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Home My WebLink AboutMINUTES - 03011994 - 1.48 S � I WK TO: s BOARD OF SUPERVISORS FROM: Mark Finucane, Health Services Director Contra By: Elizabeth A. Spooner, Contracts AdministratCostaDATE: February 10, 1994 Cou Ily SUBJECT: Approve Standard Agreement (Amendment) #29-203-55 with the State 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) #29-203-55 (State #93-17682-A1) with the State Department of Health Services, effective October 1, 1993 , for the Supplemental Food Program for Women, Infants and Children (WIC) . II. FINANCIAL IMPACT: This amendment formally encumbers $61, 316 in State funding (Federal funds) for the WIC Program, ' for a new total of $1, 002 , 913 , for the 1993-94 ,Federal Fiscal Year. No County funds are required. III. REASONS FOR RECOMMENDATIONS1BACKGROUND: 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 $61, 316 to support a revised caseload of 10, 100 (or 700 additional) clients. Standard Agreement (Amendment) #29-203-55 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 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: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON Ji 9 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) ATTESTED I 19 9�4- Auditor-Controller (Claims) State Dept. of Health Services .Phil Batchelor, Clerk of the Board of Supel�ri�ur�end Gaunty A+dminist�� 382/7-83 BY Od. i1/ 2 DEPUTY LMY TATE OFCALIFOFIN STANDARD AGREEI�I,� — APPROVED BY CONTRACT NUMBER AM.NO. TD.2:REV.S 91). � � ' 93-17682 Al � TAXPAYERS FEDERAL EMPLOYER IDENTIFICATION NUMBER HIS AGREEMENT,made and entered into this 1st day of October , l9 9 94-6000509 the State of Califomia,by and between State of California,through its duly elected or appointed,qualified and acting ilE OF OFFICER ACTING FOR STATE AGENCY Chief, Program Support Department of Health Services ,hermfter called the State,and ONTRACTOR'S NAME Contra Costa County Health Services 21) — 2 0 3 — 55 ,hereafter called theContractor. NITNESSETH: That the Contractor for and in consideration of the covenants,conditions,agreements,and stipulations of the State heminafter expressed, oes 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, me for performance or completion,and attach plans and specifications,if any.) 1. In that certain agreement. between the State and the Contractor, dated October 1, 1993: A. Paragraph 3, MAXIMUM AMOUNT PAYABLE, Page 1 of 9, Subparagraph (a) , is amended to read: "3 (a) The maximum amount payable by the State to the Contractor under this contract shall not exceed $1,002,913. " B. Paragraph 6, ADDITIONAL PROVISIONS/EXHIBITS, Page 3 of 9, Subparagraph (b) , is amended to read: "6 (b) The attached EXHIBIT C1, consisting of four pages and entitled "CALIFORNIA WIC PROGRAM - PROJECT BUDGET AMENDMENT", is made a part hereof by this reference. " Henceforth, all references to EXHIBIT C in this agreement shall be referred to as EXHIBIT C1. :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. Y WITNESS WHEREOF,this agreement has been executed by the parties hereto,upon the date first above written. STATE OF CALIFORNIA CONTRACTOR GENCY CONTRACTOR(50(rw Hun en ad ants w��eN,ei a owpotasan.ptutrw&*AA oft) Department of Health Services Contra Costa CoAnty Y(AUTHORI E) BY AUTHOR' 'D SIGMA R t RINTI_D NAME OF P tRSON SIGNING EDWARD E. STAHLBERG CHU PRINTED NAME AND OF PERSON SIGNING .0 ROGRAM SUPPORT BRANCH Chair, Board of Supervisors 'TLE ADDRESS Chief, Program Support Branch 651 Pine Street, Martinez, California 94553 MOUNT ENCUMBERED BY THIS PROGRAM/CATEGORY(CODE AND TITLE) FUND TITLE Department of General Services OcuMENr 20 Health Care Services Federal use Only I $ 61,316 (OPTIONAL USE) RIOR AMOUNT ENCUMBERED FOR Federal Catalog10.557 HIS CONTRACT 941,597 ITEM CHAPTER STATUTE FISCAI.YEAR OTAL AMOUNT ENCUMBERED TO 4260-111-890 55 1993 93-94 ATE 1,002 913 OBJECT OFEXPENDrTURE(CODE AND TITLE) r(f(�ZR rt O 1994 $ 93-52421-4999-741-03-105575-93 ;Tlrl 3 r I