. NSA funds may be used for CLC or IBCLC training and coursework. The priority use of BFPC funds is to hire and train peer counselors to provide breastfeeding peer counseling services to WIC participants. Staff with IBCLC ‘s are not considered peer counselors. The research recommends that peer counselors be provided career path training options. DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 6 Item or Service Allowable Costs Comments CLC or IBCLC exam, renewal, or membership fees No At the WIC State agency’s discretion, NSA funds may be used for CLC or IBCLC training, exam fees, renewal and/or association membership fees. The State agency must determine if it is necessary and of benefit to the WIC Program for the person in a particular job position to have the certification. SAs must also determine whether the cost fits within its WIC NSA grant budget. Peer Counseling Program Advertising and Promotion Pamphlets and similar materials to promote the peer counseling program Yes Media outreach (e.g., bus placards, paid social media and digital ads to advertise BFPC programs) Yes Media outreach using BFPC funds are allowed if directly recruiting peer counselors or informing WIC participants about the PC program, including the Buddy Program, as a WIC breastfeeding benefit. FNS would not expect to see a disproportionate amount of the BFPC funds spent on advertising the program at the expense of direct services to participants. BFPC funds may not be used for ads that promote breastfeeding in general, NSA funds may be used for this purpose. DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 7 Item or Service Allowable Costs Comments Name badges, buttons and similar low-cost items that identify peer counselor staff Yes Miscellaneous Indirect costs (e.g., personnel, accounting, or information technology services, etc.) Yes, but only those that are related to providing a WIC peer counseling program. Second nutrition education contacts No. BFPC funds are for activities that are in addition to current required WIC activities. NSA funds provide for at least two nutrition education contacts; therefore, BFPC funds may not be used for the “second” contact. In addition, the 1/6th nutrition education requirement and breastfeeding target must be met with regular NSA funds. Childcare No Cribs or other materials and equipment for infants of peer counselors who bring their babies to work No Monitoring and tracking of program effectiveness. Yes. Funds may be used to monitor and track program components (e.g., contacts, referrals, training, etc.) to determine effectiveness and where improvements are needed. Evaluation studies may not be paid for using BFPC funds. Peer counseling services to non-WIC participants No. Peer counselors should refer WIC-eligible women to WIC to apply for WIC benefits. Peer counselors should refer women who are not WIC-eligible to appropriate non-WIC resources. . DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 8 Item or Service Allowable Costs Comments Breastfeeding coalitions No BFPC funds can only be used for services and activities related directly to peer counseling. *Updated January 2023. This is not an exhaustive list of allowable costs. Refer to the FNS Regional Office for questions about allowable cost and to the Breastfeeding Policy and Guidance. DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 Attachment C Attachment C Reporting Requirements Reporting: As part of the Breastfeeding Peer Counseling Grant, Subrecipient shall maintain monthly records for each individual Peer Counselor. Specific supplemental reporting forms will be provided by MDDHS WIC program to complete this requirement. Reports are due to the Oakland County Health Division WIC Supervisor by the 5th day of January, March, July and October for review and submission to MDHHS WIC Invoicing process: Submit monthly, the actual costs incurred for the WIC grant and Breastfeeding Peer Counselor grant using the electronic invoice provided by OCHD. The invoice form reflects the Subrecipient budget approved by the County and the State WIC program. DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 ATTACHMENT D SUBRECIPIENT INSURANCE REQUIREMENTS WITH COUNTY During this Agreement, the Subrecipient shall provide and maintain, at their own expense, all insurance as set forth and marked below, protecting the County against any Claims. Claims means any loss; complaint; demand for relief or damages; lawsuit; cause of action; proceeding; judgment; penalty; costs or other liability of any kind which is imposed on, incurred by, or asserted against the County or for which the County may become legally or contractually obligated to pay or defend against, whether commenced or threatened, including, but not limited to, reimbursement for reasonable attorney fees, mediation, facilitation, arbitration fees, witness fees, court costs, investigation expenses, litigation expenses, or amounts paid in settlement. The insurance shall be written for not less than any minimum coverage herein specified. Limits of insurance required in no way limit the liability of the Subrecipient. Primary Coverages Commercial General Liability Occurrence Form including: (a) Premises and Operations; (b) Products and Completed Operations (including On and Off Premises Coverage); (c) Personal and Advertising Injury; (d) Broad Form Property Damage; (e) Broad Form Contractual including coverage for obligations assumed in this Agreement; $1,000,000 – Each Occurrence Limit $1,000,000 – Personal & Advertising Injury $2,000,000 – Products & Completed Operations Aggregate Limit $2,000,000 – General Aggregate Limit $ 100,000 – Damage to Premises Rented to You (formally known as Fire Legal Liability) Workers’ Compensation Insurance with limits statutorily required by any applicable Federal or State Law and Employers Liability insurance with limits of no less than $500,000 each accident, $500,000 disease each employee, and $500,000 disease policy limit. 1.☒ Fully Insured or State approved self-insurer. 2.☐ Sole Proprietors must submit a signed Sole Proprietor form. 3.