HomeMy WebLinkAboutMINUTES - 10031995 - C30 sN
PTO ' BOARD OF SUPERVISORS
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Contra
FROM: Mark Finucane, Health Services Director CCoo to
DATE: September 21, 1995
County
SUBJECT: Approve Standard Agreement (Amendment) #29-202-57 with the State
Department of Health Services for Family Planning Services
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SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee
(Wendel Brunner, M.D. ) , to execute on behalf of the County,
Standard . Agreement (Amendment) #29-202-57 (State #91-12416-A7)
effective April 1, 1994 with the State Department of Health
Services to amend Standard Agreement #29-202-48 (effective July 1,
1991 through June 30, 1994) for the County' s Family Planning
Services. This amendment increases the payment limit for FY 93-94
by $867 from a payment limit of $130, 486 to a new fiscal year
contract total of $131, 353 .
II. FINANCIAL IMPACT:
Approval of this amendment will result in $867 of increased State
funding for FY 1993-94 for the County's Family Planning Services,
and increase the maximum reimbursable amount of State funding for
the three year term of the agreement to a new total of $380, 253 .
No additional County funding is required.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
For many years the County has provided family planning services to
citizens of child-bearing age who would otherwise be unable to
obtain these services. Family planning services funded through
this contract are for persons who request such services through
County facilities. The County must bill any other possible payment
source, such as Medi-Cal, before seeking reimbursement from the
State for services provided. This contract is a method for
reimbursement rather than a straight reimbursement contract.
Three sealed and certified copies of this 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)
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
UNANIMOUS (ABSENT > I 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
State Dept. of Health Services phjj Batchelor, Clerk of the Board of
Supervisors and Gounty Adminiistratot
M382/7-83 BY DEPUTY
STATE O!tCA>,IFORNtA
APPROVED BY THE
STANi`'A,9P AGREEMENT— ATTORNEY GENERAL CONTRACT NUMBERDAM.NO.
sm.z(46Y1) 91-124-116 TAVAYER91-12416 A-07S FEDERAL EMPLOYER IDEHTIFICATICH NUU-
THIS AGREEMENT,made and entered into this 1 st day of April — . 19 94 ( 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
def, Program SLppert-t Branch DepaLtnent of Health Services ,hereafter called the State.anZ
CONTRACTCRS NAME
COUNTY OF CONTRA COSTA .a , 22
:hereaftercalled the Contraccc-
WITNESSETH: That the Contractor for and in consideration of the covenants,conditions,agreements.and stipulations of the State hereinafter expressc.
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 Contrcc:c
rime far performance or completion,and attach plans and specifications.if any.)
1. In that certain agreement between this Department and COUNTY OF CONTRA COSTA HEALTH
SERVICES/PUBLIC HEALTH dated July 1, 1991 and amended through July 1, 1993:
A. Paragraph 3.A.(3) is hereby amended to read as follows:
"(3) The maximum amount payable under this agreement for services rendered during fiscal
year 1993-94 (July 1, 1993 - June 30, 1994) shall not exceed $131,353."
B. Paragraph 3.A.(4) is hereby amended to read as follows:
"(4) The maximum amount payable under this agreement shall not exceed $380,253."
CONTINUED ON 1 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 wriuen.
STATE OF CALIFORNIA CONTRACTOR
AGENCY CONTRACTOR(M cow than an srowouat slaw swom r•oPwpwabm pawarm;%a(a)
CO. OF CONTRA COSTA
Department of Health Services
BY(AUTHORIZED SIGNATURE) (AUTHORRED SIGNATURE)
> for
PRINTED NAME OF PERSON SIGNING PRINTED NAME AND TITLE OF PERSON SIGNING
Btfard E. stahlberg Wendel Brunner, M.D., Designee
TITLE ADDRMq
651 Pine Street
Chief, Program Support Branch MARTINEZ, CA 94553
AMOUNT ENCUMBERED SY THIS PROGRAMCATEGORY(CODE AND TITLE) I FUND TITLE Department of General Services
DOCUMENT 867 Total Assistance General Use Only
(OPTIONAL USE)
PRIOR AMOUNT ENCUMBERED FOR
THIS CONTRACT
379,386 ITEM I CHAPTER STATUTE ' FiSCALYEAR
TOTAL AMOUNT ENCUMBERED TO
4260-111-001 55 1993 11993-94 EXEMPT FROM DGS APPROVAL
DATE I OBJECT OF EXPENDITURE(CODE AND TITLE) PER MEMO DATED
380,253 93-52423-4945-702-03 $867 1! �
$
l hereby certify upon my own personal knowledge that budgeted funds T.S.A.NO. B.A NO.
are available for the period 5pd purpose of the expenditure stated above.
NATURE OF ACCCUN OF ER I DATE ) /
J 1 AFM JHrjLJ AUr r-=W1Ctr 1
M.2(R---V."i)(wvEnr)
1.The Contractor agrees to indemnify,defend and save harmless the State.its officers,agents and employees
from any and all claims and tosses 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 oft"contract.and from anTand all claims and
losses accruing or resulting to anc person,firm or corporation who may be injured or damaged bT 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 agreementand 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 Contactor 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.
S. 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.
n @101.
COUNTY OF CONTRA COSTA HEALTH SERVICES/PUBLIC HEALTH 91-12416 A-07
C. Subparagraph 3 of Paragraph 5.A., on page 5, is hereby amended to read as follows:
"3. Exhibit C-2 for fiscal year 7-1-93 to 6-30-94;
Upon the effective date of this amendment, all references to Exhibit C for fiscal year
1993/94 in the body of this agreement, and in any exhibits thereto,/shall hereinafter be
deemed to read Exhibit C-2 for fiscal year 1993/94."
2. The effective date of this amendment is April 1, 1994.
3. All other terms and provisions of said agreement shall remain in full force and effect.
PAGE 2OF2
COUNTY OF CONTRA COSTA HEALTH SERVICESIPUBLIC HEALTH 91-12416 A-07
April 1, 1994
EXHIBIT C-2
PAYMENT PROVISIONS
OFFICE OF FAMILY PLANNING
JULY 1, 1993 - JUNE 30, 1994
A. The Contractor shall have general spending authority at rates not to exceed those published in the
Guidebook for Family Planning Services, Part 3, entitled "Schedule of Maximum Allowances".
These payment provisions shall further be governed by the appropriate "Standards" in the
Guidebook, Division A.
B. The maximum amount-payable under Exhibit C-2, shall be allocated as follows:
1. The Contractor shall have spending authority for providing contraceptive and pregnancy
testing services. The maximum amount shall not exceed $131,353.
There are no further subdivisions of this paragraph B.
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