HomeMy WebLinkAboutResolutions - 2024.11.21 - 41734
AGENDA ITEM: Subrecipient Agreement with Oakland Livingston Human Services Agency for
Women, Infant and Children's Program and Peer Counseling Services
DEPARTMENT: Health & Human Services
MEETING: Board of Commissioners
DATE: Thursday, November 21, 2024 1:46 PM - Click to View Agenda
ITEM SUMMARY SHEET
COMMITTEE REPORT TO BOARD
Resolution #2024-4639
Motion to approve the Subrecipient Agreement between Oakland County and Oakland Livingston
Human Service Agency for reimbursement of Women, Infant and Children Program and Peer
Counseling services in a not-to-exceed amount of $607,348 for the period October 1,2024 through
September 30, 2025; further, authorize the Chair of the Board of Commissioners to execute the
Agreement on behalf of the County of Oakland.
ITEM CATEGORY SPONSORED BY
Contract Penny Luebs
INTRODUCTION AND BACKGROUND
On September 19, 2024 the Board of Commissioners, via Miscellaneous Resolution #2024-4440,
approved acceptance of the FY 2025 Michigan Department of Health and Human Services Local
Health Department (Comprehensive) Agreement in the amount of $16,922,160 for the period
October 1, 2024 through September 30, 2025.
Under the Local Health Department (Comprehensive) Agreement, the County is eligible to receive
reimbursement for facilitating the delivery of public health services to the citizens of Oakland
County. A portion of the grant award, in a not-to-exceed amount of $607,348, will be used to
reimburse Oakland Livingston Human Service Agency (OLHSA) for provision of Women, Infants
and Children’s Program (WIC) and Peer Counseling services.
The Oakland County Health Division and Corporation Counsel drafted a Subrecipient Agreement
(Attachment A) with OLHSA and OLHSA has agreed to the terms included within the Subrecipient
Agreement,
BUDGET AMENDMENT REQUIRED: No
Committee members can contact Barbara Winter, Policy and Fiscal Analysis Supervisor at
248.821.3065 or winterb@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 - 11/21/2024
AGENDA DEADLINE: 11/21/2024 9:30 AM
ATTACHMENTS
1. FY25 OLHSA Subaward Agreement_+Attach A B C1 C2 C3 C4 D and E final
COMMITTEE TRACKING
2024-11-12 Public Health & Safety - Recommend to Board
2024-11-21 Full Board - Adopt
Motioned by: None
Seconded by: None
Yes: None (0)
No: None (0)
Abstain: None (0)
Absent: (0)
_________________________________________________________________________________________________________________
FY 2025 MDHHS LOCAL HEALTH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
Page 1 of 22
FY 2025 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, 2024, and continue through September 30, 2025. No
service will be provided and no costs to the County will be incurred by the Subrecipient outside the Period
of the Agreement. This Agreement is in full force and effect for the period specified.
_________________________________________________________________________________________________________________
FY 2025 MDHHS LOCAL HEALTH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
Page 2 of 22
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
to exceed $607,348 and is allocated as follows:
• $87,367– This funding is for 1.5 FTE of peer counseling time and does not include
supervisor or mentor time. This includes $2,500 for implementing International Board-
Certified Lactation Consultant (IBCLC) services to WIC clients by an IBCLC certified staff
utilizing the guidelines and requirements per the State of Michigan WIC IBCLC services
policy. OCHD has on file confirmation of the OLHSA staff IBCLC certification.
• $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 3,700.
Any adjustment to the total amount of this Agreement, must be made in writing and
approved by the County 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): 252MI003W1003
Award Date: Award not yet received for FY2025 per MDHHS.
CFDA Number: 10.557
Award Name: Women Infants and Children Breastfeeding Peer Counseling Program
Award Number (FAIN): 252MI013W5003
_________________________________________________________________________________________________________________
FY 2025 MDHHS LOCAL HEALTH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
Page 3 of 22
Federal Agency Name: USDA Food and Nutrition Services
Awarding Official Contact Information: Cecilia Hutson, Manager, Financial Management &
FMNP Section
Period of Performance: October 1, 2024, through September 30, 2025
Pass Through Entity (PTE): Michigan Department of Health & Human Services (MDHHS)
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
D1 through D4, 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 B, 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 F. 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
_________________________________________________________________________________________________________________
FY 2025 MDHHS LOCAL HEALTH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
Page 4 of 22
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
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,
_________________________________________________________________________________________________________________
FY 2025 MDHHS LOCAL HEALTH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
Page 5 of 22
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
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 seven (7) 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 notification to the County within 7 days or sooner if circumstances warrant, 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.
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
_________________________________________________________________________________________________________________
FY 2025 MDHHS LOCAL HEALTH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
Page 6 of 22
gratuity violations potentially affecting the Agreement.
2. A criminal Proceeding.
3. A parole or probation Proceeding.
4. A Proceeding under the Sarbanes-Oxley Act.
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.
7. Any criminal activity that occurs by an employee, agent, or subcontractor of
Grantee while conducting activities pursuant to 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
_________________________________________________________________________________________________________________
FY 2025 MDHHS LOCAL HEALTH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
Page 7 of 22
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.
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 applies.
2. 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 arise 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
_________________________________________________________________________________________________________________
FY 2025 MDHHS LOCAL HEALTH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
Page 8 of 22
according to applicable laws governing work activities. Policies must include
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 E,
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,
_________________________________________________________________________________________________________________
FY 2025 MDHHS LOCAL HEALTH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
Page 9 of 22
subcontractor, subcontractor employee, or volunteer who, under this Agreement, works
directly with children.
1. Central Register: https://www.michigan.gov/mdhhs/0,5885,7-339-
73971_7119_50648_48330-180331--,00.html.
iii. Require each new employee, employee, subcontractor, subcontractor employee, or
volunteer who, under this Agreement, works directly with clients or who has access to
client information to notify the Subrecipient in writing of criminal convictions (felony or
misdemeanor), pending felony charges, or placement on the Central Registry as a
perpetrator, at hire or within 10 days of the event after hiring.
iv. Determine whether to prohibit any employee, subcontractor, subcontractor employee,
or volunteer from performing work directly with clients or accessing client information
under this Agreement, based on a positive ICHAT response or reported criminal felony
conviction or perpetrator identification.
v. Determine whether to prohibit any employee, subcontractor, subcontractor employee,
or volunteer from performing work directly with children under this Agreement, based
on the results of a positive CR response or reported perpetrator identification.
vi. Require any employee, subcontractor, subcontractor employee or volunteer who may
have access to any databases of information maintained by the federal government that
contain confidential or personal information, including, but not limited to, federal tax
information, to have a fingerprint background check performed.
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
The Subrecipient will comply with applicable federal and state laws, guidelines, rules and
_________________________________________________________________________________________________________________
FY 2025 MDHHS LOCAL HEALTH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
Page 10 of 22
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:
1. Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits
_________________________________________________________________________________________________________________
FY 2025 MDHHS LOCAL HEALTH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
Page 11 of 22
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
criminal offense in connection with obtaining, attempting to obtain, or performing a public
_________________________________________________________________________________________________________________
FY 2025 MDHHS LOCAL HEALTH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
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(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.
_________________________________________________________________________________________________________________
FY 2025 MDHHS LOCAL HEALTH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
Page 13 of 22
F. Hatch Political Activity Act and Intergovernmental Personnel Act
The Subrecipient will comply with the Hatch Political Activity Act, 5 USC 1501-1508 and 7321-
7326, and the Intergovernmental Personnel Act of 1970 (PL 91-648), as amended by Title VI of
the Civil Service Reform Act of 1978 (PL 95-454). Federal funds cannot be used
for partisan political purposes of any kind by any person or organization involved in the
administration of federally assisted programs.
G. National Defense Authorization Act Employee Whistleblower Protections
The Subrecipient will comply with 41 USC 4712 and shall insert this clause in all subcontracts.
H. Clean Air Act and Federal Water Pollution Control Act
The Subrecipient will comply with the Clean Air Act (42 U.S.C. 7401-7671(q)) and the Federal
Water Pollution Control Act (33 U.S.C. 1251-1387), as amended.
i. This Agreement and anyone working on this Agreement will be subject to the Clean Air
Act and Federal Water Pollution Control Act and must comply with all applicable
standards, orders or regulations issued pursuant to these Acts. Violations must be
reported to the County.
I. Trafficking Victims Protection Act
The Subrecipient will comply with the Victims of Trafficking and Violence Protection Act of 2000
(P.L. 106-386), as amended.
i. This Agreement and anyone working on this Agreement will be subject to P.L. 106-386
and must comply with all applicable standards, orders or regulations issued pursuant to
this Act. Violations must be reported to the County.
J. Procurement of Recovered Materials
The Subrecipient will comply with section 6002 of the Solid Waste Disposal Act of 1965 (P.L.
89-272), as amended.
i. This Agreement and anyone working on this Agreement will be subject to section 6002
of P.L. 89-272, as amended, and must comply with all applicable standards, orders or
regulations issued pursuant to this Act. Violations must be reported to the County.
K. Procurement
i. Subrecipient will ensure that all purchase transactions, whether negotiated or
advertised, shall be conducted openly and competitively in accordance with the
principles and requirements of Title 2 Code of Federal Regulations, Part 200.
ii. Funding from this Agreement shall not be used for the purchase of foreign goods or
services or both.
_________________________________________________________________________________________________________________
FY 2025 MDHHS LOCAL HEALTH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
Page 14 of 22
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
termination of this Agreement in accordance with Part II, Section 4, G. Agreement
_________________________________________________________________________________________________________________
FY 2025 MDHHS LOCAL HEALTH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
Page 15 of 22
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
of disclosure by such party.
2. If disclosed orally or not marked “confidential” or with words of similar meaning,
_________________________________________________________________________________________________________________
FY 2025 MDHHS LOCAL HEALTH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
Page 16 of 22
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. The Invoice for September shall be submitted by a date that complies with
the Oakland County fiscal year end closing date.
ii. By submitting the invoice, the individual is certifying to the best of their knowledge and
belief that the information included therein is true, complete and accurate and the
_________________________________________________________________________________________________________________
FY 2025 MDHHS LOCAL HEALTH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
Page 17 of 22
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, 2025.
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 upon approval
by the County. The County may also send 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 using an electronic invoice form provided
by Oakland County Health Division Contract Administrator.
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.
_________________________________________________________________________________________________________________
FY 2025 MDHHS LOCAL HEALTH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
Page 18 of 22
4. General ledger listing qualified expenditures requested for reimbursement.
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 eight (8) 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
_________________________________________________________________________________________________________________
FY 2025 MDHHS LOCAL HEALTH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
Page 19 of 22
Subrecipient or an owner is convicted of any activity referenced in Part II, Section 3, D.
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.
L. Amendments
Any changes to this Agreement will be valid only if made in writing and accepted by all Parties
_________________________________________________________________________________________________________________
FY 2025 MDHHS LOCAL HEALTH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
Page 20 of 22
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 but not limited to direct activity
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, or anyone performing activities at the direction
of the Subrecipient under this Agreement.
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.
iii. The County is not liable for consequential, incidental, indirect, or special damages,
regardless of the nature of the action.
iv. In the event of an incident, the Subrecipient must:
1. Cooperate with the County and Department in investigating the occurrence,
making all relevant records, logs, files, data reporting, and other materials
required to comply with applicable law or as otherwise required by the County
or the Department;
2. In the case of unauthorized disclosure or breach of confidential information, at
the County’s and/or Department’s sole discretion, with approval and assistance
from the Department, notify the affected individuals with compromised
Personally Identifiable Information (PII) or Protected Health Information (PHI)
as soon as practicable but no later than is required to comply with applicable
law and provide third-party credit and identity monitoring services to each of
the affected individuals 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;
3. Perform or take any other actions required to comply with applicable law as a
result of the occurrence including pay for: any costs associated with the
occurrence, any costs incurred by the County and the Department in
investigation and resolving the occurrence, and reasonable attorney’s fees
_________________________________________________________________________________________________________________
FY 2025 MDHHS LOCAL HEALTH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
Page 21 of 22
associated with such investigation and resolution.
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.
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.
_________________________________________________________________________________________________________________
FY 2025 MDHHS LOCAL HEALTH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
Page 22 of 22
David T. Woodward, Chairperson
Oakland County Board of Commissioners
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: 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:
FY 2025 MDHHS LOCAL HEALTH DEPARTMENT COMPREHENSIVE AGREEMENT
SUBRECIPIENT AGREEMENT BETWEEN
THE COUNTY OF OAKLAND
AND
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA)
Unique Entity Identifier #:J25FVSQGPKM1
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).
•Comply with all applicable MDHHS WIC Policies, guidance and requirements of the WIC program as
prescribed in MDHHS WIC Policy Manual found here.
•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 its financial system meets generally accepted accounting principles and systems. It Must
provide Oakland County 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 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 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.
Attachment A
• 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.
• 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 underserved 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.
• Implement the WIC Produce Connection program in partnership with Oakland County WIC using the
guidelines in the “WIC Produce Connection Local Agency Guidebook.”
• 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. 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
BFPC funds are not authorized.
• Funds allocated for the Breastfeeding Peer Counseling Program are exempt from the WIC Nutrition
Education and Breastfeeding Time Study.
Implement WIC Breastfeeding Peer Counseling services by following the policies and guidelines
found on the Michigan Department of Health and Human Services Breastfeeding Peer Counseling site.
These guidelines and requirements include the following:
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
OLHSA WIC clinic locations 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
Every Friday
The Holly Presbyterian Church
207 East Maple
Holly, MI 48442
Every Tuesday
Madison Heights
711 West 13 Mile Rd.
Madison Heights, MI 48071
Tuesday, Wednesday and Thursday
and the 3rd Monday
OLHSA Building
196 Cesar East Chavez Ave.
Pontiac, MI 48342
Monday, Wednesday, Thursday and
Friday
Journey Lutheran Church
136 South 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 to 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.
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 OCHD 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 subrecipient 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
subrecipient or those performed by outside consultants under contract with the local
subrecipient.
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
subrecipient, such as:
1. Contractual private physician providing certification data.
2. Contractual organization providing laboratory data.
3. Contractual translators and interpreters at the local subrecipient 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 Subrecipient must follow the guidelines provided by USDA FNS for the Breastfeeding Peer
Counselor grant, including those for allowable expenses as described in the next section, Allowable
Costs for Breastfeeding Peer Counseling Programs. Expenses for Breastfeeding education and
supplies must be charged to the normal WIC budget, not the Peer Counselor Grant.
The primary purpose of these funds is to provide breastfeeding support services through peer
counseling to WIC participants. The Subrecipient must follow the staffing requirements specified in
both the WIC Breastfeeding Model Components for Peer Counseling and allocation letter for the
Breastfeeding Peer Counselor grant
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 a 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.
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
other 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.
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.
Item or Service Allowable Costs Comments
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. 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
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.
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 service,
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.
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.
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
Training materials/education
must be within scope of a
peer counselor (i.e., basic
breastfeeding information and
support.)
NSA funds may be used to
purchase general
breastfeeding resources for
WIC staff.
Item or Service Allowable Costs Comments
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
advanced lactation training
are not considered peer
counselors.
Research recommends that
peer counselors be provided
career path training options.
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 SA
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
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.
Name badges, buttons and
similar low-cost items that
identify peer counselor staff
Yes
Item or Service Allowable Costs Comments
Pamphlets and similar materials
to promote the peer counseling
program
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.
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 March 2024. 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.
Attachment B 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.
Use WHOLE DOLLARS Only ATTACHMENT C.1
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10.
16.
Oakland Livingston Human Service Agency WIC BF Program 6/19/2024
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
Oakland Livingston Human Service Agency WIC Program 10/1/2024 9/30/2025
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
IBCLC Services
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
$500
$8,000
$2,000
$2,000
$2,500
DCH-0385(E) (Rev. 01/09)
$47,587
$13,895
$3,580
$4,805
$87,367
$87,367
$87,367
ORIGINAL AMENDMENT
ATTACHMENT C.2
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DATE PREPARED
From:To:
10/1/2024 9/30/2025 6/19/2024
AMENDMENT #1
POSITIONS
REQUIRED TOTAL SALARY
5,528$
5,154$
8,599$
8,598$
7,900$
Lactation Consultant 1@18 hours x 52 weeks 11,808$
47,587$
2. FRINGE BENEFITS: (Specify) Composite Rate %
45% Part Time
X% Full Time
13,895$
$3,580
3. TOTAL TRAVEL:3,580$
4,805$
4,805$
Name Amount
-$
5. TOTAL CONTRACTUAL:-$
Amount
$2,500
6. TOTAL EQUIPMENT:2,500$
Amount
Communication:$500
Space Cost:$8,000
Others (explain):$2,000
$2,000
IBCLC Services $2,500
15,000$
87,367$
Rate #1 Base $x Rate = -$
Rate #2 Base $- x Rate = -$
-$
87,367$
DCH-0386(E) (Rev. 01/09) (EXCEL)
PROGRAM BUDGET OLHSA WIC BF - COST DETAIL SCHEDULE
Use Additional Sheets as Needed
View at 100% or Larger MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
196 Cesar E. Chavez, Pontiac, MI 48343OLHSA 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:
Lactation Specialist 2@6hours/week x 52 weeks
Peer Counselor 1@6hours/week x 52 weeks
Senior Breastfeeding Peer Counselor 1@4 hours/week x 52 weeks
Peer Counselor 1@6 hours/week x 52 weeks
Local Mileage Rate @.58 per mile - 1,000 miles - $580
4. SUPPLIES & MATERIALS: (Specify if category exceeds 10% of Total Expenditures)
Pamplets and similar materials to promote the peer counseling program
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:
Address
4. TOTAL SUPPLIES & MATERIALS:
5. CONTRACTUAL: (Subcontracts/Subrecipients)
Telephones for Staff
COMPLETION: Is Voluntary, but is required as a condition of funding.