hereby certify upon my own personal knowledge that budgeted funds T.BA NO. B.R.NO. 4 are available for the period and purpose of the expenditure stated above. (iY I GNATURE OF UNTING OFFICER TE — / l Asi t Chief Counsel l ❑ CONTRACTOR ❑ STATE AGENCY ❑ DEPT.OF GEN.SER. ❑ CONTROL I ER ❑ MQR 3 11994 STA7,UF-rAGFO_RNIA I APPROVED BY THE CONTRACT NUMBER AMNO. STANDARD AGREEMENT ATTORNEY GENERAL 17682 S7D.2(REV.'s 91) 93— Al TAXPAYER'S FEDERAL EMPLOYER IDENTIFICATION NUMBER 1st October 93 94-6000509 THIS AGREEMENT,made and entered into this day of , 19 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 Department of Health Services hereafter,called the State,and CONTRACTOR'S NAME Contra Costa County Health Services 29 .. Z ® � � tJ hereafter called the Contractor. WFINT ESSETH: '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 the State and the Contractor, dated October 1, 1993: A. Paragraph 3, MAXIMUM AMOUNT PAYABLE, Page 1 of 9, Subparagraph (a) , is amended to read: "3 (a) The maximum amount payable by the State to the Contractor under this contract shall not exceed $1,002,913. " B. Paragraph 6, ADDITIONAL PROVISIONS/EXHIBITS, Page 3 of 9, Subparagraph (b) , is amended to read: "6 (b) The attached EXHIBIT Cl, consisting of four pages and entitled "CALIFORNIA WIC PROGRAM - PROJECT BUDGET AMENDMENT", is made a part hereof by this reference. " Henceforth, all references to EXHIBIT C in this agreement shall be referred to as EXHIBIT Cl. 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. LY WITNESS WHEREOF,this agreement has been executed by the parties hereto,upon the date first above written. STATE OF CALIFORNIA CO CTOR AGENCY CONTRACTOR(!fother then an stall a mpoetion.pa,6wa/eicA etc) Department of Health Services Contra Costa_ unty BY(AUTHORIZED SIGNATURE) Y AUTHORIZED SIGMA I> I PRINTED NAME OF PERSON SIGNING EDWARD L STAHWEM CKF PRINTED NAME ERSON SIGNING PROGRAM SUPPORT BRANCH fir, 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 Health Care Services Federal use only $ 61,316 (OPTIONAL USE) PRIOR AMOUNT ENCUMBERED FOR THIS CONTRACT Federal Catalog 10.557 $ 941,597 ITEM CHAPTER STATUTE FISCAL YEAR TOTAL AMOUNT ENCUMBERED TO 4260-111-890 55 1993 93-94 DATE OBJECT OF EXPENDITURE(CODE AND TITLE) $ 1,002,913 1193-52421-4999-741-03-105575-93 I hereby certify upon my own personal knowledge that budgeted funds T.BA NO. B.R.NO. are available for the period and purpose of the expenditure stated above. SIGNATURE OF ACCOUNTING OFFICER DATE > I i I CONTRACTOR a STATE AGENCY DEPT.OF GEN.SER. F-1 CONTROLLER Contra Costa County Health Services 93-17682-A1 C. Paragraph 7, SERVICES TO BE PROVIDED, of EXHIBIT B, Page 4 of 6, Subparagraph (c) , is amended to read as follows: "7 (c) Contractor agrees to distribute food vouchers to 10,100 participants monthly. The State will provide the Contractor with the necessary food vouchers. " D. Paragraph 8, ADHERENCE TO STANDARDS AND REGULATIONS, of EXHIBIT B, Page 5 of 6, is amended by adding Subparagraph (e) as follows: "8 (e) Contractor agrees that if any performance under this Contract or under any subcontract includes any tests or examination on materials derived from the human body for the purpose of providing information for the diagnosis, prevention, treatment or assessment of any disease; impairment, or health of a human being, all the locations at which such examinations are performed shall meet the requirements of 42 U.S.C. Section 263a Clinical Laboratory Improvement Amendments (CLIA) and the regulations adopted thereunder. " 2. The effective date of this amendment is October 1, 1993. 