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HomeMy WebLinkAboutMINUTES - 04191994 - 1.111 ' TO: BOARD OF SUPERVISORS � FROM: Mark Finucane, Health Services Director Contra By: Elizabeth A. Spooner, Contracts Administrator COSta DATE: April 7, 1994 County SUBJECT: Approve Contract Amendment Agreement #29-611-12 with the Office of Statewide Health Planning and Development SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: IJ Approve and authorize the Chair, Board of Supervisors, to execute on behalf of the County, Contract Amendment Agreement #29.-611-12 with the Office of Statewide Health Planning and Development, to amend Standard Agreement #76-57145 (County #29-611 effective February 16, 1977) . -This amendment continues the Family Practice Residency Program through June 30, 1997, and increases the contract payment limit by $51,615, for a new total of $518,125. II. FINANCIAL IMPACT: Approval of this amendment by the State will result in increased funding of $51,615, for a new total contract payment limit of $518,125, for the Family Practice Residency Program. No County funds are required. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: On January 31, 1978, the Board of Supervisors approved Contract #29-611 with the State Department of Health to implement the Family Practice Residency Program from February 16, 1977 through June 30, 1980. Subsequent amendments to the contract were approv6d by the Board to extend the program and continue State funding. The purpose of Contract Amendment Agreement #29-611-12 is to continue the program through June 30, 1997. The Board Chair should sign the Drug-Free Workplace Certification, the Nondiscrimi- nation Compliance Statement and seven copies of the amendment. Six signed copies of the Amendment and four certified and sealed copies of this Board Order should be returned to the Contracts and Grants Unit for submission to the Office of Statewide Health Planning and Development. CONTINUED ON ATTACHMENT: YES SIGNATURE / _ RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMML E APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON Q TIq S 4 APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE AYES: 2W'-Zr.7L NOES: �– AND CORRECT COPY OF AN ACTION TAKEN ABSENT: 2 ABSTAIN: 1C AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN. Contact: Frank Puglisi, Jr. (370-5100) CC: Health Services (Contracts) ATTESTED — Auditor-Controller (Claims) Phil Ba 6elor--Clerk of the Board of Office of Statewide Health Planning SupenlisotSBnd�tintyAdminlsVator and Development Mse2/�-ea BY 0,6,�,„�O D4 �) DEPUTY NATE OF CALIFORNIA 29 - 611 - 12 DRUG-FREE WORKPLACE CERTIFICATION STD.21(NEW 11.90) COMPANY/ORGANIZATION NAME The contractor or grant recipient named above hereby certifies compliance with Government Code Section 8355 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, di3tribution, 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(a). 2. Establish a Drug-Free Awareness Program as required by Government Code Section 8355(b), to inform employees about all of the following: (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 8355(c), that every employee who works on the proposed contract or grant: (a) Will receive a copy of the company's drug-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. CERTIFICATION 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. OFFICIAL'S NAME DATE EXECUTED EXECUTED IN THE COUNTY OF COMMA COM CONTRACTOR or'IiRANT RECIP T SIGNATURE TITLE CHAIR, BW1111. SUPERVISORS, 651 PIM SMM, MARTINM, CALIFORNIA 94553 FEDERAL I.D.NUMBER STATE OF CALIFORNIA NONDISCRIMINATION COMPLIANCE STATEMENT 29 9 - 611 - 611 — 1 2 STD.19(REV.2.93) �r COMPANY NAME The company named above(hereinafter referred to as "prospective contractor')hereby certifies,unless specifically exempted,compliance with Government Code Section 12990 (a-f)and California Code of Regulations, Title 2, Division 4, Chapter 5 in matters relating to reporting requirements and the development,implementation and maintenance of a Nondiscrimination Program.Prospective contractor agrees not to unlawfully discriminate,harass or allow harassment against any employee or applicant for employment because of sex, race, color, ancestry, religious creed, national origin, physical disability (including HIV and AIDS), mental disability,medical condition(cancer), age(over 40),marital status, and denial of family care leave. CERTIFICATION 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 perjury under the laws of the State of California. OFFICIAL'S NAME DATE EXECUTED EXECUTED IN THE COUNTY OF CONTRA COSTA PROSPECTIVE CONTRACTOR'SSI URE 04--o -&d- -W ROSPECTIVE CONTRACTOR' TITLE IT CHAIR, BOARD OF SUPERVISORS, 651 PINE STREET, MARTINEZ, CALIFORNIA 94553 PROSPECTIVE CONTRACTOR'S LEGAL BUSINESS NAME CONTRA COSTA COUNTY HEALTWERVICES TO : Z�, DATE : LOCATION : NOTE AND RETURN REMARKS: NOTE AND DESTROY [ANJ dO,NOTE AND SEE ME - FOR APPROVAL FOR INFORMATION FOR RECOMMENDATION AS REQUESTED PER CONVERSATION INVESTIGATE r _ NECESSARY ACTION SIGNATURE _ FILE f - DO NOT RETURN �R, � I A�r�� 77, 77779-7757, A-186 7 8 1D FST STATE OF.CALIFORNIA PROVED BY THE CONTRACT NUMBER M.NO. S,TnN .�RD AGREEiVIENT— TTORNEYGENERAI STO.2(REV.5-st) 76-57145 12 TAXPAYER'S FEDERAL EMPLOYER IDENTIFICATION NUMBER THIS AGREEMENT,made and entered into this day of ' 19—, Fed ID#94-6000509 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 Contract Officer Office of Statewide Health Planning and Development hereafter called the State,and CONTRACTOR'S NAME Contra Costa County(Merrithew Memorial Hospital) 21) 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.) Capit. 