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TO: BOARD OF SUPERVISORS 75
FROM: Mark Finucane, Health Services Director
bl�A Contra
By: Elizabeth A. Spooner, Contracts Administrat Costa
DATE: May 27, 1993 County
SUBJECT: Approve Standard Agreement (Amendment) #29-202-53
with the State Department of Health Services for
Family Planning 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) #29-202-53
(State #91-12416-A4) with the State Department of Health Services,
effective January 1, 1993 , to amend Standard Agreement #29-202-48
(effective July 1, 1991 through June 30, 1994) for County's Family
Planning Services. This Amendment increases the payment limit for
Fiscal Year 1992-93 by $16, 735, from $127, 230 to a new fiscal year
total of $143 , 965.
II. FINANCIAL IMPACT:
Approval of this Amendment will result in increased State funding of
$16, 735 for FY 1992-93, and increase the maximum amount of State
funding for the three year term of the Agreement to a new total of
$332, 865. No County funding is required.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
For many years, the County has provided family planning services to
citizens of child-bearing age who would otherwise be unable to
obtain these services. The family planning services funded through
this Contract are available to persons who request such services
through County facilities. The County must bill any other possible
payment source, such as Medi-Cal, before seeking reimbursement from
the State for services provided.
The Board Chair should sign eight copies of the agreement, seven of
which should then be returned to the Contracts and Grants Unit for
submission to the State Department of Health Services.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMM ATI N OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S)
IR
ACTION OF BOARD ON 7 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)
C c: Health Services (Contracts) ATTESTED g 3 _
Auditor-Controller (Claims) P/11 Batchelor, Clerk of the Board of
State Department of Health Services SupelYW%wdWtyAdminiWaW
M362/7-e3 BY ' DEPUTY
STA E OF CALgORNIA
STANDARD ACREEMENT- APPROVED BY THE CONTRACTNUMBER AM.NC.
ATTORNEY GENERAL
'.:0.2(REj'.5.91) 91-12416 A-04
TAXPAYERS FEDERAL EMPLOYER IDENTIFICATION NUMBER
THIr AGR E2NIENT,made and entered into this 1 St day of JanuarY - . 19 93 94-600050?
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 STATEI AGENCY 29 - 204 1;_1 ^ �' 3
Chief, Program Support Branch Deparbnent of Health Services hereafter called the State,and
CONTRACTOR'S NAME
County of Contra Costa Health Services/Public Health 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.)
1. In that certain agreement between this Department and County of Contra Costa
Health Services/Public Health dated July 1, 1991 and amended on
December 1, 1991 and on January 1, 1992 and on July 1, 1992:
A. Paragraph 3.A. (2) is amended to read:
"(2) The maximum amount payable under this contract for services rendered
during the fiscal year 1992-93 (July 1, 1992-June 30, 1993) shall
not exceed $143,965."
B. Paragraph 3.A. (4) is amended to read: ,
"(4) The maximum amount payable under this contract shall not
exceed $332,865."
:ONTINUED ON 1 SHEETS,EACH BEARING NAME OF CONTRACTOR AND CONTRACT NUMBER.
The provisions on the reverse side hereof constitute a part of this agreement.
N WITNESS WHEREOF,this aereement has been executed by the parties hereto,upon the date first above written.
STATE OF CALIFORNIA CONTRACTOR
LGENCY CONTR CTOR 1/other n Vdual,at a whwher ri p rmps ,etc.)
Departomt of Health Services GPoun�y o `at'�onr_3 sta ea�t`�i �'ervIces
!Y(AUTHORIZED SIGNATURE) BY(AUTHORIZED Slc=ti�R
RINTED NAME OF PERSON SIGNING 'PRINTED NAME AND TITLE OF PERSON SIGNING
Edward E. Stahl berg Chair, Board of Supervisors
ITLE ADDRESS
Chief, Program Support Branch 651 Pine Street, Martinez, CA 94553
MOUNT ENCUMBERED BY THIS PROGRAWCATEGORY(CODE AND TITLE) I FUND TITLE Department of General Services
OCUMENT n�r,�� Use.Only
$ 16,735 Local Assistance � c� y
/ (OPTIONAL USE)
RIOR AMOUNT ENCUMBERED FOR
HIS CONTRACT
$
245,230 ITEM I CHAPTER STATUTE I FISCAL YEAR
4260-111-001 587 11992 11992-93
OTAL AMOUNT ENCUMBERED TO 1
ATE OBJECT OF EXPENDITURE(CODE AND TITLE)
$ 261,965 92-52423-4945-702 -03
1 hereby certify upon my own personal knowledge that budgeted funds I T.B.A.NO. I B.R.NO.
are available for the period and purpose of the expenditure stated above.
IGNATURE OF ACCOUNTING OFFICER I DATE
CONTRACTOR El STATE AGENCY DEPT.OF GEN.SEA. CONTROLLER
STATE OF CALIFORNIA
STANDARD AGREEMENT
STD.2(REV.4•9o)
1. The Contractor agrees u)indemnify,defend and save harmless the State.its oMcers.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
lasses 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.
3. Without the written consent of the State.this agreement is not assignable by Contractor either in whole
or in part.
:. 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.
Y
County of Contra Costa Health Services/Public Health 91-12416 A-04
C. Paragraph 5.A.2. , on page 5, is hereby amended to read:
"2. Exhibit C-2, for fiscal year 7-1-92 to 6-30-93;
Upon the effective date of this amendment, all references to Exhibit C
for fiscal year 1992/93 in the body of this agreement, and in any
exhibits thereto, shall hereinafter be deemed to read Exhibit C-2 for
fiscal year 1992/93."
2. The effective date of this amendment is January 1, 1993.
3. All other terms and provisions of said agreement shall remain in full
force and effect.
PAGE 2 OF 2
r
County of Contra Costa Health Services/Public Health 91-12416 A-04
January 1, 1993
EXHIBIT C-2
PAYMENT PROVISIONS
OFFICE OF FAMILY PLANNING
JULY 1, 1992-JUNE 30, 1993
A. The contractor shall have general spending authority at rates not to
exceed those published in the Guidebook for Family Planning Services,
Part 3, entitled "Schedule of Maximum Allowances". These payment
provisions shall further be governed by the appropriate "Standards" in
the Guidebook, Division A.
B. The maximum amount payable under Exhibit C-2 shall be allocated as
follows:
1. The Contractor shall have spending authority for providing
contraceptive and pregnancy testing services. The maximum amount
shall not exceed $143,965.
There are no further subdivisions of this paragraph B.
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