10. TOTAL ALL EXPENDITURES: (Sum of lines 8-9)
6. EQUIPMENT: (Specify)
Replace computers and equipment that are no longer functioning.
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)
7. TOTAL OTHER EXPENSES:
7. OTHER EXPENSES: (Specify if category exceeds 10% of Total Expenditures)
Flyers, advertising, business cards, news ads
FICA
UNEMPLOY INS
RETIREMENT HEARING INS
DENTAL INS
ORIGINAL AMENDMENT
FICA
UNEMPLOY INS
RETIREMENT
HOSPITAL INS
LIFE INS
VISION WORK COMP
OTHER:specify-
ORIGINAL AMENDMENT
FICA
UNEMPLOY INS
RETIREMENT
LIFE INS
VISION INS
HEARING INS
DENTAL INS
WORKS COMP
ORIGINAL AMENDMENT
FICA
UNEMPLOY INS
RETIREMENT
ORIGINAL AMENDMENT
FICA
UNEMPLOY INS
ORIGINAL AMENDMENT
FICA
ORIGINAL AMENDMENT
FICA
HOSPITAL INS OTHER:specify-
ORIGINAL AMENDMENT
FICA
ORIGINAL AMENDMENT
FICA
ORIGINAL AMENDMENT
Use WHOLE DOLLARS Only ATTACHMENT C.3
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STATE ZIP CODE
Mi 48343
1.
2.
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14.
15.
16.
$81,527
$519,981
$519,981
$519,981
DCH-0385(E) (Rev. 01/09) (Excel) Previous Edition Obsolete.
$331,806
$94,068
$3,580
$7,000
$2,000
AUTHORITY: P.A. 368 of 1978 The Department of Community Health is an equal opportunity
COMPLETION: Is Voluntary, but is required as a condition of funding. employer, services and programs provider.
TOTAL FUNDING
OTHER(S)
FEDERAL
LOCAL
TOTAL DIRECT EXPENDITURES
(Sum of Lines 1-7)
INDIRECT COSTS:
STATE AGREEMENT
INDIRECT COSTS:
TOTAL EXPENDITURES
SOURCE OF FUNDS:
FEES & COLLECTIONS
OTHER EXPENSES
CONTRACTUAL (Subcontracts/Subrecipients)
EQUIPMENT
TRAVEL
SUPPLIES & MATERIALS
SALARY & WAGES
FRINGE BENEFITS
EXPENDITURE CATEGORY (Use Whole Dollars)
TOTAL BUDGET
CITY FEDERAL ID NUMBER
Pontiac 38-1785665
Oakland Livingston Human Service Agency WIC program 6/19/2024
CONTRACTOR NAME BUDGET PERIOD
PROGRAM BUDGET SUMMARY For WIC Funding Application
View at 100% or Larger MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
PROGRAM DATE PREPARED
196 Cesar E. Chavez
Oakland Livingston Human Service Agency 10/1/2024 9/30/2025
MAILING ADDRESS (Number and Street) BUDGET AGREEMENT AMENDMENT #
ORIGINAL AMENDMENT
ATTACHMENT C.4
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DATE PREPARED
From:To:
10/1/2024 9/30/2025 6/19/2024
AMENDMENT #
POSITIONS
REQUIRED TOTAL SALARY
0.900 50,224$
0.900 46,779$
0.500 24,122$
0.525 15,937$
2.250 80,019$
2.000 75,394$
1.000 39,331$
8.075 331,806$
2. FRINGE BENEFITS: (Specify) Composite Rate %
45% full time
18% part time
LTD 94,068$
3. TOTAL TRAVEL:3,580$
7,000$
Name Amount
5. TOTAL CONTRACTUAL:
Amount
6. TOTAL EQUIPMENT:$2,000
Amount
Communication:$1,000
Space Cost:$15,000
Farmington Clinic $4,000
Madision Heights Cleaning $6,000
Holly Clinic $5,000
Others (explain):$15,000
$16,191
Audit $2,583
Broomberg Translation Services $6,000
HR Cost Pool(x/fte/hr)10,753$
Total $81,527
519,981$
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)
196 Cesar E. Chavez, Pontiac, MI 48343
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
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 OLHSA WIC - 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
RETIREM HEARING
DENTAL INS
ORIGINALAMENDMENT
FICA
UNEMPLOY
RETIREM
HOSPITAL
LIFE INS
VISION WORK COMP
OTHER:spe
ORIGINALAMENDMENT
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.
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. Liquor Legal Liability Insurance with a limit of $1,000,000 each occurrence shall be required when liquor is
served and/or provided by Subrecipient.
5. Pollution Liability Insurance with minimum limits of $1,000,000 per claim and $1,000,000 aggregate shall be
required when storage, transportation and/or cleanup & debris removal of pollutants are part of the services
utilized.
6. Medical Malpractice Insurance with minimum limits of $1,000,000 per claim and $1,000,000 aggregate shall
be required when medically related services are provided.
7. Garage Keepers Liability Insurance with minimum limits of $1,000,000 per claim and $1,000,000 aggregate
shall be required when County owned vehicles and/or equipment are stored and/or serviced at the Subrecipient’s
facilities.
8. 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.
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.
Agreement #: 20250051-00
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,
2024, whichever is later, and continue through September 30, 2025. Throughout the
Agreement, the date of the Grantee’s signature or October 1, 2024, 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 $16,922,160.00.
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Attachment E
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
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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: Anita Miko
Title: Department Analyst
E-Mail Address mikoa@michigan.gov
The financial contact acting on behalf of the Grantee for this Agreement is:
Michelle Coburn Accountant
___________________________________________________________________
Name Title
coburnm@oakgov.com (248) 858-5468
___________________________________________________________________
E-Mail Address Telephone No.
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10.Special Conditions
A.This Agreement is valid upon approval and execution by the Department which
may be contingent upon approval by the State Administrative Board and
signature by the Grantee.
B.This Agreement is conditionally approved subject to and contingent upon
availability of funding and other applicable conditions.
C.Based on the availability of funding, the Department may specify the amount of
funding the Grantee may expend during a specific time period within the
Agreement Period.
D.The Department has the option to assume no responsibility or liability for costs
incurred by the Grantee prior to the start date of this Agreement.
E.The Grantee is required by 2004 PA 533 to receive payments by electronic
funds transfer.
11.Special Certification
The individual or officer signing this Agreement certifies by their signature that they
are authorized to sign this Agreement on behalf of the responsible governing board,
official or Grantee.
12.Signature Section
For Oakland County Department of Health and Human Services/ Health Division
David T. Woodward County Commissioner
___________________________________________________________________
Name Title
For the Michigan Department of Health and Human Services
Christine H. Sanches 09/17/2024
___________________________________________________________________
Christine H. Sanches, Director Date
Bureau of Grants and Purchasing
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Part 2
General Provisions
I.Responsibilities - Grantee
The Grantee, in accordance with the general purposes and objectives of this
Agreement, 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 seven (7) 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
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required retention period. The rights of access will last as long as the
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
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(not to exceed $200,000) until the required filing is received by
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
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visits and maintaining regular contact with subrecipients.
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 notification to the Department within 14 days or sooner if
circumstances warrant, 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. State or federal data includes
data and information provided to Grantee or Grantee’s Subcontractor by or on
behalf of the State or federal government, and all data and information derived
therefrom, is the exclusive property of the State or federal government.
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,
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bribery, or gratuity violations potentially affecting the
Agreement.
b.A criminal Proceeding;
c.A parole or probation Proceeding;
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.
g.Any criminal activity that occurs by an employee, agent, or
subcontractor of Grantee while conducting activities pursuant to
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 EGrAMS 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.
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P.Accreditation
1.Comply with the local public health accreditation standards and follow
the accreditation process and schedule established by the Department
to achieve full accreditation status.
a.Failure to meet all accreditation requirements or implement
corrective plans of action within the prescribed time period will
result in the status of “Not Accredited.” Grantees designated as
“Not Accredited” may have their Department allocations
reduced for costs incurred in the assurance of service delivery.
b.Submit a written request for inquiry to the Department should
the Grantee disagree with on-site review findings or their
accreditation status. The request must identify the
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
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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
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 EGrAMS 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
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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
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
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liability.
b.Workers’ Compensation Insurance or Governmental Self-
Insurance: Coverage according to applicable laws governing
work activities. Policies must include waiver of subrogation,
except where waiver is prohibited by law.
c.Employers Liability Insurance or Governmental Self-Insurance.
d.Privacy and Security Liability (Cyber Liability) Insurance: cover
information security and privacy liability, privacy notification
costs, regulatory defense and penalties, and website media
content liability.
3.Require that subcontractors maintain the required insurances contained
in this Section.
4.This Section is not intended to and is not to be construed in any manner
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
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3.Require each new employee, employee, subcontractor, subcontractor
employee or volunteer who, under this Agreement, works directly with
clients or who has access to client information to notify the Grantee in
writing of criminal convictions (felony or misdemeanor), pending felony
charges, or placement on the Central Registry as a perpetrator, at hire
or within 10 days of the event after hiring.
4.Determine whether to prohibit any employee, subcontractor,
subcontractor employee, or volunteer from performing work directly with
clients or accessing client information related to clients under this
Agreement, based on the results of a positive ICHAT response or
reported criminal felony conviction or perpetrator identification.
5.Determine whether to prohibit any employee, subcontractor,
subcontractor employee or volunteer from performing work directly with
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.
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.
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E.Modification of Funding
Notify the Grantee in writing within 30 calendar days of becoming aware of the
need for any modifications in Agreement funding commitments made
necessary by action of the federal government, the governor, the legislature or
the Department of Technology Management and Budget on behalf of the
governor or the legislature. Implementation of the modifications will be
determined jointly by the Grantee and the Department.
F.Monitor Compliance
Monitor compliance with all applicable provisions contained in federal grant
awards and their attendant rules, regulations and requirements pertaining to
program elements covered by this Agreement.
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.
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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
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
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abuse;
f.The Comprehensive Alcohol Abuse and Alcoholism Prevention,
Treatment, and Rehabilitation Act of 1970 (P.L. 91-616) as
amended, relating to nondiscrimination based on alcohol abuse
or alcoholism;
g.Sections 523 and 527 of the Public Health Service Act of 1944
(42 U.S.C. 290dd-2), as amended, relating to confidentiality of
alcohol and drug abuse patient records;
h.Any other nondiscrimination provisions in the specific statute(s)
under which application for federal assistance is being made;
and,
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
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default; and
5.Have not committed an act of so serious or compelling a nature that it
affects the Grantee’s present responsibilities.
E.Pro-Children Act
1.The Grantee will comply with the Pro-Children Act of 1994 (P.L. 103-
227; 20 U.S.C. 6081, et seq.), which requires that smoking not be
permitted in any portion of any indoor facility owned or leased or
contracted by and used routinely or regularly for the provision of health,
day care, early childhood development activities, education or library
activities to children under the age of 18, if the activities are funded by
federal programs either directly or through state or local governments,
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.
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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
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
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less time than that afforded the Grantee in this Agreement.
3.That the subcontract does not affect the Grantee’s accountability to the
Department for the subcontracted activity.
4.That any billing or request for reimbursement for subcontract costs is
supported by a valid subcontract and adequate source documentation
on costs and services.
5.That the Grantee will submit a copy of the executed subcontract if
requested by the Department.
6.That subcontracts in support of programs or elements utilizing funds
provided by the Department, the State of Michigan or the federal
government in excess of $10,000 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.
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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
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
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unauthorized uses or disclosures. The Department may demand
specific corrective actions and assurances and the Grantee must
provide the same to the Department.
6.Failure to comply with any of these contractual requirements may result
in the termination of this Agreement in accordance with Part 2, Section
V.
7.In accordance with HIPAA requirements, the Grantee is liable for any
claim, loss or damage relating to unauthorized use or disclosure of
protected health data and information, including without limitation the
Department’s costs in responding to a breach, received by the Grantee
from the Department or any other source.
8.The Grantee will enter into a business associate agreement should the
Department determine such an agreement is required under HIPAA.
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.
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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
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,
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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
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.
IV.Financial Requirements
A.Operating Advance
Under the pre-payment reimbursement method, no additional operating
advances will be issued.
B.Payment Method
1.Prepayments
a.The Department will make monthly prepayments equal to
1/12th of the Agreement amount for each non-fee-for-service
program contained in Attachment IV of this Agreement. One
single payment covering all non-fee-for-service programs will
be made within the first week of each month. The Grantee
can view their monthly prepayment within the EGrAMS
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
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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).
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.
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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
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:
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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 EGrAMS. 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
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 EGrAMS, 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
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
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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 EGrAMS 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 EGrAMS:
ELPHS Penalties for Noncompliance with Reporting Requirements:
1.1% - 1 day to 30 days late;
2.2% - 31 days to 60 days late;
3.3% - over 60 days late with a maximum of 3% reduction in the
Grantee’s ELPHS allocation.
J.Indirect Costs and Cost Allocations/Distribution Plans
The Grantee is allowed to use approved federal indirect rate, 10% de minimis
indirect rate or cost allocation/distribution plans in their budget calculations.
1.Costs must be consistently charged as indirect, direct or cost allocated,
but may not be double charged or inconsistently charged.
2.If the Grantee does not have an existing approved federal indirect rate,
they may use a 10% de minimis rate in accordance with Title 2 Code of
Federal Regulations (CFR) Part 200 to recover their indirect costs.
3.Grantees using the cost allocation/distribution method must develop
certified plan in accordance with the requirements described in Title 2
CFR, Part 200 which includes detailed budget narratives and is retained
by the Grantee and subject to Department review.
4.There must be a documented, well-defined rationale and audit trail for
any cost distribution or allocation based upon Title 2 CFR, Part 200
Cost Principles and subject to Department review.
V.Agreement Termination
This Agreement may be terminated without further liability or penalty to the
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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.
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
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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 EGrAMS to assure the amendment can be executed prior to
the end of the Agreement period.
X.Liability
The Grantee assumes all liability to third parties, loss, or damage because of claims,
demands, costs, or judgments arising out of activities, such as but not limited to direct
activity delivery, to be carried out by the Grantee in the performance of this
Agreement, under the following conditions:
A.The liability, loss, or damage is caused by, or arises out of, the actions of or
failure to act on the part of the Grantee, any of its subcontractors, anyone
directly or indirectly employed by the Grantee, or anyone performing activities
at the direction of the Grantee under this agreement.
B.Nothing herein will be construed as a waiver of any governmental immunity
that has been provided to the Grantee or its employees by statute or court
decisions.
The Department is not liable for consequential, incidental, indirect or special
damages, regardless of the nature of the action.
C.In the event of an incident the Grantee must:
1.Cooperate with the Department in investigating the occurrence, 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;
2.In the case of unauthorized disclosure or breach of confidential
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information, at the Department’s sole election, with approval and
assistance from the Department, notify the affected individuals with
comprised Personally Identifiable Information (PII) or Protected Health
Information (PHI) as soon as practicable but no later than is required to
comply with applicable law and provide third-party credit and identity
monitoring services to each of the affected individuals 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;
3.Perform or take any other actions required to comply with applicable law
as a result of the occurrence including pay for: any costs associated
with the occurrence, any costs incurred by the Department in
investigating and resolving the occurrence, reasonable attorney’s fees
associated with such investigation and resolution.
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
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
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requested in writing by May 1. All ELPHS required services must be
maintained throughout the entire period of the Agreement.
C.The Department may periodically redistribute funds between agencies during
the Agreement period in order to ensure that funds are expended to meet the
varying needs for services.
