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Home My WebLink AboutCOM 0464.000 1996-1998 r qY W 4~vy Stephen K. Yamashiro Jam:, William Takaba Mayor r ~ ~ ~ - Executive on Aging e.J' 1ya~0%.N'i~ LI l il- ~uttztfg n~ ~tc£~QYi OFFICE OF AGING Hilo Irgoon Centre, IOI Aupuni Str«q Suite 342 Hilo, Hawaii 96720-4262 (R08) 9fi1-8600 0 1\~E1ITORANDUM 'PO: James Arakaki, Chairman lr~~~vlrya"ii County Council AT IJLA~~~~ FROM: William ~ztlaat,.Jvcciui~~e un Aging UAT;i: August 20, 14>97 SUBJECT: De~~t~rtnlent of [,;ih~>r_CraN_1~. D-Cili3)-'_I_)0=81=ij-H Hnclosed for your review and signature are two copies of a lleparUnent of Labor Grant No. D-6089-7-00-81-55-H. 'I'bis grant will aliow the Senior l~:ml?loyment Program to continue operating through FY-1998. Also enclosed is a resole(ion dra!:ed by the Corporation l ouucil ~a~hich will allow the Cuinuii Chairman to sign tlir grant. Upon your signature, pleasr return the gran[ to our office so we may proceed and secure the other appropriate signatures. li you have any questions re,arding the gran(, please con(acl llennis Shigeta of our oil ice. '1'hani: you. ds Enclosures 2es. ~S~ l~s;tnxa. Dlo. yb~ ar,~,. Daee_ AUG 2 An Area Agency on Aging Agreement D. No.: X089-7-00-51-5~-H ~ ' LBR 11I-003 Part-Time Community Services Employment Opportunities for Older Workers STATE OF HAWAII AGREEMENT FOR GRANTS, SUBSIDIES, AND PURCHASES OF SERVICE This Agreement, effective the lst of July, 1997, is entered into between the Department of Labor and Industrial Relations (hereinafter "AGENCY"), State of Hawaii (hereinafter "STATE"), by its Director (hereinafter "DIRECTOR"), and Hawaii County Office of Aging. (hereinafter "AWARDEE"), anon-profit organization/governmental agency, under the laws of the State of Hawaii, whose business address and taxpayer identification numbers are as follows: 101 Aupuni Street, Suite 342, Hilo, Hawaii 96720. Federal I.D. No.: 99-6000567; State [.D. No.: 30016002. RECITALS A. Chapter 42D, Hawaii Revised Statutes, establishes standards for disbursing public funds to private organizations to fulfill specified public purposes. B. The AWARDEE has requested funding from the State of Hawaii for the project or program described in Attachment l of this Agreement. C. The STATE finds that the AWARDEE's performance as described in Attachment t of this Agreement will fulfill the public purpose set forth therein. D. The STATE desires to contract with [he AWARDEE to fulfill the specified public purpose, and the AWARDEE is agreeable to performing under this Agreement. E. Money is available to fund this Agreement pursuant to the Omnibus Consolidated Appropriations Act of 1997, P.L. 104-208 and Act 328 of the Session Laws of Hawaii, Regular Session of 1997 in the following amount: 5277,165.00. F. Pursuant to Chapter 42D, Hawaii Revised St<~tutes, and Section 26-20, Hawaii Revised Statutes, the STATE is authorized to enter into this Agreement. NOW, THEREFORE, in consideration of the promises contained in this Agreement, the STATE and the AWARDEE agree as follows: 1. ScQ~ of Perfnrmance_ The AWARDEE shall perform, in a proper and satisfactory manner as determined by the STATE, the project or program described in Attachment 1, which is hereby made a part.of this Agreement. Attach. C-460 (R-151-9'~ Z, Timr of PPrfnrmance_ The performance requi.red of the AWARDEE under this Agreement shall be completed in accordance with the "Time Schedule" set forth in Attachment 2, which is hereby made a part of this Agreement. 3. Cnmpencar;nn_ The AWARDEE shall be compensated for performance and costs incurred under this Agreement according to the "Compensation and Payment Schedule" set forth in Attachment 3, which is hereby made a part of this Agreement. 4. Standardc of Cnndnrt 1)rnlaratinn_ The Standazds of Conduct Declaration by AWARDEE, set forth in Attachment 4, is hereby made a part of this Agreement. g, C)ther Terms anri f'nnrl;r;nnc The General Conditions and the Special Conditions set forth in Attachments 5 and 6, are hereby made a part of this Agreement. In the event of a conflict between the General Conditions and the Special Conditions, the Special Conditions shall control. IN WITNESS WHEREOF, the STATE and the AWARDEE have executed this Agreement effective as of the date first above written. RECOMMEND APPROVAL STATE 6y. I, EE a Agmg Dole: v S By LORRAINE H. AKIBA Director of Labor and Industrial Relations APPROVED AS TO AWARDEE FORM AND LEGALITY: CEPUTY CORPORATION COUNSEL COUNTY OF HAWAII By Dote STEPHEN K. YAMASHIRO Zts Mayor APPROVED AS TO FORM: By _ Its Council Chairperson llNl/>1/ Deputy Atto General * Evidence of authority of the AWARDEE's representative to sign this Agreement for the AWARDEE must be attached. 2 kimAG3AGSr5Q~ _ (This page is for the attachment of evidence of authority [Corporate Resolution of the Board of Directors] of the AWARDEE's representative to sign this Agreement for the AWARDEE.) 3 AWARDEE'S ACKNOWLEDGEMENT State of Hawaii ) SS. County of ) On this day of , 19 ,before me personally appeared to me personally known, who being by me duly sworn, did say that he/she is the of the AWARDEE named in the foregoing instrument, and that he/she is authorized to sign said instrument on behalf of the AWARDEE, and acknowledges that he/she executed said instrument as the free act and deed of the AWARDEE. Notary Public, My commission expires: :m AG-3-AGSPS(2-93) CERTIFICATE OF EXEMPTION FROM CIVIL SERVICE I certify that the services to be provided under this Agreement by the AWARDEE may be performed concurrently with the AWARDEE's private business or profession or other private employment, and that it is impracticable to ascertain or anticipate the portion of time to be devoted to the service of the STATE. Pursuant to section 76-16(15), HRS, the services are exempt from the state civil service. (Signature) (Date) (Title) State of Hawaii Attachment 1 SCOPE OF PERFORMANCE 4rnTP of Srrvirr_ The AWARDEE shall, in a satisfactory and proper manner as determined by the STATE and in strict accordance with the terms and conditions of this Agreement, provide and perform the services, activities and programs set forth in the specifications of the Request for Proposal-Identification Number LBR 111-003, and AWARDEE's Proposal Application, which are not attached hereto but incorporated as part of this Agreement by this reference, and Detailed Program Objectives attached hereto as Exhibit A, and the Budget attached hereto as Exhibit B. The AWARDEE shall comply with the Cost Principles dated December, 1994, and applicable federal cost principles listed in OMB Circulars A-87, A-21 and A-122, which are hereby incorporated and made a part of this Agreement. The AWARDEE shall ensure that such services, activities, and programs shall be in accordance with Title V of the Older Americans Act promulgated thereunder; and applicable Federal and State laws and regulations, policies and instructions. The services, activities, and programs shall be designed to foster and promote useful part-time opportunities in community service activities for unemployed, low- income persons while promoting transition into unsubsidized employment. The AWARDEE shall, to the maximum extent feasible, cooperate with other agencies providing services to the elderly, including ITPA agencies. Exhibits A and B supersede previous documents regarding program performance and budget. Perfnrt Banc? i?PgniremPntc_ 1. Reporting Requirements: In order that the STATE may monitor the AWARDEE's compliance with this Agreement, the AWARDEE shall submit written monthly fiscal and quarterly program progress reports and summary of terminations to the STATE within ten (10) calendar days after the last day of each calendar quarter during the Agreement period. Quarterly Review reports are due twenty-five (25) days after the end of each quarter. 2. Fiscal Reports: The fiscal reports shall detail the uses made by the AWARDEE of compensation paid to it pursuant to this Agreement, outline the expenditures incurred, and be certified as to accuracy by the AWARDEE. Such reports are due no later than twenty (20) days after each month ends. 3. Program Reports: The program progress report shall consist of statemenu by the AWARDEE relating to the work accomplished during the reporting period and shall include a statement of the nature of the work performed, including actual performance measures, activity levels, and target group indicators, identification of persons served by the AWARDEE during the reporting period, identification of any immediate problems encountered during the period, and any recommendations deemed pertinent by the AWARDEE. 4. Reporting Penalty: Should the AWARDEE fail to file the written fiscal and program progress reports with the STATE on or before the required date, the STATE is authorized to withhold funds owed to the AWARDEE until such time as the reports are acceptable and placed on file with the STATE. 1 5. Additional Reports: In addition to the quarterly written reports, the AWARDEE, upon request, shall be required to submit additional reports that the STATE from time to time may request and to meet with representatives of the STATE to discuss the progress of the work required hereunder. 6. Audit Requirement: The AWARDEE shall have an audit conducted by an independent Certified Public Accountant to verify that its financial management system and internal control procedures are effective in meeting the terms and conditions of this Agreement. The AWARDEE shall obtain an audit in accordance with generally accepted auditing standards. This requirement shall apply to all AWARDEES receiving State general funds from the STATE. AWARDEES receiving Federal funds from the STATE shall obtain a financial audit in accordance with the requirements of OMB Circular A-133, and the Government Auditing Standards, issued by the U.S. General Accounting Office. The audit report shall be furnished to the STATE within twelve (12) months after the completion of the Agreement. 7. Personnel: The AWARDEE represents that it has, or will secure at its own expense, all personnel required in performing the services under this Agreement. Such personnel shall not be employees of, or have any contactual relationship with the STATE. All of the services required hereunder will be performed by the AWARDEE or under its supervision, and all personnel engaged in the work shall be fully qualified and shall be authorized under federal, state and local laws to perform such services. 2 Attachment 2 TIlVIE SCHEDULE Prrind ~f A~y~mPOr_ This Agreement shall be for the period from July 1, 1997 through June 30, 1998, unless this Agreement is sooner terminated as hereinafter provided. Subject to the availability of Federal funds and the STATE's finding that the AWARDEE's performance has been satisfactory, this Agreement may be extended for an additional year for the period from July 1, 1998 through June 30, 1999. Attachment 3 COMPENSATION AND PAYMENT SCHEDULE C'mm~enc?tinn aid Mrrhnd of PayIIrPOt_ Subject to continuing availability of Federal funds, the STATE agrees to pay the AWARDEE, for services satisfactorily performed under this Agreement, a sum not to exceed (add dollar amount here) ($277,165.00), which sum is allocated for the purpose of this Agreement as set forth in the Budget attached hereto as Exhibit B, which by this reference is made a part hereof. Such payments shall include all of the AWARDEE's services, materials, supplies, equipment, overhead, taxes, and other incidentals and operating expenses of the AWARDEE for this Agreement that are in accord with the AGENCY cost principles. 1. The AWARDEE further agrees that no additional fees for services shall be charged to eligible participants for services provided under the terms of this Agreement unless otherwise permitted in writing by the DIRECTOR and that the inability of the participant to pay the additional fees shall not be used as the basis for non-participation of the participant who is otherwise qualified and eligible. 2. Payments shall be made to the AWARDEE in advance monthly installments, upon submission by the AWARDEE of written requests for payment. 3. After the fast payment, written requests for payment shall be followed by the monthly fiscal and quarterly program progress reports required under this Agreement. The reports shall be reviewed by the STATE and shall be subject to the STATE's preliminary determination of appropriateness, and allowability of the reported expenditures. The STATE's preliminary determination of appropriateness and allowability of the reported expenditures shall be subject to later verification and subsequent audit. 4. The STATE will make paymenu to the AWARDEE in accordance with the amounts specified in Exhibit B for actual expenses incurred in the performance of this Agreement. Payments will be made only upon presentation of invoices and fiscal reports submitted by the AWARDEE certifying, to the satisfaction of the STATE, that the work has been performed in accordance with this Agreement and payment is requested. 