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
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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:
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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
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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
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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.
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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
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B.Equipment Purchases and Title
Any Grantee equipment purchases supported in whole or in part through this
Agreement must be listed in the supporting Equipment Inventory Schedule
which should be attached to the Final Financial Status Report. Equipment
means tangible, non-expendable, personal property having a useful life of
more than one year and an acquisition cost of $5,000 or more per unit. Title to
items having a unit acquisition cost of less than $5,000 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
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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
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10.Special Conditions
A.This Agreement is valid upon approval and execution by the Department which
may be contingent upon approval by the State Administrative Board and
signature by the Grantee.
B.This Agreement is conditionally approved subject to and contingent upon
availability of funding and other applicable conditions.
C.Based on the availability of funding, the Department may specify the amount of
funding the Grantee may expend during a specific time period within the
Agreement Period.
D.The Department has the option to assume no responsibility or liability for costs
incurred by the Grantee prior to the start date of this Agreement.
E.The Grantee is required by 2004 PA 533 to receive payments by electronic
funds transfer.
11.Special Certification
The individual or officer signing this Agreement certifies by their signature that they
are authorized to sign this Agreement on behalf of the responsible governing board,
official or Grantee.
12.Signature Section
For Oakland County Department of Health and Human Services/ Health Division
Andrea Powers 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
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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
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through any other source, the Grantee agrees to budget the additional
source of funds and reflect the source of funding on the Financial Status
Report.
2.Make reasonable efforts to collect 1st and 3rd party fees, where
applicable, and report those collections on the Financial Status Report.
Any under recoveries of otherwise available fees resulting from failure to
bill for eligible activities will be excluded from reimbursable
expenditures.
C.Grant Program Operation
Provide the necessary administrative, professional and technical staff for
operation of the grant program. The Grantee must obtain and maintain all
necessary licenses, permits or other authorizations necessary for the
performance of this Agreement.
Use an accounting system that can identify and account for the funds received
from each separate grant, regardless of funding source, and assure that grant
funds are not commingled.
D.Reporting
Utilize all report forms and reporting formats required by the Department at the
start date of this Agreement and provide the Department with timely review
and commentary on any new report forms and reporting formats proposed for
issuance thereafter.
E.Record Maintenance/Retention
Maintain adequate program and fiscal records and files, including source
documentation, to support program activities and all expenditures made under
the terms of this Agreement, as required. The Grantee must assure that all
terms of the Agreement will be appropriately adhered to and that records and
detailed documentation for the grant project or grant program identified in this
Agreement will be maintained for a period of not less than four years from the
date of termination, the date of submission of the final expenditure report or
until litigation and audit findings have been resolved. This section applies to
the Grantee, any parent, affiliate, or subsidiary organization of the Grantee and
any subcontractor that performs activities in connection with this Agreement.
F.Authorized Access
1.Permit within 10 calendar days of providing notification and at
reasonable times, access by authorized representatives of the
Department, Federal Grantor Agency, Inspector Generals, Comptroller
General of the United States and State Auditor General, or any of their
duly authorized representatives, to records, papers, files, documentation
and personnel related to this Agreement, to the extent authorized by
applicable state or federal law, rule or regulation.
2.Acknowledge the rights of access in this section are not limited to the
required retention period. The rights of access will last as long as the
Date: 08/31/2023 Contract # 20240239-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2024
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records are retained.
3.Cooperate and provide reasonable assistance to authorized
representatives of the Department and others when those individuals
have access to the Grantee’s grant records.
G.Audits
1.Single Audit
The Grantee must submit to the Department a Single Audit consistent
with the regulations set forth in Title 2 Code of Federal Regulations
(CFR) Part 200, Subpart F. The Single Audit reporting package must
include all components described in Title 2 Code of Federal
Regulations, Section 200.512 (c) including a Corrective Action Plan, and
management letter (if one is issued) with a response to the Department.
The Grantee must assure that the Schedule of Expenditures of Federal
Awards includes expenditures for all federally-funded grants.
2.Other Audits
The Department or federal agencies may also conduct or arrange for
agreed upon procedures or additional audits to meet their needs.
3.Due Date and Where to Send
The required audit and any other required submissions (i.e., corrective
action plan, and management letter with a corrective action plan),
and/or Audit Exemption Notice must be submitted to the Department
within 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
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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
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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
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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
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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
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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
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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
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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
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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.
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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
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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
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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
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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
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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.
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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
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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
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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
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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
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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
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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,
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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.
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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
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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).
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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
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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
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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;
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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.
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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.
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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.