☐ Exempt entities, Partnerships, LLC, etc., must submit a State of Michigan form WC-337 Certificate of Exemption. Commercial Automobile Liability Insurance covering bodily injury or property damage arising out of the use of any owned, hired, or non-owned automobile with a combined single limit of $1,000,000 each accident. This requirement is waived if there are no company owned, hired or non-owned automobiles utilized in the performance of this Agreement. Commercial Umbrella/Excess Liability Insurance with minimum limits of $2,000,000 each occurrence. Umbrella or Excess Liability coverage shall be no less than following form of primary coverages or broader. This Umbrella/Excess requirement may be met by increasing the primary Commercial General Liability limits to meet the combined limit requirement. DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 Third Party Theft Insurance in an amount not less than the grant award with Oakland County named as an additional insured. Supplemental Coverages – As Needed 1.Professional Liability/Errors & Omissions Insurance (i.e., Consultants, Technology Vendors, Architects, Engineers, Real Estate Agents, Insurance Agents, Attorneys, etc.) with minimum limits of $1,000,000 per claim and $1,000,000 aggregate shall be required when the Subrecipient provides professional services that the County relies upon. 2.Cyber Liability Insurance with minimum limits of $1,000,000 per claim and $1,000,000 aggregate shall be required when the Subrecipient has access to County IT systems and/or stores County data electronically. 3.Commercial Property Insurance. The Subrecipient shall be responsible for obtaining and maintaining insurance covering their equipment and personal property against all physical damage. 4.Other Insurance Coverages as may be dictated by the provided product/service and deemed appropriate by the County Risk Management Department. General Insurance Conditions The aforementioned insurance shall be endorsed, as applicable, and shall contain the following terms, conditions, and/or endorsements. All certificates of insurance shall provide evidence of compliance with all required terms, conditions and/or endorsements. 1.All policies of insurance shall be on a primary, non-contributory basis with any other insurance or self-insurance carried by the County; 2.The insurance company(s) issuing the policy(s) shall have no recourse against the County for subrogation (policy endorsed written waiver), premiums, deductibles, or assessments under any form. All policies shall be endorsed to provide a written waiver of subrogation in favor of the County; 3.Any and all deductibles or self-insured retentions shall be assumed by and be at the sole risk of the Subrecipient; 4.Subrecipient shall be responsible for their own property insurance for all equipment and personal property used and/or stored on County property; 5.The Commercial General Liability and Commercial Automobile Liability policies along with any required supplemental coverages shall be endorsed to name the County of Oakland and its officers, directors, employees, appointees and commissioners as additional insureds where permitted by law and policy form; 6.If the Subrecipient’s insurance policies have higher limits than the minimum coverage requirements stated in this document the higher limits shall apply and in no way shall limit the overall liability assumed by the Subrecipient under contract. requirements stated in this document the higher limits shall apply and in no way shall limit the overall liability assumed by the Subrecipient under contract. 8.The Subrecipient shall require its contractors or sub-contractors, not protected under the Subrecipient’s insurance policies, to procure and maintain insurance with coverages, limits, provisions, and/or clauses equal to those required in this Agreement; 9.Certificates of insurance must be provided no less than ten (10) Business Days prior to the County’s execution of the Agreement and must bear evidence of all required terms, conditions, and endorsements; and provide 30 days’ notice of cancellation/material change endorsement. 10.All insurance carriers must be licensed and approved to do business in the State of Michigan along with the Subrecipient’s state of domicile and shall have and maintain a minimum A.M. Best’s rating of A- unless otherwise approved by the County Risk Management Department. 11. DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 7. The Subrecipient shall require its contractors or sub-contractors, not protected under the Subrecipient’s insurance policies, to procure and maintain insurance with coverages, limits, provisions, and/or clauses equal to those required in this Agreement; 8. Certificates of insurance must be provided no less than ten (10) Business Days prior to the County’s execution of the Agreement and must bear evidence of all required terms, conditions, and endorsements; and provide 30 days’ notice of cancellation/material change endorsement. 9. All insurance carriers must be licensed and approved to do business in the State of Michigan along with the Subrecipient’s state of domicile and shall have and maintain a minimum A.M. Best’s rating of A- unless otherwise approved by the County Risk Management Department. DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 Agreement #: 20240239-00 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, Unique Entity Identifier: HZ4EUKDD7AB4 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, 2023, whichever is later, and continue through September 30, 2024. Throughout the Agreement, the date of the Grantee’s signature or October 1, 2023, whichever is later, will 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 $12,096,246.00. Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 1 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 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 will 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 will 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 C.1 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 will 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 2 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 5.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. 