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
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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
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Contract # 20250051-00 Date: 09/17/2024
MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES
ATTACHMENT IV - Local Health Department - 2025
CONTRACT MANAGEMENT SECTION
Oakland County Department of Health and Human Services/ Health Division
Program Element/Funding Source
(a)
MDHHS
Source
Fed/St Funding
Amount
Reimbursement
Method
(b)
Performance
Target
Output
Measurement
Total (c)
Perform
Expect
State (d)
Funded
Target
Perform
State Funded Minimum
Performance Percent
Number (e)
Contractor /
Subrecepient
(f)
Adolescent STI Screening Reg. Alloc.F 73,000 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Body Art Fixed Fee Calc. Amt.S 0 Fixed Unit Rate (2)N/A N/A N/A N/A N/A Recepient
Children's Special Hlth Care
Services (CSHCS) Care
Coordination
Calc. Amt.S 0 Fixed Unit Rate (1),
(7)
N/A N/A N/A N/A N/A Subrecepient
Children's Special Hlth Care
Services (CSHCS) Outreach &
Advocacy
Reg. Alloc.F 179,587 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Reg. Alloc.S 179,587
CSHCS Medicaid Elevated Blood
Lead Case Mgmt
Calc. Amt.S 0 Fixed Unit Rate (2)N/A N/A N/A N/A N/A Subrecepient
CSHCS Medicaid Outreach Calc. Amt.F 0 Staffing (6)N/A N/A N/A N/A N/A Subrecepient
Eastern Equine Encephalitis Virus
Surveillance Project
Reg. Alloc.F 15,000 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
EGLE Drinking Water and Onsite
Wastewater Management
Reg. Alloc.S 985,042 ELPHS (3), (6)N/A N/A N/A N/A N/A Recepient
Emerging Threats - Hepatitis C Reg. Alloc.S 191,000 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Recepient
Fetal Infant Mortality Review
(FIMR) Case Abstraction
Calc. Amt.270.00/Vario
us
Fixed Unit Rate (2)N/A N/A N/A N/A N/A Subrecepient
FIMR Interviews Calc. Amt.S 0 Fixed Unit Rate (2),
(11)
N/A N/A N/A N/A N/A Subrecepient
Food ELPHS Reg. Alloc.S 2,180,647 ELPHS (3), (4)N/A N/A N/A N/A N/A Recepient
Gonococcal Isolate Surveillance
Project
Reg. Alloc.F 5,500 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Reg. Alloc.S 16,500
Harm Reduction Support Match Reg. Alloc.F 250,000 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Hearing ELPHS Reg. Alloc.L 253,969 ELPHS (3), (6)N/A N/A N/A N/A N/A Recepient
HIV PrEP Clinic Reg. Alloc.F 379,597 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
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Contract # 20250051-00 Date: 09/17/2024
MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES
ATTACHMENT IV - Local Health Department - 2025
CONTRACT MANAGEMENT SECTION
Oakland County Department of Health and Human Services/ Health Division
Program Element/Funding Source
(a)
MDHHS
Source
Fed/St Funding
Amount
Reimbursement
Method
(b)
Performance
Target
Output
Measurement
Total (c)
Perform
Expect
State (d)
Funded
Target
Perform
State Funded Minimum
Performance Percent
Number (e)
Contractor /
Subrecepient
(f)
Reg. Alloc.P 3,873
Reg. Alloc.S 3,874
HIV Prevention Reg. Alloc.F 21,250 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Reg. Alloc.P 21,250
Reg. Alloc.S 382,500
Immunization Action Plan (IAP)Reg. Alloc.F 526,990 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Immunization Fixed Fees Calc. Amt.S 0 Fixed Unit Rate (2),
(7)
N/A N/A N/A N/A N/A Subrecepient
Immunization Vaccine Quality
Assurance
Reg. Alloc.S 105,347 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Recepient
Infant Safe Sleep Reg. Alloc.F 7,000 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Reg. Alloc.S 63,000
Infection Prevention and
Healthcare- Associated Infections
Response Support
Reg. Alloc.F 2,500,000 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Laboratory Services Bio Reg. Alloc.F 1,500 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Local Health Department (LHD)
Sharing Support
Reg. Alloc.F 70,000 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
MCH - All Other Reg. Alloc.F 0 Local MCH (3), (6)N/A N/A N/A N/A N/A Subrecepient
MCH - All Other Local MCH S 247,461 Local MCH (3), (6)N/A N/A N/A N/A N/A Subrecepient
MCH - Children Reg. Alloc.F 0 Local MCH (3), (6)N/A N/A N/A N/A N/A Subrecepient
MCH - Children Local MCH S 73,996 Local MCH (3), (6)N/A N/A N/A N/A N/A Subrecepient
MDHHS-Essential Local Public
Health Services (ELPHS)
Reg. Alloc.S 3,265,697 ELPHS (3),(6)N/A N/A N/A N/A N/A Recepient
Medicaid Outreach Reg. Alloc.F 0 Reimbursement-
Medicaid
N/A N/A N/A N/A N/A Subrecepient
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
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Contract # 20250051-00 Date: 09/17/2024
MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES
ATTACHMENT IV - Local Health Department - 2025
CONTRACT MANAGEMENT SECTION
Oakland County Department of Health and Human Services/ Health Division
Program Element/Funding Source
(a)
MDHHS
Source
Fed/St Funding
Amount
Reimbursement
Method
(b)
Performance
Target
Output
Measurement
Total (c)
Perform
Expect
State (d)
Funded
Target
Perform
State Funded Minimum
Performance Percent
Number (e)
Contractor /
Subrecepient
(f)
Mpox Mobile Unit Reg. Alloc.F 6,500 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Nurse Family Partnership
Services
Reg. Alloc.F 505,868 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Reg. Alloc.S 337,245
Oral Health- Kindergarten
Assessment
Reg. Alloc.S 110,597 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Recepient
Public Health Emergency
Preparedness (PHEP) 10/1 - 6/30
Reg. Alloc.F 222,449 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Public Health Emergency
Preparedness (PHEP) CRI 10/1 -
6/30
Reg. Alloc.F 196,551 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Public Health Infrastructure Reg. Alloc.F 200,000 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Sexually Transmitted Infection
(STI) Control
Reg. Alloc.F 80,978 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Reg. Alloc.S 1,703
Reg. Alloc.S 87,584
Statewide Lead Case
Management - Fixed Fee
Calc. Amt.S 0 Fixed Unit Rate (7),
(11)
N/A N/A N/A N/A N/A Recepient
Tuberculosis (TB) Control Reg. Alloc.F 13,061 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Vector-Borne Surveillance &
Prevention
Reg. Alloc.S 9,000 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Recepient
Vision ELPHS Reg. Alloc.L 253,968 ELPHS (3), (6)N/A N/A N/A N/A N/A Recepient
West Nile Virus Community
Surveillance
Reg. Alloc.F 10,000 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
WIC Breastfeeding Reg. Alloc.F 267,619 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
WIC Resident Services Reg. Alloc.F 2,615,870 Actual Cost
Reimbursement
N/A N/A N/A N/A N/A Subrecepient
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
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Contract # 20250051-00 Date: 09/17/2024
MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES
ATTACHMENT IV - Local Health Department - 2025
CONTRACT MANAGEMENT SECTION
Oakland County Department of Health and Human Services/ Health Division
Program Element/Funding Source
(a)
MDHHS
Source
Fed/St Funding
Amount
Reimbursement
Method
(b)
Performance
Target
Output
Measurement
Total (c)
Perform
Expect
State (d)
Funded
Target
Perform
State Funded Minimum
Performance Percent
Number (e)
Contractor /
Subrecepient
(f)
TOTAL MDHHS FUNDING 16,922,160
*SPECIFIC OUTPUT PERFORMANCE MEASURES WILL BE INCORPORATED VIA AMENDMENT
Attachment IV Notes
Attachment IV Notes
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
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Contract # 20250051-00 Date: 09/17/2024
Attachment V
Oakland County FY Agreement Addendum A
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
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Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Administration
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 6,828,787.00 6,828,787.00
2 Fringe Benefits 3,786,586.00 3,786,586.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 146,794.00 146,794.00
5 Supplies and Materials 401,400.00 401,400.00
6 Travel 63,547.00 63,547.00
7 Communication 129,347.00 129,347.00
8 County-City Central Services 0.00 0.00
9 Space Costs 1,326,877.00 1,326,877.00
10 All Others (ADP, Con. Employees, Misc.)1,685,336.00 1,685,336.00
Total Program Expenses 14,368,674.00 14,368,674.00
TOTAL DIRECT EXPENSES 14,368,674.00 14,368,674.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 521,619.00 521,619.00
2 Cost Allocation Plan / Other -9,467,400.00 -9,467,400.00
Total Indirect Costs -8,945,781.00 -8,945,781.00
TOTAL INDIRECT EXPENSES -8,945,781.00 -8,945,781.00
TOTAL EXPENDITURES 5,422,893.00 5,422,893.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
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Contract # 20250051-00 Date: 09/17/2024
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 4,754,943.00 0.00 4,754,943.00 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 5,422,893.00 0.00 5,422,893.00 0.00
Totals 5,422,893.00 0.00 5,422,893.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
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Contract # 20250051-00 Date: 09/17/2024
3 Program Budget - Cost Detail
Line Item Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages 6,828,787.00
2 Fringe Benefits 3,786,586.00
3 Cap. Exp. for Equip & Fac.0.00
4 Contractual 146,794.00
5 Supplies and Materials 401,400.00
6 Travel 63,547.00
7 Communication 129,347.00
8 County-City Central Services 0.00
9 Space Costs 1,326,877.00
10 All Others (ADP, Con. Employees, Misc.)1,685,336.00
Total Program Expenses 14,368,674.00
TOTAL DIRECT EXPENSES 14,368,674.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 521,619.00
2 Cost Allocation Plan / Other
Other Cost Distributions-Other Inf Disease/CD -1,878,215.00
Other Cost Distributions-Misc Distribution -1,073,755.00
Other Cost Distributions-SIDS fee -2,000.00
Health Adm Distribution -7,997,829.00
Other Cost Distributions-Education 1,484,399.00
Total for Cost Allocation Plan / Other -9,467,400.00
Total Indirect Costs -8,945,781.00
TOTAL INDIRECT EXPENSES -8,945,781.00
TOTAL EXPENDITURES 5,422,893.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
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Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Administration -
Environmental
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 7,221,719.00 7,221,719.00
2 Fringe Benefits 3,901,758.00 3,901,758.00
3 Cap. Exp. for Equip & Fac.35,000.00 35,000.00
4 Contractual 0.00 0.00
5 Supplies and Materials 60,300.00 60,300.00
6 Travel 257,940.00 257,940.00
7 Communication 59,597.00 59,597.00
8 County-City Central Services 0.00 0.00
9 Space Costs 118,163.00 118,163.00
10 All Others (ADP, Con. Employees, Misc.)516,891.00 516,891.00
Total Program Expenses 12,171,368.00 12,171,368.00
TOTAL DIRECT EXPENSES 12,171,368.00 12,171,368.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 581,348.00 581,348.00
2 Cost Allocation Plan / Other -5,942,790.00 -5,942,790.00
Total Indirect Costs -5,361,442.00 -5,361,442.00
TOTAL INDIRECT EXPENSES -5,361,442.00 -5,361,442.00
TOTAL EXPENDITURES 6,809,926.00 6,809,926.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 43 of 218
Contract # 20250051-00 Date: 09/17/2024
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
1,118,086.00 0.00 1,118,086.00 0.00
Fees and Collections - 3rd Party 0.00 0.00 0.00 0.00
Federal or State (Non MDHHS)3,837,816.00 0.00 3,837,816.00 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 1,854,024.00 0.00 1,854,024.00 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 6,809,926.00 0.00 6,809,926.00 0.00
Totals 6,809,926.00 0.00 6,809,926.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 44 of 218
Contract # 20250051-00 Date: 09/17/2024
3 Program Budget - Cost Detail
Line Item Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages 7,221,719.00
2 Fringe Benefits 3,901,758.00
3 Cap. Exp. for Equip & Fac.35,000.00
4 Contractual 0.00
5 Supplies and Materials 60,300.00
6 Travel 257,940.00
7 Communication 59,597.00
8 County-City Central Services 0.00
9 Space Costs 118,163.00
10 All Others (ADP, Con. Employees, Misc.)516,891.00
Total Program Expenses 12,171,368.00
TOTAL DIRECT EXPENSES 12,171,368.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 581,348.00
2 Cost Allocation Plan / Other
EH Adm Distribtions -7,892,289.00
Other Cost Distributions-Body Art Fees -58,708.00
Health Adm Distribution 1,903,639.00
Other Cost Distributions-Misc 104,568.00
Total for Cost Allocation Plan / Other -5,942,790.00
Total Indirect Costs -5,361,442.00
TOTAL INDIRECT EXPENSES -5,361,442.00
TOTAL EXPENDITURES 6,809,926.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 45 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Adolescent STI Screening
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 44,104.00 44,104.00
2 Fringe Benefits 18,548.00 18,548.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 4,185.00 4,185.00
6 Travel 2,010.00 2,010.00
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 69,450.00 69,450.00
TOTAL DIRECT EXPENSES 69,450.00 69,450.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 16,080.00 16,080.00
Total Indirect Costs 16,080.00 16,080.00
TOTAL INDIRECT EXPENSES 16,080.00 16,080.00
TOTAL EXPENDITURES 85,530.00 85,530.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 46 of 218
Contract # 20250051-00 Date: 09/17/2024
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 12,530.00 0.00 12,530.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 85,530.00 73,000.00 12,530.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 47 of 218
Contract # 20250051-00 Date: 09/17/2024
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 S. Mullins
Position P00000738
Notes: This position is
responsible for testing clients in
OCJ, treatment of clients as
needed, and educational
support.
0.1346 85275.000 0.000 FTE 11,478.00
Public Health Nurse
Notes : PH Nurse 3 S. Mtevski
Position P00007565
Notes: This position is
responsible for testing clients in
OCJ, treatment of clients as
needed, and educational
support.
0.1346 85275.000 0.000 FTE 11,478.00
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.
0.3846 54987.000 0.000 FTE 21,148.00
Total for Salary & Wages 44,104.00
2 Fringe Benefits
Composite Rate
Notes : FICA
Unemployment Insurance
Retirement Insurance
Hospital Insurance
0.0000 42.055 44104.000 18,548.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 48 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
Life Insurance
Vision Insurance
Dental Insurance
Workers Comp
Short and Long Term Disability
Insurance
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies
Notes : Notes: Supplies and
materials needed for general
office use such as paper, pes,
envelopes, folders, etc.
0.0000 0.000 0.000 2,185.00
Medical Supplies
Notes : Notes: lancets, blood
tubes, specimen cups, gauze,
band aids, etc for speciman
collecting and handling $87/mo
*12 months
0.0000 0.000 0.000 1,000.00
Printing
Notes : Notes: Printing costs of
service for client charts,
treatment sheets, etc
0.0000 0.000 0.000 1,000.00
Total for Supplies and Materials 4,185.00
6 Travel
Mileage
Notes : 3,000 miles @ 0.67
0.0000 0.000 0.000 2,010.00
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 69,450.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 49 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
TOTAL DIRECT EXPENSES 69,450.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 16,080.00
Total Indirect Costs 16,080.00
TOTAL INDIRECT EXPENSES 16,080.00
TOTAL EXPENDITURES 85,530.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 50 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Public Health Emergency
Preparedness (PHEP) 10/1 - 6/30
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 6/30/2025
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 114,907.00 114,907.00
2 Fringe Benefits 63,215.00 63,215.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 32,923.00 32,923.00
6 Travel 0.00 0.00
7 Communication 2,259.00 2,259.00
8 County-City Central Services 0.00 0.00
9 Space Costs 6,673.00 6,673.00
10 All Others (ADP, Con. Employees, Misc.)16,275.00 16,275.00
Total Program Expenses 236,252.00 236,252.00
TOTAL DIRECT EXPENSES 236,252.00 236,252.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 44,066.00 44,066.00
Total Indirect Costs 44,066.00 44,066.00
TOTAL INDIRECT EXPENSES 44,066.00 44,066.00
TOTAL EXPENDITURES 280,318.00 280,318.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 51 of 218
Contract # 20250051-00 Date: 09/17/2024
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 35,624.00 0.00 35,624.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 280,318.00 222,449.00 57,869.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 52 of 218
Contract # 20250051-00 Date: 09/17/2024
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 $10,037
0.0923 108740.000 0.000 FTE 10,037.00
Supervisor
Notes : PO00003094 Samantha
Montney PH EP Supervisor
0.7500 101585.000 0.000 FTE 76,189.00
Specialist
Notes : PO00007416 Lyndsey
Chiasson Public Health
Emergency Preparedness
Specialist
0.3750 76482.000 0.000 FTE 28,681.00
Total for Salary & Wages 114,907.00
2 Fringe Benefits
Composite Rate
Notes : MATCH $5,535
FICA
Unemp Ins
Retirement
Hospital Ins
Life Ins
Vision Ins
Short/Long Term Disability
Dental Ins
Work Comp
0.0000 55.014 114907.000 63,215.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Disaster Supplies 0.0000 0.000 0.000 29,616.00
Office Supplies 0.0000 0.000 0.000 2,000.00
Printing 0.0000 0.000 0.000 1,307.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 53 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