1 5. If an amount of reported expenditures is preliminarily determined by the STATE to be inappropriate and unallowable, the STATE may deduct an equivalent amount from the next payable installment due and may withhold payment of the amount of monies equivalent to the questioned expenditures until later resolution of the discrepancy by audit or other means. If, after payment of the last installment, investigation and examination reveal additional expenditures that are determined by the STATE to be inappropriate and unallowable, the STATE may require that an equivalent amount of monies be refunded to the STATE notwithstanding the STATE's preliminary determination of appropriateness and allowability. 6. This Agreement constitutes approval for the expenditure of funds for specific items in the budget referred to in Exhibit B. Except as provided below, the AWARDEE may make revisions between the budgeted line items within the total budget of the program, provided that the funds are used for allowable costs of the program and do not exceed 596 or $500.00 of the budgeted line item, whichever is more. Items requiring prior approval include: Object cost categories not included in the original budget; and any increase to the personnel, other personnel, equipment, travel, and consultant/contract service categories. 7. Where applicable, the AWARDEE certifies that the service unit of payment under this Agreement is not greater than the rate AWARDEE charges to any other public or private agency or individual for comparable services. 8. The AWARDEE shall provide a minimum of ten (]0) percent match in funding for this program from nonfederal sources. 2 , Attachment 4 ~ ~ STANDARDS OF CONDUCT DECLARATION For the purposes of this declaration: 'Controlling interest' means an interest in a business or other undertaking which is sufficient in fact to control, whether the interest be greater or less than filly per teat. 'Employee' mesas my nominated, appointed, or elected officer or employee of the State, including members of boards, commissions, arcl committees, earl employees order contract to the State or of a coastitutiottal convention, but ezclucling legislators, delegates to a constitutional convention, justices, sort jrdges. On behalf of ,AWARDEE, the undersigned does declare, under penalty of perjury, ss follows: I. AWARDS (is) !ic M,r~ .legislator or en employee of a business in which a legislator or eo employee has a controlling interest.' 2. AWARDEE hss not been sssistal or roprasental by a legislator or employee for a fee or other compensation to obtain this Agreement and will not be sssisted or rapreaeoted by a legislator or employee for a fee or other cocrq:eavrfioo m the performance of the Agreement, if the legislator or employee had bxn involvod in the devolopmeot or awanl of the Agreement. 3. AWARDEE has not been assisted or ropreaental for a fee or other compensation is the award of this Agreement by en AGENCY employee or, in the case of the Legislature, by a legislator. 4. AWARDEE has trot bean represented or assisted personally on matters related to the Agreement by a former empbyee of the AGENCY who, within the preceding two years. participetal while in state office or employtcent on the matter with which the contract is directly concerned. 5. AWARDEE has not been ropresented or assisted on marten related to this Agreement, for a fee or other consideration by en individual who, within the past twelve months, has ban en AGENCY employee, or in the case of the Legislature, a legislator. 6. AWARDEE has not been represented or usiatal in the award of this Agreement for a fee or other consideration by an individual who, a) within the Asst twelve atonths, served ss en AGENCY employee or in the race of the Legislaturo, a legislator, and b) psrticipatai while an employee or legislator oo awtters related to this Agreement. AWARDEE urxlerstanrLs that the Agrxment to which this document is attachal is voidable oo behalf of the STATE if this AgreartaK wss enteral into in vwktion of erry provision of chapter g4, Hewau Revised Statutes, commonly referral to ss the Coda of Ethics, inchding the provisions which aro the fOnrCO of the declarations above. Additionally, any fee, compensation, gift, or profit received by any person ss • result of a violation of the Code of Ethics may be recovered by the STATE. DATED: Honolulu, Hawaii, . 19_ AWARDEE ay [u (Title) Reminder to the AGENCY: If 'is' in declaration l is circled, the AGENCY is requiral, under sa:tion 84-I5, Hawau Revisal Statutes, to file with the Stara Ethics Commission, ten (10) days before the Agreement is enteral into, a written justification ss to why the Agreement was not requital to be competitively bid. Form AG-3-AGSPS(2-93) Attachment 5 STATE OF HAWAII GENERAL CONDITIONS FOR GRANT, SUBSIDY, AND PURCHASE OF SERVICE AGREEMENTS 1. AwartleP'c n~ alif~~g Ctantlarrlc a. The AWARDEE is a profit organization incorporated under the laws of the State of Hawaii or a nonprofit organization determined by the Internal Revenue Service to be exempt from the federal income tax. b. If the AWARDEE is a nonprofit corporation, AWARDEE has a governing board whose members have no material conflict of interest and serve without compensation. c. The AWARDEE has bylaws or policies that describe the manner in which business is conducted and policies that relate to nepotism and management of potential conflicts of interest. d. The AWARDEE has at least one year's experience with the project or in the program area for which the award is made; or has been granted an exception to this standard by the Director of Finance or the Administrative Director of the Courts. e. The AWARDEE is licensed and accredited in accordance with federal, state, or county requirements. 2, Stahun Cnnditinnc a. The AWARDEE has agreed to and will during the term of this Agreement: (1) Employ or have under contact persons qualified to engage in the activity to be funded under this Agreement. (2) If the AWARDEE is a nonprofit organization, it does not employ or have under contract any two or more members of a family or ldn of the first or second degree, unless agreed to in this Agreement. (3) Not grant any salary or benefit increases to its employees or contractors with public funds unless the increases are agreed to in this Agreement. (4) Comply with applicable federal and state laws prohibiting discrimination against any person. (5) Not use public funds for entertainment or perquisites. For the purpose of this Agreement, "perquisite" means a privilege furnished or a service rendered by the AWARDEE to an employes, officer, director, or member of the AWARDEE to reduce that individual's personal expenses. (6) Comply with any other requirement that the Director of Finance or the Administrative Director of the Courts may prescribe to ensure adherence by the AWARDEE to federal, state, and county laws. b. The AWARDEE shall allow the STATE, the Director of Finance or the Administrative Director of the Courts, the committees of the legislative bodies and their staffs, and the Legislative Auditor full access to records, reports, files, and other related documents so that the program, management, and fiscal practices of the AWARDEE may be monitored and evaluated to assure the proper and effective expenditure of public funds. This right of access shall last as long as the records and other related documents are retained. 3, R nQ~ nrting_and Rernrcikerpirlg_Rp~nirementc a. Within thirty (30) days after the expiration of the time for performance, the AWARDEE shall submit to the STATE a Final Project Report in a form satisfactory to the STATE, documenting its overall efforts toward meeting the requirement of this Agreement 1 Form AG-3-AGSPS (2-93) ' Attachment 5 and listing expenditures actually incurred in the performance of this Agreement. The AWARDEE shall return any unencumbered funds to the STATE. b. The AWARDEE shall, in accordance with generally accepted accounting practices, maintain fiscal records and supporting documents and related files, papers, receipts, reports, and other evidence that sufficiently and properly reflect all direct and indirect expenditures and management and fiscal practices related to the AWARDEE's performance under this Agreement. The AWARDEE shall retain all records related to the AWARDEE's performance under this Agreement for at least three (3) years after the date of submission of the AWARDEE's Final Project Report. 4. Smnk;ng Fns- The AWARDEE shall implement and maintain a written smoking policy as required by chapter 328K, Hawaii Revised Statutes. g, ('nnflicrc of interest The AWARDEE represents that neither the AWARDEE, nor any employee or agent of the AWARDEE, presently has any interest, and promises that no such interest, direct or indirect, shall be acqutred, that would or might conflict in any manner or degree with the AWARDEE's performance under this Agreement. 6, ('nm~ lianre with i awe The AWARDEE shall comply with all federal, state, and county laws, ordinances, codes, rules, and regulations, as the same may be amended from time to time, that in any way affect the AWARDEE's performance under this Agreement. 7. Indemnifirar;nn and nrfPncP_ The AWARDEE shall defend, indemnify, and hold harmless the State of Hawaii, the contracting agency, and their officers, employees, and agents from and against all claims, damages, and costs, including attorneys' fees, arising out of or in connection with the acts or omissions of the AWARDEE under this Agreement. The provisions of this paragraph shall remain in full force and effect notwithstanding the expiration or early termination of this Agreement. g. rncnranre The AWARDEE shall obtain, maintain, and keep in force throughout the period of this Agreement liability insurance issued by an insurance company in a combined amount of at least ONE MILLION AND NO/100 DOLLARS ($1,000,000.00), or such other amount requested in writing by the AWARDEE and, for good cause shown, approved by the DIRECTOR, on Attachment 8, attached hereto and made a part of this Agreement, for bodily injury and property damage liability arising out of each occurrence, which insurance provides that it is the primary insurance for the State of Hawaii, the contracting agency, and their officers, employees, and agents for any liability arising out of or resulting from occurrences connected with the AWARDEE's performance under this Agreement. Poor to or upon execution of this Agreement, the AWARDEE shall obtain a certificate of insurance verifying the existence of the necessary liability insurance coverage, including the coverage of the State of Hawaii, and its officers, employees, and agents. The parties agree that the insurance policy shall be attached hereto as Attachment 7 and be a part of this Agreement. If the scheduled expiration date of the liability insurance policy is earlier than the expiration date of the time for performance under this Agreement, the AWARDEE, upon renewal of the policy, shall promptly cause to be provided to the STATE an updated certificate of insurance. The certificates of insurance shall expressly provide that the insurance policy shall not be cancelled unless the insurance company has first given to the STATE thirty (30) calendar days' written notice of the intended cancellation. 2 Forth AG•7-AGSPS (2-93) Attachment 5 9, Relatinnchip of Parties; in~,~ndent Cnntractnr SLahic and Re cnnncihilitiec~ inclnding_Tax RecT cihilitiec a. In the performance of this Agreement, the AWARDEE is an "independent contractor," with the authority and responsibility to control and direct the performance required under this Agreement; however, the STATE shall have a general right of inspection to determine whether, in the STATE's opinion, the AWARDEE is in compliance with this Agreement. b. The AWARDEE and the AWARDEE's employees and agents are not, by reason of this Agreement, agents or employees of the STATE for any purpose, and the AWARDEE, and the AWARDEE's employees and agenu are not entitled to claim or receive from the STATE any vacation, sick leave, retirement, workers' compensation, unemployment insurance, or other benefits provided to state employees. c. The AWARDEE shall be responsible for the accuracy, completeness, and adequacy of its performance under this Agreement. Furthermore, the AWARDEE intentionally, voluntarily, and knowingly assumes the sole and entire liability to the AWARDEE's employees and agents, and to any individual not a party to this Agreement, for all loss, damage, or injury caused by the AWARDEE, or the AWARDEE's employees or agents in the course of their employment. d. The AWARDEE shall be responsible for payment of all applicable federal, state, and county taxes and fees which may become due and owing by the AWARDEE by reason of this Agreement, including but not limited to (i) income taxes, (ii) employment related fees, assessments, and taxes, and (iii) general excise taxes. The AWARDEE also is responsible for obtaining all licenses, permits, and certificates that may be required in order to perform this Agreement. e. The AWARDEE shall obtain a general excise tax license from the Department of Taxation, State of Hawaii, in accordance with section 237-9, Hawaii Revised Statutes, and shall comply with all requirements of that chapter. The AWARDEE shall be solely responsible for meeting all requirements necessary to obtain the tax clearance certificate required for final payment under sections 103-53 and 237-45, Hawaii Revised Statutes, and paragraph 10 of these General Conditions, including, but not limited to, obtaining a general excise tax license. f. The AWARDEE is responsible for securing al] employee-related insurance coverage for the AWARDEE and the AWARDEE's employees and agents that is required by law; and for payment of all premiums, costs, and other liabilities associated with securing the insurance coverage. 