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Home My WebLink AboutMINUTES - 03151994 - 1.43 TO: BOARD OF SUPERVISORS FROM: Mark Finucane, Health Services Director Contra By: Elizabeth A. Spooner, Contracts Administrato Costa DATE: Parch 3, 1994 County SUBJECT: Award Notice #29-483-1 from the U.S. Department of Health and Human Services for the Family Recovery Project SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Accept an award from the U.S. Department of Health and Human Services, in the amount of $549,250, for the period from September 30, 1993 through September 29, 1994; for the Family Recovery Project. II. FINANCIAL IMPACT: Acceptance of this award from the U.S. Department of Health and Human Services will result in $549,250 of Federal funding for the first year of a three-year Family Recovery Project. No County funds are required. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: The Center for Substance Abuse Treatment (LSAT) has announced a continuation of its Criminal Justice Non-Incarcerated Adult Grant Program to expand the availability of high quality treatment services for individuals who suffer from alcohol and drug problems. The Family Recovery Project is an effort to expand the delivery of innovative services to African-American men who are currently seeking substance abuse treatment through the West County Detention Facility, and have primary or secondary responsibility for children under 18 ,years of age. Clients of the project will originate within both diversionary and probation populations, and the program will provide integrated addiction treatment and support services to the men, their children, spouses and other family members directly involved in co- parenting. The Health Services Department recently received notice of this award which will provide funding for the first year of this three-year Project. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMEN ATIO 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 OF SUPERVISORS ON THE DATE SHOWN. Contact: Chuck Deutschman (313-6350) cc: Health Services (Contracts) ATTESTED Auditor-Controller (Claims) Phil Batchelor, Clerk of the Board of U.S. Dept. of Health & Human"Services SuperriwmmdG9untyAMunL*aW M382/7-83 BY _ DEPUTY ri Stare eF Caii-rnia- Health and Welfare Agency Department of Alcohol and Drug Programa R `c,, GRAM AWARD AGREENIEPrr (GAA) FACE SD= JI771e Department of Alcohol and Drug Programa hereinafter called the State hereby nukes a grant award of funds to: Contra Costa County - Family Recovery Project 48 595 Center Avenue, Suite 200 ;y Martinez,. .CA 94533 hereinafter called the Sub-Recipient,in the amount and for the purpose and duration set forth in this Grata Award Agreement. Program Grant Name: Criminal Justice Non-Incarcerated Grant Program Gnat Award Agreement Number. i 519-019-1-0 Sub-Recipient Project Dimetor(Name, Addrese and Telephone Nutaber) Project Period: 9/30/93 to 9/29/96 Chuck Deutschman Budget Period: 9/30/93 to 9/29/94 �?T05eS jSrEiVnue, Suite 200, Martinez 9455J Federal Amount: $549,250 Sub-Recipient Financial OtLcer(Name, Address and Telephone Number) State Amount: —0— Pat Godley Match Aunt: -0- ZQ-Al len Street, Martinez, CA 94553(9m) 170-5mc; TOTAL AMOUNT: $549,250 This Grant Award Agreement consists of this Face Sheet and the following documents: Final Notice of Grant Award,and the approved proposal and/or the renewal application. Tie Sub-Recipient hereby signifies its acceptance of this Grant Award Agreement and.glees to administer the grant project is accordance with the terms and conditions set forth In or incorporated by reference in this Grant Award Agreement. STATE OF CALIFORNIA SUB-RECIPIENT Department of Alcohol and Drug Programs Contra Costa Count — Family Recovery Froi . By(Authorized Signature) By(Authotited Signature) Printed Name and Title Richard Frantz, D uty Director Printed Name and Tide Division of Administration 1 -Irk Finucane, health Services Director Address 1700 K Street Address Sacramento, CA 95814 20 Allen Street, Martinez, CA 94553 FOR STATE USE ONLY Amount Encumbered Program/Category(Code and Title) Fed.Cat.No. $549,250 Criminal Justice Non-Incarcerated Grant Prog. 93.903 Unencumbered Balance optionatuse "Family Recovery Project" - A program of compre- -0- hensive family-based drug treatment and support for