Total for Supplies and Materials 32,923.00
6 Travel
7 Communication
Telephone Communications 0.0000 0.000 0.000 2,259.00
8 County-City Central Services
9 Space Costs
Building Space Rental
Notes : MATCH $6,673
0.0000 0.000 0.000 6,673.00
10 All Others (ADP, Con. Employees, Misc.)
Insurance 0.0000 0.000 0.000 868.00
IT Operations 0.0000 0.000 0.000 11,100.00
Print services 0.0000 0.000 0.000 3,000.00
Interpretation Fees 0.0000 0.000 0.000 1,307.00
Total for All Others (ADP, Con. Employees, Misc.)16,275.00
Total Program Expenses 236,252.00
TOTAL DIRECT EXPENSES 236,252.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 44,066.00
Total Indirect Costs 44,066.00
TOTAL INDIRECT EXPENSES 44,066.00
TOTAL EXPENDITURES 280,318.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 54 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Body Art Fixed Fee
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 58,708.00 58,708.00
Total Indirect Costs 58,708.00 58,708.00
TOTAL INDIRECT EXPENSES 58,708.00 58,708.00
TOTAL EXPENDITURES 58,708.00 58,708.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 55 of 218
Contract # 20250051-00 Date: 09/17/2024
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 58,708.00 58,708.00 0.00 0.00
Totals 58,708.00 58,708.00 0.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 56 of 218
Contract # 20250051-00 Date: 09/17/2024
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 58,708.00
Total Indirect Costs 58,708.00
TOTAL INDIRECT EXPENSES 58,708.00
TOTAL EXPENDITURES 58,708.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 57 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Children's Special Hlth
Care Services (CSHCS) Care Coordination
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 234,304.00 234,304.00
Total Indirect Costs 234,304.00 234,304.00
TOTAL INDIRECT EXPENSES 234,304.00 234,304.00
TOTAL EXPENDITURES 234,304.00 234,304.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 58 of 218
Contract # 20250051-00 Date: 09/17/2024
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 234,304.00 234,304.00 0.00 0.00
Totals 234,304.00 234,304.00 0.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 59 of 218
Contract # 20250051-00 Date: 09/17/2024
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 0.000 234,304.00
Total Indirect Costs 234,304.00
TOTAL INDIRECT EXPENSES 234,304.00
TOTAL EXPENDITURES 234,304.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 60 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / CSHCS Medicaid
Outreach
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 243,126.00 243,126.00
Total Indirect Costs 243,126.00 243,126.00
TOTAL INDIRECT EXPENSES 243,126.00 243,126.00
TOTAL EXPENDITURES 243,126.00 243,126.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 61 of 218
Contract # 20250051-00 Date: 09/17/2024
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 94,795.00 94,795.00 0.00 0.00
Required Match - Local 94,795.00 0.00 94,795.00 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 53,536.00 0.00 53,536.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 243,126.00 94,795.00 148,331.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 62 of 218
Contract # 20250051-00 Date: 09/17/2024
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 0.000 243,126.00
Total Indirect Costs 243,126.00
TOTAL INDIRECT EXPENSES 243,126.00
TOTAL EXPENDITURES 243,126.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 63 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / CSHCS Medicaid Elevated
Blood Lead Case Mgmt
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 64 of 218
Contract # 20250051-00 Date: 09/17/2024
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: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 65 of 218
Contract # 20250051-00 Date: 09/17/2024
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: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 66 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Public Health Emergency
Preparedness (PHEP) CRI 10/1 - 6/30
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 6/30/2025
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 107,274.00 107,274.00
2 Fringe Benefits 57,590.00 57,590.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 17,286.00 17,286.00
6 Travel 9,568.00 9,568.00
7 Communication 1,671.00 1,671.00
8 County-City Central Services 0.00 0.00
9 Space Costs 11,219.00 11,219.00
10 All Others (ADP, Con. Employees, Misc.)3,400.00 3,400.00
Total Program Expenses 208,008.00 208,008.00
TOTAL DIRECT EXPENSES 208,008.00 208,008.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 41,171.00 41,171.00
Total Indirect Costs 41,171.00 41,171.00
TOTAL INDIRECT EXPENSES 41,171.00 41,171.00
TOTAL EXPENDITURES 249,179.00 249,179.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 67 of 218
Contract # 20250051-00 Date: 09/17/2024
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 32,973.00 0.00 32,973.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 249,179.00 196,551.00 52,628.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 68 of 218
Contract # 20250051-00 Date: 09/17/2024
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 97541.000 0.000 FTE 73,156.00
Chief
Notes : PO00015362 M. Wiegers
Chief
Match
0.0500 108735.000 0.000 FTE 5,437.00
Specialist
Notes : PH Emerg Preparedness
Specialist
Pos#P00007416
L Chiasson
0.3750 76482.000 0.000 FTE 28,681.00
Total for Salary & Wages 107,274.00
2 Fringe Benefits
Composite Rate
Notes : MATCH $2,999
FICA
Unemp Ins
Retirement
Hospital Insurance
Life Insurance
Vision Ins.
Short/Long Term Disability
Dental Insurance
Work Comp
0.0000 53.685 107274.000 57,590.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Disaster Supplies 0.0000 0.000 0.000 16,786.00
Office Supplies 0.0000 0.000 0.000 500.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 69 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
Total for Supplies and Materials 17,286.00
6 Travel
Mileage
Notes : 0.67 per mile
0.0000 0.000 0.000 1,310.00
Conferences 0.0000 0.000 0.000 8,258.00
Total for Travel 9,568.00
7 Communication
Telephone 0.0000 0.000 0.000 1,671.00
8 County-City Central Services
9 Space Costs
Space/Rental Costs
Notes : MATCH $11,219
0.0000 0.000 0.000 11,219.00
10 All Others (ADP, Con. Employees, Misc.)
Insurance 0.0000 0.000 0.000 886.00
IT Operations 0.0000 0.000 0.000 2,514.00
Total for All Others (ADP, Con. Employees, Misc.)3,400.00
Total Program Expenses 208,008.00
TOTAL DIRECT EXPENSES 208,008.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 41,171.00
Total Indirect Costs 41,171.00
TOTAL INDIRECT EXPENSES 41,171.00
TOTAL EXPENDITURES 249,179.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 70 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Children's Special Hlth
Care Services (CSHCS) Outreach & Advocacy
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 301,295.00 301,295.00
2 Fringe Benefits 151,830.00 151,830.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 8,100.00 8,100.00
6 Travel 2,020.00 2,020.00
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.)65,292.00 65,292.00
Total Program Expenses 569,223.00 569,223.00
TOTAL DIRECT EXPENSES 569,223.00 569,223.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other -210,049.00 -210,049.00
Total Indirect Costs -210,049.00 -210,049.00
TOTAL INDIRECT EXPENSES -210,049.00 -210,049.00
TOTAL EXPENDITURES 359,174.00 359,174.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 71 of 218
Contract # 20250051-00 Date: 09/17/2024
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 359,174.00 359,174.00 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 359,174.00 359,174.00 0.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 72 of 218
Contract # 20250051-00 Date: 09/17/2024
3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Clerk
Notes : PH Clerk 2 - B. Smith
PO# 5129
1.0000 52163.000 0.000 FTE 52,163.00
Supervisor
Notes : PH Nursing Supervisor -
L. Bauer PO# 5130
1.0000 108442.000 0.000 FTE 108,442.00
Nurse
Notes : PH Nurse 3 - M.
Cresmen PO# 5163
0.4807 84943.000 0.000 FTE 40,832.00
Clerk
Notes : PH Clerk 2 - V.
Arrowsmith PO# 6824
1.0000 52163.000 0.000 FTE 52,163.00
Clerk
Notes : Auxiliary Health Clerk -
P. Lewis-Jones PO# 7839
0.4808 55420.000 0.000 FTE 26,646.00
Clerk
Notes : Office Support Clerk - S.
Doll PO# 12442
0.4808 43780.000 0.000 FTE 21,049.00
Total for Salary & Wages 301,295.00
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 50.392 301295.000 151,829.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 73 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
Rounding 0.0000 100.000 1.000 1.00
Total for Fringe Benefits 151,830.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 1,000.00
Postage 0.0000 0.000 0.000 4,600.00
Printing 0.0000 0.000 0.000 1,000.00
Medical Supplies 0.0000 0.000 0.000 1,500.00
Total for Supplies and Materials 8,100.00
6 Travel
Mileage
Notes : 0.67 per mile
0.0000 0.000 0.000 655.00
Conferences 0.0000 0.000 0.000 1,365.00
Total for Travel 2,020.00
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 1,000.00
Interpretation Fees 0.0000 0.000 0.000 500.00
Software Rental Lease Purchase 0.0000 0.000 0.000 4,000.00
Advertising 0.0000 0.000 0.000 2,000.00
Expendable Equipment 0.0000 0.000 0.000 155.00
Total for All Others (ADP, Con. Employees, Misc.)65,292.00
Total Program Expenses 569,223.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 74 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
TOTAL DIRECT EXPENSES 569,223.00
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 -234,304.00
Other Cost Distributions-CSHCS
- Medicaid Outreach
0.0000 0.000 0.000 -243,126.00
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 114,879.00
Health Adm Distribution 0.0000 0.000 0.000 152,502.00
Total for Cost Allocation Plan / Other -210,049.00
Total Indirect Costs -210,049.00
TOTAL INDIRECT EXPENSES -210,049.00
TOTAL EXPENDITURES 359,174.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 75 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Eastern Equine
Encephalitis Virus Surveillance Project
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 8,748.00 8,748.00
2 Fringe Benefits 3,947.00 3,947.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 87.00 87.00
6 Travel 1,500.00 1,500.00
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.)14.00 14.00
Total Program Expenses 14,296.00 14,296.00
TOTAL DIRECT EXPENSES 14,296.00 14,296.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 3,243.00 3,243.00
Total Indirect Costs 3,243.00 3,243.00
TOTAL INDIRECT EXPENSES 3,243.00 3,243.00
TOTAL EXPENDITURES 17,539.00 17,539.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 76 of 218
Contract # 20250051-00 Date: 09/17/2024
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 2,539.00 0.00 2,539.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 17,539.00 15,000.00 2,539.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 77 of 218
Contract # 20250051-00 Date: 09/17/2024
3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Sanitarian
Notes : Alex Hines Sanitarian -
P00010488
0.0505 66980.000 0.000 FTE 3,382.00
Sanitarian Senior 0.0337 98600.000 0.000 FTE 3,323.00
Sanitarian Senior 0.0048 98450.000 0.000 FTE 473.00
Sanitarian Supervisor 0.0144 109000.000 0.000 FTE 1,570.00
Total for Salary & Wages 8,748.00
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 45.119 8748.000 3,947.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Materials and Supplies 0.0000 0.000 0.000 87.00
6 Travel
Motor Pool 0.0000 0.000 0.000 1,500.00
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Insurance 0.0000 0.000 0.000 14.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 78 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
Total Program Expenses 14,296.00
TOTAL DIRECT EXPENSES 14,296.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 3,243.00
Total Indirect Costs 3,243.00
TOTAL INDIRECT EXPENSES 3,243.00
TOTAL EXPENDITURES 17,539.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 79 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / MCH - Children
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 42,650.00 42,650.00
2 Fringe Benefits 26,865.00 26,865.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 598.00 598.00
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.)450.00 450.00
Total Program Expenses 70,563.00 70,563.00
TOTAL DIRECT EXPENSES 70,563.00 70,563.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 17,336.00 17,336.00
Total Indirect Costs 17,336.00 17,336.00
TOTAL INDIRECT EXPENSES 17,336.00 17,336.00
TOTAL EXPENDITURES 87,899.00 87,899.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 80 of 218
Contract # 20250051-00 Date: 09/17/2024
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 73,996.00 73,996.00 0.00 0.00
Local Funds - Other 13,903.00 0.00 13,903.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 87,899.00 73,996.00 13,903.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 81 of 218
Contract # 20250051-00 Date: 09/17/2024
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
0.5000 85300.000 0.000 FTE 42,650.00
2 Fringe Benefits
Composite Rate
Notes : FICA
Unemployment
Retirement
Hosp
Life Insurance
Vision
Dental
Workers Comp
Short and Long Term Disability
0.0000 62.989 42650.000 26,865.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Educational Supplies 0.0000 0.000 0.000 598.00
6 Travel
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Incentives - Water bottles and
snacks
0.0000 0.000 0.000 450.00
Total Program Expenses 70,563.00
TOTAL DIRECT EXPENSES 70,563.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 82 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 17,336.00
Total Indirect Costs 17,336.00
TOTAL INDIRECT EXPENSES 17,336.00
TOTAL EXPENDITURES 87,899.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 83 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Emerging Threats -
Hepatitis C
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 85,264.00 85,264.00
2 Fringe Benefits 53,863.00 53,863.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 24,523.00 24,523.00
6 Travel 4,840.00 4,840.00
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.)14,566.00 14,566.00
Total Program Expenses 184,136.00 184,136.00
TOTAL DIRECT EXPENSES 184,136.00 184,136.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 34,689.00 34,689.00
Total Indirect Costs 34,689.00 34,689.00
TOTAL INDIRECT EXPENSES 34,689.00 34,689.00
TOTAL EXPENDITURES 218,825.00 218,825.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 84 of 218
Contract # 20250051-00 Date: 09/17/2024
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 191,000.00 191,000.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 27,825.00 0.00 27,825.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 218,825.00 191,000.00 27,825.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 85 of 218
Contract # 20250051-00 Date: 09/17/2024
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 85264.000 0.000 FTE 85,264.00
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 63.172 85264.000 53,863.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Postage 0.0000 0.000 0.000 500.00
Office Supplies 0.0000 0.000 0.000 2,500.00
Medical Supplies 0.0000 0.000 0.000 8,823.00
Drugs 0.0000 0.000 0.000 1,200.00
Educational Supplies 0.0000 0.000 0.000 500.00
Materials & Supplies 0.0000 0.000 0.000 9,500.00
Computer Supplies 0.0000 0.000 0.000 1,500.00
Total for Supplies and Materials 24,523.00
6 Travel
Mileage
Notes : 2,000 miles @ 0.67 per
mile
0.0000 0.000 0.000 1,340.00
Conferences 0.0000 0.000 0.000 3,500.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 86 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
Total for Travel 4,840.00
7 Communication
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 6,844.00
Staff Training 0.0000 0.000 0.000 500.00
Total for All Others (ADP, Con. Employees, Misc.)14,566.00
Total Program Expenses 184,136.00
TOTAL DIRECT EXPENSES 184,136.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 34,689.00
Total Indirect Costs 34,689.00
TOTAL INDIRECT EXPENSES 34,689.00
TOTAL EXPENDITURES 218,825.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 87 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Fetal Infant Mortality
Review (FIMR) Case Abstraction
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 88 of 218
Contract # 20250051-00 Date: 09/17/2024
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: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 89 of 218
Contract # 20250051-00 Date: 09/17/2024
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: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 90 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Food ELPHS
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 7,353,073.00 7,353,073.00
Total Indirect Costs 7,353,073.00 7,353,073.00
TOTAL INDIRECT EXPENSES 7,353,073.00 7,353,073.00
TOTAL EXPENDITURES 7,353,073.00 7,353,073.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 91 of 218
Contract # 20250051-00 Date: 09/17/2024
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 2,180,647.00 2,180,647.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 3,576,716.00 0.00 3,576,716.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 7,353,073.00 2,180,647.00 5,172,426.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 92 of 218
Contract # 20250051-00 Date: 09/17/2024
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 5,053,936.00
Health Adm Distribution 0.0000 0.000 0.000 1,140,071.00
Cost Allocation Plan
Notes : ICR 20%
0.0000 0.000 0.000 1,159,066.00
Total for Cost Allocation Plan / Other 7,353,073.00
Total Indirect Costs 7,353,073.00
TOTAL INDIRECT EXPENSES 7,353,073.00
TOTAL EXPENDITURES 7,353,073.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 93 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Gonococcal Isolate
Surveillance Project
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 10/31/2024
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 11,893.00 11,893.00
2 Fringe Benefits 7,504.00 7,504.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 1,442.00 1,442.00
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 21,043.00 21,043.00
TOTAL DIRECT EXPENSES 21,043.00 21,043.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 4,837.00 4,837.00
Total Indirect Costs 4,837.00 4,837.00
TOTAL INDIRECT EXPENSES 4,837.00 4,837.00
TOTAL EXPENDITURES 25,880.00 25,880.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 94 of 218
Contract # 20250051-00 Date: 09/17/2024
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 22,000.00 22,000.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 3,880.00 0.00 3,880.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 25,880.00 22,000.00 3,880.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 95 of 218
Contract # 20250051-00 Date: 09/17/2024
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 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.