10. P2ymPnt Prnrerlurec;__Final Pay~• Tax ('1 aran a All payments under this Agreement shall be made only upon submission by AWARDEE of invoices specifying the amount due and certifying that it has completed performance in accordance with the Agreement. Such payments are subject to availability of funds and allotment by the Director of Finance in accordance with chapter 37, Hawaii Revised Statutes. Further, all payments shall be made in accordance with and subject to chapter 40, Hawaii Revised Statutes. Final payment under this Agreement shall be subject to sections 103-53 and 237- 45, Hawaii Revised Statutes, which require a tax clearance from the Director of Taxation, State of Hawaii, showing that all delinquent taxes, if any, levied or accrued under state law against the AWARDEE have been paid. 3 .-orm AG-3-AGSPS (2-93) ' Attachment 5 11. Federal Fimdc- If this Agreement is payable in whole or in part from federal funds, AWARDEE agrees that, as to the portion of the obligation under this Agreement to be payable out of federal funds, the AWARDEE agrees to be paid only from such federal funds received from the federal government, and shall not be paid from any other funds. 12. P~~hli itv The AWARDEE shall, in all news releases, public statements, announcements, broadcasts, posters, programs, and other printed or published materials relating to AWARDEE's perfottnance under this Agreement, acknowledge that the project, event, program, or activity is supported by the State of Hawaii and the contracting agency through appropriations made by the Legislature of the State of Hawaii. 13. C'nnfidentiality of Material. a. All material given to or made available to the AWARDEE by virtue of this Agreement, which is identified as proprietary or confidential information, will be safeguarded by the AWARDEE and shall not be disclosed to any individual or organisation without the prior written approval of the STATE. b. All information, data, or other material provided by the AWARDEE to the STATE shall be subject to the Uniform Information Practices Act, ch. 92F, Hawaii Revised Statutes. 14. Snhcnnrractc and Accignmentc The AWARDEE shall not assign O[ subcontract any of the AWARDEE's duties, obligations, or interests under this Agreement without the prior written consent of the STATE. Additionally, no assignment by the AWARDEE of the AWARDEE's right to compensation under this Agreement shall be effective unless and until the assignment is approved by the Comptroller of the State of Hawaii, as provided in section 40-58, Hawaii Revised Statutes. 15. Sncrrrncinn and Termination of Agreement a. The STATE reserves the right at any time and for any reason to suspend this Agreement for any reasonable period, upon written notice to the AWARDEE. Upon receipt of said notice, the AWARDEE shall immediately comply with said notice and suspend all performance under this Agreement at the time stated. b. If, for any cause, the AWARDEE breaches this Agreement by failing to satisfactorily fulfill in a timely or proper manner the AWARDEE's obligations under this Agreement or by failing to perform any of the promises, terms, or conditions of this Agreement, and having been given reasonable notice of and opportunity to cure such default, fails to take satisfactory corrective action within the time specified by the STATE, the STATE shall have the right to terminate this Agreement by giving written notice to the AWARDEE of such termination at least seven calendaz days before the effective date of such termination. Furthermore, the STATE may terminate this Agreement without statement of cause at any time by giving written notice to the AWARDEE of such termination at least thirty (30) calendaz days before the effective date of such termination. c. Upon termination of the Agreement, the AWARDEE, within thirty (30) days of the effective date of such termination, shall compile and submit in an orderly manner to the STATE an accounting of the work performed up to the date of termination. In such event, the AWARDEE shall be paid for the actual cost of the services rendered, if any, but in no event more than the total compensation payable to the AWARDEE under this Agreement. 4 Form AG-3-AGSPS (2-93) Attachment 5 d. If this Agreement is terminated for cause, the AWARDEE shall not be relieved of liability to the STATE for damages sustained because of any breach by the AWARDEE of this Agreement. In such event, the STATE may retain any amounts which may be due and owing to the AWARDEE until such time as the exact amount of damages due to the STATE from the AWARDEE has been determined. The STATE may also set off any damages so determined against the amounts retained. 16. Disputes. No dispute arising under this Agreement may be sued upon by the AWARDEE until after the AWARDEE's written request to the DIRECTOR to informally resolve the dispute is rejected, or until ninety (90) days after the DIRECTOR's receipt of the AWARDEE's written request whichever comes first. While the DIRECTOR considers the AWARDEE's written request, the AWARDEE agrees to proceed diligently with the performance necessary to complete the Project unless otherwise instructed in writing by the DIRECTOR. 17, CrarP RPmeri;PC_ The AWARDEE understands that in the event that it no longer meets all of the standards and conditions set forth in paragraphs 1 and 2 of these General Conditions, or in the event that AWARDEE fails to comply with any of the other requirements, provisions, or conditions set forth in this Agreement, that the STATE may refuse to make further payments to AWARDEE under this Agreement. AWARDEE further understands that pursuant to chapter 42D, Hawaii Revised Statutes, if it is found to have withheld or omitted any material facts or deliberately misrepresented any facts to the STATE, it shall be prohibited from requesting a grant or subsidy or submitting a proposal for a purchase of service agreement from the State of Hawaii for a period of five (5) years after the date of that finding. lg, Mnd;firar;nnc of Agrrtmenr Any modification, alteration, amendment, change, or extension of any term, provision, or condition of this Agreement shall be made only by written amendment to this Agreement, signed by the AWARDEE and the STATE. 19. Nnti Pc Any written notice required to be given by a party to this Agreement shall be (a) delivered personally, or (b) sent by United States first class mail, postage prepaid, to the DIItECTOR at the DIRECTOR'S office in Honolulu, Hawaii, or to the AWARDEE at the AWARDEE's address as indicated in the Agreement. A notice shall be deemed to have been received three (3) days after mailing or at the time of actual receipt, whichever is earlier. The AWARDEE is responsible for notifying the DIRECTOR in writing of any change of address. 20. Waiv r The failure of the STATE to insist upon the strict compliance with any term, provision or condition of this Agreement shall not constitute or be deemed to constitute a waiver or relinquishment of the STATE'S right to enforce the same in accordance with this Agreement. 21. SPVPTat)711rY In the event that any provision of this Agreement is declared invalid or unenforceable by a court, such invalidity or unenforceability shall not affect the validity or enforceability of the remaining terms of this Agreement. 22. CinvPrning 1?w_ The validity of this Agreement and any of its terms or provisions, as well as the rights and duties of the parties to this Agreement, shall be governed by the laws of the State of Hawaii. Any action at law or in equity to enforce or interpret the provisions of this Agreement shall be brought in a state court of competent jurisdiction in Honolulu, Hawaii. - 5 corm AG-3-AGSPS (2-93) z ~ Attachment 6 SPECIAL CONDITIONS 1. Failure to Deliver: The inability of the AWARDEE to provide the necessary personnel shall not be an acceptable reason for failure to complete the services required. Failure to complete any part of the services contained in Attachment 1, Scope of Performance, shall be deemed to be a tonal failure to deliver service, entitling the STATE to terminate this Agreement. The service shall not be deemed delivered or performance completed, until all elements of each service are delivered and/or completed and accepted by the STATE. 2. Notice to Participants: Within two hundred forty (240) days after the commencement of this Agreement, the AWARDEE shall have in place written procedures for the orderly termination of services to individuals and families or for the transition of services to another provider upon termination of this Agreement. These procedures shall include timely notice and counsel to individuals and families of the impending termination of this Agreement. 3. Force Majeure: Neither party shall be held responsible for delays or failures in performance resulting from acts beyond the control of such party. Such acts shall include, but not be limited to, acts of God, labor disturbances, riots, acts of war, epidemics, government regulations imposed after the fact, fire, flood, communication line failures, power failures, shortages of transportation, earthquakes, hurricanes, or other causes beyond such party's control, provided that such party notifies the other party of such delay and the reason therefore as soon as practicable after its occurrence and requests extension prior to the specified date of product delivery, service, report, or response. 4. Federal Funds: In addition to Attachment 5, Item I1, General Conditions, when receiving Federal Funds under this Agreement, the AWARDEE shall comply with all regulations and requirements of the expending Federal agency and complete all required forms and documents. The AWARDEE shall allow full access to records, reports, files, and other documents so that the program, management, and fiscal practices may be monitored by Federal representatives directly connected with the program area under this Agreement. 5. Moditicatioas of Agreement: In addition to Attachment 5, Item 18, General Conditions, no amendment, modification, alteration, change, or extension of any term, provision, or condition of this Agreement may be made during the last thirty (30) calendar days of the Agreement, unless the STATE initiates or consents to the request for an amendment, modification, alteration, change, or extension of any term, provision, or condition of this Agreement. The failure to execute the modification of agreement in accordance with this Agreement nullifies the proposed modification. 1 , 6. Copyright and Patent: No summary, report, map, chart, graph, table, study or other document or discovery, invention, or development produced in whole or in part under this Agreement shall be the subject of an application for copyright or patent by or on behalf of the AWARDEE, iu officers, iu agenu, iu employers, or iu subawardees without prior written authorisation from the DIRECTOR. It is strictly understood that all finished or unfinished documenu, reports, summaries, lisu, charts, graphs, maps, or other materials prepared by the AWARDEE and all discoveries, inventions, or developmenu produced in whole or in part under this Agreement shall be the property of the STATE. 7. Regulatory Changes: The Awardee shall ensure that iu operation complies with the regulatory changes which resulted from the enactment of the Senior Community Service Employment Program, Final Rule dated May 17, 1995. 8. Futal Reports: For the purposes of this Agreement, Attachment 5, Item 3.a. is hereby revised to read: Within ten (10) days after the expiration of the time for performance, the AWARDEE shall submit to the STATE the final program progress report and summary of terminations. The final Quarterly Review Report shall be due twenty-five (25) days after the completion of this Agreement. Within twenty (20) days after the completion of this Agreement, the AWARDEE shall submit to the STATE the expenditure report for the final month of performance. Within sixty (60) days of the completion of this Agreement, the AWARDEE shall submit a completed close-out package containing the following documenu: a. Copy of Final Subcontractor's Invoice; b. Subgrantee's Release; c. Subgrantee's Assignment of Refunds, Rebates and Crediu; d. Final (Closeout) Inventory Certification: e. Bank Statement-Special Bank/Financial Account; f. List of possible claimanu for unclaimed checks cancelled or payments stopped; g. Subgrant Closeout Tax Certification; h. Representation Letter; and i. Refund checks, if applicable. 