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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)
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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
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_________________________________________________________________________________________________________________
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,
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FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
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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)
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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
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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)
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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
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_________________________________________________________________________________________________________________
FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
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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
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FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
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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
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_________________________________________________________________________________________________________________
FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
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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
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FY 2024 MDHHS LOCAL HEALH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
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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
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B.Equipment Purchases and Title
Any Grantee equipment purchases supported in whole or in part through this
Agreement must be listed in the supporting Equipment Inventory Schedule
which should be attached to the Final Financial Status Report. Equipment
means tangible, non-expendable, personal property having a useful life of
more than one year and an acquisition cost of $5,000 or more per unit. Title to
items having a unit acquisition cost of less than $5,000 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
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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
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10.Special Conditions
A.This Agreement is valid upon approval and execution by the Department which
may be contingent upon approval by the State Administrative Board and
signature by the Grantee.
B.This Agreement is conditionally approved subject to and contingent upon
availability of funding and other applicable conditions.
C.Based on the availability of funding, the Department may specify the amount of
funding the Grantee may expend during a specific time period within the
Agreement Period.
D.The Department has the option to assume no responsibility or liability for costs
incurred by the Grantee prior to the start date of this Agreement.
E.The Grantee is required by 2004 PA 533 to receive payments by electronic
funds transfer.
11.Special Certification
The individual or officer signing this Agreement certifies by their signature that they
are authorized to sign this Agreement on behalf of the responsible governing board,
official or Grantee.
12.Signature Section
For Oakland County Department of Health and Human Services/ Health Division
Andrea Powers 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
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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
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through any other source, the Grantee agrees to budget the additional
source of funds and reflect the source of funding on the Financial Status
Report.
2.Make reasonable efforts to collect 1st and 3rd party fees, where
applicable, and report those collections on the Financial Status Report.
Any under recoveries of otherwise available fees resulting from failure to
bill for eligible activities will be excluded from reimbursable
expenditures.
C.Grant Program Operation
Provide the necessary administrative, professional and technical staff for
operation of the grant program. The Grantee must obtain and maintain all
necessary licenses, permits or other authorizations necessary for the
performance of this Agreement.
Use an accounting system that can identify and account for the funds received
from each separate grant, regardless of funding source, and assure that grant
funds are not commingled.
D.Reporting
Utilize all report forms and reporting formats required by the Department at the
start date of this Agreement and provide the Department with timely review
and commentary on any new report forms and reporting formats proposed for
issuance thereafter.
E.Record Maintenance/Retention
Maintain adequate program and fiscal records and files, including source
documentation, to support program activities and all expenditures made under
the terms of this Agreement, as required. The Grantee must assure that all
terms of the Agreement will be appropriately adhered to and that records and
detailed documentation for the grant project or grant program identified in this
Agreement will be maintained for a period of not less than four years from the
date of termination, the date of submission of the final expenditure report or
until litigation and audit findings have been resolved. This section applies to
the Grantee, any parent, affiliate, or subsidiary organization of the Grantee and
any subcontractor that performs activities in connection with this Agreement.
F.Authorized Access
1.Permit within 10 calendar days of providing notification and at
reasonable times, access by authorized representatives of the
Department, Federal Grantor Agency, Inspector Generals, Comptroller
General of the United States and State Auditor General, or any of their
duly authorized representatives, to records, papers, files, documentation
and personnel related to this Agreement, to the extent authorized by
applicable state or federal law, rule or regulation.
2.Acknowledge the rights of access in this section are not limited to the
required retention period. The rights of access will last as long as the
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records are retained.
3.Cooperate and provide reasonable assistance to authorized
representatives of the Department and others when those individuals
have access to the Grantee’s grant records.
G.Audits
1.Single Audit
The Grantee must submit to the Department a Single Audit consistent
with the regulations set forth in Title 2 Code of Federal Regulations
(CFR) Part 200, Subpart F. The Single Audit reporting package must
include all components described in Title 2 Code of Federal
Regulations, Section 200.512 (c) including a Corrective Action Plan, and
management letter (if one is issued) with a response to the Department.
The Grantee must assure that the Schedule of Expenditures of Federal
Awards includes expenditures for all federally-funded grants.
2.Other Audits
The Department or federal agencies may also conduct or arrange for
agreed upon procedures or additional audits to meet their needs.
3.Due Date and Where to Send
The required audit and any other required submissions (i.e., corrective
action plan, and management letter with a corrective action plan),
and/or Audit Exemption Notice must be submitted to the Department
within 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
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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.
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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;
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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
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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
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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
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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
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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
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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.
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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
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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
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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
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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
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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.
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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
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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
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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
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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
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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
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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,
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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.
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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
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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).
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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
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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/
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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/
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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
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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
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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/
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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
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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
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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
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