0.1442 82475.000 0.000 FTE 11,893.00
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 63.096 11893.000 7,504.00
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,
0.0000 0.000 0.000 860.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 96 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
NAAT urine and swab collection
kits
Medical Supplies 0.0000 0.000 0.000 582.00
Total for Supplies and Materials 1,442.00
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 21,043.00
TOTAL DIRECT EXPENSES 21,043.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 4,837.00
Total Indirect Costs 4,837.00
TOTAL INDIRECT EXPENSES 4,837.00
TOTAL EXPENDITURES 25,880.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 97 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Hearing ELPHS
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 416,361.00 416,361.00
2 Fringe Benefits 122,235.00 122,235.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 9,142.00 9,142.00
6 Travel 12,683.00 12,683.00
7 Communication 1,184.00 1,184.00
8 County-City Central Services 0.00 0.00
9 Space Costs 17,606.00 17,606.00
10 All Others (ADP, Con. Employees, Misc.)6,603.00 6,603.00
Total Program Expenses 585,814.00 585,814.00
TOTAL DIRECT EXPENSES 585,814.00 585,814.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 141,236.00 141,236.00
Total Indirect Costs 141,236.00 141,236.00
TOTAL INDIRECT EXPENSES 141,236.00 141,236.00
TOTAL EXPENDITURES 727,050.00 727,050.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 98 of 218
Contract # 20250051-00 Date: 09/17/2024
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 473,081.00 0.00 473,081.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 727,050.00 253,969.00 473,081.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 99 of 218
Contract # 20250051-00 Date: 09/17/2024
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 77370.000 0.000 FTE 77,370.00
Technician
Notes : Casey Sinacola Position
P00000631 PH Tech
0.4808 45579.000 0.000 FTE 21,914.00
Technician
Notes : Charlene Whitt Position
P00012314 PH Tech
0.4808 42877.000 0.000 FTE 20,615.00
Technician
Notes : Therese Spedding
Position P00012320 PH Tech
0.4808 42877.000 0.000 FTE 20,615.00
Technician
Notes : Vacant Position
P00012321 PH Tech
0.4808 39083.000 0.000 FTE 18,791.00
Technician
Notes : Vacant P000012322 PH
Tech
0.4808 39083.000 0.000 FTE 18,791.00
Technician
Notes : Adrienne Lynch Position
P000000642 PH Tech
0.4808 46673.000 0.000 FTE 22,440.00
Technician
Notes : Vacant Position
P00010837 PH Tech
0.4808 39083.000 0.000 FTE 18,791.00
Technician
Notes : Karen McPherson
Position P00010838 PH Tech
0.4808 40980.000 0.000 FTE 19,703.00
Technician
Notes : Denise Gaarder Position
P00010841 PH Tech
0.4808 39083.000 0.000 FTE 18,791.00
Technician
Notes : Vacant Position
0.4808 39083.000 0.000 FTE 18,791.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 100 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
P00010842 PH Tech
Supervisor
Notes : Diane Ferber Position
P00001917 Hearing and Vision
Program Supervisor
0.5000 108868.000 0.000 FTE 54,434.00
Auxillary Health Clerk
Notes : Billie-Jean Wright
Position P00006736 Aux Health
Clerk
0.7000 57734.000 0.000 FTE 40,414.00
Clerk
Notes : S. Helsom Position
P00002891 PH Clerk 2
0.5000 48572.000 0.000 FTE 24,286.00
Technician
Notes : Cindy Vieregge Position
P00012323 PH Tech
0.4808 42877.000 0.000 FTE 20,615.00
Total for Salary & Wages 416,361.00
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 29.358 416361.000 122,235.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 760.00
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 0.000 345.00
Total for Supplies and Materials 9,142.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 101 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
6 Travel
Personal Mileage
Notes : 0.655 PER MILE
0.0000 0.000 0.000 7,920.00
Travel 0.0000 0.000 0.000 4,763.00
Total for Travel 12,683.00
7 Communication
Telephone 0.0000 0.000 0.000 1,184.00
8 County-City Central Services
9 Space Costs
Space/Rental Costs 0.0000 0.000 0.000 17,606.00
10 All Others (ADP, Con. Employees, Misc.)
IT Print Services 0.0000 0.000 0.000 165.00
Insurance 0.0000 0.000 0.000 3,077.00
Equipment Repair 0.0000 0.000 0.000 2,233.00
Staff Training 0.0000 0.000 0.000 893.00
Interpreter Fees 0.0000 0.000 0.000 141.00
Expendable Equipment 0.0000 0.000 0.000 94.00
Total for All Others (ADP, Con. Employees, Misc.)6,603.00
Total Program Expenses 585,814.00
TOTAL DIRECT EXPENSES 585,814.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 141,236.00
Total Indirect Costs 141,236.00
TOTAL INDIRECT EXPENSES 141,236.00
TOTAL EXPENDITURES 727,050.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 102 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / HIV PrEP Clinic
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 214,000.00 214,000.00
2 Fringe Benefits 112,536.00 112,536.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 7,000.00 7,000.00
6 Travel 5,340.00 5,340.00
7 Communication 2,850.00 2,850.00
8 County-City Central Services 0.00 0.00
9 Space Costs 0.00 0.00
10 All Others (ADP, Con. Employees, Misc.)28,391.00 28,391.00
Total Program Expenses 370,117.00 370,117.00
TOTAL DIRECT EXPENSES 370,117.00 370,117.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 82,534.00 82,534.00
Total Indirect Costs 82,534.00 82,534.00
TOTAL INDIRECT EXPENSES 82,534.00 82,534.00
TOTAL EXPENDITURES 452,651.00 452,651.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 103 of 218
Contract # 20250051-00 Date: 09/17/2024
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 387,344.00 387,344.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 65,307.00 0.00 65,307.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 452,651.00 387,344.00 65,307.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 104 of 218
Contract # 20250051-00 Date: 09/17/2024
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 100456.000 0.000 FTE 100,456.00
Clerk
Notes : Auxilary Health Clerk E.
Craven
Po#PO00006100
1.0000 61287.000 0.000 FTE 61,287.00
Supervisor
Notes : Health Program
Supervisor PO00006426 E.
Trepkowski
0.5000 104513.000 0.000 52,257.00
Total for Salary & Wages 214,000.00
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 52.587 214000.000 112,536.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 1,000.00
Drugs 0.0000 0.000 0.000 2,000.00
Medical Supplies 0.0000 0.000 0.000 4,000.00
Total for Supplies and Materials 7,000.00
6 Travel
Mileage
Notes : 0.67 per mile x 2,000
miles
0.0000 0.000 0.000 1,340.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 105 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
Conferences 0.0000 0.000 0.000 4,000.00
Total for Travel 5,340.00
7 Communication
Telephone Communications 0.0000 0.000 0.000 2,850.00
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 1,500.00
Advertising
Notes : Billboards/magazine
advertising, posters/flyers,
promotional t-shirts, table fees
for outreach events, i.e. Pride
events
0.0000 0.000 0.000 9,003.00
Lab Fees - PrEP Creatine
Clearance
0.0000 0.000 0.000 9,000.00
Employee License 0.0000 0.000 0.000 1,000.00
Client Transportation 0.0000 0.000 0.000 5,000.00
Total for All Others (ADP, Con. Employees, Misc.)28,391.00
Total Program Expenses 370,117.00
TOTAL DIRECT EXPENSES 370,117.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 82,534.00
Total Indirect Costs 82,534.00
TOTAL INDIRECT EXPENSES 82,534.00
TOTAL EXPENDITURES 452,651.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 106 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / HIV Prevention
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 209,040.00 209,040.00
2 Fringe Benefits 99,639.00 99,639.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 22,740.00 22,740.00
6 Travel 6,670.00 6,670.00
7 Communication 3,200.00 3,200.00
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.)56,607.00 56,607.00
Total Program Expenses 408,172.00 408,172.00
TOTAL DIRECT EXPENSES 408,172.00 408,172.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 78,563.00 78,563.00
Total Indirect Costs 78,563.00 78,563.00
TOTAL INDIRECT EXPENSES 78,563.00 78,563.00
TOTAL EXPENDITURES 486,735.00 486,735.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 107 of 218
Contract # 20250051-00 Date: 09/17/2024
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 425,000.00 425,000.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 61,735.00 0.00 61,735.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 486,735.00 425,000.00 61,735.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 108 of 218
Contract # 20250051-00 Date: 09/17/2024
3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Supervisor
Notes : Health Program
Supervisor
E. Trepkowski Position
P00006426
0.5000 104513.000 0.000 FTE 52,257.00
Clerk
Notes : Public Health Clerk III
S. Cloutier Position P00006538
0.6154 54984.000 0.000 FTE 33,837.00
Public Health Nurse
Notes : Public Health Nurse III
J. Lombardi-Perwerton Position
P00007557
0.4567 82509.000 0.000 FTE 37,682.00
Public Health Nurse
Notes : Public Heath Nurse III
L. Drouillard Position P00009668
1.0000 85264.000 0.000 FTE 85,264.00
Total for Salary & Wages 209,040.00
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 47.665 209040.000 99,639.00
3 Cap. Exp. for Equip & Fac.
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 109 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
4 Contractual
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 2,000.00
Medical Supplies 0.0000 0.000 0.000 6,726.00
Postage 0.0000 0.000 0.000 3,000.00
Printing 0.0000 0.000 0.000 4,000.00
Training-Ed Supplies 0.0000 0.000 0.000 7,014.00
Total for Supplies and Materials 22,740.00
6 Travel
Mileage
Notes : 1,000 miles @ 0.67
0.0000 0.000 0.000 670.00
Conferences 0.0000 0.000 0.000 6,000.00
Total for Travel 6,670.00
7 Communication
Telephone 0.0000 0.000 0.000 3,200.00
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.)
Insurance 0.0000 0.000 0.000 3,731.00
Interpretation 0.0000 0.000 0.000 200.00
Subscriptions 0.0000 0.000 0.000 800.00
Advertising 0.0000 0.000 0.000 33,516.00
IT Operations 0.0000 0.000 0.000 16,360.00
Client Transportation 0.0000 0.000 0.000 2,000.00
Total for All Others (ADP, Con. Employees, Misc.)56,607.00
Total Program Expenses 408,172.00
TOTAL DIRECT EXPENSES 408,172.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 110 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 78,563.00
Total Indirect Costs 78,563.00
TOTAL INDIRECT EXPENSES 78,563.00
TOTAL EXPENDITURES 486,735.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 111 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Harm Reduction Support
Match
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 80,151.00 80,151.00
2 Fringe Benefits 35,274.00 35,274.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 47,668.00 47,668.00
6 Travel 8,670.00 8,670.00
7 Communication 4,721.00 4,721.00
8 County-City Central Services 0.00 0.00
9 Space Costs 36,000.00 36,000.00
10 All Others (ADP, Con. Employees, Misc.)31,064.00 31,064.00
Total Program Expenses 243,548.00 243,548.00
TOTAL DIRECT EXPENSES 243,548.00 243,548.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 29,537.00 29,537.00
Total Indirect Costs 29,537.00 29,537.00
TOTAL INDIRECT EXPENSES 29,537.00 29,537.00
TOTAL EXPENDITURES 273,085.00 273,085.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 112 of 218
Contract # 20250051-00 Date: 09/17/2024
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 23,085.00 0.00 23,085.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 273,085.00 250,000.00 23,085.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 113 of 218
Contract # 20250051-00 Date: 09/17/2024
3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Social Worker
Notes : Social Worker
PO0001671
1.0000 80151.000 0.000 80,151.00
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 44.009 80151.000 35,274.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 5,000.00
Drugs 0.0000 0.000 0.000 1,000.00
Computer Supplies 0.0000 0.000 0.000 3,000.00
Materials & Supplies 0.0000 0.000 0.000 9,600.00
Postage 0.0000 0.000 0.000 500.00
Printing 0.0000 0.000 0.000 2,500.00
Medical Supplies 0.0000 0.000 0.000 24,069.00
Educational Supplies 0.0000 0.000 0.000 1,999.00
Total for Supplies and Materials 47,668.00
6 Travel
Mileage
Notes : 1,000 miles @ 0.67
0.0000 0.000 0.000 670.00
Transportation of Clients 0.0000 0.000 0.000 4,500.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 114 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
Conferences 0.0000 0.000 0.000 3,500.00
Total for Travel 8,670.00
7 Communication
Telephone 0.0000 0.000 0.000 1,980.00
Wi-Fi 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 31,200.00
Space/Rental Costs 0.0000 0.000 0.000 4,800.00
Total for Space Costs 36,000.00
10 All Others (ADP, Con. Employees, Misc.)
IT Operations 0.0000 0.000 0.000 6,704.00
Incentives 0.0000 0.000 0.000 2,500.00
Laundry & Cleaning 0.0000 0.000 0.000 3,360.00
Advertising 0.0000 0.000 0.000 15,000.00
Vehicle Maintenance 0.0000 0.000 0.000 3,500.00
Total for All Others (ADP, Con. Employees, Misc.)31,064.00
Total Program Expenses 243,548.00
TOTAL DIRECT EXPENSES 243,548.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 29,537.00
Total Indirect Costs 29,537.00
TOTAL INDIRECT EXPENSES 29,537.00
TOTAL EXPENDITURES 273,085.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 115 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Immunization Action Plan
(IAP)
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 320,228.00 320,228.00
2 Fringe Benefits 172,606.00 172,606.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 2,330.00 2,330.00
6 Travel 1,340.00 1,340.00
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 526,212.00 526,212.00
TOTAL DIRECT EXPENSES 526,212.00 526,212.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 99,345.00 99,345.00
Total Indirect Costs 99,345.00 99,345.00
TOTAL INDIRECT EXPENSES 99,345.00 99,345.00
TOTAL EXPENDITURES 625,557.00 625,557.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 116 of 218
Contract # 20250051-00 Date: 09/17/2024
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 73,567.00 0.00 73,567.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 625,557.00 526,990.00 98,567.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 117 of 218
Contract # 20250051-00 Date: 09/17/2024
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 108867.000 0.000 FTE 108,867.00
Coordinator
Notes : Vaccine Supply
Coordinator
Sean Crottie Position P00007559
0.9200 63652.000 0.000 FTE 58,560.00
Public Health Nurse
Notes : Heather Webber Position
P00007413 PH Nurse 2
0.9900 35974.000 0.000 FTE 35,614.00
Immunization Program Specialist
Notes : Jacqueline Vermilya
Position P00007414
Immunization Program Specialist
1.0000 59692.000 0.000 FTE 59,692.00
Immunization Program Specialist
Notes : Meghan Rompa Position
P00007415 Immunization
Program Specialist
1.0000 57495.000 0.000 FTE 57,495.00
Total for Salary & Wages 320,228.00
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 53.901 320228.000 172,606.00
3 Cap. Exp. for Equip & Fac.
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 118 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
4 Contractual
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 500.00
Materials and Supplies 0.0000 0.000 0.000 1,647.00
Training - Educational Supplies 0.0000 0.000 0.000 183.00
Total for Supplies and Materials 2,330.00
6 Travel
Mileage
Notes : 2,000 miles @ 0.67 per
mile
0.0000 0.000 0.000 1,340.00
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 526,212.00
TOTAL DIRECT EXPENSES 526,212.00
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 : 8.05%
ICR 20%
0.0000 0.000 0.000 124,345.00
Total for Cost Allocation Plan / Other 99,345.00
Total Indirect Costs 99,345.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 119 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
TOTAL INDIRECT EXPENSES 99,345.00
TOTAL EXPENDITURES 625,557.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 120 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Infection Prevention and
Healthcare- Associated Infections Response Support
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 92,000.00 92,000.00
6 Travel 28,350.00 28,350.00
7 Communication 15,000.00 15,000.00
8 County-City Central Services 0.00 0.00
9 Space Costs 0.00 0.00
10 All Others (ADP, Con. Employees, Misc.)2,364,650.00 2,364,650.00
Total Program Expenses 2,500,000.00 2,500,000.00
TOTAL DIRECT EXPENSES 2,500,000.00 2,500,000.00
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 2,500,000.00 2,500,000.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 121 of 218
Contract # 20250051-00 Date: 09/17/2024
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 2,500,000.00 2,500,000.00 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 2,500,000.00 2,500,000.00 0.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 122 of 218
Contract # 20250051-00 Date: 09/17/2024
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 20,000.00
Computer Supplies 0.0000 0.000 0.000 20,000.00
Materials & Supplies 0.0000 0.000 0.000 32,000.00
Printing 0.0000 0.000 0.000 5,000.00
Medical Supplies 0.0000 0.000 0.000 10,000.00
Educational Supplies 0.0000 0.000 0.000 5,000.00
Total for Supplies and Materials 92,000.00
6 Travel
Mileage
Notes : 5,000 @ 0.67
0.0000 0.000 0.000 3,350.00
Conferences 0.0000 0.000 0.000 25,000.00
Total for Travel 28,350.00
7 Communication
Telephone 0.0000 0.000 0.000 15,000.00
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
IT Operations 0.0000 0.000 0.000 150,000.00
Membership Dues 0.0000 0.000 0.000 5,000.00
Interpretation Fees 0.0000 0.000 0.000 10,000.00
Incentives 0.0000 0.000 0.000 45,650.00
Workshops & Meetings 0.0000 0.000 0.000 3,000.00
Lab Fees 0.0000 0.000 0.000 20,000.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 123 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
Advertising 0.0000 0.000 0.000 11,000.00
Training 0.0000 0.000 0.000 20,000.00
Staffing Services 0.0000 0.000 0.000 2,100,000.00
Total for All Others (ADP, Con. Employees, Misc.)2,364,650.00
Total Program Expenses 2,500,000.00
TOTAL DIRECT EXPENSES 2,500,000.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Total Indirect Costs 0.00
TOTAL INDIRECT EXPENSES 0.00
TOTAL EXPENDITURES 2,500,000.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 124 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Infant Safe Sleep
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 16,189.00 16,189.00
2 Fringe Benefits 8,037.00 8,037.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 28,075.00 28,075.00
6 Travel 1,750.00 1,750.00
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.)14,106.00 14,106.00
Total Program Expenses 68,697.00 68,697.00
TOTAL DIRECT EXPENSES 68,697.00 68,697.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 6,148.00 6,148.00
Total Indirect Costs 6,148.00 6,148.00
TOTAL INDIRECT EXPENSES 6,148.00 6,148.00
TOTAL EXPENDITURES 74,845.00 74,845.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 125 of 218
Contract # 20250051-00 Date: 09/17/2024
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 4,845.00 0.00 4,845.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 74,845.00 70,000.00 4,845.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 126 of 218
Contract # 20250051-00 Date: 09/17/2024
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
0.0961 71858.000 0.000 FTE 6,906.00
Chief Public Health
Notes : Chief PH
Pos#P00000733 Lisa Hahn
0.0101 113864.000 0.000 FTE 1,150.00
Supervisor
Notes : PH Nursing Supervisor
Pos#P00000865 David Roth
0.0750 108442.000 0.000 FTE 8,133.00
Total for Salary & Wages 16,189.00
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 49.645 16189.000 8,037.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 225.00
Incentives
Notes : This includes $4,900 for
pack n plays and sheet sets and
$500 for reimbursing parent
representatives that attend Best
Start for Babies.