6.Financial Requirements The financial requirements must be followed as described in Part 2 and Attachment I - Annual Budget and Attachment IV - Funding/Reimbursement Matrix, which are part of this Agreement. 7.Performance/Progress Report Requirements The progress reporting methods, as applicable, must be followed as described in part 2 and Attachment III, Program Specific Assurances and Requirements, which are part of this Agreement. 8.General Provisions The Grantee agrees to comply with the General Provisions outlined in Part 2, which is part of this Agreement. 9.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: Karrie Jager Accountant ___________________________________________________________________ Name Title jagerk@oakgov.com (248) 858-5468 ___________________________________________________________________ E-Mail Address Telephone No. Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 3 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 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 Administrator ___________________________________________________________________ Name Title For the Michigan Department of Health and Human Services Christine H. Sanches 08/31/2023 ___________________________________________________________________ Christine H. Sanches, Director Date Bureau of Grants and Purchasing Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 4 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 Part 2 General Provisions I.Responsibilities - Grantee The Grantee, in accordance with the general purposes and objectives of this Agreement, must: 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 will not be financed by any sources other than the Department under the terms of this Agreement. If funding is received Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 5 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 6 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 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 the earlier of 30 calendar days after receipt of the auditor’s report(s) or nine months after the end of the Grantee’s fiscal year by e- mail to 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 submissions must be assembled in PDF files 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 7 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 the Department. The Department may retain the amount 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. Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 8 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 3.Establish requirements to ensure compliance for for-profit subrecipients 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. I.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 must 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; Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 9 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 d.A Proceeding under the Sarbanes-Oxley Act; e.A civil Proceeding involving: A claim that might reasonably be expected to adversely affect Grantee’s viability or financial stability; or 1. A governmental or public entity’s claim or written allegation of fraud; or 2. Any complaint filed in a legal or administrative proceeding alleging the Grantee or its subcontractors discriminated against its employees, subcontractors, vendors, or suppliers during the term of this Agreement; or 3. f.A Proceeding involving any license that 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 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 I, 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 10 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 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 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 will 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 will 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. Q.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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 11 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 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 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 2024, 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 costs (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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 12 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 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. b.State of Michigan travel rates may be found at the following website: https://www.michigan.gov/dtmb/0,5552,7-358- 82548_13132---,00.html. 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 20 37 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 13 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 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 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.ICHAT: 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 14 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 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 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. Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 15 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 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. 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 fiscal year Omnibus Consolidated Appropriations Act. Further, the Grantee must require that the language of this Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 16 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 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 must certify and disclose accordingly. 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 17 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 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, 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 must 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 18 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 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, 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 must 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 must 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 must 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. 