9. Assurances and Certifications: The Department of Labor and Industrial Relations will not award a grant or agreement where the Awardee has failed to accept the ASCLTRANC'FS AND ('F.RTiFiCATinNS contained in this section. In performing its responsibilities under this Award, the Awardee hereby certifies and assures that it will fully comply with the following Regulations: • 29 CFR Part 97 (Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments); 2 J • 29 CFR Part 95 (Uniform Administrative Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals and Other Non-Profit Organizations) supersedes 41 CFR 29-70 (Administrative Requirements); • 29 CFR Part 96 (Single Audit Requirements); • 29 CFR Part 98 (Debarment and Suspension; Drug Free Workplace); • 29 CFR Part 93 (L.obbying Certification); • Assurances and Certifications; • 29 CFR Parts 33 and 34 (Nondiscrimination and Equal Opportunity); • 20 CFR Part 641 Senior Community Service Employment Program: Final Rule By signing the fact sheet of this grant or agreement, the grantee is providing the certifications set forth below: Assurances -Non-Construction Programs 1)eharment and Sn~,pgncinn ~ertifiratinn ('Prtificatinn Reg ra rlingJnhh~ing 1~ni~Fr~? Wnrkplace C'ertifiratinn ('ertiFiratinn of fVon-l~elinquen~t 3 PART I -ASSURANCES ANO CERTIFICATIONS Section (1) • ASSURANCES -NON-CONSTRUCTION PROGRAMS: NOTE: Some of these auurancas may not De applicable to your project a program. 11 you have questions, please contact the awaniing agency. Some Federal awarding agencies may require applicants to certify to additional assurances. 1I such is the case, you will be notified. As the duly authorized representative of the applicant, 1 certify that the applicant: (1) Has the legal authority to apply for Federal Assistance, and the institutions! managerial and financial capability (including lunds sufficient to pay the non- Federal share of project costs) to ensure proper planning, management and completion o/ the project described in this application. (2) Will give the awarding agency, the Comptroller General of the United States, and it appropriate, the State, through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the award; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. (3) WiU establish safeguards to prohibit employees from using their posdions for a purpose that constitutes or presents the appeare~ce of personal or organizational conBict o/interest, or personal gain. (4) Will initiate and complete the work within the applicable time frame aRer receipt of approval of the awarding agency. (5) Wll comply with the Infergovemmental Personnel Act 011970 (42 U.S.C.4728- 4763) relating to prescribed standands for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM's Standards for a Merit System o/ Personnel Administration (5 C.F.R. 900, Subpart F). (6) Will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P. L. 88.352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments 011972, as amended (20 U.S.C. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. 6101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P. L. 92.255) as amended, relating to nondiscrimination on the basis of drug abuse; the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P. L. 91.616) as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. 290 dd.3 and 290 ee-3), as amended, relating fo con(dentiality of alcohol and drug abuse patient records; (h) Title Vlll of the Civil Rights Act of 1968 (42 U.S.C. 3601 et seq.) as amended, relating to . , A 8 C CONTINUED: nondiscrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the spec statute(s) under which application for Federal assistance is being made; end the requirements o(any other nondiscrimination statue(s) which may apply to the application. (7) Will comply, or has already complied, with the requirements of Titles ll and 111 of the Uniform Relocation Assistance end Reel Property Acquisition Policies Act o/ 1970 (P.L. 91.646) which provides for fair and equitable treatment o/ persons displaced or whose property is acquired as a result o/ Federal or federalty assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases. (8) Wll compty wdh the provisions o/ the Hatch Act (U. S. C. 1501-1508 and 7324- 7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. (9) Wll comply, as applicable, with the provisions of the Davis-Bacon Acf (40 U.S.C. 276a to 276a 7), the Copeland Act (40 U.S.C. 276c and 18 U.S.C. 874, and the Contract Work Hours and Safety Standards Act (40.327-333), regarding labor standards for federally assisted construction subagreements. (10) Will comply, rf applicable, with Flood Insurance Purchase Requirements of Section 102(A) o/the Flood Disaster Protection Act of 1973 (P. L. 93.234) which requires recipients in a special Rood hazard area to participate in the program and to purchase flood insurance i! the total cost o/insurable construction and acquisition is 510,000 or more. (11) Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 9i. f90) and Executive Order (EO) 11514; (b) notrfrcation of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in flood plains in accontance with EO 11988; (e) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act o/ 1972 (16 U.S.C. 1451 et seq.); (n conformity of Federal actions to State (Gear Air) Implementation Plans under Section 176(c) of the Clear Air Act of 1955, as amended (42 U.S.C. 7401 et seq.); (g) protection of underground souroes of drinking water under the Safe Drinking Water Act o/ 1974, as amended, (P. L. 93.523);'and (h) protection of endangered species under the Endangered Special Act o/ 1973, as amended, (P.L. 93.205). (12) Will compty with the Wide and Scenic Rivers Act of 1968 (16 U. S, C. 1271 et seq.) rn/ated to protecting components or potential components of the national wide and scenic rivers system. A d C CONTINUED: (13) Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act o/ 1966, as amended (16 U.S.C. 470), EO 11593 (identification and protection of historic properties), and the Archaeological end Historic Preservation Ad o/ 1974 (16 U.S.C. 469a.1 et seq.). (14) Will comply with P.L. 93.348 regarding the protection of human subfects involved in research, development, and related activities supported by this award o/ assistance. (i5) WII comply with the Laboratory Animal Welfare Act of 1966 (P.L.) 89.544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the care, handling, and treatment of warm blooded animals held for ?esearch, teaching, or other activities supported by this award of assistance. (16) Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. 4801 et sew.) which prohibits the use ollead based paint in construction or rehabilitation o/residence structures. (17) Will comply with al! applicable requirements of all other Federal laws, executive orders, regulations and policies governing this program. Section (T) - CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS -PRIMARY COVERED TRANSACTIONS: (1) The prospective primary participant certifies to the best of its knowledge and belie/, that it and its principals: (a) Are not presently debased, suspended, proposed for debarment, declared ineligible, or voluntarily exctuded from covered transactions by any Federal department or agency,' (b) Have not within a thn:e-year period preceding this proposal been convicted or had a civil judgment rendered against them /or commission of fraud or a criminal offense in connection with obtaining, attempting fo obtain, or pertorming a public (Federal, Sfafe, or local) transaction or contract under a public transaction; violation of Federal or Slate antitrust statutes or commission of embezzlement, theft, forgery, bribery, Ialsification or destruction of records, making (else statements, or receiving stolen property; (c) Are not presently indicted or otherwise criminally or civilly charged by a government entity (Federal, Slate or local) with commission of any of the offenses enumerated in paragraph (1)(b) o(this certification; and A 8 C CONTINUED: (d) Have not wdhin a three-year period p2ceding this application/ proposal had one or more public transactions (Federal, State, or local) terminated for cause or default. (2) Where the prospective primary participant is unable to certify to any of the statements in this ceR~cation, such prospective participant shad attach an explanation to this proposal. Section (3J -CERTIFICATION REGARDING LOBBYING Cerfification /or Contracts Grants Loans and Cooperative Agreements By accepting this grant, the signee hereby certi(es, to the best of his or her knowledge and belie!, that: 1. No Federal appropriated /unds have been paid or will be peid, by or on beha/l of the undersigned, to any person for influencing or attempting to influence an officer or employee of Congress, or an employee of a Member of Congress in connection wrth the awarding of any Federal contract, the making of any Federal grant, the making o/any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment or modification of any Federal contract, grant, loan or cooperative agreement. 2. If any funds other than Federal appropriated funds have been paid or will be paid fo any person (or influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member o/ Congress in connection with this Federal contract, grant, loan or cooperative agreement, the undersigned shall complete end submit Standard Form - LLL, "Disclosure Form to Report Lobbying,' in accordance with its instructions. 3. The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of tact upon which reliance was placed when this transaction was made or entered into. Submission o/this certification is a prerequisite for making or entering info this transaction imposed by Section 1352, Title 31, U. S. Code. Any person who fails to ale the required certifrcaUon shall be subject to a civil penalty of not less than E10,000 and not more than E100,000 for each such failure. q, *m°~ C'FRTIFiC'ATInN RF('ARDIN(' I.nRRYiN(' AC'TiViTIFS Section 18 of the "Lobbying Disclosure Act of 1995" signed by the President on December 19, 1995, requires that any organization described in Section 501(c)(q) of the Internal Revenue Code of 1986, which engages in lobbying activities, shall not be eligible for the receipt of Federal funds constituting an award, grant, loan, or any other form. 1. As an Officer of this is to certify Company Namc that we are /are not an 1RS 501(c)(q) entity. 2. As an IRS 501(c)(q) entity, we have have not engaged in lobbying activities. Signature Date Official Title DISCLOSURE OF LOBBYING ACTIVITIES Complete this form to disGose lobbying activeies pursuant fo 31 U.S.C. 1352 (see reverse for public burden disclosure) 1. Tfp< OI f~eaa ACLen: ~ 2. SPIN et Fa••rY ALLen: ~ 1 ,•DOrt Tr W: L LOM•LI L elalell•r/•pp/Laap11 L MW city e. P•^r a. avu.l •..va a. •MpW Lrmra• L <eoe•rfnw •pn•in•r• a po•l~.•r• fw Wbrl•I t7ufyDUP: 6 le•n 1••r-~ ~K~- bn QVar•r•Y aat• M YN f•ypt I. lo•ri nfvnc• 4. Name and Addnsa of FLportinp Elttity._ Prkna _$uDawudaa 0. N FYpoNnp EnUtY h NoA b SuOawudaa, Erdar Name uW Tiar N knt>,vn: Addnu of Pr4rw. Conpnaslonal Oistrkt, N known: Conpnaabnal gadrkti N known: 6. Fadaral Dapartm•nt/Apanry. 7. Fadual Proprun Nama/WvrlPpore CFpA NumOar, N appGUWa: a. Fadaral Action NumOar, M known: p. AwuO Amount M known: 10. Nam• and Address M LoDDylnp Entity D. hdividuaL PaAomtlnp Sarvius QnduQup addnaa N diNuam pl individual. lari narna, frtst name, MQ: Irom No. 10a) P+at nun., fast nartw, Mq: (AnaM Continuation Sna•tls) SFd11•A M nacassary) Vuucn Continuation Shoat(s) SF•LLL•A. M nausnry) 11. Amoum of Payment (eMek aN Nat aPPIYI~ ta. Typo of Payment (M•ek aA that aPWYI ataual DunnaO S ~ rataiMr _ D. on.•tim. lp _ e. oommiasion 12. Form of Paym•n1 (cMCa all Nu aPPb); d. oontinpant lea - Oafamd _ a. usn _ 1. oNUr ap•ditr. nature valve 14. &ld IAsaiption of Sarvioas P•AOtmad a to W PMamaO and Dau(a) of SaMt», hUudinp otfoar(s), amployaap). a MamO•r(s) oonunad, la Payment ktdiuud h ream I1: (anaeh Continuation SnaN(s) SF•LLL•A M necess+ry) 15. Continuation SM•t(s) SF-U.L•A attached: YES NO 16. IrMaa•uon raOUafNe Waran Tf lenn N • Wrpn:ee ey iN• !1 Y.S.G L•CIKn 1ri7. TAf P1LWw• OI be0rlry •NM4ff M • a•tarW SipnalYfe rean•rn•uan or bet veM vwKn reirnea .ns pfua sr ••r •eow Prinl Name wnan mf ufnYLtan.•s nrNe er ana•e wL 7Af 6•rlew• h r.orea p?su•nr to !t Y.S.C. t!!7. TAa a+a•1•uon w s• rfaonee to N Congre+s •e~•rw•I W w se •NY•I• aP POaL alap•tLOn TNe: Ant paten wn• has W N HaWa Moowa fnea s• ••oMLt 10 uw an•nr W ws wff atan sto.tm free rot niP• orn attq.000 ra TetepntMe NYTDef: Oate YGn 1VLI1 h+?