0.0000 0.000 0.000 5,400.00
Supplies & Materials 0.0000 0.000 0.000 250.00
Postage
Notes : Safety Fair
0.0000 0.000 0.000 500.00
Training - Educational Supplies 0.0000 0.000 0.000 13,700.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 127 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
Notes : These materials will be
used at community and outreach
events. These include safe
sleep books, safety kits, and
handouts. Also include other
things that partners may need for
education such as posters,
handouts etc.
Printing
Notes : This includes printing of
T-shirts, calendars, and other
OCHD developed educational
materials (Breast milk recipe
book for example)
0.0000 0.000 0.000 8,000.00
Total for Supplies and Materials 28,075.00
6 Travel
Conferences
Notes : This includes the October
Safe Sleep Summit in Baltimore,
MALC conference, GOLD
breastfeeding conference.
0.0000 0.000 0.000 1,750.00
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 0.000 250.00
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 5,504.00
Workshops and Meetings 0.0000 0.000 0.000 1,500.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 128 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
Total for All Others (ADP, Con. Employees, Misc.)14,106.00
Total Program Expenses 68,697.00
TOTAL DIRECT EXPENSES 68,697.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 6,148.00
Total Indirect Costs 6,148.00
TOTAL INDIRECT EXPENSES 6,148.00
TOTAL EXPENDITURES 74,845.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 129 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Laboratory Services Bio
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 0.00 0.00
Total Indirect Costs 0.00 0.00
TOTAL INDIRECT EXPENSES 0.00 0.00
TOTAL EXPENDITURES 1,500.00 1,500.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 130 of 218
Contract # 20250051-00 Date: 09/17/2024
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 0.00 0.00 0.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 1,500.00 1,500.00 0.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 131 of 218
Contract # 20250051-00 Date: 09/17/2024
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
Total Indirect Costs 0.00
TOTAL INDIRECT EXPENSES 0.00
TOTAL EXPENDITURES 1,500.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 132 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Local Health Department
(LHD) Sharing Support
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 52,970.00 52,970.00
5 Supplies and Materials 2,580.00 2,580.00
6 Travel 800.00 800.00
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.)13,650.00 13,650.00
Total Program Expenses 70,000.00 70,000.00
TOTAL DIRECT EXPENSES 70,000.00 70,000.00
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 70,000.00 70,000.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 133 of 218
Contract # 20250051-00 Date: 09/17/2024
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 0.00 0.00 0.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 70,000.00 70,000.00 0.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 134 of 218
Contract # 20250051-00 Date: 09/17/2024
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
Michigan Public Health Institute 0.0000 0.000 0.000 52,970.00
5 Supplies and Materials
Printing 0.0000 0.000 0.000 2,000.00
Materials and Supplies 0.0000 0.000 0.000 200.00
Educational Supplies 0.0000 0.000 0.000 380.00
Total for Supplies and Materials 2,580.00
6 Travel
Mileage
Notes : 75 miles * 0.67 per mile
0.0000 0.000 0.000 50.00
Conferences 0.0000 0.000 0.000 750.00
Total for Travel 800.00
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Advertising 0.0000 0.000 0.000 12,100.00
Incentives 0.0000 0.000 0.000 1,500.00
Workshops & Meetings 0.0000 0.000 0.000 50.00
Total for All Others (ADP, Con. Employees, Misc.)13,650.00
Total Program Expenses 70,000.00
TOTAL DIRECT EXPENSES 70,000.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 135 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
2 Cost Allocation Plan / Other
Total Indirect Costs 0.00
TOTAL INDIRECT EXPENSES 0.00
TOTAL EXPENDITURES 70,000.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 136 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Mpox Mobile Unit
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 5,898.00 5,898.00
6 Travel 402.00 402.00
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.)200.00 200.00
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 0.00 0.00
Total Indirect Costs 0.00 0.00
TOTAL INDIRECT EXPENSES 0.00 0.00
TOTAL EXPENDITURES 6,500.00 6,500.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 137 of 218
Contract # 20250051-00 Date: 09/17/2024
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 0.00 0.00 0.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 6,500.00 6,500.00 0.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 138 of 218
Contract # 20250051-00 Date: 09/17/2024
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
Materials & Supplies
Notes : Materials and
Supplies include other items
needed for outreach events such
as clipboards, pens, and wagons
for staff to carry supplies. This
also includes giveaway items to
bring to Pride Events, to attract
people to our table so we can
provide mpox education and
information, along with vaccines.
0.0000 0.000 0.000 3,598.00
Medical Supplies
Notes : Medical Supplies
include immunization supplies
such as needles, alcohol,
bandaids, gloves, cotton balls,
epi pens, ammonia inhalants,
and any other medical supplies
needed to provide Jynneos
vaccine in the clinic and outreach
setting.
0.0000 0.000 0.000 2,000.00
Total for Supplies and Materials 5,898.00
6 Travel
Mileage
Notes : 600 @ 0.67
0.0000 0.000 0.000 402.00
7 Communication
8 County-City Central Services
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 139 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Advertising 0.0000 0.000 0.000 200.00
Total Program Expenses 6,500.00
TOTAL DIRECT EXPENSES 6,500.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Total Indirect Costs 0.00
TOTAL INDIRECT EXPENSES 0.00
TOTAL EXPENDITURES 6,500.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 140 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Nurse Family Partnership
Services
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 489,836.00 489,836.00
2 Fringe Benefits 269,689.00 269,689.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 7,900.00 7,900.00
5 Supplies and Materials 16,189.00 16,189.00
6 Travel 19,709.00 19,709.00
7 Communication 5,460.00 5,460.00
8 County-City Central Services 0.00 0.00
9 Space Costs 0.00 0.00
10 All Others (ADP, Con. Employees, Misc.)34,330.00 34,330.00
Total Program Expenses 843,113.00 843,113.00
TOTAL DIRECT EXPENSES 843,113.00 843,113.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 151,905.00 151,905.00
Total Indirect Costs 151,905.00 151,905.00
TOTAL INDIRECT EXPENSES 151,905.00 151,905.00
TOTAL EXPENDITURES 995,018.00 995,018.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 141 of 218
Contract # 20250051-00 Date: 09/17/2024
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 843,113.00 843,113.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 151,905.00 0.00 151,905.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 995,018.00 843,113.00 151,905.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 142 of 218
Contract # 20250051-00 Date: 09/17/2024
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
0.4216 85270.000 0.000 FTE 35,950.00
Public Health Nurse
Notes : Susan Martinez Position
P00000906 PH Nurse 3
1.0000 85264.000 0.000 FTE 85,264.00
Public Health Nurse
Notes : Tamera Gordon Position
P00003107 PH Nurse 3
1.0000 85264.000 0.000 FTE 85,264.00
Public Health Nurse
Notes : Marybeth Reader
Position P00003183 PH Nurse 3
0.5000 85264.000 0.000 FTE 42,632.00
Public Health Nurse
Notes : Katie Smedley Positon
P00000752 PH Nurse 3
1.0000 85264.000 0.000 FTE 85,264.00
Supervisor
Notes : Michele Maloff Position
P00004736 Health Program
Supervisor
1.0000 108867.000 0.000 FTE 108,867.00
Overtime (PHN)1.0000 1012.000 0.000 1,012.00
Public Health Nurse
Notes : Kahlia Hill Positon
P000015618 PH Nurse 3
0.5346 85266.000 0.000 FTE 45,583.00
Total for Salary & Wages 489,836.00
2 Fringe Benefits
Composite Rate
Notes : Fica
Unemp Ins
Retirement
Hosp Ins
Life Ins
Vision Ins
Dental Ins
0.0000 55.057 489836.000 269,689.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 143 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
Work Comp
Short/Long Term Disability
3 Cap. Exp. for Equip & Fac.
4 Contractual
NFP Consultant 0.0000 0.000 0.000 7,900.00
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 2,428.00
Educational Supplies 0.0000 0.000 0.000 3,761.00
Printing 0.0000 0.000 0.000 1,000.00
Workshops and Meetings 0.0000 0.000 0.000 3,000.00
Metered Postage 0.0000 0.000 0.000 1,000.00
Client Support Materials 0.0000 0.000 0.000 4,500.00
Medical Supplies 0.0000 0.000 0.000 500.00
Total for Supplies and Materials 16,189.00
6 Travel
Mileage
Notes : 0.67 per mile X 18,000
0.0000 0.000 0.000 12,060.00
Conferences 0.0000 0.000 0.000 7,649.00
Total for Travel 19,709.00
7 Communication
Telephone Communications 0.0000 0.000 0.000 3,360.00
Wi-Fi 0.0000 0.000 0.000 2,100.00
Total for Communication 5,460.00
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Insurance 0.0000 0.000 0.000 1,600.00
IT Operations 0.0000 0.000 0.000 5,130.00
Staff Training 0.0000 0.000 0.000 1,500.00
Translation and Interpretation 0.0000 0.000 0.000 15,000.00
Equipment Maintenance 0.0000 0.000 0.000 500.00
Parent Stipends 0.0000 0.000 0.000 3,000.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 144 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
IT Managed Print Services 0.0000 0.000 0.000 7,600.00
Total for All Others (ADP, Con. Employees, Misc.)34,330.00
Total Program Expenses 843,113.00
TOTAL DIRECT EXPENSES 843,113.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : ICR 20%
0.0000 0.000 0.000 151,905.00
Total Indirect Costs 151,905.00
TOTAL INDIRECT EXPENSES 151,905.00
TOTAL EXPENDITURES 995,018.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 145 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Oral Health- Kindergarten
Assessment
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 64,743.00 64,743.00
2 Fringe Benefits 3,239.00 3,239.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 4,300.00 4,300.00
5 Supplies and Materials 16,703.00 16,703.00
6 Travel 3,515.00 3,515.00
7 Communication 485.00 485.00
8 County-City Central Services 0.00 0.00
9 Space Costs 0.00 0.00
10 All Others (ADP, Con. Employees, Misc.)12,400.00 12,400.00
Total Program Expenses 105,385.00 105,385.00
TOTAL DIRECT EXPENSES 105,385.00 105,385.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 18,808.00 18,808.00
Total Indirect Costs 18,808.00 18,808.00
TOTAL INDIRECT EXPENSES 18,808.00 18,808.00
TOTAL EXPENDITURES 124,193.00 124,193.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 146 of 218
Contract # 20250051-00 Date: 09/17/2024
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 13,596.00 0.00 13,596.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 124,193.00 110,597.00 13,596.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 147 of 218
Contract # 20250051-00 Date: 09/17/2024
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 Vacant
0.4327 54770.000 0.000 FTE 23,699.00
Coordinator
Notes : Health Program
Coordinator Pos#P00002466
Lisa Dobias
0.0024 80626.000 0.000 FTE 194.00
Dental Hygenist
Notes : PH Dental Hygenist
Pos#P00015844 Darlene Dalaly
0.4808 84962.000 0.000 FTE 40,850.00
Total for Salary & Wages 64,743.00
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 5.003 64743.000 3,239.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
Professional Services
Notes : Dr. Joe Przeslawski -
$1,300
Entech - $3,000
0.0000 0.000 0.000 4,300.00
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 1,055.00
Postage 0.0000 0.000 0.000 250.00
Printing 0.0000 0.000 0.000 3,220.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 148 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
Medical Supplies 0.0000 0.000 0.000 7,995.00
Educational Supplies 0.0000 0.000 0.000 4,183.00
Total for Supplies and Materials 16,703.00
6 Travel
Mileage
Notes : 4,500miles * 0.67 per
mile
0.0000 0.000 0.000 3,015.00
Conferences 0.0000 0.000 0.000 500.00
Total for Travel 3,515.00
7 Communication
Telephone Communications 0.0000 0.000 0.000 485.00
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Insurance 0.0000 0.000 0.000 121.00
Interpretation Fees 0.0000 0.000 0.000 2,011.00
Advertising 0.0000 0.000 0.000 4,740.00
IT Operations 0.0000 0.000 0.000 4,828.00
License and Permits 0.0000 0.000 0.000 700.00
Total for All Others (ADP, Con. Employees, Misc.)12,400.00
Total Program Expenses 105,385.00
TOTAL DIRECT EXPENSES 105,385.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 18,808.00
Total Indirect Costs 18,808.00
TOTAL INDIRECT EXPENSES 18,808.00
TOTAL EXPENDITURES 124,193.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 149 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Medicaid Outreach
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 512,300.00 512,300.00
2 Fringe Benefits 286,888.00 286,888.00
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 28,412.00 28,412.00
10 All Others (ADP, Con. Employees, Misc.)0.00 0.00
Total Program Expenses 827,600.00 827,600.00
TOTAL DIRECT EXPENSES 827,600.00 827,600.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 201,078.00 201,078.00
Total Indirect Costs 201,078.00 201,078.00
TOTAL INDIRECT EXPENSES 201,078.00 201,078.00
TOTAL EXPENDITURES 1,028,678.00 1,028,678.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 150 of 218
Contract # 20250051-00 Date: 09/17/2024
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 159,838.00 0.00 159,838.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 1,028,678.00 434,420.00 594,258.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 151 of 218
Contract # 20250051-00 Date: 09/17/2024
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 512300.000 0.000 FTE 512,300.00