1251-1388), as amended. 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 19 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 The Grantee will comply with the Victims of Trafficking and Violence Protection Act of 2000 (P.L. 106-386), as amended. This Agreement and anyone working on this Agreement will be subject to P.L. 106-386 and must comply with all applicable standards, orders 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. 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 must 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 will prevail. A conflict between this Agreement and a subcontract, however, will 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. Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 20 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 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 must contain provisions or conditions 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 must 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 must 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 1.Grantee will ensure that all purchase transactions, whether negotiated or advertised, are conducted openly and competitively in accordance with the principles and requirements of 2 CFR 200. 2.Funding from this Agreement must not be used for the purchase of foreign goods or services. 3.Preference must be given to goods and services manufactured or provided by Michigan businesses, if they are competitively priced and of Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 21 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 comparable quality. 4.Preference must be given to goods and services that are manufactured or provided by Michigan businesses owned and operated by veterans, if they are competitively priced and of comparable quality. 5.Records must be sufficient to document the significant history of all purchases and must 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 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 22 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 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. N.Home Health Services If the Grantee provides Home Health Services (as defined in Medicare Part B), the following requirements apply: 1.The Grantee must not use State ELPHS or categorical grant funds provided under this Agreement to unfairly compete for home health services available from private providers of the same type of services in the Grantee’s service area. 2.For purposes of this Agreement, the term “unfair competition” will 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 will 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 must 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 1.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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 23 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 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” 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 will be used Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 24 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 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. S.State Data 1.Ownership. The Department’s data (“State Data,” which will be treated by Grantee as Confidential Information) includes: (a) the Department’s data, user data, and any other data collected, used, processed, stored, or generated as the result of this Agreement; (b) personally identifiable information (“PII“) collected, used, processed, stored, or generated as the result of this Agreement, including, without limitation, any information that identifies an individual, such as an individual’s social security number or other government-issued identification number, date of birth, address, telephone number, biometric data, mother’s maiden name, email address, credit card information, or an individual’s name in combination with any other of the elements here listed; and, (c) protected health information (“PHI”) collected, used, processed, stored, or generated as the result of this Agreement, which is defined under the Health Insurance Portability and Accountability Act (HIPAA) and its related rules and regulations. State Data is and will remain the sole and exclusive property of the Department and all right, title, and interest in the same is reserved by the Department. 2.Grantee Use of State Data. Grantee is provided a limited license to State Data for the sole and exclusive purpose of providing the activities outlined in the Agreement’s Statement of Work, including a license to collect, process, store, generate, and display State Data only to the extent necessary in the provision of the Agreement’s Statement of Work. Grantee must: (a) keep and maintain State Data in strict confidence, using such degree of care as is appropriate and consistent with its obligations as further described in this Agreement and applicable law to avoid unauthorized access, use, disclosure, or loss; (b) use and disclose State Data solely and exclusively for the purpose of providing the activities described in the Statement of Work, such use and disclosure being in accordance with this Agreement, any applicable Statement of Work, and applicable law; (c) keep and maintain State Data in the continental United States and (d) not use, sell, rent, transfer, distribute, commercially exploit, or otherwise disclose or make available State Data for Grantee’s own purposes or for the benefit of anyone other than the Department without the Department’s prior written Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 25 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 consent. Grantee's misuse of State Data may violate state or federal laws, including but not limited to MCL 752.795. 3.Extraction of State Data. Grantee must, within five business days of the Department’s request, provide the Department, without charge and without any conditions or contingencies whatsoever (including but not limited to the payment of any fees due to Grantee), an extract of the State Data in the format specified by the Department. 