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Home My WebLink AboutMINUTES - 03071995 - 1.32 TO: BOARD OF SUPERVISORS 32; FROM: Mark Finucane, Health Services Director Contra Costa DATE: February 23, 1995 County SUBJECT: Approval of Standard Agreement (Amendment) #28-514-4 with the State Department of Health Services for HIV Seroprevalence Survey 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) #28-514-4 (State #93-18677, Al) with the State Department of Health Services, effective January 1, 1994, to increase the contract payment limit by $30, 000, from $49, 383 to a new total of $79, 383 through December 31, 1994, for County's participation in the HIV Seroprevalence Survey. II. FINANCIAL IMPACT: Approval of this amended Agreement will result in an increase of $30, 000 in funding from the State, from $49, 383 to a new total of $79, 383 , for a retrospective study of HIV seroincidence among injection drug users. No County funding is required. , III. REASONS FOR RECOMMENDATION/BACKGROUND: On March 1, 1994, the Board approved Standard Agreement #28-514-3 with the State Department of Health Services, for the period from January 1, 1994 through December 31, 1994, to carry out program activities and services of the San Francisco Standard Metropolitan Statistical Area (SMSA) Family of Surveys program in Contra Costa County. The purpose of the program is to estimate the prevalence of human immunodeficiency virus (HIV) in various public and related clinic populations, to assess risk behaviors associated with HIV seropositivity in such populations, and to monitor trends in infection levels and risk behaviors over time. Approval of Standard Agreement (Amendment) #28-514-4 will provide additional funds to the County for the Department's retrospective study of HIV seroincidence among injection drug users. The Board Chair should sign eight copies of the agreement. Seven signed copies of the agreement and four certified/sealed copies of this 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 `YY1 1T19 r 9`7 APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS UNANIMOUS (ABSENT S ) 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) �f� CC: lealth Services (Contracts) ATTESTED 1 a�,��,. 7 , ' e1 q �� State Dept. of Health Services Phil Batchelor, Clerk of the Board of Supenliwr3 aW G=ty AdminiisUatQ1 Mee2/7-ee BY ` DEPUTY STATE nF CALIFORNII-' ST D p!r �.r i R0VED TttE D(� CONTRACT NUMBER AM.NO. 1J/i RG��•�(�A�' �j \\ NER �'�,_,.STD.2(REV.5 91) �m ' TqT ��U U E1 � Cf, ems I 93-18677 A TAXPAYER'S FEDERAL EMPLOYER IDENTIFICATION NUMBER I THIS AGREEMENT,made and entered into this 1 day of ',Tanuary 19-9L, 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 Chief, Program Support Branch Department of Health Services hereafter called the State,and CONTRACTOR'S NAME m I a County of Contra Costa lC 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.) In that certain agreement made and entered into on January 1, 1994 between the Department of Health Services and the County of Contra Costa. 1. Paragraph 1 is amended to add: "1. Scope of Work C. The services to be provided are described in the attached Exhibit"B-1",entitled"Scope of Work", consisting of one page which is added to and becomes a part hereof by this reference to Exhibit "B" entitled "Scope Of Work". All further references to Exhibit"B"in the body of this agreement or any exhibits thereto shall hereinafter be deemed to read Exhibit(s) "B" and B-1." All other terms and conditions of paragraph 1 shall remain in full force and effect. 