non- incarcerated men with children under the age of 18 Budget Revision Number ItemChapter Statute Fiscal Year N/A /4200-101-890 55 1993 1993/94 abject of Expenditure(Code and Title) PCA Number' y ` 334 1 (Qat•�l{ Criminal Justice Non-Incarcerated Grant Program hereby certify upon my personal knowledge that budgeted funds are available for the period and purpose of the expenditure sated above. iiGNATURE OF ADP ACCO NC OFFICER Date 'AS Form X0001 (8/93) Filetume: FORM= (WM Grant Award Agreement Face Sheet-Instrtsctione A Completion Instructions for Grants Management Statf • In the first box attar to:, Insert the name and address of the program that was issued an award. • Program Grant Name: Enter the title of the specific grant program. • Grant Award Agreement Number: Enter the specific grant award identification number of the Sub-Racipient. Must only be a specific eight- digit number. The first three numbers will be the number of the specific grant program, the second three numbers will be the number of the specific Sub-Recipient, the seventh number will be the grant year, and the eight number will be '-0-' or an amendment number. • Project Period: Enter the same data that is identified on the Final Notice of Grant Award in item $6. • Budget Period: Enter the some date that is identified an the Final Notice of Grant Award in item 17. • Federal Amount: Enter the Federal share amount that Is identified on the Final Notice of Grant Award - see Sub-Recipient Listing. • State Amount: The amount should be 4. • Match Amount: The amount should be-0-. • TOTAL AMOUNT: The amount should be the some that was entered for 'Federal Amount'. • Under STATE OF CALIFORNIA.Department of Alcohol and Drug Program, enter the following Information: Richard Frantz. Deputy Director Division of Administration 1700 K Street. Sth Floor Sacramento, CA SS814 • Under SUB-RECIPIENT, enter the Sub-Recipient provider name, not the nems of the parson. • Amount Encumbered: Enter the Federal share amount awarded to the Sub-Recipient. It should be the some amount as the Total Project Amount. DO NOT ENTER ANY MATCHING FUNDS. • Program/Category (Code and Title): Enter the name of the grant program. • Fed. Cat. No.: Enter the name of the Federal Catalog Number. This should be same number as identified on the Final Notice of Grant Award in item 2. • Unencumbered Balance: if applicable, enter the amount of funds that the Sub-Recipient does not have the authority to obligate during the grant year. • Optional Use: Enter a brief description of the Sub-Recipient's program-use the same Information as provided In the approved Sub- Recipient proposal on Form 424, hem $11. • Budget Revision Number: If applicable, enter the budget revision number. (Check with Fiscal Policy Division staff). • Item: The following number should be entered: 4200-101-890. • Chapter: Enter the assigned number of the Department's approved budget bill. (Check with Fiscal Policy Division staff). • Statute: Enter the calendar year that the funds were approved for obligation. For example, the grant award is issued on September 30, 1993, the calendar year would be 1993: • Fiscal Year: Enter the state fiscal year for which the funds will be obligated. For example, if the grant award is issued on September 30, 1993, the state fiscal year should be 1993-94. • Object of Expenditure (Code and Titlel: Enter the PCA code and title of the grant program. Completion Instructfone for Sub-Recipient • Under Sub-Recipient Project Director, enter the name, address and telephone number of the person who will be responsible for handling all management aspects of this Grant Award Agreement. • Under Sub-Racipient Financial Officer, enter the name, address and telephone number of the person who will be responsible for handling all financial aspects of this Grant Award Agreement. • Under SUB-RECIPIENT: By (Authorized Signature): The original signature of the parson authorized to process this Grant Award Agreement must be entered. Need four 4 signed originals. Printed Name and Title: Enter the printed name and title of the person authorized to process this Grant Award Agreement. Address: Enter the address of the of the person authorized to process the Grant Award Agreement. Distribution Process attar Approved by Grants Manaoement Section: • One (1) Original and One (1) Copy