4.Backup and Recovery of State Data. Grantee is responsible for maintaining a backup of State Data and for an orderly and timely recovery of such data. Grantee must maintain a contemporaneous backup of State Data that can be recovered within two hours at any point in time. 5.Loss or Compromise of Data. In the event of any act, error or omission, negligence, misconduct, or breach on the part of Grantee that compromises or is suspected to compromise the security, confidentiality, or integrity of State Data or the physical, technical, administrative, or organizational safeguards put in place by Grantee that relate to the protection of the security, confidentiality, or integrity of State Data, Grantee must, as applicable: (a) notify the Department as soon as practicable but no later than 24 hours of becoming aware of such occurrence; (b) cooperate with the Department in investigating the occurrence, including making available all relevant records, logs, files, data reporting, and other materials required to comply with applicable law or as otherwise required by the Department; (c) in the case of PII or PHI, at the Department’s sole election, (i) with approval and assistance from the Department, notify the affected individuals who comprise the PII or PHI as soon as practicable but no later than is required to comply with applicable law, or, in the absence of any legally required notification period, within five calendar days of the occurrence; or (ii) reimburse the Department for any costs in notifying the affected individuals; (d) in the case of PII, provide third-party credit and identity monitoring services to each of the affected individuals who comprise the PII for the period required to comply with applicable law, or, in the absence of any legally required monitoring services, for no less than 24 months following the date of notification to such individuals; (e) perform or take any other actions required to comply with applicable law as a result of the occurrence; (f) pay for any costs associated with the occurrence, including but not limited to any costs incurred by the Department in investigating and resolving the occurrence, including reasonable attorney’s fees associated with such investigation and resolution; (g) without limiting Grantee’s obligations of indemnification as further described in this Agreement, indemnify, defend, and hold harmless the Department for any and all claims, including reasonable attorneys’ fees, Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 26 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 costs, and incidental expenses, which may be suffered by, accrued against, charged to, or recoverable from the Department in connection with the occurrence; (h) be responsible for recreating lost State Data in the manner and on the schedule set by the Department without charge to the Department; and, (i) provide to the Department a detailed plan within 10 calendar days of the occurrence describing the measures Grantee will undertake to prevent a future occurrence. Notification to affected individuals, as described above, must comply with applicable law, be written in plain language, not be tangentially used for any solicitation purposes, and contain, at a minimum: name and contact information of Grantee’s representative; a description of the nature of the loss; a list of the types of data involved; the known or approximate date of the loss; how such loss may affect the affected individual; what steps Grantee has taken to protect the affected individual; what steps the affected individual can take to protect himself or herself; contact information for major credit card reporting agencies; and, information regarding the credit and identity monitoring services to be provided by Grantee. The Department will have the option to review and approve any notification sent to affected individuals prior to its delivery. Notification to any other party, including but not limited to public media outlets, must be reviewed, and approved by the Department in writing prior to its dissemination. The parties agree that any damages relating to a breach of this section are to be considered direct damages and not consequential damages. 6.Surrender of Confidential Information upon Termination. Upon termination or expiration of this Contract or a Statement of Work, in whole or in part, each party must, within 5 Business Days from the date of termination, return to the other party any and all Confidential Information received from the other party, or created or received by a party on behalf of the other party, which are in such party’s possession, custody, or control. Upon confirmation from the State, of receipt of all data, Grantee must permanently sanitize or destroy the State’s Confidential Information, including State Data, from all media including backups using National Security Agency (“NSA”) and/or National Institute of Standards and Technology (“NIST”) (NIST Guide for Media Sanitization 800-88) data sanitization methods or as otherwise instructed by the State. If the State determines that the return of any Confidential Information is not feasible or necessary, Grantee must destroy the Confidential Information as specified above. The Grantee must certify the destruction of Confidential Information (including State Data) in writing within 5 Business Days from the date of confirmation from the State. Any requirement on the Grantee’s part to retain data beyond the end of this contract must be authorized by the State. Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 27 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 T.Data Privacy and Information Security 1.Undertaking by Grantee. Without limiting Grantee’s obligation of confidentiality as further described, Grantee is responsible for establishing and maintaining a data privacy and information security program, including physical, technical, administrative, and organizational safeguards, that is designed to: (a) ensure the security and confidentiality of the State Data; (b) protect against any anticipated threats or hazards to the security or integrity of the State Data; (c) protect against unauthorized disclosure, access to, or use of the State Data; (d) ensure the proper disposal of State Data; and (e) ensure that all employees, agents, and subcontractors of Grantee, if any, comply with all of the foregoing. In no case will the safeguards of Grantee’s data privacy and information security program be less stringent than the safeguards used by the Department, and Grantee must at all times comply with all applicable State policies and standards, which are available to Grantee upon request. 