HomeMy WebLinkAboutMINUTES - 03301993 - 1.21 1 -21
TO: BOARD OF SUPERVISORS
FROM. Mark Finucane, Health Services Director
Cwtrcq
By: Elizabeth A. Spooner, Contracts Administrator Costa
DATE: March 18, 1993 County
SUBJECT: Approval of Standard Agreement (Amendment) #29-441-11 with the State Department
of Mental Health (State #91-72122 A-1)
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) #29-441-11 (State #92-72122 A-1) with the
State Department of Mental Health to amend Standard Agreement #29-441-10
(effective July 1, 1992 through June 30, 1993) for the Conditional Release Program
(CONREP) for judicially committed patients. This amendment increases the contract
payment limit by $7,919 from $652,910 to a new total of $660,829.
II. FINANCIAL IMPACT:
Approval of this agreement will result in State funding of $660,829 for
Conditional Release Program for FY 1992-93. No matching County funds are required.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
On September 8, 1992, the Board approved Standard Agreement #29-441-10 with the
State Department of Mental Health for the Conditional Release Program for FY 1992-
93.
This amendment increases the Contract payment limit by $7,919 which will fund an
increase in the dedicated capacity and the staff of the CONREP Program which the
County operates. The amendment also provides for a small increase in funding for
administrative and overhead costs.
The Board Chair should sign twelve (12) copies of the contract, eleven (11) of
which should be returned to the Contract and Grants Unit for submission to the
State Department of Mental Health.
CONTINUED ON ATTACHMENT: YES SIGNATURE: '_
,CL'��
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMME ATI N OF BOARD C MMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
I
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 SUPERVISORSAN THE DATE SHOWN.
Contact: Lorna Bastian (510) 313-6411
CC: Health Services (Contracts) ATTESTED
Auditor-Controller (Claims)
State Dept. of Mental Health Phil Batchelor,Clerk of the Board of
SupenlWm alld Wty AdminWaW
M3e2/7-e3 BY DEPUTY
sTAIE OF CALIFORNIA
STANDARD AGREEMENT- APPROVED BY THE
ATTORNEY GENERAL CONTRACT NUMBER AM.NO.
SM.2(REV.S91) 92-72122 A-1
TAXPAYERS FEDERAL EMPLOYER IDENTIFICATION NUMBER
THIS AGREEMENT,made and entered into this 15th day of January 19 93 94-6000509W
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
Deputy Director Mental Health hereafter called the State,and
CONTRACTOR'S NAME � � � �� A/: � �
CONTRA COSTA HEALTH SERVICES DEPARTMENT 11 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.)
I n I
that certain agreement by and between the Department of Mental Health
and CONTRA COSTA HEALTH SERVICES DEPARTMENT dated 07/01/92 and approved by
the Department of Mental Health on 09/22/92; the parties thereto desire to
amend said agreement to: Add Funds and Revise the Budget.
ACCORDINGLY:
1. EXHIBIT "B" is amended, relabeled EXHIBIT "B", A-1, attached hereto and by this
reference incorporated herein.
2. EXHIBIT "B-1" is amended, relabeled EXHIBIT "B-1", A-1, attached hereto and by this
reference incorporated herein.
3. All other terms and conditions of said agreement shall remain in full force and effect.
4. The effective date of this amendment is 01/15/93.
This contract is exempt from compliance with the Public Contract Code, the
State Administrative Manual, and from approval by the Department of General
Services per Section 4360 of the Welfare and Institutions Code. This
contract shall not be effective until it has been approved by the
Department of Mental Health.
CONTINUED ON —9— 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(it other than an individual,state whe!her a corporation,partnership,etc.)
A-Department of Mental Health CONTRA W�J .
BY(AUTHORIZED SIGNATURE) BY(AUTHOR17V.9-8,10IQM )
PRINTED NAME OF PERSON SIGNING PRINTED NAM AND TITLE OF PERSON SIGNING
LINDA A. POTPIELLP Deputy Director Chair, Board of Supervisors
TITLE ADDRESS
651 Pine Street
Division of Administration Martinez CA 94553
AMOUNT ENCUMBERED BY THIS PROGRAM/CATEGORY(CODE AND TITLE) FUND TITLE Department of General Services
DOCUMENT 20 - State Hospital Sery -ces General Use Only
$ 7,919 .00 (OPTIONAL USE)
PRIORAMOUNT ENCUMBERED FOR
THIS CONTRACT g Conditional Release Program Exempt from compliance with
$ 652,910.00 ITEM CHAPTER I STATUTE FISCAL YEAR the Public Contract Code,
TOTALAMOUNTENCUMBEREDTO 4440-016-001 587 1992 92/93 the State Administrative
DATE OBJECT OF EXPENDITURE(CODE AND TITLE) Manual, and from approval by
$ 29 .00 1100-325-413 the Department of General
i hereby certify upon my own personal knowledge that budgeted funds T.B.A.NO. B.R.NO. Services per Section 4360
are available for the period and purpose of the expenditure stated above.
iI\GNATURE OF ACCOUNTING OFFICER DATE
FJ CONTRACTOR ❑ STATE AGENCY DEPT.OF GEN.SER. CONTROLLER
STATE OF CALIFORNIA
STANDARD AGREEMENT
STD.2 (REV. 5-91 (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, materialmen, laborers and any other person, form 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, form 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 thepayment 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 signedby the parties hereto, and no oral understanding or agreement not
incorporated herein, shall be binding on any of the parties hereto.
1. 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.
This contract is in compliance with all the provisions of SAM
1280-1289 . Pertinent information and materials are attached
in accordance with SAM.
Contract #: 92-72122 A-1
Contractor: Contra Costa County
Health Services Department
EXHIBIT "B"
Specific Provisions
1. The term of this contract shall be from 07/01/92 through
06/30/93 .
