HomeMy WebLinkAboutMINUTES - 10031995 - C31 sz ✓/TO: BOARD OF SUPERVISORS
FROM: Mark Finucane, Health Services Director
Coritra-
Costa
DATE: September 21, 19915 County
SUBJECT: Approve Standard Agreement (Amendment) #29-265-33
with the State Department of Health Services
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) #29-265-33 (State
#94-19548-01) with the State Department of Health Services, effective
December 1, 1994, to increase the FY 1994-95 payment limit by $12,500,
from $983 , 771 to a new total of $996, 271. This Agreement provides
funds for preventive health services for women and children.
II. FINANCIAL IMPACT:
This Amendment increases the State's funding by $12, 500, to a new
maximum amount payable for FY 1994-95 of $996, 271. No County funds
are required.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
On April 25, 1995, the Board of Supervisors approved Standard
Agreement #29-265-31 (State #94-19548) with the State Department of
Health Services for continuation of the Maternal and Child Health
County Allocation/Black Infant Health/Comprehensive Perinatal
Improvement Program, for the period from July 1, 1994 through June 30,
1995.
Approval of Standard Agreement (Amendment) #29-265-33 adds additional
funding for the County's Black Infant Health Program.
The Board Chair should sign nine copies of the agreement. Eight
copies of the agreement and three certified and sealed copies of this
Board Order should be returned to the Contracts and Grants Unit for
submission to the State.
CONTINUED ON ATTACHMENT: YES SIGNATURE: w�-
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S) r
ACTION OF BOARD ON �� A-) -3 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: Mary Foran (313-6254)
cc: State Dept. of Health Services ATTESTED
Health Services Dept. (Contracts) '
Phil Batchelor, Clerk of the Board of
Supeais=vdCountyAdministrator
M362/7-e3' BY DEPUTY
STATE OF CALIFORNIA
- io --395 C , I
STANDARD AGREEMENT— APPROVED BY THE CONTRACT NUMBER AM.NO.
_ ATTORNEY GENERAL 94-19548 �^ 01
STo.2IREV.591) r
TAXPAYER'S FEDERAL EMPLOYER IDENTIFICATION NUMBER
94-6000509
FIIIS AGREEMEN'T'
made and entered into this 1 St day of December 19 94
F,
in the State of California, by and between State of Calilomia, through its duly elected or appointed, qualified and acting
TITLE OF OFFICER ACTING FOR STATE AGENCY
Chief, Program Support Branch Dept of Health Services hereafter called the State.and
CONTRACTOR'S NAME � �� � _ �._ ei�
County of Contra Costa Health Services Department 3 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: (Ser forth service to be rendered by Contractor, amount to be paid Contractor,
time for performance or completion, and attach plans and specifications, if any.)
PROJECT TITLE: County Allocation/Black Infant Health/Comprehensive Perinatal Outreach
1 . In that certain agreement between this Department and the County of Contra Costa
Health Services Department, dated July 1 , 1994:
A. The first sentence of Paragraph 1 , SCOPE OF WORK, is hereby amended to
read as follows: "The attached Exhibit "B-1 ", entitled Scope of Work (SOW),
consisting of twenty-seven (27) pages is made a part hereof by this reference.
B. Upon the effective date of this amendment, all references to Exhibit "B" in the
body of this agreement and in any exhibits thereto shall hereinafter be referred
to as Exhibit "B-1 ".
C. Paragraph 5, MAXIMUM AMOUNT PAYABLE, the last sentence is hereby
amended to read as follows: "The maximum amount payable for fiscal year
(FY) 1994-95 ending June 30, 1995 shall not exceed $996,271 .
CONTINUED ON 1 SHEETS,EACH BEARING NAME OF CONTRACTOR AND CONTRACT NUMBER.
e 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 Iff
Department of Health Services County of Contra Costa Health Services•Department
BY(AUTH RIZED SIGNATURE) �B (AUTHORIZED SI NATURE)
PRINTED NAME75F PERSON SIGNING PRINTED NAMt AND TITLLVOF PERSON SIGNING �.<.
Robert Threlkel
Chair, Board of Supervisors-
TITLE ADDRESS
Chief, Program Support Branch
AMOUNT ENCUMBERED BY THIS PROGRAM/CATEGORY ICODE AND TITLE) FUND TITLE `= Department of General Services
DOCUMENT Local Assistance- Clearing Account General ,gUse Only
19 srm (OPTIONAL USE) This Agreement is exempt from
PRIOR AMOUNT ENCUMBERED FOR Federal MCH Block !X93.994 Dept of General Services approval
THIS CONTRACT per GC Section 16366.7(b). (FBF)
ITEM CHAPTER STATUTE FISCAL YEAR
983 771 4260-111-001 139 1994 94!95
TOTAL AMOUNT ENCUMBERED TO
DATE OBJECT OF EXPENDITURE(CODE AND TITLE)
$ 996,271 94-52448-4915-702-03-93994L95
!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.
SIGNATOR OF ACCOUNTING OFFICER DATE /
CONTRACTOR STATE AGENCY DEPT.OF GEN.SER. CONTROLLER