1. In that certain agreement between this Office and Contra Costa County dated January 29, 1977 and approved April 12, 1977 by the Department of General Services; subsequently amended by Amendment 11, dated July 1, 1993 and approved June 17, 1993 by the Department of General Services: Paragraph 1D of Part I of that agreement is amended to read as follows: "1D. Provide trainin for a total of twenty (20) family practice residents in the 1990-91 fiscal year, eighteen (18) of whom will represent maintenance of effort and two (2) of whom will represent an expansion of the training program as required by the Family Physician Training Act; and provide training for a total of twenty (20) family practice residents in the 1991-92 fiscal year, eighteen (18) of whom will represent maintenance of effort and two (2) of whom will represent an expansion of the training program as required by the Family Physician Training Act; and provide training for a total of twenty (20) family practice residents in the 1992-93 fiscal year, eighteen (18) of whom will represent maintenance of effort and two (2) of whom will represent an expansion of the training program as required CONTINUED ON 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 fust above written. STATE OF CALIFORNIA CONTRACTOR AGENCY CUN�,FACTOR(If other than an individual,state whether a corporation,partnership,etc.) Office of State-j-4e tfe.lth Planning&Develo ment Contra Crista Co ty BY(AUTHORIZED SI E) // y(P.UTHORIZED SI RE) �PRINTED E PERSON SIG ING PRINTED NAME 4KNO TITLE OFJCRSON SIGNING rren Harris Chair, Board of Supervisors TITLEADDRESSContracts Officer 1 Pine Street, Martinez, California 94553 AMOUNT ENCUMBERED BY THIS PROGRAMICATEGORY(CODE AND TITLE) FUND TITLE Department of General Services DOCUMENT Local Assistance General (OPTIONAL USE) t POUCYW41 stmcer PRIOR AMOUNT ENCUMBERED FOR Department of General Service:; THIS CONTRACT ITEM CHAPTER STATUTE FISCAL YEAR APPROVED $ 41993TOTAL AMOUNT ENCUMBERED TO 40-101-001 1993-94 MAY - 21994 DATE OBJECT OF EXPENDITURE(CODE AND TITLE) 0300-03201-751 I hereby certify upon my own personal knowledge that budgeted funds T.B.A.NO. B.R.NO. are available for the period and purpose of the expenditure stated above. IBY SIGNATURE OF ACCOUNTING OFFICER D � DATE A�ChletCounwl _— CONTRACTOR 0 STATE AGENCY DEPT.OF GEN.SER. CONTROLLER STA?r CF CALIFORNIA . STANDARD AGREEMENT STC. 2;REV. 5.911 ;R6VFRSE) 4. 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,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 losses accruing or resulting to any person,firm or corporation who may be injured or damaged by the Contractor in the performance of this contract. ?. The Contractor,and the agents and employees of Contractor,in the performance of the agreement,shall act in an independent capacity and not as of icers or employees or agents of State of California. ?. 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. 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 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 sig provided. • ntdxx r$ i 91 61014 County of Contra Costa Contract Dumber 76-57145, Al2 [Merrithew Memorial Hospital] Page 2 by the Family Physician Training Act; and provide training for a total of twenty (20) family practice residents in the 1993-94 fiscal year, eighteen (18) of whom will represent maintenance of effort and two (2) of whom will represent an expansion of the training program as required by the Family Physician Training Act; and provide training for a total of twenty (20) family practice residents in the 1994-95 fiscal year, eighteen (18) of whom will represent maintenance of effort and two (2) of whom will represent an expansion of the training program as required by the Family Physician Training Act; and provide training for a total of twenty (20) family practice residents in the 1995-96 fiscal year, eighteen (18) of whom will represent maintenance of effort and two (2) of whom will represent an expansion of the training program as required by the Family Physician Training Act; and provide training for a total of nineteen (19) family practice residents in the 1996-97 fiscal year, eighteen (18) of whom will represent maintenance of effort and one (1) of whom will represent an expansion of the training program as required by the Family Physician Training Act." Paragraph 1E of Part II of that agreement is amended to read as follows: 1E. The State shall pay to the Contractor $17,205 per fiscal year of training for the training of each family practice resident representing an expansion of the training program up to a total of$34,410 for two (2) family practice residents in the 1991-92 fiscal year; and up to a total of$34,410 for two (2) family practice residents in the 1992-93 fiscal year; and up to a total of $34,410 for two (2) family practice residents in the 1993-94 fiscal year; and up to a total of$34,410 for two (2) family practice residents in 1994-95 fiscal year; and up to a total of$17,205 for one (1) family practice resident in 1995-96 fiscal year." Paragraph 3 of Part II of that agreement is amended to read as follows: 3. The total amount payable to the Contractor by the State under this agreement shall not exceed $518,125." Paragraph 2 of Part III of that agreement is amended to read as follows: "2. The term of this agreement shall be from February 16, 1977 through June 30, 1997." 2. The effective date of this amendment is July 1, 1994. 3. All other terms and provisions of said contract shall remain in full force and effect.