2 . The State has designated Grant Ute, LCSW, to be its Project
Coordinator. Except as otherwise provided herein, all
communication concerning this contract shall be with the
Project Coordinator.
3 . The total amount payable by the State to the Contractor
under this contract shall not exceed $660,829 . Of this
amount, total payments for Negotiated Net Amount (NNA)
Services shall not exceed $490,829 . The total payments for
Negotiated Rate (NR) Services - Conditional Release Program
shall not exceed $170,000 . The Contractor may, with the
written approval of the Project Coordinator, shift funds
between the contract categories of CONREP NNA and CONREP NR.
4 . In consideration of the services, as specified in EXHIBIT
"A" herein, performed in a manner acceptable to the State,
the State agrees to make payment to the Contractor as
follows:
Upon the effective date of this agreement and upon the
submission of Summary Claim for Reimbursement (MH 1701) , in
triplicate, as specified herein and in accordance with the
Budget, EXHIBIT "B-1" attached hereto and by this reference
incorporated herein, the State will make advance payment for
one month of NNA Services as specified in the Budget.
Monthly, thereafter, Contractor may submit Summary Claim for
Reimbursement (MH 1701) , in triplicate, for advance payment
for each month of NNA Services, provided however that such
additional advance payment may not exceed $449,927 .
Reimbursement for NR Services will be made using Summary
Claim for Reimbursement (MH 1701) , in triplicate, submitted
monthly in arrears, for actual expenditures in accordance
with provisions of EXHIBIT "A-111 , Paragraph 3 and the
Budget, EXHIBIT 11B-111 .
Contract #: 92-72122 A-1
Contractor: Contra Costa County
Health services Department
Exhibit B
Page 2 of 2
Summary Claim for Reimbursement (MH 1701) shall be submitted
as follows:
The original and copy of the Summary Claim for Reimbursement
(MH 1701) shall be submitted to:
Accounting Section
Division of Administration
Department of Mental Health
1600 Ninth Street, Rm. 140
Sacramento, CA 95814
One copy of the Summary Claim for Reimbursement shall be
submitted to the Project Coordinator at:
Grant Ute, LCSW
Regional Forensic Coordinator
Department of Mental Health
Office of Forensic Services
World Trade Center, Suite 231
San Francisco, CA 94111
5. This agreement shall become effective on 07/01/92 , but shall
not become effective unless and until approved by the
Department of Mental Health.
Department of Mental Health Office of Forensic Services
Division of State Hospitals Conditional Release Program
CONREP CONTRACT- EXHIBIT B-1
NEGOTIATED NET AMOUNT AND RATE SERVICES SUMMARY
MH 7001 (6/92) Page 1
Contractor Name: Contra Costa County Type of Report Dates:
Contract No. 92-72122 A - 1 _X_Contract Budget Submission:
Fiscal Year Ending: June 30, 1993 Year End Cost Report Amendment: January 6, 1993
Item 1 - Units of Service Based on Caseload and Year in Program
Year One Two Three Four Five Total
A. Caseload 13 7 3 3 13 39
B. Mode and Service Function
Forensic Weekly Weekly Weekly 3 Times Once
Individual 4/Month 4/Month 4/Month /Month Monthly
Contact
15 - 80 624 336 144 108 156 1,368
Group Weekly Weekly Weekly Twice Once.
Contact 4/Month 4/Month 4/Month Monthly Monthly
15 - 50 624 336 144 72 156 1,332
Home Once Once Once Every Once
Visits Monthly Monthly Monthly 6 Weeks Quarterly
50 -40 156 84 36 27 52 355
Collateral 6 Per Year 6 Per Year 6 Per Year 6 Per Year 6 Per Year
15 - 10 78 42 18 18 78 234
Lab Once Twice Twice Once Once
Screenings Weekly Monthly Monthly Monthly Quarterly
15 - 21 676 182 72 36 52 1,018
Assessments 1 Per Year 1 Per Year 1 Per Year 1 Per Year 1 Per Year
15 - 30 13 7 3 3 13 39
Total Units 2,171 987 417 264 507 4,346
Item 2. Total Negotiated Net Amount Services (NNA): $490,829
Item 3. Total Negotiated Rate Services Amount (NR): 170,000
Item 4. Total Contract Amount: $660,829
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CONREP CONTRACT- EXHIBIT B-1
CONDITIONAL RELEASE PROGRAM UNIT COST
MH 7003 (6/92) Page 3
Contractor Name: Contra Costa County Type of Report Dates:
Contract No. 92-72122 A- 1 _X_Contract Budget Submission:
Fiscal Year Ending: June 30, 1993 Year End Cost Report Amendment: January 6, 1993
LINE ITEMS Subtotal Total
1. Personnel Costs $377,038
2. Operating Expenses 106,686
a. Office Services&Supplies $6,000
b. Communications 9,000
c. Travel(Including Training) 7,500
d. Facility 50,445
e. Medical procedures, Supplies, Pharmacy 1,000
f. Consulting Fees 0
g. Emergency Life Support 0
h. Life Support-Residential Care(05/90 450 Units @$24.33) 10,949
i. Other: Equipment Maintenance 1,592
j. Other: Mode 05/85 700 Units @$25.00 17,500
k. Other: Mode 50/50 450 Units @$6.00 2,700
I. Other: 0
m. Other: 0
3. Equipment Over$300 Per Unit 0
4. Administrative Services&Overhead(15%of Personnel Costs reflected above) 56,556
5.Total Cost of the CONREP Unit 540,280
6..:.Revenues(SSI Reimbursements;05/90.:$5;500;05%85;$2,500) .8;000;::
7. Net Cost $532,280
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