•. tnonrw or meal proeucuon unaara am A 8 C CONTINUED: Section (4) -DRUG FREE WORKPLACE: The grantee certifies that R will provide a drug tree Workplace by implementing the provisions at 29 CFR 98.630, Appendix C, pertaining to the Orug Free Workplace. In accordance with these previsions provide in the space below, a list ollocations where pen'onnance o/ work will be conducted related to this grant. This information must be subm/fled with this signed document. Section (5) - CERTIFICATION OF NON-DELINQUENCY: (PLEASE CHECK THE APPROPRIATE STATEMENT): Not Delinquent on any Federal Debt Delinquent on any Federal Debt • Attachment 7 (This page is for attachment of the certified copy of certificate of insurance. Refer to Attachment 5, Item 8, General Conditions.) RF.MiN11F.R The certificate of insurance shall contain the following: 1. Liability insurance of at least $1,000,000 or such other amount requested in writing (Attachment 8); 2. Additionally insuring the State of Hawaii, Department of Labor and Industrial Relations, its officers, employees and agents for any liability arising out of or resulting from occurrences connected with the AWARDEE's performance under this Agreement; 3. Statement that the insurance policy shall not be cancelled unless the insurance company has first given the STATE thirty calendar days written notice of the intended cancellation; 4. Cover the entire period of this Agreement (July 1, 1997 to June 30, 1998); and 5. Agreement identification number cited on the certificate. Attachment 8 (As applicable, this page is for attachment of the approved insurance policy request. Refer to Attachment 5, Item 8, General Conditions.) Agreement ID No. D-6089-7-00-81-55-H Exhibit t. Page 1 of 28 Applicant Organization: Hawaii County Office of Agine RFP LBR (1 I-003 Date Prepared: January 30. 1997 PROGRAi~'I/SERVICE PROPOSAL -Attachment B OVERVIEW OF PROGRAi~I/SERVICE AND ORGANIZATIONAL DESCRIPTION A. Description of Proposed Services The Senior Employment Program (SEP) will provide part-time employment opportunities to low-income individuals » years of age or older. Placements will be made with either governmental or private non-profit organizations that contribute to the general welfare of the community. Each enrollee is assessed ofhis/her skills, talents, supportive service needs, and physical capabilities to assure appropriate placements. Special emphasis is given to meeting the individual needs of the enrollee. All enrollees are encouraged to seek and secure unsubsidized employment. Job training, counseling, and information are made available to each enrollee. B. History and Function of Applicant Organization The Hawaii County Office of Aging (HCOA) was established in 1966 and serves to represent the County of Hawaii in planning, coordination, advocacy, and administration of program for older persons. The HCOA is a designated Area Agency on Aging enabling the County to receive federal funds through the Older Americans Act of 196. There are over 650 Area Agencies on Aging throughout the country that represents the interest of older persons at the community level. The HCOA received the first Senior Community Service Employment Program (SCSEP) grant in 1976. After developing and running the program for two years, it was subcontracted to the Department of Parks and Recreation, Elderly Activities Division. The Senior Employment Program (SEP) is under the Elderly Activities Division, and they have been operating and running the program since 1978. B-1 POST 103 (11/17/94) Exhibit A Page 2 of 28 Applicant Organization: Hawaii County Office of Aging RFP LBR 111-003 Date Prepared: January 30. 1997 PROGRAM/SERVICE PROPOSAL -Attachment B C. Description of Facilities or Plans to Secure Facilities The SEP office is located at 34 Rainbow Drive, Hilo, Hawaii. Program files and records are kept at this location. There aze no special equipment needs at this time. Client assessments are conducted at the program office or in the district where the enrollee is living. County facilities such as senior centers are frequently used [o interview or assess enrollees. II. PROBLEM/1VEED A. Description According to the 1990 Census, approximately 20% of the population of the State of Hawaii is over the age of 55. Of this total, 7% are at or below the poverty level. The problem is compounded on the Big Island which has the highest rate of unemployment, the lowest per capita income, the lowest total payroll, and the largest percentage oflow-income elderly in the State. The increasing life expectancy of older adults lengthens the period for which financial support is required. The project will allow a limited number of individuals to improve their economic status through part-time employment. B. Geographic Area The project has been established county-wide and will continue to serve the entire Island of Hawaii. Approximately 30 of the placements will be in the South Hilo district and 12 will be in the remaining districts of North Hilo, Hamakua, Kohala, Kona, Ka'u and Puna. Geographical areas served will be dependent on the residence of the applicant. B-2 POST 103 (11/17/94) Exhibit A Page 3 of 28 Applicant Organization: Hawaii County Office of wino RFP LBR l I 1-003 Date Prepared: January 30. 1997 PROGRAi~USERVICE PROPOSAL -Attachment B C. Target Croup The target group will be individuals » years of age or older with poor employment prospect with income not more than 1?~% of the poverty line. They must also be residents of the County of Hawaii. Qualified enrollees who aze age 60 or older will be given priority. III. GOALS AND OBJECTIVES A. Goals 1. Increase the income level of the target group. 2. Enhance [he individual's experience of community service work. 3. Provide, foster and promote useful part-time employment activities for the target group. B. Objectives 1. Maintain and fill 42 slots during the course of the project year. Effective July 1, 1997, 42 slots will be carried over from the previous program year. As enrollees leave the program through attrition or for unsubsidized positions, new applicants will be recruited to fill the vacant slots. 2. Place a minimum of eight individuals in unsubsidized positions during the program year. Enrollees will be encouraged to seek unsubsidized placements at the time of their recruitment. The project will assist enrollees to improve their prospects of securing unsubsidized placements by providing or coordinating training or informational workshops. B-3 POST 103 (11/17/94) Exhibit A Page 4 of 28 Applicant Organization: Hawaii County Office of Anino RFP LBR 111-003 Date Prepared: January 30. 1997 PROGRAM/SERVICE PROPOSAL -Attachment B 3. Serve a minimum of 59 individuals during the course of the project year. This represents 40% above the 42 slots allocated to Hawaii County. IV. SERVICE DELIVERY A. Outreach/Recruitment Project enrollees will be recruited and selected primarily through county-wide campaigns by the Elderly Activities Division. All enrollment vacancies will be listed with the local office of the Hawaii State Employment Service. Advertisements will be made in the local newspaper, the senior citizen magazine, "Inspirations', and senior center bulletin boazds. Continued efforts in program awazeness will hopefully generate referrals from other social service agencies in the aging network. Every effort will be made to assure equitable participation of minority groups and those with the greatest economic need. Recruitment of applicants and dissemination of information will be accomplished by using culturally appropriate channels of communication, such as ethnic newspapers, radio stations and other community support groups. B. Screening 1. The following eligibility criteria will be used. Each enrollee must: a. Be no less than 5> yeazs of aee; b. Have an income not more than 125% of the poverty line; and c. Have a place of residence in the County of Hawaii. B-4 POST 103 (11/17/94) Exhibit A Page 5 of 28 Applicant Organization: Hawaii County Office of Agjn~ RFP LBR l 11-003 Date Prepared: January 30. 1997 PROGRAM/SERVICE PROPOSAL -Attachment B 2. The following priorities will be observed in selecting eligible individuals: a. Eligible individuals with the greatest economic need; b. Eligible individuals who are 60 years old or older; c. Eligible individuals who seek re-enrollment following termination of an unsubsidized job through no fault of their own or due to illness, provided that re-enrollment is sought within one year of termination; d. Eligible individuals who are enrolled in temporary position; and e. Other eligible individuals. Each applicant will be initially interviewed to determine appropriateness and ability of agency to meet applicant needs. A standard application/enrollment form will be used to obtain the personal information necessary for proper determination of eligibility. C. Certification/Recertification The program staff will schedule interview appointments for all project enrollees for recertification effective July 1, 1997. Enrollees will be interviewed on or before their anniversary date. Enrollees found to be ineligible for continued enrollment will be given immediate written notice of termination. Termination will be effective 30 days after the notice. g_j POST 103 (11/17/94) Exhibit A Page 6 of 28 Applicant Organization: Hawaii Countv Office of A¢¢.ing RFP LBR 1 ] 1-003 Date Prepared: Ianuarv 30. 1997 PROGRAM/SERVICE PROPOSAL -Attachment B D. Orientation Each individual enrollee will receive a formal orientation by the program staff regarding the nature and objectives of the project, employment opportunities and work assignments, training, and supportive services that the program can provide. Each enrollee will be informed of his/her rights, responsibilities, benefiu, and privileges under the program. Each enrollee is made awaze of the grievance procedures available to him/her. Program staff will also give a formal orientation to host agencies concerning the project objectives and the responsibilities of both the enrollee and the agency. E. Assessment/Evaluation The assessment of enrollees will be conducted by the professional staff of the Hawaii State Employment Service Office or the Elderly Activities Division. This initial assessment will include the individual's previous work experience, employment goals, education and training, interests, goals, skills, personal train, physical limitations, job alternatives and job choices for potential transition to private or other unsubsidized employment. The assessment process will determine whether the individual is job ready and which community service employment is most beneficial for the applicant. Training and supportive service needs will be evaluated individually so appropriate placements can be made. Program staff will then develop a suitable part-time community service position that will utilize the enrollee's skills and aptitudes. B-6 POST 103 (11/17/94) a Exhibit A Page 7 of 28 applicant Organization: Hawaii County Office of -~gine RFP LBR 1 I 1-003 Date Prepared: January 30. 1997 PROGRAhUSERVICE PROPOSAL -Attachment B F. Physical Examinations Each enrollee will be given an opportunity to receive a physical examination within 60 days of placement into a community setice assignment and annually thereafter. The eruollee has the option of whether to provide the results of the physical examination to the program operator. Enrollees not accepting the opportunity to receive the physical examination will be required to sign a waiver to that effect. Enrollees will be offered the physical examination as a benefit and not as a requirement. - _ The physical examinations will be provided by the County physician at no ' cost to the project. The examination cost to the project covers the radiologic examination administered by a private firm. Annual physical examinations will be scheduled on or prior to the enrollee's anniversary date. G. Service Planning A comprehensive Individual Development Plan (IDP) will be developed for each enrollee. The plan will reflect the enrollee's employment goals, appropriate achievement objectives, and supportive service needs. Specific timetables will be reflected in the plan which may include possible transition into private or unsubsidized employment. The plan will be reassessed at least once a year and placed in the enrollee's file folder. Appropriate adjustments will be made to accommodate changes in the enrollee's status. H. Supportive Counseling Program staff shall provide emotional support and employment counseling services to registered enrollees. Supportive counseling may also be provided by the staff of host agencies or by the State Employment Office. g-7 POST 103 (11/17/94) Exhibit A Page 8 of 28 Applicant Organization: Hawaii Countv Office of Aeine RFP LBR 1 I 1-003 Date Prepared: January 30. 