2. Paragraph 3 is amended to read: "3. Budget The attached Exhibit"C-1",entitled,"Budget",consisting of one page is incorporated and made a part hereof by this reference. Upon the effective date of this amendment, all references to Exhibit"C",found elsewhere in the body of this agreement, shall hereinafter be deemed to read Exhibit "C-1". All other terms and conditions of paragraph 3 shall remain in full force and effect. CONTINUED ON ___L— 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 here_),upan the date first above written. STATE OF CALIFORNIA CONTRACTOR AGENCY _ C,QNTRACTOR(If other trran an individual,state whether a corporation,partnership,etc.) Health Services - BY(AUTHORIZED SIGNATURE) B`�'(AUTHOjiADu SIGNrfrURE) PRINTED NA OF PERSON SIGNING j PRINT60 NVkME ANYfITLE OF PERSON SIGNING V Edward E. Stahlberg I Chair, Board of Supervisors._ TITLE –ADDRESS--------------- Chief, ADDRESS ____________!Chief, Prog= Support Branch 651 Pine_S_treet,__Martinez —CA--R4553---L— AMOUNT A__94553 AMOUNT ENCUMBERED BY THIS PROGRAMICATEGORY(CODE AND TITLEic[j,, fC ISr, FUND TITLE Department of General Services DOCUMENT Clearing Account General Use Only Q `I' 30,OM (OPTIONAL USE) PRIOR AMOUNT ENCUMBERED FOR Federal Catalog #93.118 This contract exempt from THIS CONTRACT ITEM CHAPTER STATUTE FISCAL YEAR � $ 49,383 /2111-001 55 199 9y/9�'' Di�S approval per TOTAL AMOUNT ENCUMBERED TO Q DATE OBJECT OF EXPENDITURE(CODE AND TITLE) Chapter/3q/Stats-o'f 19,91 $ 79,383 995364-9175-702-03-951814Lr94 item 4260-111-0,01 (AIDS) I hereby certify upon my own personal knowledge that budgeted funds T.B.A.NO. B.R.NO. are available for e period and purpose of the expenditure stated above. SIGNATOR OF ACC TING OFFICER DATE ' D 0 ti F1 CONTRACTOR STATE AGENCY DEPT.OF GEN.SER. 11 CONTROLLER El PEAR 2 1 1995 ! 1 s Contractor: County of Contra Costa Contract Number: 93-18677, A-1 Page 1 of 2 3. Paragraph 4 is amended to read: "4. Maximum Amount Payable A. The maximum payable by the STATE to the CONTRACTOR under this contract shall not exceed $79,383." All other terms and conditions of paragraph 4 shall remain in full force and effect. 4. Paragraph 8 is amended to add: "8. Reimbursement Procedures 6. All invoices shall be dated prior to December 31, 1994." All other terms and conditions of paragraph 8 shall remain in full force and effect. 5. The effective date of this amendment shall be January 1, 1994. 6. All other terms and conditions shall remain in full force and effect. CONTRACTOR: COUNTY OF CONTRA COSTA Contract Number: 93-18677, A-1 Exhibit CA Page 1 of 1 SF/SMSA FAMILY OF SURVEYS COUNTY OF CONTRA COSTA UNLINKED (DTC)SURVEY BUDGET January 1, 1994 -December 31, 1994 AMENDMENT NEW BIWEEKLY NO. OF PAY CURRENT EFFECTIVE APPROVED A. PERSONNEL SALARY RANGE F.T.E. PERIODS BUDGET 01/01/94 BUDGET 1. Survey Manager $1730 — 3000 0.3 26 $23,400 $3,536 $26,936 2, Experienced Level Clerk $836 — 1250 0.25 26 $8,125 $0 $8,125 SUBTOTAL PERSONNEL $31,525 $3,536 $35,061 Benefits @ Approximately 8.25%(Survey Manager)' $1,931 $281 $2,212 Benefits @ Approximately 30.00%(Clerk) $2,438 $0 $2,438 TOTAL PERSONNEL $35,894 $3,817 $39,711 B. INDIRECT EXPENSES 010% $3,589 $0 $3,589 C. OPERATING EXPENSES AND EQUIPMENT 1. Laboratory Testing and Supplies(500 test @$14.00 per test) $7,000 $0 $7,000 2.Travel(In State) $500 $0 $500 3. General Expenses $2,400 $1,258 $3,658 4. Contract Services $24,925 $24,925 TOTAL OPERATING EXPENSES & EQUIPMENT $9,900 $26,183 $36,083 TOTAL BUDGET(UNLINKED OTC SURVEY) $49,383 $30,000 $79,383 • NOTE: Benefits for the Survey Manager are calulated at 8.25% (01/94-06/94) and at 7.65 (07/94-12/94)