2.Audit by Grantee. No less than annually, Grantee must conduct a comprehensive independent third-party audit of its data privacy and information security program and provide such audit findings to the Department. 3.Right of Audit by the State. Without limiting any other audit rights of the Department, the Department has the right to review Grantee’s data privacy and information security program prior to the commencement of the Agreement’s Statement of Work and from time to time during the term of this Agreement. During the providing of the Agreement’s Statement of Work, on an ongoing basis from time to time and without notice, the Department, at its own expense, is entitled to perform, or to have performed, an on-site audit of Grantee’s data privacy and information security program. In lieu of an on-site audit, upon request by the Department, Grantee agrees to complete, within 45 calendar days of receipt, an audit questionnaire provided by the Department regarding Grantee’s data privacy and information security program. 4.Audit Findings. Grantee must implement any required safeguards as identified by the Department or by any audit of Grantee’s data privacy and information security program. 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 28 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 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 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 must electronically prepare and submit FSRs to the Department via the EGrAMS website (http://egrams-mi.com/mdhhs). Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 29 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 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/dch. 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 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 30 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 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/sigmavss 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 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 31 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 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 will 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 11/15/2024 All Remaining Projects 11/30/2024 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 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; Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 32 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 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 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. Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 33 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 VII.Final Reporting upon Termination Should this Agreement be terminated by either party, within 30 days after the termination, the Grantee must 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 must 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. VIII.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 will 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, 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. Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 34 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 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 will be the responsibility of the Grantee, and not the responsibility of the Department. Nothing herein will 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 will be borne by the Grantee and the Department in relation to each party's responsibilities under these joint activities, provided that nothing herein will 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 Agreement is governed, construed, and enforced in accordance with Michigan law, excluding choice-of-law principles, and all claims relating to or arising out of this Agreement are governed by Michigan law, excluding choice-of-law principles. Any dispute arising from this Agreement must be resolved in the Michigan Court of Claims. Complaints against the State must be initiated in Ingham County, Michigan. Grantee waives any objections, such as lack of personal jurisdiction or forum non conveniens. Grantee must appoint an agent in Michigan to receive service of process. XIII.Funding A.State funding for this Agreement will be provided from the applicable and available Department appropriations for the current fiscal year. The Department provided funds will be as stated in the approved Annual Budget - Attachment I Instructions for the Annual Budget, Attachment III, Program Specific Assurances and Requirements, and as outlined in Attachment IV, Funding/Reimbursement Matrix. B.The funding provided through the Department for this Agreement will 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 35 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 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: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 36 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 AA Attachments A1 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 Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 37 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 Contract # 20240239-00 Date: 08/31/2023MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICESATTACHMENT IV - Local Health Department - 2024CONTRACT MANAGEMENT SECTIONOakland County Department of Health and Human Services/ Health Division Program Element/Funding Source(a)MDHHSSourceFed/StFundingAmountReimbursementMethod(b)PerformanceTargetOutputMeasurementTotal (c)PerformExpectState (d)FundedTargetPerformState Funded MinimumPerformancePercentNumber (e)Contractor /Subrecepient(f)Adolescent