1997 PROGRAM/SERVICE PROPOSAL -Attachment B I. Information and Referral Aging related information shall be made available to each applicandenrollee. Program staff shall also be aware of other community resources so appropriate referrals can be made. Coordinated Services for the Elderly (CSE) is the Information and Referral Office for aging services. The CSE program may be used as a resource to link applicants/enrollees to resources in the community. J. Community Service Assignment Enrollees will be paced into community service assignments which contributes to the general welfare of the community or provides services to the elderly. The community service assignment shall permit the most effective use of each enrollee's skills, interests, and aptitudes. Each enrollee will have the opportunity to work an average of at least 1 ~ hours per week and a maximum of 19 hours per week. However, each enrollee's community service assignment shall not exceed 1,300 hours per program year (July 1 to June 30) including paid hours of orientation, training, sick leave and vacation leave. Agencies aze selected based on their ability to provide good training and supervision, aze able to understand and support the goals and objectives of the program, are timely in reporting hours and completing and submitting reports, and are committed to hiring the enrollees within their agency. K. Host Agency Agreements Worksite agreements shall be developed with each host agency to ensure that enrollees receive adequate orientation and instructions during their community service assignment. Such orientation and instruction should g_g POST 103 (11/17/94) Exhibit A ~ Page 9 of 28 Applicant Organization: Hawaii County Office of Agine RFP LBR t 11-003 Date Prepared: January 30. 1997 PROGRAM/SERVICE PROPOSAL -Attachment B provide enrollees a clear understanding of theirjob responsibilities and enable them to perform as productive and effective workers. L. Training Activities Host agencies will be strongly encouraged to provide pre-job training for etuollees which will not exceed the first 30 hours of enrollment. Other community resources such as the classroom training through the JTPA program at the Hawaii Community College may be utilized. Program staff will be responsible for arranging appropriate training which should be consistent with the enrollee's service plan. Paid training shall not exceed 500 hours during the program year. Host agencies will also be encouraged to provide training afrer subsidized placement has been made. Training may be related to specific job duties or to upgrade the enrollee's existing skills. M. Supportive Services Job related and personal counseling will be provided to enrollees to assist them in resolving problems which might adversely affect their successful participation in the program. Referrals may also be made to appropriate resources in the community. The project may also provide necessary incidentals such as transportation fees, clothine, work shoes, badges, uniforms, safety glasses, and tools, etc. Eye examinations and glasses may also be provided to ensure the enrollee's successful participation in the program and which may lead to unsubsidized employment. g.9 POST 103 (11/17/94) Exhibit A Page 10 of 28 Applicant Organization: Hawaii Counjy_Office of Aeina RFP LBR 111-003 Date Prepared: Jantiarv 30. 1997 PROGRAM/SERVICE PROPOSAL -Attachment B N. Job Development and Placement Services National Employ the Older Worker Week is recognized during the month of Mazch. During this week, program staff shall coordinate activities that hiehliehts the older workers and to inform employers of the potential senior workforce available to them. Program staff shall work closely with the JTPA program to identify unsubsidized job openings, training opportunities, and other job-seeking assistance the agency aze capable of providing. Program staff shall also encourage host agencies to employ enrollees in their regulaz work force. Follow-up services on enrollees placed into unsubsidized employment will be completed and documented on a 30-day and 90-day follow-up record. If necessary, additional follow-up services may be provided to ensure that the enrollee has a successful participation in the unsubsidized placement. O. Reassessment/Follow-Up The individual development plan shall be reviewed at least twice a yeaz to document the progress of the enrollee. However, revisions to the plan may be made at any time to accommodate changes in the enrollee's situation. Follow-up services may be provided to accommodate any changes in the plan. P. Termination The following aze various situations in which termination of an enrollee could occur: 1. Placement into an ttnsttbsidized position. Hawaii County needs to transition a minimum of eight enrollees into unsubsidized positions. B-10 POST 103 (11/17/94) Exhibit A Page 11 of 28 Applicant Organization: Hawaii County Office of Ag_ine RFP LBR i l I-003 Date Prepared: January 30. 1997 PROGRA1vI/SERVICE PROPOSAL -Attachment B 2. Voluntary Resignation. An enrollee may voluntarily terminate his/her placement at any time. Enrollees are requested to give two weeks notice to both the host agency and the SEP program if possible. A written resignation letter is required. 3. [nvoluntarv Termination. a. Over income. If an enrollee is found to be over income during the recertification process or at any time, a 30-day notice of termination will be given. b. Fraud. If an enrollee is found to be ineligible due to an unreported source of income or as a direct result of the individual knowingly offering false information, termination will be immediate. c. Other. SEP retains the right to terminate an employee for just cause. Should this occur, written notice stating the reason(s) for the termination will be given to the enrollee. V. TIMELINE At the start of the new project year, there will be 42 filled slots that will be carried over from the previous year. These positions will be filled as they become vacant through attrition or private placemenu. Awaiting list will be maintained so vacancies can be filled in a timely manner. Unsubsidized placements will occur during the course of the program yeaz. There will be an average of two unsubsidized placements during each of the four quarters to meet the program objective of eight placements during the year. B-11 POST 103 (11/17/94) Exhibit A Page 12 of 28 Applicant Organization: Hawaii County Office of Aeine RFP LBR 11 ]-003 Date Prepared: January 30. 1997 PROGRAM/SERVICE PROPOSAL -Attachment B The normal working hours of the program will be from Monday to Friday, 7:45 a.m. to 4:30 p.m., except on State and.Counry holidays. (See Exhibit B.) VI. PERSONNEL A. Description of Staff Positions and Staff Development Training There will be a total of three full time employees for the program. The Program Director (SR-22) is responsible for the overall operations and management of the project. A Senior Employment Cotnselor (SR-18) is responsible for intake, assessments, enrollment, and individual counseling. The Account Clerk (SR-11) is responsible for all accounting, clerical, and routine personnel duties. Both the Senior Employment Counselor and the Account Clerk will be under the direct supervision of the Program Director. (See Exhibit C for individual job descriptions.) B. Organizational Chart See Exhibit A. VII. COORDINATION WITH OTHER COMMUNITY AGENCIES AND RESOURCES The SEP program has operated the SCSEP program for the past 18 years. They have made a conscientious effort in promoting program awazeness, and they are known in the cotnmunity as the advocate for older workers. The SEP program is under the Elderly Activities Division. Other program in the Division includes the Coordinated Services for the Elderly, Nutrition (both home- delivered and congregate), and RSVP. Therefore, each of these programs aze closely linked to each other. This is very beneficial in sharing information and in giving and receiving referrals to each other. B-12 POST 103 (11/17/94) Exhibit A Page 13 of 28, Applicant Organization: Hawaii County Office of Avjng RFP LBR 111-003 Date Prepared: January 30. 1997 PROGRA;vUSERVICE PROPOSAL -Attachment B The contractual relationship with the HCOA is also very beneficial to the SEP program. They are always included in HCOA's training efforts and in the dissemination of aging related information and material. The SEP program has worked closely with the Hawaii State Employment Service Office and especially with the JTPA program to exchange information and to refer clients to each other. This close relationship has also been mutually beneficial in job training efforts. VIII. EVALUATION The HCOA has a Monitoring, Assessment, and Evaluation Plan which is included in the contract with the SEP program. The plan calls for monthly "desktop" monitoring through reports and client data and formal quarterly monitoring and assessment reports. The plan also calls for Client Satisfaction Surveys, site visitations, periodic service assessment, and an Annual Program Evaluation Report. (See Exhibit D.) IX. BUDGET See Exhibit E. X. OTHER REQUIREMENTS A. Case Recordation, Data Collection, and Reporting Individual files will be maintained for all enrollees. The files shall include all client related data and the enrollee's IDP. All reporting requirements shall be completed and submitted according to established policies and guidelines. g_13 POST 103 (11/17/94) Exhibit A Page 14 of 28 Applicant Organization: Hawaii Coun~v Office of Aeine RFP LBR 111-003 Date Prepared: January 30. 1997 PROGRAM/SERVICE PROPOSAL -Attachment B B. Audit The Director of Finance for the County of Hawaii is responsible for contracting for a single audit for all federally funded programs. The audit will be conducted sometime between July through December 1998, covering the period July 1, 1997 to June 30, 1998. The audit shall be conducted in accordance to established policies and guidelines. C. Enrollee Complaint Resolution A complaint or erievance may be made over action taken by staff members or supervisors in matters such as discrimination because of race, color, religion, disability, national origin, sex, political affiliation or beliefs, wages, hours of work, work assignments, and/or disciplinary action. If a grievance is reported, the following procedures will be followed: 1. The enrollee should talk to the immediate supervisor and try to resolve the problem; 2. If the problem cannot be resolved with the supervisor, the SEP Director or Counselor should be contacted. They will conduct an informal conference with the enrollee and the host agency to try and resolve the problem. 3. If the enrollee is still not satisfied with the SEP Director's or Counselor's decision, a heazing will be scheduled involving the enrollee, host agency, SEP program staff, and a representative from the HCOA. If the enrollee is still not satisfied with the results of the hearing, the enrollee may request a review of the issue by the HCOA in accordance with the State SCSEP Complaint Resolution Procedures. 4. All complaints alleging non-criminal violation must be filed in writing within one year of the alleged violation. B-14 POST 103 (11/17/94) Exhibit A , Page 15 of 28 -applicant Organization: Hawaii Countv Office of A ine RFP LBR 11 I-003 Date Prepared: January 30. 1997 PROGRAiVl/SERVICE PROPOSAL -.attachment B D. Over Enrollment Every effort will be made n~,l to utilize temporary enrollees. However, when a portion of project funds are not being utilized as a result of attrition, the inability to fill positions in a timely manner, unforeseen emergency leaves, or illness, the project staff will enroll additional eligible individuals in temporary positions. Enrollees will be informed of their temporary status during enrollment. They will be required to sign an Agreement to Participate in a Temporary Position, which will be filed in the enrollee's folder. Should an authorized position become available, the temporary enrollee with the greatest economic need and with the greatest seniority shall be given first consideration for enrollment in an authorized position. E. Maintenance of Effort (MOE) The Project Coordinator shall assure compliance with the MOE provision during its regular program monitoring. Host agencies will be informed that enrollees aze not to replace workers on leave or workers that have been laid off. Any host agency found in violation of this provision shall assume the full liability of cost incurred from the date of placement stated in the Agency Agreement. B-IS POST 103 (11/17/94) ~o~ o ~~o n ~o < o a ~ N N Z F+ n d co N O A V m ~ e+ m ~ N v ~ N 's N R • m ~ ru m ~ c~ c ~ z ~a o~ N rr n p N ~ rr m ~o v a 'r r* N ~ '9 S C ~ N Z fD P y is m ~ m ~ a o a n ~ o ~ ~m ~ ~ ~ m ~ a O ~ ~ S a ~ a o n io z m ~ * ~ i < a a ~ ru rr n ~ d m / N 7 S A ~ C Z Z N j • ~ 's m ~ z a ro m o m ~ to L ~ ~ O J N~ K O ~ 3 r a,~ W'O ~ O j y N • A (gyp ~ N f7 CD K 'S O O ~D r. r' 3 < m ~ n ~ y a ~ rc D ~ r* eY C r. Z w 0 'O u+ M t0 N 7 ~ ~ O d O ~ n Z O Z ro ~ n ip ~ ~ N r o ~ ~ r r- R ~ rT ~ O 7 o rn ~ N m 1181HX3 A A A N D A A ESN m Citl Cf ~ s n 9 A A'A'A n ~ m O_ O_ O O Y X ~-I m~0 T A 01 OI 0 p N 2 < n ~r~r N y ~ 6 C ~ r 10 S ~1 n o m ~ o ~ S9 SG y C1 2 A N f1V r N A ~ 4~R N 1 ~ a m N• tJO ~ ~1 O a0 G~ fs X N L O n ~ n s ~ 6 f~ ~ 'An YO 1 r I + m N m NO tJ1 N N Y ~ A ~ ~y O O O < r 1 1 N • O_ C! 