HomeMy WebLinkAboutMINUTES - 09121995 - C94 TO: BOARD OF SUPERVISORS
FROM: Mark Finucane, Health Services Director
Co' ' ra
Costa
DATE: August 29, 1995 County
SUBJECT: Approve Standard Agreement (Amendment) #29-203-59 with the State
Department of Health Services for the Women, Infants and Children
Supplemental Food Program (WIC)
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Chair, Board of Supervisors, to execute
on behalf of the County, Standard Agreement (Amendment) #29-203-59
(State #94-19669-A1) with the State Department of Health Services,
effective April 1, 1995, for the Supplemental Food Program for
Women, Infants and Children (WIC) .
II. FINANCIAL IMPACT:
This amendment formally encumbers $65, 163 in State funding (Federal
funds) for the WIC Program, for a new total of $1, 337, 198, for the
„1994-95 Federal Fiscal Year. No County funds are required.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
The WIC Program is a nutrition education, counseling, and food
supplement program for low-income, pregnant, postpartum and breast-
feeding women, infants and children at nutritional risk, and is
mandated under the Community Health Services Division of the State
Department of Health Services.
The State has notified the Department of a supplementary award of
$65, 163 to support a revised caseload of 13 , 400 (or 700 additional)
clients. Standard Agreement (Amendment) #29-203-59 formally
encumbers the additional monies and allows minor revisions to line
items in the budget.
The Board Chair should sign eight copies of the agreement, seven of
which should then be returned to the Contracts and Grants Unit. In
addition, three certified/sealed copies of the Board Order should
be returned to the Contracts and Grants Unit for submission to the
State Department of Health Services.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S)
i
ACTION OF BOARD ON 9 9-s- APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
y UNANIMOUS (ABSENT ) 1 HEREBY CERTIFY THAT THIS IS A TRUE
AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD
OF SUPERVISORS ON THE DATE SHOWN.
Contact: Wendel Brunner, M.D. (313-6712)
CC: Health Services (Contracts) ATTESTED___ .S
State Dept. of Health Services
Phil Ba chelor, Clerk of the Board of
$upelYiS4�S aW GwIty Admirl&aW
M882/7-83 BY DEPUTY
STATE OF ALI�ORNIA % �)' a — /�' C 9
�Iopy
CONTRACT NUMBER AM.NO.
STANDARD AGR, , N F
NE N QS 94-19669 Al
TAXPAYER'S FEDERAL EMPLOYER IDENTIFICATION NUMBER
THIS AGREEMENT,made and entered into this 1 day of April ' 19 95 94-6000509
in the State of California,by and between State of California, through its duly elected or appointed, qualified and acting
TITLE OF OFFICER ACTING FOR STATE AGENCY
Chief, Program Support Branch Department of Health Services ,hereafter called the State,and
CONTRACTOR'S NAME .29 1 0
Contra Costa County Health Services 9 , hereafter called the Contractor,
WITNESSETH: That the Contractor for and in consideration of the covenants, conditions,agreements, and stipulations of the State hereinafter expressed,
does hereby agree to furnish to the State services and materials as follows: (Set forth service to be rendered by Contractor, amount to be paid Contractor,
time for performance or completion, and attach plans and specifications, if any.)
1. In that certain Agreement between the State and 'the Contractor, dated October 1, 1994:
A. Section (,.GENERAL PROVISIONS, Paragraph C, Maximum Amount Payable, Page 2
of 22, is amended to read:
"C. The maximum amount payable by the State to the Contractor under this Agreement
shall not exceed $1,337,198."
B. Section I, GENERAL PROVISIONS, Paragraph- E, Additional Provisions/Exhibits,
Subparagraph 5, Page 3 of 22, is amended to read:
"5. The attached EXHIBIT C1, consisting of one page and entitled "CALIFORNIA WIC
PROGRAM-PROJECT BUDGET AMENDMENT", is incorporated herein and made
a part hereof by this reference."
Henceforth, all references to EXHIBIT C in this Agreement shall be referred to as
EXHIBIT C1.
CONTINUED ON 2 SHEETS,EACH BEARING NAME OF CONTRACTOR AND CONTRACT NUMBER.
The provisions on the reverse side hereof constitute a part of this agreement.
IN WITNESS WHEREOF, this agreement has been executed by the parties hereto,upon the date first above written.
STATE OF CALIFORNIA CONTRACTOR
AGENCY CONTRACTOR (If other than an individual,state whether a corporation,partnership,etc.)
Department of Health Services Contra Costa County Health Services
BY(AUTHORIZED SI N BY(AUTHORIZE SIGNATURE)
D for
PRINTED NAME OF PERSON SIGNING PRINTED NAME AN TITLE OF PERSON S19NING
Ed Stahlberg Chair, Board of Supervisors
TITLE AD�:AESS
Chief, Program Support Branch 651 Bine'Street, Martinez,-. CA ' 94553
AMOUNT ENCUMBERED BY THIS PROGRAM/CATEGORY(CODE AND TITLE) FUND TITLE Department of General Services
DOCUMENT 20 Primary Care and Family Health Federal use only
$ 65,163 (OPTIONAL USE)
PRIOR AMOUNT ENCUMBERED FOR
THIS CONTRACT
ITEM CHAPTER STATUTE FISCAL YEAR
To$1 ,272 035 ENCLIMBERED TO 4260-111-890 139 1994 94-95 EXEMPT FROM DGS AP i�OVAL
DATE OBJECT OF EXPENDITURE(CODE AND TITLE) PER MEMO DATED 1 Q-
$1,337,198 94-52421-4999-741-03-10557L.-94
1 hereby certify upon my own personal knowledge that budgeted funds T.B.A.NO. B.R.No..
are available for the period and purpose of the expenditure stated above.
s
SIGNATURE F ACCOUNTING OFFICER DATE /
CONTRACTOR STATE AGENCY DEPT.OF GEN.SER. CONTROLLER
STATE OF CALIFORNIA
STANDARD AGREEMENT "
STD.2(AEV-5-91)(REVERSE) "
1. The Contractor agrees to indemnify, defend and save harmless the State,its officers,agents and employees
from any and all claims and losses accruing or resulting to any and all contractors, subcontractors,
materialmen, laborers and any other person, firm or corporation furnishing or supplying work services,
materials or supplies in connection with the,performance of this contract,and from any and all claims and
losses accruing or resulting to any person,'firm or corporation who may be injured.or damaged by the
Contractor in the performance of this contract.