3. All other terms and provisions of said agreement remain in full force and effect. -2- EXHIBIT Cl CALIFORNIA WIC PROGRAM - PROJECT BUDGET AMENDMENT Contractor: Contra Costa County Health Services Contract Number: 93-17682-A1 Contract Period: 10/01/93-09/30/94 A. PERSONAL SERVICES Monthly Prior Total Prior Adjustment Total Total Per Percent Salary Approved Line-Item Effective Per Numbered Position Time Rate Amount Transfers 10/01/93 Position Line-Item Project Director 80 $4,323- $ 43,776 $ -0- ($ 2,100) $ 41,676 5,400 Nutritionists 300 3,000- 118,216 -0- ($ 9, 798) $108,418 4,000 Home Economists 300 2,700- 105,760 -0- $13,040 . $118,800 3,300 Clerical 1400 1,448- 318,•172 -0- $21,290 $339,462 3,400 Accounting 20 3,000- 7,344 -0- $ 156 $ 7,500 Technician 3,400 Registered 500 hrs. 9.00- ' 5,400 -0- $ 2,600 $ 8,000 Nurse/LVN 33.00/hr. Extra Help and 50 1,682- 776 -0 $ 9;324 $ 10,100 Translators 2,044 1. Total Salaries and Wages: $599,444 $ -0- $ 34,512 $ 633,956 2. Total Fringe Benefits: $203,811 $ -0- $ 5,656 ` $ 209,467 Total Personal Services: $803,255 $ -0- $ 40,168 $ 843,423 Page 1 of 4 EXHIBIT C1 Contractor: Contra Costa County Health Services Contract Number: 93-17682-A1 B. OPERATING EXPENSES Prior Total Prior Adjustment Total Per Approved Line-Item Effective Numbered Amount Transfers 10/01/93 Line-Item 3. Travel and Per Diem: $ 7,352 $ -0- $ 1,648 $ 9,000 Mileage and per diem shall not exceed current State rates. 4. Equipment Purchase (List $ 50 $ -0- $ -0- $ 50 Items & Cost) : Subject to separate written approval by State WIC Branch prior to expenditure of funds. Page 2 of 4 EXHIBIT Cl Contractor: Contra Costa County Health Services Contract Number: 93-17682-A1 B. OPERATING EXPENSES (Continued) Prior Total Prior Adjustment Total Per Approved Line-Item Effective Numbered Amount Transfers 10/01/93 Line-Item 5. General Expense: $ 69,248 $ -0 $ 9,000 Prior Subline- Item Total Prior Adjustment Total Approved Subline-Item Effective Per Amount Transfers 10/01193 Subline-Item a. ADP Services. . . . . . . . . . $ -0- $ -0- $ -0- $ -0- b. Space Utilization. . . . . $ 57,453 $ -0- $ 5,550 $ 63,003 Pittsburg: 550 School St. . 1,712 sq.ft.@$.33-.43/sq.ft. x 12 mos. _ $ 7,900 Concord: 2355 Stanwell Dr. 1866 sq.ft.@$1.56-1.60/sq.ft. x 12 mos. = $35,000 Richmond: 100 38th St. 4338 sq.ft.@$.32-.36/sq.ft. x 12 mos. = $18,740 Associated Space Costs e.g. , utilities, security, insurance, maintenance, janitorial, etc. I ` c. Supplies. . . . . . . . . . . . . .. $ 1,851 $ -0- $ 2,000 $ 3,851 d.. Communications. . . . . . . . $ 8,560 $ -0- $ 1,450 $ 10,010 (postage/telephone) e. Equipment Use Allowance/ Rent/Lease/Repair/ Maintenance. . . . . . . . . . . $ 1,384 -0- $ -0- $ 1,384 f. Inventory-Controlled, Non-Equipment Items. . . $ -0- $ -0- $ -0- $ -0- office furn./machines, less than $500/unit. g. Inventory-Controlled, Non-Equipment Modular Office Furniture. . . . . . $ -0- $ -0- $ -0- $ -0- Subject to separate written approval by State WIC Branch prior to expenditure of funds. 5. Total General Expenses: $ 78,248 Page 3 of 4 "I,"*., I EXHIBIT Cl Contractor: Contra Costa County Health Services Contract Number: 93-17682-A1 B. OPERATING EXPENSES (Continued) Prior Total Prior Adjustment Total Per Approved Line-Item Effective Numbered Amount Tranfers 10/01/93 Line-Item 6. Breastfeeding Promotion/Support: $ 2,992 $ -0- $ -0- $ 2,992 7. Nutrition Education: $ 2,484 $ -0- $ -0- $ 2,484 8. Other: $ 4,288 $ -0- $ -0- Prior Subline- Item Total Prior Ad1'ustment Total Approved Subline-Item Effective Per Amount Transfers 10/01/93 Subline-Item a. State Committee Meetings. . . . . . . . . . . . . $ -0- $ -0- $ -0- Mileage and per diem for travel, and expenses for related activities. Travel reimbursement shall not exceed current State rates. b. Special Projects. . . . . . $ -0- $ -0- $ -0- c. All Other. . . . . . . . . . . . . $ 4,288 $ -0- $ -0- $ 4,288 e.g. , duplicating, audit, insurance, outreach, translator, membership fees, etc. 8. Total Other: $ 4,288 9. Indirect Costs/Administrative Overhead $ 51,928 $ -0- $ 10,500 $ 62,428 (List Components:) Personnel, Administration, Audit, Security, Payroll Total Operating Expenses: $138,342 $ -0- $ 21,148 $ 159,490 Total Personal Services: $803,255 $ -0- $ 40,168 $ 843,423 Total Operating Expenses: $138,342 $ -0- $ 21,148 $ 159,490 TOTAL BUDGET: $941,597 $ -0- $ 61,316 $1,002,913 Page 4 of 4