HomeMy WebLinkAboutMINUTES - 10171995 - C42 TO: BOARD OF SUPERVISORS
Contra
FROM: Mark Finucane, Health Services Director
Costa
DATE:' jOctober 5, 1995 Cour t
Approve Standard Agreement (Amendment) #29-203-60 with the State
SUBJECT: 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) #29-203-60
(State #94-19669-A2) with the State Department of Health Services,
effective June 1, 1995, for the Supplemental Food Program for
Women, Infants and Children (WIC) .
II. " FINANCIAL IMPACT:
This amendment formally encumbers $63 , 600 in State funding (Federal
funds) for the WIC Program, for a new total of $1, 400, 798, for the
1994-95 Federal Fiscal Year. No County funds are required.
III. REASONS FOR RECOMMENDATION/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
$63, 600 to support a revised caseload of 15,400 (or 2 , 000
additional) clients. Standard Agreement (Amendment) #29-203-60
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:
4141.-z
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOAAD COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON �nA I7. J9gS 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 t►C 17. 19 9S
State Dept. of Health Services
Phil Batchelor, Clerk of the Board of
SuAeN't;�tsr�ctdCottntyAdmin'istratar _.._..
M382/7-83 BY DEPUTY
STATE OF CALIFORNIA p
7- /5' CONTRACT NUMBE� � � AM.No.
8- 'AN, DA'RD AGREEMENT APPROVED APPROVED BY BYTHE THEGENERAL 94-19669 A2
STD.2-REV.5/1-4 —
TAXPAYER'S FEDERAL EMPLOYER IDENTIFlCATION NUMBER
THIS AGREEMENT, made and entered into this 1 day of June , 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
Contra Costa County 29 w- 203 .13 6 0 ,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 per 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 I, 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 $1,400,798."
B. Section I, GENERAL PROVISIONS, Paragraph E, Additional Provisions/Exhibits,
Subparagraph 5, Page 3 of 22, is amended to read:
"5. The attached EXHIBIT C2, 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 C1 in this Agreement shall be referred to as
EXHIBIT C2.
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 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(AUTHOR ED SIGNATURE) B THORIZED SIG URE)
for
PRINTED NAWISE PERSON SIGNING PRINTED NAME AND TI OF PERSON SIGNING
Ed Stahlberg Chair, Board of Supervisors
TITLE ADDRESS
Chief, Program Support Branch 651 Pine Street; •Martinez, California 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
$ 63,600 (OPTIONAL USE)
PRIOR AMOUNT ENCUMBERED FOR
THIS CONTRACT
ITEM CHAPTER STATUTE FISCAL YEAR
$1,337,198 4260-111-890 1 EXEMPT FROM DGS APPROVAL
TOTAL AMOUNT ENCUMBERED TO O �`` PER MEMO DATED 8.30-95
DATE OBJECT OF EXPENDITURE(CODE AND TITLE)
$1,400,798 94-52421-4999-741-03-105571--94 �J S
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.
SIGNATURE OF ACCOUNTIN OFFICER DATE
CONTRACTOR � ST AGENCY r DEPT.OF GEN.SER. CONTROLLER
STATE OF CALIFORNIA _
STANDARD AGREEMENT
STD.2(REV.5-91)(REVERSE) i
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.
State of California-Health and Welfare Agency Department of Health Services
WIC Supplemental Nutrition Branch
EXHIBIT C2
CALIFORNIA WIC PROGRAM - PROJECT BUDGET AMENDMENT
EFFECTIVE DATE: June 1, 1995
Contractor: Contra Costa County Health Serivices
Contract No: 94-19669-A2 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 $ 1,048,055 $ -0- $ 31,316 $ 1,079,371
2. Operating $ 166,283 $ -0- $ 31,153 $ 197,436
. Expenses
3. Capital $ -0- $ -0- $ -0- $ -0-
Expenditures
(Equipment)
4. Other Costs $ 43,494 $ -0- $ 1,131 $ 44,625
5. Indirect $ 79,366 $ -0- $ -0- $ 79,366
Costs*
*(Maximum 10% of
"Total Salaries &
Wages", excluding
"Total Fringe Benefits")
Total Per
Column $ 1,337,198 $ -0- $ 63,600 $ 1,400,798
(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.
Contra Costa County Health Services
94-19669-A2
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 15,400 participants monthly. The
State will provide the Contractor with the necessary food vouchers."
2. The effective date of this Amendment is June 1, 1995.
3. All other terms and provisions of said Agreement remain in full force and effect.
Page 2 of 2