STI ScreeningReg. Alloc.F73,000Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientBody Art Fixed FeeCalc. Amt.S0Fixed Unit Rate (2)N/AN/AN/AN/AN/ARecepientChildren's Special Hlth CareServices (CSHCS) CareCoordinationCalc. Amt.S0Fixed Unit Rate (1),(7)N/AN/AN/AN/AN/ASubrecepientChildren's Special Hlth CareServices (CSHCS) Outreach &AdvocacyReg. Alloc.F147,201Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientReg. Alloc.S147,201CSHCS Medicaid Elevated BloodLead Case MgmtCalc. Amt.F0Fixed Unit Rate (2)N/AN/AN/AN/AN/ASubrecepientCSHCS Vaccine InitiativeReg. Alloc.F18,968Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientEastern Equine Encephalitis VirusSurveillance ProjectReg. Alloc.F15,000Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientEGLE Drinking Water and OnsiteWastewater ManagementReg. Alloc.S985,042ELPHS (3), (6)N/AN/AN/AN/AN/ARecepientEmerging Threats - Hepatitis CReg. Alloc.S166,000Actual CostReimbursementN/AN/AN/AN/AN/ARecepientFetal Infant Mortality Review(FIMR) Case AbstractionCalc. Amt.S0Fixed Unit Rate (2)N/AN/AN/AN/AN/ASubrecepientFIMR InterviewsCalc. Amt.S0Fixed Unit Rate (2),(11)N/AN/AN/AN/AN/ASubrecepientFood ELPHSReg. Alloc.S1,176,612ELPHS (3), (4)N/AN/AN/AN/AN/ARecepientGonococcal Isolate SurveillanceProjectReg. Alloc.F6,178Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientReg. Alloc.S18,535Harm Reduction Support ServicesReg. Alloc.F250,000Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientHearing ELPHSReg. Alloc.L253,969ELPHS (3), (6)N/AN/AN/AN/AN/ARecepientDate: 08/31/2023Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 ________________________________________________________________________________________________________________Page: 38 of 210DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 Contract # 20240239-00 Date: 08/31/2023MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICESATTACHMENT IV - Local Health Department - 2024CONTRACT MANAGEMENT SECTIONOakland County Department of Health and Human Services/ Health Division Program Element/Funding Source(a)MDHHSSourceFed/StFundingAmountReimbursementMethod(b)PerformanceTargetOutputMeasurementTotal (c)PerformExpectState (d)FundedTargetPerformState Funded MinimumPerformancePercentNumber (e)Contractor /Subrecepient(f)HIV PrEP ClinicReg. Alloc.F343,000Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientReg. Alloc.P3,500Reg. Alloc.S3,500HIV PreventionReg. Alloc.F22,612Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientReg. Alloc.P22,612Reg. Alloc.S407,021Immunization Action Plan (IAP)Reg. Alloc.F526,990Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientImmunization Fixed FeesCalc. Amt.S0Fixed Unit Rate (2),(7)N/AN/AN/AN/AN/ASubrecepientImmunization Vaccine QualityAssuranceReg. Alloc.S105,347Actual CostReimbursementN/AN/AN/AN/AN/ARecepientInfant Safe SleepReg. Alloc.F7,000Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientReg. Alloc.S63,000Integrating MPOX into STI ClinicsReg. Alloc.F6,500Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientLaboratory Services BioReg. Alloc.F1,500Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientMCH - All OtherLocal MCHS249,377Local MCH (3), (6)N/AN/AN/AN/AN/ASubrecepientMCH - ChildrenLocal MCHS72,080Local MCH (3), (6)N/AN/AN/AN/AN/ASubrecepientMDHHS-Essential Local PublicHealth Services (ELPHS)Reg. Alloc.S2,557,216ELPHS (3),(6)N/AN/AN/AN/AN/ARecepientNurse Family PartnershipServicesReg. Alloc.F405,324Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientReg. Alloc.S270,216Oral Health- KindergartenAssessmentReg. Alloc.S110,597Actual CostReimbursementN/AN/AN/AN/AN/ARecepientDate: 08/31/2023Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 ________________________________________________________________________________________________________________Page: 39 of 210DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 Contract # 20240239-00 Date: 08/31/2023MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICESATTACHMENT IV - Local Health Department - 2024CONTRACT MANAGEMENT SECTIONOakland County Department of Health and Human Services/ Health Division Program Element/Funding Source(a)MDHHSSourceFed/StFundingAmountReimbursementMethod(b)PerformanceTargetOutputMeasurementTotal (c)PerformExpectState (d)FundedTargetPerformState Funded MinimumPerformancePercentNumber (e)Contractor /Subrecepient(f)Public Health EmergencyPreparedness (PHEP) 10/1 - 6/30Reg. Alloc.F222,449Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientPublic Health EmergencyPreparedness (PHEP) CRI 10/1 -6/30Reg. Alloc.F196,551Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientSexually Transmitted Infection(STI) ControlReg. Alloc.F33,418Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientReg. Alloc.S703Reg. Alloc.S36,144Statewide Lead CaseManagement - Fixed FeeCalc. Amt.S0Fixed Unit Rate (7),(11)N/AN/AN/AN/AN/ARecepientTuberculosis (TB) ControlReg. Alloc.F15,426Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientVector-Borne Surveillance &PreventionReg. Alloc.S9,000Actual CostReimbursementN/AN/AN/AN/AN/ARecepientVision ELPHSReg. Alloc.L253,968ELPHS (3), (6)N/AN/AN/AN/AN/ARecepientWest Nile Virus CommunitySurveillanceReg. Alloc.F10,000Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientWIC BreastfeedingReg. Alloc.F267,619Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientWIC Resident ServicesReg. Alloc.F2,615,870Actual CostReimbursementN/AN/AN/AN/AN/ASubrecepientTOTAL MDHHS FUNDING12,096,246*SPECIFIC OUTPUT PERFORMANCE MEASURES WILL BE INCORPORATED VIA AMENDMENTAttachment IV NotesAttachment IV NotesDate: 08/31/2023Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 ________________________________________________________________________________________________________________Page: 40 of 210DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9 Contract # 20240239-00 Date: 08/31/2023 Attachment V Oakland County FY Agreement Addendum A Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/ Health Division, Local Health Department - 2024 __________________________________________________________________________ Page: 41 of 210 DocuSign Envelope ID: D64280E4-E3C3-4709-B022-21E6E181B1C9