to ADP Accounting Section • One (1) Original to Grants Management Section • One(1) Original to Sub-Recipient • One (1) Original to County Board of Supervisor If Sub-Recipient is a County ' • One (1)Copy to Grants Compliance Office Filenams: FORM0001.INS ADVANCE PAYMENT FORM Mail Form to: Grant Award Agreement Department of Alcohol and Drug Programs Number: ATTN: Susan Wilson 1700 R Street, 3rd Floor 519-019-1-0 Sacramento, CA 95814 Sub-Recipient Name and Address: Federal Catalog Contra Costa County - Family Recovery Project Number: 595 Center Avenue, Suite 200 93.903 J Martinez, CA 94553 I Federal Grant Title: Criminal Justice Non-Incarcerated Grant Program Amount of Advance Payment: S 100.000 (Cannot exceed 25 percent of the federal grant award amount - do not include matching funds) TO BE COMPLETED BY SUB-RECIPIENT November 17, 1993 Original Signature (Use Blue Ink Only) Date Steve Loveseth (510) 313-6385 Contact Person (Please Print or Tvfle Name) Teleahone Number FOR GRANTS MANAGEMENT SECTION USE ONLY I hereby approve the request made on behalf of the Sub-Recipient. Project Officer Armroval Date ADP ACCOUNTING USE ONLY TC Number: FY: Grant Award Number: i Index Code: Object Code: PCA Number: Vendor Number: Grant: GAS Form P0003 (8/93) Filename: FORM0003 ATE CF uuscANW E?VDOR DATA RECORD VF-VDDR 140. Iequired it lied-I f IRS W-9 when doing business with the State of California) 7.2U eNew sQz 003ARTLENTbFRICE PURPOSE: Information contained in this form DEPT OF ALCOHOL & DRUG PROGRAMS will be used by State agencies to prepare Infor- PL=ASE STREETADORESS Ai-i1'4: ACCOUNTING OF ICE oration Returns(Form 1099)and fcrwithholding RETURN 1700 K ST"REr"T, ROOM 500 on payments to nonresident vendors. CrrY.STAM ZIP CCCE I (See Privacy Statement on revers(,.) SACRA,',=, Tn. rA_ _ QSR14 ,idORs aUSINESS NAME OWNERS FULL NAME (Circ Fat AW CONP_Z1 COSTA coTTi�]TY Ie:,ADDRESS ARE You SuarECT TO FEDERAL aACXLP WM04OLDING? 505 (" 7no ISwe vwn ma for IRS Farm W-9) f.STAM AND ZP C=E il,WRTNEZ, CA 94553 ❑ YES NO VS 7 r UC MONS: (1). Mck box indicating type of business entity and provide taxpayer identification number. (2). Check box indicating resident or nonresident. (Sae reverse for additional information). (3). Check one or more VENDOR ACTIVITY boxes soeGfying vendor acoivity type. M/ ..... :.:..:......... .,:............:.�... ,...r............x.............r..,......,.•:.}.:..>y,,,,...;.ta.,. •nrvmY-:-}:..,r:..,...;;..:-. .:::.::::::.::............. _. -...ai::.:' '^'o->x•.... ....:,:;;::>: .f} :::�.::;;.}:;an:;}:•>:.}"''?;>�eRx�rizl�rlTY:}i:a:?_`: YE T'fP!~F RE3taC1f: TiJ :>}: ::;:>: - GOV 1LIZ Ii T SYS= ❑ MEDIAL SERV=Srr--dm..e, ❑ SERv,eaS(NON MEDCAQ (Enrer Frplar Emo vyw Aeineifio aon Ni.,,e.,) vooatr prrerwel+rnpy eeommeey ah.aoracoC nee) 19 14 - ! 6 1 0 1 0 1 0 1 5 10 19 ❑ Er��"E.. :�� Resident - Qualified to do business in CA/ F7Permanent place of business in CA RENT Arm County Gove=-rlIe- f7 Non Resident (See Reverse) j -1 INDIVIDUALSOLE PROPRIETOR ❑ NON EMPLOYS=COMPENSATION Owft W ❑ =CUIPMENT/SUPPL:Es rLJ room me mrn��or.00neww on.am) (Exam!horn.Sl o—&Jw4div) (E--soar Sea,Rh Aemurn N-"~only,NOT Fc—,M MEDICAL SERVK CSQnduoing ! ( ( ! I — I I I ! ( ❑ pmeor.Pirenoe+«aor:oAmerieery, �-; dwaors=reel ❑ Resident ❑ Non Resident (See Reverse) ❑ INTEREST(ErwratIramSum WlACAMV) j PARTNERSHIP (Enter F.o.ral Emeaoy.r 1d.nofiveronµn+nM RENT I I I I I I I I I I ❑ ROYALTIES ❑ Resident ❑ Non Resident (See Reverse) ❑ PREMS AND AWARDS 1 ESTATE OR TRUST (Friar Fader*Emealoyer i6mIrfioron NUM~) OTHER(5'v.a�yJ ❑ Resident (Estate) - Decedent was a CA resident at the time of death ❑ Resident (Trust) -At least one trustee is a CA resident ❑ Non Resident (See Reverse) 1 hereby cert/fy under penalty of perjury that the Information provided on this document is true and correct If my residency status should change,I will promptly Inform you. CRL_:7 VENDOR REPRESENTATIVE'S NAME(Type or Primp I TrR.E CHUCK DEUUTaC IM,AN CO21tZI ITY SUBSTkNCE ABUSE DIVISION DIRECT ►-LRE//� � / �� r ( �CATEJ � � I Tc`1c?P+CNE NUMBER (510) 313-6350--- : ., _ RAC'%SASE NUMBER rSowory) NONRESCENT'NIT'r+NCL0ING (—j NCNEMPLOYE= MED ❑ �I I STr1NDARD PA—,m j CCMPSNSA^CN I SErRVr-aS r I�f OTFIER 'ABLE:NCC11E=0J ?ER STATE ACUINLSTRATNE MANUAL raCTtON 6,22.'9/C:wo<On�r 1 INITIALS ! OA,c INITIAL EEC ( n �/,�I�/`] 12 1 1 3 1 i4 5 i 1 6 7