2 Fringe Benefits
Composite Rate
Notes : FICA
UNEMPLOY
RETIREMENT
HOSPITAL
LIFE INSURANCE
VISION
DENTAL
WORKERS COMP
SHORT/LONG TERM
DISABILITY
0.0000 56.000 512300.000 286,888.00
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 28,412.00
10 All Others (ADP, Con. Employees, Misc.)
Total Program Expenses 827,600.00
TOTAL DIRECT EXPENSES 827,600.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 152 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 201,078.00
Total Indirect Costs 201,078.00
TOTAL INDIRECT EXPENSES 201,078.00
TOTAL EXPENDITURES 1,028,678.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 153 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / MCH - All Other
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 137,828.00 137,828.00
2 Fringe Benefits 81,484.00 81,484.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 2,468.00 2,468.00
6 Travel 5,124.00 5,124.00
7 Communication 960.00 960.00
8 County-City Central Services 0.00 0.00
9 Space Costs 0.00 0.00
10 All Others (ADP, Con. Employees, Misc.)8,505.00 8,505.00
Total Program Expenses 236,369.00 236,369.00
TOTAL DIRECT EXPENSES 236,369.00 236,369.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 4,381,330.00 4,381,330.00
Total Indirect Costs 4,381,330.00 4,381,330.00
TOTAL INDIRECT EXPENSES 4,381,330.00 4,381,330.00
TOTAL EXPENDITURES 4,617,699.00 4,617,699.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 154 of 218
Contract # 20250051-00 Date: 09/17/2024
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 247,461.00 247,461.00 0.00 0.00
Local Funds - Other 4,370,238.00 0.00 4,370,238.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 4,617,699.00 247,461.00 4,370,238.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 155 of 218
Contract # 20250051-00 Date: 09/17/2024
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
0.5525 85305.000 0.000 FTE 47,131.00
Public Health Nurse
Notes : Angela Varela Position
P00003427 PH Nurse 3
0.4932 85265.000 0.000 FTE 42,053.00
Public Health Nurse
Notes : Marybeth Reader
Position P00003183 PH Nurse 3
0.5705 85265.000 0.000 FTE 48,644.00
Total for Salary & Wages 137,828.00
2 Fringe Benefits
Composite Rate
Notes : FICA, LIFE INS,
DENTAL, UNEMPLOYMENT,
VISION, WORK COMP,
RETIREMENT,
HOSPITALIZATION,
SHORT/LONG TERM
DISABILITY
0.0000 59.120 137828.000 81,484.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 200.00
Materials & Supplies 0.0000 0.000 0.000 1,000.00
Printing 0.0000 0.000 0.000 268.00
Medical Supplies 0.0000 0.000 0.000 1,000.00
Total for Supplies and Materials 2,468.00
6 Travel
Mileage
Notes : 0.67 per mile
0.0000 0.000 0.000 4,000.00
Conferences 0.0000 0.000 0.000 1,124.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 156 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
Total for Travel 5,124.00
7 Communication
Telephone 0.0000 0.000 0.000 540.00
Wi-Fi 0.0000 0.000 0.000 420.00
Total for Communication 960.00
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 2,500.00
Total for All Others (ADP, Con. Employees, Misc.)8,505.00
Total Program Expenses 236,369.00
TOTAL DIRECT EXPENSES 236,369.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 710,623.00
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 3,670,707.00
Total for Cost Allocation Plan / Other 4,381,330.00
Total Indirect Costs 4,381,330.00
TOTAL INDIRECT EXPENSES 4,381,330.00
TOTAL EXPENDITURES 4,617,699.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 157 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / MDHHS-Essential Local
Public Health Services (ELPHS)
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 8,603,936.00 8,603,936.00
Total Indirect Costs 8,603,936.00 8,603,936.00
TOTAL INDIRECT EXPENSES 8,603,936.00 8,603,936.00
TOTAL EXPENDITURES 8,603,936.00 8,603,936.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 158 of 218
Contract # 20250051-00 Date: 09/17/2024
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 1,062,373.00 0.00 1,062,373.00 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 3,265,697.00 3,265,697.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 4,275,866.00 0.00 4,275,866.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 8,603,936.00 3,265,697.00 5,338,239.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 159 of 218
Contract # 20250051-00 Date: 09/17/2024
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 0.000 438,020.00
Other Cost Distributions-MISC
Distributions
0.0000 0.000 0.000 5,225,328.00
Federally Provided Vaccines 0.0000 0.000 0.000 1,062,373.00
Other Cost Distributions-STD 0.0000 0.000 0.000 1,878,215.00
Total for Cost Allocation Plan / Other 8,603,936.00
Total Indirect Costs 8,603,936.00
TOTAL INDIRECT EXPENSES 8,603,936.00
TOTAL EXPENDITURES 8,603,936.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 160 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Public Health
Infrastructure
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 100,866.00 100,866.00
2 Fringe Benefits 66,836.00 66,836.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 7,000.00 7,000.00
6 Travel 3,350.00 3,350.00
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.)12,748.00 12,748.00
Total Program Expenses 191,880.00 191,880.00
TOTAL DIRECT EXPENSES 191,880.00 191,880.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 41,660.00 41,660.00
Total Indirect Costs 41,660.00 41,660.00
TOTAL INDIRECT EXPENSES 41,660.00 41,660.00
TOTAL EXPENDITURES 233,540.00 233,540.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 161 of 218
Contract # 20250051-00 Date: 09/17/2024
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 200,000.00 200,000.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 33,540.00 0.00 33,540.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 233,540.00 200,000.00 33,540.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 162 of 218
Contract # 20250051-00 Date: 09/17/2024
3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Community Health Worker
Notes : Vacant - new
1.0000 50433.000 0.000 FTE 50,433.00
Community Health Worker
Notes : Vacant - New
1.0000 50433.000 0.000 FTE 50,433.00
Total for Salary & Wages 100,866.00
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 66.262 100866.000 66,836.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Office 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
Incentives 0.0000 0.000 0.000 2,000.00
Total for Supplies and Materials 7,000.00
6 Travel
Mileage
Notes : 5,000 miles @ 0.67 per
mile
0.0000 0.000 0.000 3,350.00
7 Communication
Telephone 0.0000 0.000 0.000 1,080.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 163 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
IT Operations 0.0000 0.000 0.000 6,704.00
Insurance 0.0000 0.000 0.000 1,299.00
Interpretation Fees 0.0000 0.000 0.000 4,745.00
Total for All Others (ADP, Con. Employees, Misc.)12,748.00
Total Program Expenses 191,880.00
TOTAL DIRECT EXPENSES 191,880.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 41,660.00
Total Indirect Costs 41,660.00
TOTAL INDIRECT EXPENSES 41,660.00
TOTAL EXPENDITURES 233,540.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 164 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / FIMR Interviews
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 165 of 218
Contract # 20250051-00 Date: 09/17/2024
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: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 166 of 218
Contract # 20250051-00 Date: 09/17/2024
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: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 167 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Statewide Lead Case
Management - Fixed Fee
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 37,128.00 37,128.00
Total Indirect Costs 37,128.00 37,128.00
TOTAL INDIRECT EXPENSES 37,128.00 37,128.00
TOTAL EXPENDITURES 37,128.00 37,128.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 168 of 218
Contract # 20250051-00 Date: 09/17/2024
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
37,128.00 37,128.00 0.00 0.00
Totals 37,128.00 37,128.00 0.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 169 of 218
Contract # 20250051-00 Date: 09/17/2024
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 37,128.00
Total Indirect Costs 37,128.00
TOTAL INDIRECT EXPENSES 37,128.00
TOTAL EXPENDITURES 37,128.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 170 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Sexually Transmitted
Infection (STI) Control
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 59,203.00 59,203.00
6 Travel 10,655.00 10,655.00
7 Communication 3,960.00 3,960.00
8 County-City Central Services 0.00 0.00
9 Space Costs 0.00 0.00
10 All Others (ADP, Con. Employees, Misc.)28,700.00 28,700.00
Total Program Expenses 167,041.00 167,041.00
TOTAL DIRECT EXPENSES 167,041.00 167,041.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 16,129.00 16,129.00
Total Indirect Costs 16,129.00 16,129.00
TOTAL INDIRECT EXPENSES 16,129.00 16,129.00
TOTAL EXPENDITURES 183,170.00 183,170.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 171 of 218
Contract # 20250051-00 Date: 09/17/2024
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 170,265.00 170,265.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 12,905.00 0.00 12,905.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 183,170.00 170,265.00 12,905.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 172 of 218
Contract # 20250051-00 Date: 09/17/2024
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 3,000.00
Drugs
Notes : Moxifloxacin, which is
treatment for mycoplasma
genitalium. Also, Clindamycin for
bacterial vaginosis, as second
line treatment in the case that a
patient is allergic or cannot take
the first-line, free treatment.
0.0000 0.000 0.000 5,000.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 173 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
Computer Supplies 0.0000 0.000 0.000 12,000.00
Materials and Supplies
Notes : Rapid Syphilils Testing or
other mobile testing needs
0.0000 0.000 0.000 5,000.00
Postage 0.0000 0.000 0.000 10,000.00
Printing 0.0000 0.000 0.000 2,000.00
Medical Supplies
Notes : Rapid Syphilils Testing or
other mobile testing needs
0.0000 0.000 0.000 17,000.00
Training - Educational Supplies 0.0000 0.000 0.000 203.00
Uniforms 0.0000 0.000 0.000 5,000.00
Total for Supplies and Materials 59,203.00
6 Travel
Mileage
Notes : 0.67 per mile
0.0000 0.000 0.000 655.00
Travel and Conferences
Notes : For FY2025, I don’t have
full information on conferences
locations or prices. Typically, we
try to send 2 STI nurses from
each clinic (Pontiac and
Southfield) plus their Supervisors
to the State STI conference. We
also try to send the Chief and
Admin to the National
Conference whenever possible.
In FY2025, the International STI
Congress is in Montreal and
would be an incredible learning
experience if international travel
is allowable under this funding.
0.0000 0.000 0.000 10,000.00
Total for Travel 10,655.00
7 Communication
Telephone 0.0000 0.000 0.000 3,960.00
8 County-City Central Services
9 Space Costs
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 174 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
10 All Others (ADP, Con. Employees, Misc.)
IT Operations
Notes : Quarterly laptop charges
x 6 laptops = $833.33 x4 =
$3,333.32 x 6 = $19,999.92;
rounded to $20,000.00. Six
nurses conducting disease
investigation which do not have
phones or laptops.
0.0000 0.000 0.000 20,000.00
Incentives 0.0000 0.000 0.000 1,700.00
Training 0.0000 0.000 0.000 5,000.00
Transportation of Clients 0.0000 0.000 0.000 2,000.00
Total for All Others (ADP, Con. Employees, Misc.)28,700.00
Total Program Expenses 167,041.00
TOTAL DIRECT EXPENSES 167,041.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 16,129.00
Total Indirect Costs 16,129.00
TOTAL INDIRECT EXPENSES 16,129.00
TOTAL EXPENDITURES 183,170.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 175 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Tuberculosis (TB) Control
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 80,000.00 80,000.00
6 Travel 3,000.00 3,000.00
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.)39,071.00 39,071.00
Total Program Expenses 122,071.00 122,071.00
TOTAL DIRECT EXPENSES 122,071.00 122,071.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 1,035,706.00 1,035,706.00
Total Indirect Costs 1,035,706.00 1,035,706.00
TOTAL INDIRECT EXPENSES 1,035,706.00 1,035,706.00
TOTAL EXPENDITURES 1,157,777.00 1,157,777.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 176 of 218
Contract # 20250051-00 Date: 09/17/2024
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 13,061.00 13,061.00 0.00 0.00
MCH Funding 0.00 0.00 0.00 0.00
Local Funds - Other 1,144,716.00 0.00 1,144,716.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 1,157,777.00 13,061.00 1,144,716.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 177 of 218
Contract # 20250051-00 Date: 09/17/2024
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
Drugs
Notes : COUNTY BUDGET
0.0000 0.000 0.000 80,000.00
6 Travel
Conferences
Notes : TB GRANT
0.0000 0.000 0.000 3,000.00
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Lab Fees
Notes : TB GRANT $2,501.00
COUNTY BUDGET $8,000.00
0.0000 0.000 0.000 10,501.00
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 0.000 100.00
Software Support Maintenance
Notes : TB GRANT
0.0000 0.000 0.000 7,560.00
Total for All Others (ADP, Con. Employees, Misc.)39,071.00
Total Program Expenses 122,071.00
TOTAL DIRECT EXPENSES 122,071.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 178 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Other Cost Distributions-Misc
Distribution
0.0000 0.000 0.000 1,035,297.00
Cost Allocation Plan 0.0000 0.000 0.000 409.00
Total for Cost Allocation Plan / Other 1,035,706.00
Total Indirect Costs 1,035,706.00
TOTAL INDIRECT EXPENSES 1,035,706.00
TOTAL EXPENDITURES 1,157,777.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 179 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Vector-Borne Surveillance
& Prevention
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 5,150.00 5,150.00
2 Fringe Benefits 2,486.00 2,486.00
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 935.00 935.00
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.)14.00 14.00
Total Program Expenses 8,585.00 8,585.00
TOTAL DIRECT EXPENSES 8,585.00 8,585.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 1,942.00 1,942.00
Total Indirect Costs 1,942.00 1,942.00
TOTAL INDIRECT EXPENSES 1,942.00 1,942.00
TOTAL EXPENDITURES 10,527.00 10,527.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 180 of 218
Contract # 20250051-00 Date: 09/17/2024
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 1,527.00 0.00 1,527.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 10,527.00 9,000.00 1,527.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 181 of 218
Contract # 20250051-00 Date: 09/17/2024
3 Program Budget - Cost Detail
Line Item Qty Rate Units UOM Total
DIRECT EXPENSES
Program Expenses
1 Salary & Wages
Sanitarian
Notes : PH Sanitarian A. Hines
Position P00010488
0.0336 67100.000 0.000 FTE 2,255.00
Sanitarian
Notes : PH Sanitarian J. Jacobs
Position P00006721
0.0192 98900.000 0.000 FTE 1,899.00
Sanitarian
Notes : M. Swain Position
P00007258
0.0048 98450.000 0.000 FTE 473.00
Supervisor
Notes : PH Sanitarian Supervisor
Pos#P00012306 Deb McArthur
0.0048 108867.000 0.000 FTE 523.00
Total for Salary & Wages 5,150.00
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 48.271 5150.000 2,486.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
6 Travel
Mileage
Notes : 160 miles @ 0.67
0.0000 0.000 0.000 107.00
Motor Pool Charges 0.0000 0.000 0.000 828.00
Total for Travel 935.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 182 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Insurance 0.0000 0.000 0.000 14.00
Total Program Expenses 8,585.00
TOTAL DIRECT EXPENSES 8,585.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 1,942.00
Total Indirect Costs 1,942.00
TOTAL INDIRECT EXPENSES 1,942.00
TOTAL EXPENDITURES 10,527.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 183 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Immunization Fixed Fees
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 184 of 218
Contract # 20250051-00 Date: 09/17/2024
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: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 185 of 218
Contract # 20250051-00 Date: 09/17/2024
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: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 186 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Vision ELPHS
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 482,749.00 482,749.00
2 Fringe Benefits 125,065.00 125,065.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 10,310.00 10,310.00
6 Travel 14,301.00 14,301.00
7 Communication 1,336.00 1,336.00
8 County-City Central Services 0.00 0.00
9 Space Costs 19,854.00 19,854.00
10 All Others (ADP, Con. Employees, Misc.)7,445.00 7,445.00
Total Program Expenses 661,060.00 661,060.00
TOTAL DIRECT EXPENSES 661,060.00 661,060.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 160,424.00 160,424.00
Total Indirect Costs 160,424.00 160,424.00
TOTAL INDIRECT EXPENSES 160,424.00 160,424.00
TOTAL EXPENDITURES 821,484.00 821,484.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 187 of 218
Contract # 20250051-00 Date: 09/17/2024
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 567,516.00 0.00 567,516.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 821,484.00 253,968.00 567,516.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 188 of 218
Contract # 20250051-00 Date: 09/17/2024
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 74566.000 0.000 FTE 74,566.00
Technician
Notes : Evelyn James Position
P00000632 PH Tech
0.4808 46673.000 0.000 FTE 22,440.00
Technician
Notes : Terri Alcocer Position
P00000633 PH Tech
0.4808 52367.000 0.000 FTE 25,178.00
Technician
Notes : Kelly Feld Position
P00000634 PH Tech
0.4808 44775.000 0.000 FTE 21,528.00
Technician
Notes : Kim Ferrell Position
P00000636 PH Tech
0.4808 40980.000 0.000 FTE 19,703.00
Technician
Notes : Theresa Pechy Position
P0012316 PH Tech
0.4807 47043.000 0.000 FTE 22,614.00
Technician
Notes : Vacant Position
P00012317 PH Tech
0.4808 39083.000 0.000 FTE 18,791.00
Technician
Notes : Lisa Arden Position
P00012318 PH Tech
0.4808 46673.000 0.000 FTE 22,440.00
Technician
Notes : Meghan O'Connell
Position P00012319 PH Tech
0.4808 42877.000 0.000 FTE 20,615.00
Technician
Notes : Karen Peterson Position
P00000639 PH Tech
0.4808 42877.000 0.000 FTE 20,615.00
Technician
Notes : Vacant Position
0.4808 39083.000 0.000 FTE 18,791.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 189 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
P00000644 PH Tech
Technician
Notes : Vacant Position
P00012315 PH Tech
0.4808 39083.000 0.000 FTE 18,791.00
Technician
Notes : Kimberly Shepard
Position P00003672 PH Tech
0.4808 46673.000 0.000 FTE 22,440.00
Technician
Notes : Vacant Position
P00010836 PH Tech
0.4808 39083.000 0.000 FTE 18,791.00
Technician
Notes : Vacant Position
P00010839 PH Tech
0.4808 39083.000 0.000 FTE 18,791.00
Technician
Notes : Kathryn Buchler Position
P00010840 PH Tech
0.4808 42877.000 0.000 FTE 20,615.00
Supervisor
Notes : Diane Ferber Position
P00001917 Hearing and Vision
Program Supervisor
0.5000 108868.000 0.000 FTE 54,434.00
Auxillary Health Clerk
Notes : Billie-Jean Wright
Position P00006736 Aux Health
Clerk
0.3000 57734.000 0.000 FTE 17,320.00
Clerk
Notes : S. Helsom Position
P00002891 PH Clerk 2
0.5000 48572.000 0.000 FTE 24,286.00
Total for Salary & Wages 482,749.00
2 Fringe Benefits
Composite Rate
Notes : FICA
UNEMPLOYMENT INS
RETIREMENT
HOSPITAL INS
LIFE INS
VISION INS
HEARING INS
DENTAL INS
0.0000 25.907 482747.000 125,065.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 190 of 218
Contract # 20250051-00 Date: 09/17/2024
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 0.000 858.00
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 0.000 389.00
Total for Supplies and Materials 10,310.00
6 Travel
Personal Mileage
Notes : $0.67 per mile
0.0000 0.000 0.000 8,931.00
Travel 0.0000 0.000 0.000 5,370.00
Total for Travel 14,301.00
7 Communication
Telephone 0.0000 0.000 0.000 1,336.00
8 County-City Central Services
9 Space Costs
Space/Rental Costs 0.0000 0.000 0.000 19,854.00
10 All Others (ADP, Con. Employees, Misc.)
Staff Training 0.0000 0.000 0.000 1,007.00
Equipment Repair 0.0000 0.000 0.000 2,518.00
IT Print Services 0.0000 0.000 0.000 186.00
Insurance 0.0000 0.000 0.000 3,469.00
Interpreter Fees 0.0000 0.000 0.000 159.00
Expendable Equipment 0.0000 0.000 0.000 106.00
Total for All Others (ADP, Con. Employees, Misc.)7,445.00
Total Program Expenses 661,060.00
TOTAL DIRECT EXPENSES 661,060.00
INDIRECT EXPENSES
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 191 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 160,424.00
Total Indirect Costs 160,424.00
TOTAL INDIRECT EXPENSES 160,424.00
TOTAL EXPENDITURES 821,484.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 192 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / Immunization Vaccine
Quality Assurance
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 2,721,918.00 2,721,918.00
2 Fringe Benefits 1,481,182.00 1,481,182.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 1,325,140.00 1,325,140.00
6 Travel 8,000.00 8,000.00
7 Communication 29,580.00 29,580.00
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.)393,871.00 393,871.00
Total Program Expenses 6,073,935.00 6,073,935.00
TOTAL DIRECT EXPENSES 6,073,935.00 6,073,935.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other -4,475,039.00 -4,475,039.00
Total Indirect Costs -4,475,039.00 -4,475,039.00
TOTAL INDIRECT EXPENSES -4,475,039.00 -4,475,039.00
TOTAL EXPENDITURES 1,598,896.00 1,598,896.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 193 of 218
Contract # 20250051-00 Date: 09/17/2024
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
705,500.00 0.00 705,500.00 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 703,049.00 0.00 703,049.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 1,598,896.00 105,347.00 1,493,549.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 194 of 218
Contract # 20250051-00 Date: 09/17/2024
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
0.9200 63652.000 0.000 FTE 58,560.00
PH Clinic Nurses-COUNTY
BUDGET
1.0000 2663358.000 0.000 FTE 2,663,358.00
Total for Salary & Wages 2,721,918.00
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 64.631 58560.000 37,848.00
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 54.192 2663358.00
0
1,443,327.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 195 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
Rounding 0.0000 100.000 7.000 7.00
Total for Fringe Benefits 1,481,182.00
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 63,200.00
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 2,000.00
Office Supplies - VQA Grant 0.0000 0.000 0.000 555.00
Educational Supplies - VQA
Grant
0.0000 0.000 0.000 800.00
Total for Supplies and Materials 1,325,140.00
6 Travel
Mileage
Notes : COUNTY BUDGET 0.67
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 29,580.00
8 County-City Central Services
9 Space Costs
Space/Rental Costs 0.0000 0.000 0.000 114,244.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 196 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
