HomeMy WebLinkAboutMINUTES - 10101995 - C33 TO: BOARD OF76UPERVISORS
Contra
r.
FROM: Mark Finucane, Health Services Director
Costa
DATE: September 28 , 1995 County.
SUBJECT: Approve .S.tandard Agreement #29-265-34 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 #29-265-34 (State #95-22507)
with the State Department of Health Services, . in the amount of
$836, 010, for 'the period from July 1, 1995 through June 30, 1996, for
the Maternal and Child Health County Allocation/Black Infant Health
Program.
II. FINANCIAL IMPACT:
.Approval of this agreement will result in a maximum of $836, 010 from
the State (Federal MCH Block #93 .994) for this program, during FY 1995-
96.
State Allocation . . . . . . . . . . . . . . . . $ 156, 266
Federal Funds. . . . . . . . . . . . . . . . . . . . 679, 744
Required County Match. . . . . . . . . . . 345,718
TOTAL PROGRAM $1,181,728
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
On April 25, 1995, the Board of Supervisors approved submission of a
Funding Application with the State Department of Health Services for
Continuation of the Maternal and Child Health and Perinatal
.Improvement: Program through June 30, 1996. Standard Agreement #29-
265-34 is the result of that application.
The Board Chair should sign eight copies of the agreement, including
the Certification Regarding Lobbying, and initial changes as required
by the State. Seven copies of the agreement and seven sealed and
certified copies of this Board Order should be returned to the
Contracts and Grants Unit.
CONTINUED ON ATTACHMENT: YES SIGNATURE: All
RECOMMENDATION OF,COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON APPROVED AS RECOMMENDED V' OTHER
VOTE OF SUPERVISORS
UNANIMOUS (ABS•ENT ) 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: Health Services (Contracts) ATTESTED 10 )99,T
State Dept. of Health Services Phil Batchelor, Clerk of the Board of
- Supeluisprs�IuiCountyAdminisUaYlu --..---------.
M382/7-83 B.
DEPUTY
STATE-QF CAZIIk.2ftilt /0 - /0 1/s C , 33
STANDARD. AGREQQW-TRAC TOR' S COPYCONTRA CT
STD.2(REV 5-91) ATTORNEY GENERAL 95-22507
TAXPAYER'S.,FEDERAL EMPLOYER IDENTIFICATION NUMBER
. 96-6000509
THIS AGREEMENT, made and entered into this 1 St day of JUIV ig 95
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 Dept of Health Services hereafter called the State,and
CONTRACTOR'S NAME
County of Contra Costa Health Services Department 269 -1* 26 5 - 3 4- ,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.)
PROJECT TITLE: County Allocation/Black Infant Health
1 . EXHIBITS
The following Exhibits are incorporated herein and made a part hereof by this
reference:
A. The attached Exhibit A (F), entitled "Additional Provisions", consisting of
twenty-seven (27) pages;
B. The attached Exhibit A-1, entitled "Equipment Purchased with State Funds",
consisting of one (1) page;
C. The attached Exhibit A-2, entitled "Inventory of State Furnished Property",
consisting of one (1) page;
CONTINUED ON 30 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 aizTeement has been executed by the parties heretoupon the date first above written.
