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Home My WebLink AboutMINUTES - 10241995 - C40 TO: BOARD OF SUPERVISORS C - Contra FROM: Mark Finucane, Health Services Director Costa DATE: October 12, 1995 County SUBJECT: Approve Standard Agreement (Amendment) #29-311-2 with the State Emergency Medical Services Authority SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Approve and authorize the Chair, Board of Supervisors, to execute 0A__- behalf of the County, Standard Agreement (Amendment 29-31 - MS- 3029, 01) with the State Emergency Medical Services ( -Authority, to extend the term of Agreement #29-311 (EMS-3029) through December 31, 1995, for the Poison Control Center Alternatives Study. II. FINANCIAL IMPACT: This Amendment is an extension of time only with no change in the payment limit of $46, 000. No County funds are required. III. REASONS FOR RECOMMENDATIONSLBACRGROUND: "-.--On 'October 25, 1994, the Board of Supervisors approved Standard Agreement Contract #29-311 (EMS-3029) with the State EMS Authority which provided funding for first year of the Poison Control Center Alternatives Study. Approval of this agreement provided funding to study the impact of the "9-1-1" conference procedures used in response to poison information requests in Contra Costa County, as well as extensive research on alternative methods of poison call screening. The Board of Supervisors approved Standard Agreement #29-311-1 (EMS- 4042) on August 8, 1995, for funding during the second year of the study, for two alternative model programs which are being designed and developed for implementation; (1) through an existing "nurse screening" system, and (2) through trained emergency medical dispatchers working in a secondary "9-1-1" Public Safety Answering Point. Standard Agreement #29-311 was not finalized until November, 1994 and approval of this Amendment #29-311-2 will provide a time-only extension through December 31, 1995, to complete the first-year- project objectives. The Board Chair should sign nine copies of the agreement. Eight copies of the agreement and-four sealed and certified copies of this Board Order should be returned to the Contracts and Grants Unit. 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 Contact: Wendel Brunner, M.D. (313-6712) OF SUPERVISORS ON THE DATE SHOWN. CC: Health Services (Contracts) ATTESTEDA-�1- � State EMS Authority Phil Batchelor, Clerk of the Board of Suplu�is�rs�udCountyA��istratot ___.----.--__-_-. M3e2/7-e3 BY DEPUTY STATE OF CAUFiRN1A APPROVED BY THE a `�-95 Q;+0 STANDARDS AGREEMENT— — ATTORNEY GENERAL•. CONTRACTNUM8ER AM.NG S FD.2(REV.S-91) TAX E MPtDYER I FICATK>A vt;1ABE� THIS AGREEMENT,made and entered into this 10 day of June ,I�5 , in the State of California,by and between State of California,through its duly elected or appointed,qualified and acting TITLE CfflFdFffTING FOR STATE 1168gency Medical Services Authority ,hereafter called the State,and coNTRNAME 2 9 ,� Contra EMS ,hereafter called the Cont:7ctor. 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 Corurcctor, time for performance or completion,and attach plans and specifications,if any.) The purpose of this Contract Amendment is to extend the previous Contract (EMS-3029) through December 31, 1995. This Contract Amendment will enable the Contractor to complete the objectives which are attached and made a part of this agreement by this reference. CONTINUED ON SHEETS,EACH BEARING NAME OF CONTRACTOR AND CONTRACT NUMBER. The provisions on the reverse side hereof constitute atpart of this agreement. IN WI'T'NESS WHEREOF,this agreement has been executed by the parties hereto,upon the date first above written. STATE OF CALIFORNIA CONTRACTOR AGENCY CONTRACTOR(If other&m,an#)crh ua(state whether a corporation.partners*,,eta) Emerg,pncy Medical Service§ Authority BY(AUTHORIZE IGNATURE) BY(AUTHORIZED TORE) PRINTED NAMVF PERSON IGNING 'PRINTED NAME AND OF PERSON SIGNING Joseph E. Morales, M.D. Chair, Board of Supervisors TITLE ADDRESS Director 651 Pine Street, Martinez, CA 94553 AMOUNT ENCUMBERED BY THIS PROGRAM/CATEGORY(CODE AND TITLE) FUND TITLE Department of General Services DOCUMENT 10 Federal use only (OPTIONAL USE) PRIOR AMOU ENCUMBERED FOR THIS CONTRACT Q ITEM t t1 CHAPTER STATUTE FISCAL YEAR TOTAL AMOUNT ENCUMBERED TO 4120-101-890 55 1993 93194 DATE OBJECT OF EXPENDITURE(CODE AND TITLE) $ �(�004.b� 0010-702-50000 t hereby certify upon my own personal knowledge that budgeted funds I T-BA NO. B.R.Na are available for the period and purpose of the expenditure stated above. 07 SIGNATURE OF ACCOU ,YVG OF CER DATE > °� CONTRA• OR STATE AGENCY DEPT.OF GEN.SER. CONTROLLER r.�.. , v �o- a4-9s C .4D BCC-MPANY1CRGaNaOMCN NAME The contractor or grant recipient named above hereby certifies compliance with Government Code Section 8353 in matters relating to providing a drug-free workplace. The above named contractor or grant recipient will: 1. Publish a statement notifying employees that unlawful manufacture, distribution, dispensation, possession,or use of a controlled substance is prohibited and specifying actions to be taken against employees for violations, as required by Government Code Section 8355(x). 2 Establish a Drug-Free Awareness Program as required by Government Code Section 8355(b), to inform employees about all of the following- (a) ollowing(a) The dangers of drug abuse in the workplace, (b) The person's or organization's policy of maintaining a drug-free workplace, (c) Any available counseling,rehabilitation and employee assistance programs,and .'(d) Penalties that may be imposed upon employees for drug abuse violations. 3. Provide as required by Government Code Section 8353(c),that every employee who works on the proposed contract or grant (a) Will receive a copy of the company's dru;--free policy statement,and (b) Will agree to abide by the terms of the company's statement as a condition of employment on the contract or grant. CERTIRCATiON I,the official named below,hereby swear that I am duly authorized legally to bind the contractor or grant recipient to the above described certification.I am fully aware that this certification,executed on the date and in the county below, is made under penalty of perjury under the laws of the State of California. CFriC:AL'S NAME WE MC:JTEZ I ExEaJTE?W THE=LINTY CF CCNTRAC or GA:VTncC:?!S S:GNATURF- TIRE FEDERAL LLO.NUMBE3 91 60853 8TD to(REV.say) COMPANY NAME The company named above(hereinafter referred to as "prospective contractor")hereby certifies, unless specifically exempted, compliance with Government Code Section 12990 and California Code of Regulations, Title 2, Division 4, Chapter 5 in matters relating to the development, implementation and maintenance of a nondiscrimination program. Prospective contractor agrees not to unlawfully discriminate against any employee or applicant for employment because of race, religion, color, national origin, ancestry, physical handicap, medical condition (cancer related), marital status, sex or age (over forty). i CEATIRCATION 1,the official named below, hereby swear that I am duly authorized to legally bind the prospective contractor to the above described certification.I am fully aware that this certification,executed on the date and in the county below, is made under penalty of penury under the laws of the State of { California. OFF CALM NAME DATE EXECUM EX-Mn D IN THE COUNTY OF —' pNTRACTOR"3 S TORE ' FR08PECTN TRACTOR'S T rLE PROSPECT"dej.NTRA=, FrS FEOU AL EMPLOYER CENTIFC tTION HUMBER