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J!T S(Caf1Ca h. 1C 1[ILiSRit0 i~ ~ Dirtcw of ?mank~ .ua~ ~ • - Rodney T. ti.aico Depwq Dvcrar ~•nmm, ~'*~di'i.i2' ~IIlITIZy II~ ~~tIf1Tc'I11 DEP3KT'~VT OF CIVIL SERVICE Hilo Lagoon Cmc.c I01 Aupuni 5¢cc, Suire f37 Hilo, Havii 961:0-;260 (SCS) 9613751 Fa: (S08) RZLYZti2 961-dd77 '~NOFUSiDIIM N0. 96-52 T0: a__ De?art.~eats and Agencies 53GM: Michael 9en, Di: ector o: ?ersoanel r~~~-' D:,TT: September 27, 199fi SII3J'aCT: '_997 Holiday Schedule The 1997 ho'_iday schedule is as foi'_ows: FOL^~°_ DAT°_ DA'C OF' rr «c°3 1. New 'Gear's Day January 1 Wednesday 2. Dr. Martin Luther Sing, Jr., Day Januarr 20 Monday 3. ?residents' Day c'ebr•.:ary 17 Monday 4. ?race Jonah cTuhio Kalanianaole Day March 26 Wednesday 5- Good Friday March 28 Friday 6. Memorial Day May 26 Monday 7. :Ting Iamehameha I Day June 11 Wednesday 8. Iade?endence Day July 4 Friday 9. Admission Day August 15 Friday 10. Labor Day September 1 Monday 11. Veterans' Day November 11 Tuesday 12. Thanksgiving Day November 27 Thursday 13. Christ^+as Day December 25 Thursday G=".T'c3AL I"TF02`4ATION 1. employees whose workdays fall oa Mocday through Friday during the workweek is which a holiday occurs shall observe such holiday as provided oa the following page. HC 3297 vu _ COUNTY OF HAWAII ~ __o.vt fg~ and ReQeat~~ hubon No. - - - - - - - - POSITION DESCRIPTION FORM _ w_o<.a.: Elderly Activities Type: Civil Serwce ()9 Exempt--( ) y~,,,, Sr. Fh¢~loVrres'.t -Ptoardn - Pertnanent Tempo:ery ( ) EXFIIBIT;C _ ,::.~_-r.~„:o~.t~ Islandiaide ~"`J"'-'~__ Full-Time Pert-Time ( ) ' ....,tea .~a•.,: z FOR CIVIL SERVICE USE ONLY Wb~atxu+Class -Frocram Director 1V (Older7ldults) -Salarygange °SR-22 [31eaHeDaley' 08/01/95 07/31/95 ~~-r(~Q1~[ - - APrxoveG Data By AuRrany Oau ,'r, . _ Ollacbr d Frrwrrl y - DUTIES OF THE PaSIT1UN - uat aaCl duty a»¢wd b Ru pouam aowrauyY. Mangi uw duti» In bpral ordr baVaaarq wial 71aia'grtrnlad moil Ilaotanay and bbwW by aloaa oarlvtrlio oaasmiiN ea cYar. cornoru. and cola». StVtlc b sutarrwnu d tics awe er w d vipu or gaurai Wma. ciA. an aiurur d ttu ararapa arrant of u» anam n pantrmng star mapr AnY. If a naalbuaon d iti oouial n laaliaud. a1xTV or aaacl WIO?~ n OaMa, riaaaO for a1Ma dunpw and llfa aaCa Eau aMaal tl>ra Cnvgaa occurtaa. II mCn aoav n rriOi6 u» • blink aflial are anaat to Qaa larn - _ - o. cna ....e - . - S!x)M' Under the general administration ti the Eiderty Activities Division Operaziorts Olredor, this position is one of (4) x posrions and is responsible for the administration and management of the Hawaii Cotutty Senior Emptoymerrt tune Program. - _ _ . - - . r - - ~ - - - t. Plan, develop and administer program polities and procedures to: operate a County-wide employment E~ service and program which indude the Senior Corttmunity Service Einplayment Program (SCSEP) to meet iLS 208 goals and objectives; provide program orientation and training to staff: ertrd?ee's and agendas regarding program changes, employmer, aging, health and safety issues, labor laws, supervision and imerpersonal - rmmunication; and atnttorize program expenditures acxrordirlg to fiscal procurement-potldes and • - procedures. (1,2.3.4) _ _._:-~_r.~~ ~c1S:s , _ ~yv 2 Prepare grant proposals, budgets and reports such as: annual RFP (Request for Proposal) for federal funds; annual county budget request for county funds; budget revisions and modifit~tltxts, as necessary; finantial 20~ and programmatic reports on a morrthty, quarterly and annual basis: maintain program records and files, fiscal ledgers, irnerttory of equipment; and monitoring and audd summaries. (1,2,3,4) 3. Provide general supervision far staff and enrollees in SCSEP for. compliance to Federal,~tafe-and Courtly rules and regulations; polities and protxdures: follow-up courisetiriq regardlnq trorieerrt9 and respond and 20~ folow-up accrording to County's established grievance procedures. (1,2,34} : °^A=~ - - 4. Evaluate and monitor program services: conduct quarterfy.assessmartt of program enrollees and worksites; survery employment needs and satisfaction of services received: review training Plans and job performance 1` ~ ratings to prepare enrollee for transition imo unsubsidized jobs (2.3,4) _ - - . 5. Work cooperatively with other employment agencies in the community to coordinate intakes and rtaferrals, job L~ eevelopment and mazching; plan employment actrvities (e.g. Employ the Older Worker Week) and serve on various committees such as EAD Safety Committee and Employment and Training Task Farce. (2,4) 6. Public Relations: to develop and disseminate program brot7ttues and flyers to the public to recruit potential 9€ aopticartts and employers; serve as a resource person to inform employers on the needs of older workers; speak az venous organizations regarding the program and prepare amides for media releases. (2) 7. Perfcrm other related duties as requested. (2) _ ~ ~ c~ sg n a t. SUPERVISION REC37VED Give Ne posaon no. and Irtle d crmediate wAprvisor d th¢ posaian. - _c ~ 13 rile FAD Coerations Di.xt'ctor - - s„^ a ?^saim Number S. SUPERVISORY RESPONSIBILITIES OF THE POSITION = r-i' m m List must mmude vnth the ottiaal orc,7an¢atm c-han. _ a r~._. c _ f.... Poaitlon No. Tltla Nature ot~uperitilon - c r] ?433 Senior Drolcyment Couns~cr General = cn 32CS Account Clerk General ~.r ~~:^.ibit ?ace 'C e` Pr~aratl ~ , Pteaent .;lass ~ a 1 ; c ~ 7y Pry Grady ~ . 7. REOUESTEDACTION ~ _ , ~l ~ 3^ ~ J - Nsw Poasm - Yvtlal Abotbn ( ) Carp n Drmss sN r7«aanaLlitl« - Rarlo®m ( ) Radssrnpom - Rsvw (ZO ElTaOtive Date . ReWasted Cats Allaa0on °^7~^ ~i r+~.r-r-nr TV fOlr?ar Ar~tl ty) - Pte, ~y~ cR_7~ - 9. CERTTFlCATION OF ELPLOYEF Ths duties 6 retaensibifdies described above era aenrrate and mmplale. - - - - - ~ ~ - ~ EmPloy~'s Name (Pnrrt) ~ y~ ~K~a~ren E~. ~Kaddogt~a , r Empbyee'a 9gtrturs "~E"' U - - - --pam S/ 3 I I 1 i - _ _ - 9. ~ STATEMENT OF IMMEDIATE: SUPERVISOR " - " a CaaaW Na ru[ua and a<tam of sapavaion Micn you cards wr dfhr Oosdon ' rao[a!., S:'c _.a:.a. ~ - _ - 7. Inaara tro auadltaaara abadurary rwrwtarv b perform dr dutlr d tlfa Ooaoorl. KasD vt mmd Or Paadon Yadl and Iti dT a rwr aroloyea _ . nalL ninQbPla matbn ralnar Clan lfr alJ~adtM ar4Ww nno r»w OCC1~aIl. . 8amc Qualdiraaoru Naceaary for Want Pedormance cducatm • General (Circle mr~est yearl (9ementary and High Scnmq t 2 3 t 5: 8r R'-8-. 9r 1Q__iT ~1 - - - SoecularProtessaxul: (Collage) 1 2 3 1 2 3 4 Kirk pgy~]OlOps/CptIDgp~~.T1g/SOC].olOgy/C£rel]tOlGavl 'Nano Es0ananea-Kitd - ,:,e n.t ; t. and iengm n years: Canbinatitsl Of education and e~g>en ~Ca equivaIalt tti gr~latiDii flan an accredited college or Lmive_*sity, 3 yeais of ~i~iperience in pIatiiiing,~~~'~' developing and/or administerng psograls dealing with cannmity n ~n;~a- ~ tion, one of whi.c~t shat-I have. involved grogr~nts ~ services- dealing with the anployment needs of the elde>=ty~_a . •r^rt.ro - _ - v , - acs • .:p L';:'-CS 'D . _ a~b~i~esdge. swus and Knowledge oP aging Process: r~~~*+P^t, needs "of~ t~erveidesly: camzmitY nr~n;~ations: labor Laws; Federal QRUlty budgeting. Procedurns, and = al-ants manacelent. Ability to C:SililLn;r•ate nraLty and in writing; Prn^a~ grant(s) ProPaals; Prepaz°- r.~nLts% develnP_r~"-=*;"g stand?**j= and policies; plan short and long teen goals and obiectivQS: analyze :ac}s and ;nrnaratiorl; identi..~y alternativPS for x*-im+. - Phymral regwrements: ~ ~ - ~ - ~ - ~ - Light effort _ _ - - - - '~censes a t~nRcatea regtarad: fiaN2ii State rives' s License - - L ~0. CEATiFlCAT1ON OF IYYEDUITE SUPE1AViSOR I cenrfy mat the aacve sntamerrts are ecwrata atW cst~pWte. Immudaata SuoarHaors 3~+aaaa c , 11. CEATTFICATION OF DIVISION HEAD I canny mat me above statemerus an ecrzraia and cornpbta- Divisbn ovals 3quoua ~ l2 CEATIFlCATION OF DEPARTMENT HEAD 1 CHRny mat me BbOVB StdlBlitBntS a!8 BCG:fai0 and corTlpl0f9 10 me Oast d rrty 4rwwiedge. ~ o... 6/i./Ys Deoarvrem MeaCs 39nsn+e srnouoom Ongmai ~ Cvd Sarv e. ist G:oy - Ceoanrnent. 2nd C:,oy - E~.~ooyee 2 t':chibit A Pace 21 of 23 COUNTY OF HAWAII . Pookon N0. H~'7~ ..•""'-C:~''-~'k tkirtrc L Tao..+enti Type: civilservica (~o Exempt POSITION DESCRIPTION FORM ok,.~&:. Ft S,C00i, sr:'F2rolovnten~~Proarean .Permanent Temporary ( ) Island-wi.de - Full-Time Part-Time ( ) ~ --:~""x•O~~""~~~ z FOR CIVIL SERVICE USE ONLY .,.".,;,.~a A1+:ixarion Class n~=^7'~m n; ~o~~~~ 2T_ fn~_.=~ AD ,1 ~~1 --..._~ypyge ..~R=1R t7leGivs Dbe OR/01/95 MPmvod Data. 07/31/45_- / '.,'E.`C! ~Gtt~i )"/~i~• - AuavsY pay _ ~ Oncta dMarW i DUTIES OF THE POSITION _ _ thi eaU airy aaapwe b P» 0o>.am aapralary. Arrange llnaa OIYa n bpol octet lfgnyq W1 llleaa parbmaa nol bapun0y anC loaowtl Ey tltoaa Varterrtgo eerssanrN. Ba cyr. mndata anC conew Seek b ayy111~1b d tact avao Ov IM d vagv? or qua' lama fa7.a an asllmala a QM ararapa artiwtl a tkna apaen m o.~.~y ..cn ma+or atv. n a raalloooon a sa oonYas a nwrayd, eta. sr aun wqa..~ aaw.:aaaom ~ erar?d+sngsa aM ttr moo tzar vYhan sra dungo~ o¢vrea it mva apav s nwtloQ ur • Glans tflaal antl altaa~ b rtda tarn • ~ , . 'r ~~.:u +n..r..u..... _ - - - ~ - ~ ~ - - - - - - otGma. ~..r•ra~r<•..T I Under the supervision of the Program Director N, this sole position is responsible to assist with the planning and i conducting of assigned program activities under the Hawau Courrty.Senior Employment Program. 1. Provide job service to any applicam 55 years old or older seeking empioymertt whidt indude: grterview and - assessment using the Individual Service Strategy (ISS) form; resumapreparatlbn,:Job development, job referral and job matching, evaluation and selection of applicants for enrollment in the Senior Community Service 20% Employment Program (SCSEP) under the direction of Program Dlrecior IV.,'(1,2,3,4)-~~~;`"' - - _ ._rwf - Z Counsel applicants and program enrollees to set career goals, resolve Personal and worksite canflicis and make proper referrals to other human resource agendes when applicable. 20% 3. Plan and conduct SCSEP activities such as: annual recertificatiorts to determine corrtlnued eligibility of program enrollees, enrollee orierttalion, monitoring worksites, and follnuv-up on aurertt and unsubsidized 20% enrollees based on federal procedures and guidelines. (1,2,3,4) ;1,;, ~~~~.szazts - a. Coordinate and prepare worksites, reassignmerrts to other worksites, :work stxtedWes and assignmerrts, 20% framing plans and job duties. (1,2,3.4) . - _ 5. Maintain job and applirarrt bank for referrals or selection; collect, mmpile and prepare morrthty stets; complete enrollment and personnel forms; assts; with writing amides far newspaper or media publicity; recruit 10% 6. Assist with developing and implementing program polides and guidelines; planning presentation or training sessions to host agendes or enrollees. (2) 5$ 7. Other related duties as necessary such as attending workshops and conferences; represent director at staff 5% meetings and seminars. <z) - - - SUPERVISION RECENED Give ma posrtm no. era tttta of 'vrrnetliata wAervlear d this Oosdivt. Pcsmon Number HC 3297 Tile P•voran Director N (Older Adltlts 1 - - _ 5. SUPERVISORY RES PONSIBI LITtES OF THE POSITION p x List must nncbe vnth Ne ofllgal organ¢atm diM. _ ~ Posltlon No. Tltla ~ Nature of Suparvislon• m c; ~ r- s _ r-r o E>:hibit A Pace 22 of 28 - ~ ~ . J , a Present Class Seninr ~1>alovr zt Counselor - ~ . " Pn, mad. t g° . - 7. FEOUESTED ACT10N - _ - - Nn. Po.ror„ - tYdst Aso®en ( ) Ch+nos Outlss one a.s(+anyOiiE« • a.rnmon ( ) HsessCriasQ+- Fsasw OC J ` ; Elfamee Dare . He4resmd Clacs Aliooaon Qmrxran n;,-w^+nr Tr (olrl~r 3~i, r+-c1'--._~ ~,.."'peyC~ _ G~_tA a CEA T1FiCAT10N OF EMPLOYEE The dupes 6 reapms+hitities descrbed abare are accurate and carnplete. Empbyee's Name (Prktt) Y~`3' - - Emeloyee•estgrnutre _ - _ - o- STATEMENT OF INYEDIATE SUPERVISOR • ~ - a Dasarbo No rrer anC arrt of a+ww~art wl>id1 z s_~n, a . . you errrass over Wst+mdul.••-• ca:;.•••M._.~x:_;, c'.~nA*ai supervision: to set aryl review annual goals and objectives 0. ;nar~IS Cta rnrehtfcaaona aesaluWy naraasar/ n pancrm INa CtIDas d Cv ooeGOrt Kr0 n rtun me Pram Itsml end Rr rpu4a~ams a paw ertmloyw muY On10 n ar pOeflon fea1V a1e11 Qla aIYACirOft Ot dla enonyee wln rtow oGnps a., = Y I r b7- ~:.a ' _ _ . Edl1Cd[~n . CiBrlar8) - - 889d Q8~1C~te NKBisYy IQ N/Ofr( PerWrrt+anre (Circle highest year) (pemarrtary and High Scrimp 1 2 3 ? S 6 T & g 10 11 12 SpectalorProlaessxW: (Cotlege) 1 Z ~ 4 1 2 3 a IDnd:. _ ~ - Work Expenence-ICi,d -u fHr. ..1C^"; .•N'+Cw7rf~- ~ ~r0.,~_ - and IengCf n years: Canbinatinn of education and exper° ~r•° eQlrivalPSlt to graduation frrnl an acoieditt~ mllege or tmivpssity, l year of experience in inte_~viewina, assessing and counseling. ~ _ Krwvnedge, skrus and Inte_*view, assesstrnnt and aAmseling technigtlt~; the process- of aging and aodmes: the needs of old.=r indivi~~ls: the objective9 of agin4 piograts: pr_nc~i=_...I and practices of stmesvision; ttle-fvnc;~i.ori'af"various County, State and Federal agencies . Ability to work coope~tively with program enrollee and S1~-vlsozs: plan. asslcn, rzrrrrtinate, a-h,~„7P and Imnitor °nrollrs and wo~ites , interpret and apply >:nies , regulations , policies and pxoct~iu.