2. The Contractor,and the agents and employees of Contractor,in the performance of the agreement,shall act
in an independent capacity and not as officers or employees or agents of State of California.
3. The State may terminate this agreement and be relieved of the payment of any consideration to Contractor
should Contractor fail to perform the covenants herein contained at the time and in the manner herein
provided. In the event of such termination the State may proceed with the work in any manner deemed
proper by the state. The cost to the State shall be deducted from any sum due the Contractor under this
agreement, and the balance, if any, shall be paid the Contractor upon demand.
4. Without the written consent of the state, this agreement is not assignable by Contractor either in whole or
in part.
5. Time is of the essence in this agreement.
6. No alteration or variation of the terms of this contract shall be valid unless made in writing and signed by
the parties hereto,and no oral understanding or agreement not incorporated herein,shall,be binding on any
of the parties hereto.
7. The consideration to be paid Contractor,as provided,herein,shall be in compensation for all of Contractor's
expenses incurred in the performance hereof, including travel and per diem, unless otherwise expressly so
provided.
w '
Contra Costa County Health Services
94-196613-A1 `
C. Section II, CONTRACTOR'S.ROLE AND RESPONSIBILITIES, Paragraph G, Services to
be Provided, Subparagraph 3, Page 9 of 22, is amended to read:
"3. Contractor agrees to distribute food vouchers to 13,400 participants monthly. The
- State will provide the Contractor with the necessary food vouchers."
D. Section ll, CONTRACTOR'S ROLE AND RESPONSIBILITIES, Paragraph K, Americans
with Disabilities Act, is added to read:
K. Americans with Disabilities Act
The Contractor shall comply with all requirements established under the Americans
with Disabilities Act, in order to make programs accessible to all participants and to
provide equally effective communication.
E. Section V, SPECIAL PROVISIONS, Paragraph D, Target Population Proposals, is added
to read:
D. Target Population Proposals
1. Contractor's written proposal for expanded access to specified target population(s)
(i.e., American Indians and/or African Americans) submitted to the State, is not
attached hereto, but is incorporated herein and made a part hereof by this
reference, as if set forth in full.
2. In recognition of Contractor's need to improve access for eligible American Indians
and/or African Americans, as specified in Contractor's written proposal submitted
to the State, Contractor may be allocated additional caseload and administrative
funds for service to these targeted population(s). If such additional funds have
been so allocated, the State will notify the Contractor, in writing, and the funds are
to be allocated throughout the Exhibit C1.
3. Contractor agrees to:
(a) Establish the foundation necessary to increase access for the target
population(s).
(b) Submit a written status report by December 15, 1995 to the State. The report
must include:
(1) A description of the specific activities undertaken towards the
establishment of the foundation necessary to increase access for the
target,population(s); and
(2) The number of participants served in each target population(s) during
June 1995.
Page 2 of 3
Contra Costa County Health Services
94-19669-A1
4. If the status report does not indicate that positive steps have been undertaken to
establish the foundation necessary to increase access for the target population(s),
the State reserves the right to reduce the Contractor's federal fiscal year 1995-96
caseload allocation and administrative funding for the target population(s).
2. The effective date of this Amendment is April 1, 1995.
3. All other terms and provisions of said Agreement remain in full force and effect.
Page 3 of 3
State of California-Health and Welfare Agency Department of Health Services
WIC Supplemental Nutrition Branch
Y
EXHIBIT C1
CALIFORNIA WIC PROGRAM - PROJECT BUDGET AMENDMENT
EFFECTIVE DATE: April 1, 1995
Contractor: Contra Costa County Health Serivices
Contract No: 94-19669-A1 Contract Period: 10/01/94 - 09/30/95
A B C D E
Prior "Total Total of Prior Revised "Total
Project Budget Per Numbered Line-Item Adjustment Per Per Numbered
Line Item Line Item" Transfers Amendment Line Item"
1. Personnel $ 1,043,676 $ (10,000) $ 14,379 $1,048,055
2. Operating $ 118,573 $ 4,400 $ 43,310 $ 166,283
Expenses
3. Capital $ -0- $ -0- $ -0- $ -0-
Expenditures
(Equipment)
4. Other Costs $ 31,314 $ 5,600 $ 6,580 $ 43,494
5. Indirect $ 78,472 $ -0- $ 894 $ 79,366
Costs*
*(Maximum 10%of
"Total Salaries &
Wages", excluding
"Total Fringe Benefits")
Total Per
Column $ 1,272,035 $ -0- $ 65,163 $ 1,337,198
(TOTAL BUDGET)
COLUMN DESCRIPTIONS
A =Title (name) of numbered line item.
B =Amount from original contract (or most recent amendment, if different).
C =Total of all approved line-item transfers which were effective on or prior to the effective date of this.amendment.
D =All adjustments to numbered line items as a result of this amendment (i.e., redistribution of existing funds, or
increase/decrease to total budget).
E =The sum of columns B, C, and D.