STATE OF CALIFORNIA CONTRACTOR
AGENCY CONTRACTOR (If other than d' d state wh a corp don, ip,ercd
0 'e
Department of Health ServiceCounty of Contra�'os7tH'velyuaf�e./co Depa r0ra ent)"r�/
BY(AUTH (AUTHORIZED St
> �]SIGNATURE} 91�9
PRINTED NA OF P�KAON SIGNING �4-� PRINTED NAME AND TIT OF R06 N 7
NG
berVhrelkel IA
-.Chair, Yd of Supervisors
TITLE ADDRESS
Chief, Program Support Branch 651 Pine Street, Martinez CA 94553
AMOUNT ENCUMBERED BY THIS PROGRAWCATEGORY (CODE AND TITLE) FUND TITLE Department of Genera!Services
DOCUMENTLocal Assistance-Clearing Account General Use Only
$444,4--.4 834, oillb11 (OPTIONAL USE) This Agreement is exempt from
PRIOR AMOUNT ENCUMBERED Federal MCH Block 1193.994 (Subject to the Budget,Act of 1995) Dept of General Services approval
THIS CONTRACT rrEM CHAPTER I STATUTE per GC Section 16366.7(b). (FBF)
ter,
0 4260-111-001 1995 95/96
TOTAL AMOUNT ENCUMBERED TO FISCAL YEAR
I 49DATE OBJECT OF EXPENDITURE(CODE AND TITLE)
$ 844,qeo 8.34. 10 See back of page
hereby certify upon my1,personal knowledge that budgeted funds T.B.A.NO.
B.R.NO.
are available for fheperiod?rpurpose of the expenditure stated above.
SIGNATURE ACCOUNTING CWFNR _FA
>
CONTRACTOR STATE AGENCY DEPT.OF GEN.SER. CONTROLLER
STATE OF CALIFORNIA
STANDARD AGREEMENT
STD.2(REV.5-911(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,
materiahnen, 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 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.
01 ]VIO I
9L8'9C L$ 961t66C6-CO-ZOL-9 L6t-8ttZ9-96 H19
4C tr88'89U$ CO-ZOL-9 L6t-69tZ9-96 WAINO
ZC9'86$ CO-ZOL-9 L6t-99tZ9-96 N-HOW
4 4_C �vre G-3 k+ffi5$ CO-ZOL-9 L6t-89tZ9-96 3-AINO
000'LO L$ 961t6666-CO-ZOL-9 L6t-9CtZ9-96 HOW
�f Contractor: County of Contra Costa Health Services Department
Contract Number: 95-22507
6. MAXIMUM AMOUNT PAYABLE
This agreement constitutes a cost reimbursement Agreement only and the State
is solely liable for such actual costs legally attributable to the numbered line
items identified in Exhibit C (Budget) which are directly related to Exhibit B
(Scope of Work) and the MCH Workplan (see Paragraph 2, Definitions,
g lalmum
Subparagraphs P and Q). amount payable for fiscal_year (FY)
1995-96 shall:not exceed The Contractor understands and agree
that they must meet all the objective(s) as specified in Exhibit B in order to
receive the maximum amount payable under this Agreement.
7. REIMBURSEMENT PROCEDURES
A. In consideration of the services rendered and performed in accordance
with this Agreement, the State shall reimburse the Contractor in arrears
monthly or quarterly upon submission of an ORIGINAL INVOICE, COVER
LETTER and one copy, the original invoice and cover letter to be SIGNED
by the Contractor's authorized agent, following the format contained in
the applicable Exhibit J, K, or L.
B. Invoices shall be submitted, within forty-five (45) calendar days after the
close of the billing period, to the following address:
Administrative Management Section
Maternal and Child Health Branch
714 "P" Street, Room 708
P.O. Box 942732
Sacramento, CA 94234-7320
C. Payment of invoices submitted by Contractor shall not be evidence of
allowable Agreement costs. All allowable Agreement costs shall be
determined by means of a State fiscal and program audit as specified in
this Agreement.
D. Upon Agreement termination, or expiration, or fiscal year end an
acceptable final invoice shall be submitted no later than ninety (90)
calendar days after termination date or expiration date or fiscal year end,
whichever is earlier. Except for "Good Cause" (Paragraph 2,
Subparagraph 1), invoices which are received after such deadline shall not
be honored by the State.
E. "Good Cause" requests (Paragraph 2, Subparagraph 1) for late invoice
submittal must be received in writing within ninety (90) calendar days
after the Agreement termination, expiration date,or fiscal year end,
whichever is earlier.
Page 7 of 31
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