Notes : COUNTY BUDGET
10 All Others (ADP, Con. Employees, Misc.)
Insurance
Notes : VQA GRANT
0.0000 0.000 0.000 870.00
Insurance
Notes : COUNTY BUDGET
0.0000 0.000 0.000 14,150.00
Professional Services-COUNTY
BUDGET
0.0000 0.000 0.000 1,500.00
IT Oper-COUNTY BUDGET 0.0000 0.000 0.000 210,005.00
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 1,284.00
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.)393,871.00
Total Program Expenses 6,073,935.00
TOTAL DIRECT EXPENSES 6,073,935.00
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 4,714.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 197 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
Cost Allocation Plan
Notes : 8.05% COUNTY
BUDGET
0.0000 0.000 0.000 214,400.00
Other Cost Distributions-Misc
Distributions - MDHHS ELPHS
0.0000 0.000 0.000 -4,633,712.00
Cost Allocation Plan
Notes : ICR 20%
0.0000 0.000 0.000 840,620.00
Other Cost Distributions-Misc
Distributions - TB Control
0.0000 0.000 0.000 -901,061.00
Total for Cost Allocation Plan / Other -4,475,039.00
Total Indirect Costs -4,475,039.00
TOTAL INDIRECT EXPENSES -4,475,039.00
TOTAL EXPENDITURES 1,598,896.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 198 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / WIC Breastfeeding
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 96,701.00 96,701.00
2 Fringe Benefits 71,409.00 71,409.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 87,367.00 87,367.00
5 Supplies and Materials 370.00 370.00
6 Travel 369.00 369.00
7 Communication 970.00 970.00
8 County-City Central Services 0.00 0.00
9 Space Costs 0.00 0.00
10 All Others (ADP, Con. Employees, Misc.)2,649.00 2,649.00
Total Program Expenses 259,835.00 259,835.00
TOTAL DIRECT EXPENSES 259,835.00 259,835.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 41,406.00 41,406.00
Total Indirect Costs 41,406.00 41,406.00
TOTAL INDIRECT EXPENSES 41,406.00 41,406.00
TOTAL EXPENDITURES 301,241.00 301,241.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 199 of 218
Contract # 20250051-00 Date: 09/17/2024
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 33,622.00 0.00 33,622.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 301,241.00 267,619.00 33,622.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 200 of 218
Contract # 20250051-00 Date: 09/17/2024
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 45726.000 0.000 FTE 45,726.00
Lactation Specialist
Notes : S. Palanjian Position
P00015436
1.0000 45726.000 0.000 FTE 45,726.00
Nutritionist/Dietician
Notes : Amanda Vagts
PO0000912
0.0615 85350.000 0.000 FTE 5,249.00
Total for Salary & Wages 96,701.00
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 73.845 96701.000 71,409.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
Subcontracting Agency-OLSHA
Notes : OLSHA
0.0000 0.000 0.000 87,367.00
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 75.00
Printing 0.0000 0.000 0.000 200.00
Postage 0.0000 0.000 0.000 5.00
Materials & Supplies 0.0000 0.000 0.000 90.00
Total for Supplies and Materials 370.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 201 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
6 Travel
Mileage
Notes : 550 miles * 0.67 per mile
0.0000 0.000 0.000 369.00
7 Communication
Telephone Communications 0.0000 0.000 0.000 970.00
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 0.000 382.00
Total for All Others (ADP, Con. Employees, Misc.)2,649.00
Total Program Expenses 259,835.00
TOTAL DIRECT EXPENSES 259,835.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 41,406.00
Total Indirect Costs 41,406.00
TOTAL INDIRECT EXPENSES 41,406.00
TOTAL EXPENDITURES 301,241.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 202 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / WIC Resident Services
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 1,129,164.00 1,129,164.00
2 Fringe Benefits 732,771.00 732,771.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 519,981.00 519,981.00
5 Supplies and Materials 17,500.00 17,500.00
6 Travel 1,535.00 1,535.00
7 Communication 7,906.00 7,906.00
8 County-City Central Services 0.00 0.00
9 Space Costs 51,169.00 51,169.00
10 All Others (ADP, Con. Employees, Misc.)64,945.00 64,945.00
Total Program Expenses 2,524,971.00 2,524,971.00
TOTAL DIRECT EXPENSES 2,524,971.00 2,524,971.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 463,285.00 463,285.00
Total Indirect Costs 463,285.00 463,285.00
TOTAL INDIRECT EXPENSES 463,285.00 463,285.00
TOTAL EXPENDITURES 2,988,256.00 2,988,256.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 203 of 218
Contract # 20250051-00 Date: 09/17/2024
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 372,386.00 0.00 372,386.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 2,988,256.00 2,615,870.00 372,386.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 204 of 218
Contract # 20250051-00 Date: 09/17/2024
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 108868.000 0.000 FTE 108,868.00
Supervisor
Notes : Kai Scott Position
P00000958 Office Supervisor 2
1.0000 66157.000 0.000 FTE 66,157.00
Supervisor
Notes : Vacant Position
P00003073 Office Supervisor 2
1.0000 66157.000 0.000 FTE 66,157.00
Clerk
Notes : Latoya Anderson
Position P00001328 Aux Health
Clerk
1.0000 57734.000 0.000 FTE 57,734.00
Clerk
Notes : Nicole Case Position
P00000674 Aux Health Clerk
1.0000 57734.000 0.000 FTE 57,734.00
Clerk
Notes : Linda Crowder Position
P00004771 Aux Health Clerk
1.0000 49367.000 0.000 FTE 49,367.00
Clerk
Notes : Joyce Heenan Position
P00007563 Aux Health Clerk
1.0000 57734.000 0.000 FTE 57,734.00
Clerk
Notes : Josh Hutson Position
P00007384 Aux Health Clerk
1.0000 57734.000 0.000 FTE 57,734.00
Technician
Notes : Cathrice Bacon Position
P00002509 Nutrition Tech - WIC
1.0000 60621.000 0.000 FTE 60,621.00
Technician
Notes : Olivia Schuelke Position
P00007562 Nutrition Tech - WIC
1.0000 60621.000 0.000 FTE 60,621.00
Technician 1.0000 60621.000 0.000 FTE 60,621.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 205 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
Notes : Tammy Shaffer Position
P00005234 Nutrition Technician
Technician
Notes : Debra Calhoun Position
P00005233 Nutrition Technician
1.0000 60621.000 0.000 FTE 60,621.00
Nutritionist/Dietician
Notes : Amanda Vagts Position
P00000912 PH Nutritionist 3
0.9384 85306.000 0.000 FTE 80,051.00
Nutritionist/Dietician
Notes : Jennifer Cook Position
P00002074 PH Nutritionist 2
1.0000 63354.000 0.000 FTE 63,354.00
Nutritionist/Dietician
Notes : M. Seefelt Position
P00005693 PH Nutritionist 2
1.0000 77369.000 0.000 FTE 77,369.00
Nutritionist/Dietician
Notes : Jez Vedua-Cardenas
Position P00007381 PH
Nutritionist 3
1.0000 85300.000 0.000 FTE 85,300.00
Technician
Notes : Teresa Saputo Position
P00005235 Nutrition Technician
1.0000 51835.000 0.000 FTE 51,835.00
OCHD Staff Overtime - Various
positions
0.1202 60615.000 0.000 FTE 7,286.00
Total for Salary & Wages 1,129,164.00
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 64.895 1129164.00
0
732,771.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 206 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
Subcontracting Agency-OLSHA-
WIC svcs in Oakland Co.
0.0000 0.000 0.000 519,981.00
5 Supplies and Materials
Office Supplies 0.0000 0.000 0.000 1,650.00
Medical Supplies 0.0000 0.000 0.000 9,000.00
Educational Supplies 0.0000 0.000 0.000 1,800.00
Postage 0.0000 0.000 0.000 750.00
Printing 0.0000 0.000 0.000 3,000.00
Materials & Supplies 0.0000 0.000 0.000 800.00
Computer Supplies 0.0000 0.000 0.000 500.00
Total for Supplies and Materials 17,500.00
6 Travel
Mileage
Notes : 500 Miles * 0.67 per mile
0.0000 0.000 0.000 335.00
Conferences 0.0000 0.000 0.000 1,200.00
Total for Travel 1,535.00
7 Communication
Telephone 0.0000 0.000 0.000 7,906.00
8 County-City Central Services
9 Space Costs
Space/Rental Costs 0.0000 0.000 0.000 31,884.00
Rent 0.0000 0.000 0.000 19,285.00
Total for Space Costs 51,169.00
10 All Others (ADP, Con. Employees, Misc.)
Insurance 0.0000 0.000 0.000 9,601.00
Equipment Maintenance 0.0000 0.000 0.000 850.00
Info Tech Print Managed Svcs 0.0000 0.000 0.000 4,000.00
IT Operations 0.0000 0.000 0.000 32,568.00
Staff Training 0.0000 0.000 0.000 3,000.00
Interpretation 0.0000 0.000 0.000 10,666.00
Laundry & Cleaning 0.0000 0.000 0.000 600.00
Incentives 0.0000 0.000 0.000 750.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 207 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
Advertising 0.0000 0.000 0.000 2,910.00
Total for All Others (ADP, Con. Employees, Misc.)64,945.00
Total Program Expenses 2,524,971.00
TOTAL DIRECT EXPENSES 2,524,971.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 463,285.00
Total Indirect Costs 463,285.00
TOTAL INDIRECT EXPENSES 463,285.00
TOTAL EXPENDITURES 2,988,256.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 208 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / West Nile Virus
Community Surveillance
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 4,989.00 4,989.00
2 Fringe Benefits 2,405.00 2,405.00
3 Cap. Exp. for Equip & Fac.0.00 0.00
4 Contractual 0.00 0.00
5 Supplies and Materials 1,060.00 1,060.00
6 Travel 1,130.00 1,130.00
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.)14.00 14.00
Total Program Expenses 9,598.00 9,598.00
TOTAL DIRECT EXPENSES 9,598.00 9,598.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 0.00 0.00
2 Cost Allocation Plan / Other 1,881.00 1,881.00
Total Indirect Costs 1,881.00 1,881.00
TOTAL INDIRECT EXPENSES 1,881.00 1,881.00
TOTAL EXPENDITURES 11,479.00 11,479.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 209 of 218
Contract # 20250051-00 Date: 09/17/2024
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 1,479.00 0.00 1,479.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 11,479.00 10,000.00 1,479.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 210 of 218
Contract # 20250051-00 Date: 09/17/2024
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.
Jacobs Position P00006721
0.0192 98890.000 0.000 FTE 1,899.00
Sanitarian
Notes : M. Swain Position
P00007258
0.0048 98480.000 0.000 FTE 473.00
Supervisor
Notes : PH Sanitarian Supervisor
J McClosky Pos#P00012307
0.0048 108867.000 0.000 FTE 523.00
Sanitarian
Notes : PH Sanitarian
PO0010488 - Alex Hines
0.0312 67100.000 0.000 FTE 2,094.00
Total for Salary & Wages 4,989.00
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 48.206 4989.000 2,405.00
3 Cap. Exp. for Equip & Fac.
4 Contractual
5 Supplies and Materials
Supplies & Materials 0.0000 0.000 0.000 1,060.00
6 Travel
Motor Pool Charges 0.0000 0.000 0.000 1,130.00
7 Communication
8 County-City Central Services
9 Space Costs
10 All Others (ADP, Con. Employees, Misc.)
Insurance 0.0000 0.000 0.000 14.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 211 of 218
Contract # 20250051-00 Date: 09/17/2024
Line Item Qty Rate Units UOM Total
Total Program Expenses 9,598.00
TOTAL DIRECT EXPENSES 9,598.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs
2 Cost Allocation Plan / Other
Cost Allocation Plan
Notes : 8.05%
ICR 20%
0.0000 0.000 0.000 1,881.00
Total Indirect Costs 1,881.00
TOTAL INDIRECT EXPENSES 1,881.00
TOTAL EXPENDITURES 11,479.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 212 of 218
Contract # 20250051-00 Date: 09/17/2024
1 Program Budget Summary
PROGRAM / PROJECT
Local Health Department - 2025 / EGLE Drinking Water and
Onsite Wastewater Management
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and Human Services/
Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 3,880,682.00 3,880,682.00
Total Indirect Costs 3,880,682.00 3,880,682.00
TOTAL INDIRECT EXPENSES 3,880,682.00 3,880,682.00
TOTAL EXPENDITURES 3,880,682.00 3,880,682.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 213 of 218
Contract # 20250051-00 Date: 09/17/2024
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 2,895,640.00 0.00 2,895,640.00 0.00
Inkind Match 0.00 0.00 0.00 0.00
MDHHS Fixed Unit Rate
Totals 3,880,682.00 985,042.00 2,895,640.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 214 of 218
Contract # 20250051-00 Date: 09/17/2024
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 2,838,353.00
Health Adm Distribution 0.0000 0.000 0.000 658,461.00
Other Cost Distributions-Misc
Distribution
0.0000 0.000 0.000 181,421.00
Cost Allocation Plan 0.0000 0.000 0.000 202,447.00
Total for Cost Allocation Plan / Other 3,880,682.00
Total Indirect Costs 3,880,682.00
TOTAL INDIRECT EXPENSES 3,880,682.00
TOTAL EXPENDITURES 3,880,682.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 215 of 218
Contract # 20250051-00 Date: 09/17/2024
Summary of Budget
PROGRAM / PROJECT
Local Health Department - 2025 / Local
Health Department - 2025
DATE PREPARED
9/17/2024
CONTRACTOR NAME
Oakland County Department of Health and
Human Services/ Health Division
BUDGET PERIOD
From : 10/1/2024 To : 9/30/2025
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 21,808,903.00 21,808,903.00
2 Fringe Benefits 11,769,961.00 11,769,961.00
3 Cap. Exp. for Equip & Fac.35,000.00 35,000.00
4 Contractual 819,312.00 819,312.00
5 Supplies and Materials 2,305,720.00 2,305,720.00
6 Travel 479,053.00 479,053.00
7 Communication 286,086.00 286,086.00
8 County-City Central Services 0.00 0.00
9 Space Costs 1,780,506.00 1,780,506.00
10 All Others (ADP, Con. Employees, Misc.)5,440,475.00 5,440,475.00
Total Program Expenses 44,725,016.00 44,725,016.00
TOTAL DIRECT EXPENSES 44,725,016.00 44,725,016.00
INDIRECT EXPENSES
Indirect Costs
1 Indirect Costs 1,102,967.00 1,102,967.00
2 Cost Allocation Plan / Other 7,538,498.00 7,538,498.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 216 of 218
Contract # 20250051-00 Date: 09/17/2024
Total Indirect Costs 8,641,465.00 8,641,465.00
TOTAL INDIRECT EXPENSES 8,641,465.00 8,641,465.00
TOTAL EXPENDITURES 53,366,481.00 53,366,481.00
SOURCE OF FUNDS
Category Total Amount Cash Inkind
1 Fees and Collections - 1st
and 2nd Party
3,931,246.00 0.00 3,931,246.00 0.00
2 Fees and Collections - 3rd
Party
241,000.00 0.00 241,000.00 0.00
3 Federal or State (Non
MDHHS)
3,862,816.00 0.00 3,862,816.00 0.00
4 Federal Cost Based
Reimbursement
0.00 0.00 0.00 0.00
5 Federally Provided Vaccines 1,062,373.00 0.00 1,062,373.00 0.00
6 Federal Medicaid Outreach 529,215.00 529,215.00 0.00 0.00
7 Required Match - Local 571,115.00 0.00 571,115.00 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 16,600,703.0
0
16,600,703.
00
0.00 0.00
14 MCH Funding 321,457.00 321,457.00 0.00 0.00
15 Local Funds - Other 25,807,936.0
0
0.00 25,807,936.0
0
0.00
16 Inkind Match 0.00 0.00 0.00 0.00
17 MDHHS Fixed Unit Rate 438,620.00 438,620.00 0.00 0.00
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 217 of 218
Contract # 20250051-00 Date: 09/17/2024
TOTAL 53,366,481.0
0
17,889,995.
00
35,476,486.0
0
0.00
Source of Funds
Date: 09/17/2024 Contract # 20250051-00, Oakland County Department of Health and Human Services/
Health Division, Local Health Department - 2025
__________________________________________________________________________
Page: 218 of 218