-bs , prenara 3tat1St16 e17d Vd*1DU.4 LEpprtS , promote the hiring Of Ol1l°S wor~S? Phy5~Ca1 redWlBfTleni4: ua ~ - ezs . I.>,t>f1t efftart Ucenses or t~ntlieates raduirvd: EIawaii State IIrive_~' s License - I t0. CEATIFlCATON OF IMMEDIATE SUPERVISOR I eertAy that the amve sntamenrs are aec:rate and complete. Immeaute $upar~.sols Styunra ~.c'\~- ~ ° G Oar 11. CET71FlC11T10N OF DIVL910N HEAD I certAy maz me at»ve statemertts ara aoauate and complete. ~ - OiNVan Ma.a•s SiryuWty 12 CfHTIFlC-AT70N OF DEPARTMENT HEAD I cartAy mat the acove scaternents are acara[e and cvnolete to me hest d my knowledge. ~As~ L ~ ~ Daoartrtrant Heads Sgrusss ,/'i. 9~'r'~-+ 0aiv b/d-~YS ~~stncuam- Ongnal - C:.d Service. ist Cady - Ceoartr*+ent. 2nd Cooy - c^okryee ~ Exhibi_ A Paqe 23 of 28 uuurvlrurrvavvr~n na~~s & P~~-rP tern 7. OOsIC'In N0. 3208 Da01. POSITION DESCAIPTfON FORM av.Qear. Elderly Activities Type: Civil Service (x) Exempt ( ) PerrrWtenl ( ) Temporary ( ) Sacaon SPnI f]r Fkr= 1 zTront D Full-Tune Par:-Time ( ) Gaog..lx. cry„rr, u; i„ z FOFi CIVIL SERVICE USE ONLY Albcatlon Cass ACWUM' CLI~1C Salary Range SR-11 Eflectne Dale n7_ni_n~ Approved: Date 04-21-93ay Nntwriry Datu Dir¢crv d PaamW 1. DUTIES OF THE POSITION List Dail, Dory asagrwa b Cro ooutlm woaraWY. Artanpa Naw oul,oi n bpiUl vdi oaq.wrq w+lh tl,oso pwbrmed moil 6oawntlY ape lollovvd W Now prbnrc OCL]LOnally. 8o cbar, COmObb. and COnOia. SUok b ili1P.,Bflli d IaCL avo,0 ltr uN d vaQlla OI ger,wal larmi. Ghv an Bsbnab of P,e avwape artlOU,l of 4rnr WYnI pBlW,M1I,Q pad, mapr tlYlt'. II a ,OaIbC~YOI, d U,a oovuon n IpQgibO. SNOW Na Uar,pai m duwi. faafOrli br U,aw ctun0ai ana Iha Yiacl Oab wron Orw ClSangc oGCUrmo. II mdo ipacY R r,w000, uw ~ aa.u snYbl dM al{Yl, to tlvi lam. The Senior Employment Program Account Clerk is the sole accounting/clerical support sn~w position in this secticn. The position is under the general supervision of the Program oltlm, Specialist II and is responsible for aL' accounting, clerical, and routi.~e personnel duti 1. Prepares time sheets, leave forms, and all other personnel related forms for enroll and staff. Reviews and reconciles hours and processes adjustment forms; maintains 30 the Time and Attendance ledgers and collates the monthly Report of E.n~-ollees.(1,2,3,4) 2. Prepares and processes all CPA's, regui_sitiolis, petty cash wuche_-s, manual wuchess, travel claiTS, mileage clairs, and al_ ot`:er accounting related doa,^ne.^.ts in 2G accordance with pres¢ihed standards and ol;rtelines. (1,2,3,4) 3. Uses the personal canputer to pest and maintain ecpenditures to inaividual accounts and ledgers; reviews monthly trial balance and reconciles with individual accotu~ts; canpiles fiscal data in preparation for County and Federal financial reports and 15" budgets; transfers funds between individual accounts; assists with revision of the budget and making recamlendations on fiscal matters. (1,2,3,4) 4. Types into final form, reports, rnenos and all other correspondence; logs in and routes mail. (1,2,4) 15' 5. Answers the telephone and takes messages; provides infoanation to the public regardin the program; sets up physical and x-ray appointments for enrollees; etc. (1,2,4) 10' 6. Piles all correspondence, inwices, reports, and other records and maintains a neat and accurate filing system. (1,2,4) 5", 7. PerfoarLS other related duties including, but not limited to: maintaining the inven- tory of equipment and supplies; xeroxing, collating; picking up supplies; attending 5'. ~,orkshops and meetings; etc. (2) SUPEFYISION RECEIVED Give the postlion no. and bile of vnmediate iupemsor d L7is posnwn. Position Numeer 32°~ True Program Specialist II 5. °.UPERVISDRY RESPONSIBILITIES OF THE ?OSITION - Lest must c~~~aoe wllh the ottlaal organ¢auon chart. Posltlon No. Tltla Nature of Supervision not applicable rris ea ~ J9 F~~ibit Face ci 28 ~lcccunc Clerk SR-il ivwu CSua P+? Ciro 7. REOl1ESTED AC73Pf ' r4. vwoon - Iner Macon ( ) t7r.Q ti Qrar end RrrorDlalr - Aeel~aan ( ) R.e..oroaon . a.dw I}C 7 Eflacdv~ Data Fieauestod Class AYorstiort pnr Grade 8. CL-9TIFlCATION OF Ei11PLOYEE iTe dunes 6 responsbiGties described above are accurate and cpmplele. Emplpyee's Name (Prita) Bercha Mashviyama E`''plO1'~65i~°~ Oate 12/1/92 9• STATEMENT OF IMMEDIATE SUPERVISOR i OastnDe e>a ra0n anC exbm of sueervuon W`rf you emdsa owx Wt posnion_ The Program Specialist will plan and assign the duties of the position, and will review and evaluate the progress of the Account Clerk. 0. :nd,nare trio qualdiGUOrs absauleh rcccssarv io perform Una dtruas of Q+e poa4at Kew in mew Ure t»vtron itsal antl me waii(raaans a new emoroyee must pmq t0 a,e posfrw. rimer man me Ctyu:Cauons of Una emplorea rMro now oKUpre~ M1 Edunalion -General Bas+c Oualdicatwns Necessary for Work Performance (C:rcfe nrg~esl year) (Elementary and High Schpoll 1 2 3 x 5 6 7 8 9 t0 11 12 Spacer or Prolessmat (Couagel ~ 2 J a 1 2 3 a Kind; '.VOrk Ecpenance -Kind Canbination of education/e~cperiestce substantially equivalent to and length n years: ~-ad•.lation form high sdlool and 3 ears c'_e-foal e. y ~cperience, 2 of wni~'>, shall have been in account recordkeeping cork. ab~edge, skrus end Booic)ceeo~ng principles and practices; office practices and procedures ; gra~mar, spelling and wozti usage; filing methods and systems: use of standard office rna~hines. Ability to maintain fiscal accounts and recur & detect errors in posting & calculations; prepare financial reports and statements; interpret fiscal records & aorta; interpret laws and rules and regulations of the department; make arittmetiral computations; cacra3 names and ntanbers: ooe_ate calculating 6 adding machines and ~.roewriters Physuar reatarertwna: Light Physical Effort Group Licenses ar carfrlicata rapsrad: t0. CFATiFlCAT7ON OF AsLEDIATE SU~?EAY13OR 1 nnny oast tM above sluarrrns sra acatrala and Compiate. 4mretllale supawbr. 3tfuaae Lam("' "~~l-IJ f. (~,ttGo-~~c. ~ y - .3a - 4~i It. CERTIFlCATION OF DIVISION HEAD 1 rArtny 1hW the above stalernrss era ecwnla snd corrroleu. Rvioon hbeds 9~tr• _7 Day 72. CERTIFICATION OF DE.°AR7'LENT H a I prnty Ural Ina above seal are aearate and complete to the best of my krowleage. ` Dooermrrn rieeCSs v C~•T~I+C~~<~tf-{-i 'N-C.~~,~ 12 2 92 er+~• Dau / / Or;nounom Onq,nal -Civil Service. +st Cooy - Oeoartmenl. Znd Copy - Empbyee 0 Exhibit A Page 25 of 28 ~xhi~it ~ P9C.; Page 26 of 28 jj Revised I L i 9.96 ~I0~IITORNC' ~SSESStiIFV'T A\TD EVAi_UATION PLAN The Hawaii County Office of Aging (HCOA) shall monitor, ASKS SyS, and evaluate is CONTRACTORS to ensure program compliance, to improve service quality where necessary: and to determine the extent to which the respective service meets the needs of older persons in Hawaii Count`•. ~ionitorin!* The HCOA Program Specialist shall perform ''des~7o~ monitorine at ]east monthly as reports and client data are reviewed, and payments processed. Incomplete or inaccurate repotts are returned to the CONTRACTOR for correction and/or completion. Follow-up is made until conditions are satisfactorily met. Should a problem or poten[ial problem be identified, the CONTR4CTOR shall be contacted and the concern reviewed. Each concern and follow-up is documen[ed on the ~rinr'~r '~lonitor~n~ Re~nrt form. .A mart r~~,~~'lonitorino rnd A_cse.csmenr ftepor, shall be completed within ~0 days afro: each quaver. This report shall be reviewed by the Executive on .-yging and filed in the HCOA contract folder. ~,crssments During the contract year Generally during the third quarter), a Client Sati~fartion Survey shall be mailed to approximately 10`,'0 of the individuals receiving services via this Agreement. Should any response indicate that a more thorough assessmen[ is needed, a PaslAont Evaluation Survey shall be completed by an HCOA Program Specialist. Additional participant evaluation surve}'s may be randomly taken as deemed necessary by the Program Specialist. Other methods of assessments may include but shall not be limited to site visitations and service evaluations. Site vi citations may be conducted by the Program Specialist to assess the physical facility of the CONTRACTOR to ensure that the service environment is safe and accessible to participants. .Site visitations also enable the Program Specialist to observe the delivery of service and to provide participants with an opportunity to give informal feedback to the HCOA. CONTRACTORS receive at least two weeks notice before a fotTrtal site visit is conducted. S,~t'ice Ernluations may be completed by interviewing CONTRACTORS to ensure that minimum service standards or regulaton• requirements are being met. Personnel from other agencies may also be interviewed to obtain third-pam perspectives on how the CONTR4CTOR is meeting the needs of older persons. ?xhibit ~ , eeaw Page 27 of 28 Reviud: I1/l9/96 gQ~~m .o Iuation At the end of each year, an Annual Prneram Evaluation Renort is completed for each contract, based on monitoring and assessment activities. This report will be used to determine whether or not terms of the contract, applicable rules and regulations, and contract objectives have been met. It will also be used to recotnmend changes for the furore, if they are needed, and to determine whether or not the CONTRACTOR was suitable for the delivery of • this service. Upon completion of the report, a copy will be shared with the CONTRACTOR. 2 - Exhibit A Page 28 of 28 Part III. SCSEP PROGRAM PLANNING SUMMARY I. IDENTIFYING INFORMATION A. Subproject Sponsor's Name ~ Address B. Grant Number C. MOD Number -6089-7-00-81-5 -H Hawaii County Office of Aging 101 Aupuni Street, Suite 342 D. Grant Period E. Authorized slot/ Hilo, Hawaii 96720 Position Level for Duration of Pro ect: 42 II. ENROLLMENT AND TERMINATION 1st Otr. 2nd Otr. 3rd Otr. 4th Otr. SUMMARY 9/30/97 12/31/97. 3/31/98 6/30/98 A. TOTAL ENROLLMENTS 46 SO 54 58 1. Enrollees Carried Over from Previous Project 42 42 42 i 42 2. Enrollees Staged Under this ro'ect 4 8 12 ~ 16 B. TOTAL TERMINATIONS 4 8 12 16 1. Placed in Unsubsidized Employment in this Project 2 4 6 B 2. Other Terminations this Project 2 4 6 8 I C. CURRENT ENROLLMENT 42 42 42 42 C-2 Agreement TD No. D-6089-7-00-81-55-H PROPOSAL BUDGET Exhibit B ' (FISCAL YEAR 1997-98) Page 1 of 14 Applicant: Hawati County Office of.4ging Page t o(t eager RFP: LBR 111-00.', BUDGET Budget Enrollee Wages Other Eurollec CATEGORIES Requests Administration & Fringe Bcucfit Costs la1 (bl cl (dl A. PERSONNEL COST 1. Salaries 214376 1OS21 22'i,BSS Z. Pa II Taxes & Assessments 27333 1.209 26,124 3. Frin a Benefits 1.751 1.751 0 TOTAL PERSONNEL COST 263,460 13,481 249,979 B. OT(~R CURRENT EXPENSES 1. Su lies 4,0.12 1.917 2.1 L5 2. Provisions 0 0 3. Posts e, Frei ht & Delive 128 128 4. Tele hone 0 0 5. publication & Printin 450 4S0 6. Miles a 3.400 ;,.400 7. Airfare, Inter-Island 400 400 8. Airfare, Out-of-State 0 0 9. Subsis[ence/Per Diero 1320 1320 10. Taxi /Bus Fare /Rent-A-Car 270 270 1 t. Lease/Rental of S ace 0 D l2. Lease/Rental of E ui ment 900 900 13. Lease /Rental of Motoc Vehicle 0 0 I4. Utilities 0 0 1S. Re air & Maintenance 700 700 16. Insurance 0 0 17. [nde endent Audit 325 325 18. Contractual Services 960 0 960 L9. Staff Trainin¢/ Enrollee Trainin 820 200 620 20. De rcciation 0 21. NEOWw 0 0 22. 2~1. TOTN. OTHER CURRENT EXPENSES 13.705 10.010 0 3.695 C. EQUIPMENT PURCHASES 0 0 D. MOTOR VEHICLE PURCHASES T07'AL A+B+C+D 277,165 23.491 249,979 3,695 Bwn. v.w~a e.: REVENUE (SPccify) Marcus Kaya A. Title V Oldet Americans Act 277,165 w.Rn. e.n. rA.~. o,...m. Fns.: wi-nw B. Non-Federal Mach 70,644 fit[-«. C. Lanu~n m w.nw.~.m om.,a D. L u ~i. ~ (~~II~In7 W.IYm T W b. F~rtmnn on n.m. Ou TOTAL REVENUE 5347,809.00 r<.om.~.i u. oni. m, nr a.., o.. n ~p I I, I I ~ I I v II p ~Ii...l I ~ O d~ (TD O m~~ IA N N ~ IN A N Z~ D ~D 7 DIr W OD W 07 W V O O ~ 'r1 TI O I' I I Z _ m m nlZ in ~cDi III j ~ ~ I~f a a Olo ~o 'O p: ° n m In O O Dia c i= ~ c ~ O O ~ IO ~ ~ ~ -o n mi~l~t I I_p Ig ~ I i~ ~ o I ~ 3 y I~ I` Z~a II m m ~ j In nl~ ' ~n p p ~ yl0 ~ I Icy ~ ? i Im z I~ I I In n o o ~ o D ~ I ~i i - C i j I I 'j j y D C 37 i I I D s Z r ~ O C I' N Im ~ ~ I III i N m N < r~ ~ Z p I~ o'„' o~ I ~p ...yin m o Z L7 a l o a I! I o a a I'T1 m A IO I O A I o r -1 V I I ~ ~ ~ L I I ~ i I ~ Ip ~ I I I. I m r I~ fn D r ca N j °o °o °o m w ~ n o m D m ~ fn n~ O W n Z 7 m N (71 (n X 0 0 0 O O i 'O O I N a a 0 p m ~ 0 D I II ~ V ~ O W N W W ~ O O m I I I W N x r W O O O i I IW O i-+ (n C1 C~ o o I ~ II IN B O A y c' ' I ~ O 3 ~ a N ~ 1 I ~ D < a W ~ r w ~w iN I, ~ I ~ c ~ o w w I rn ~ I ~ o o f p ~ to ro to a ~ in ! rn i o o~ ~ cn cn ~ ~T~I w x a m cn ~ (T i (n O I ~ N ~ 'I -1 ~ OZ W ? I , m tr ~i I ~ i O ~I.O ' ran m rn m irn ~rn r:rn io C7 ~,'i cn I in , cn I a hw imloim co P S I i w n <n o v j LI T ~ i C D ~ D m' ' m ~I I I li ~ D O IW I r ~ D o li m L 'Z 'i 'D m OI' i m x n z ; it I~ m x pi,~ 'I ~I~ ~~v INS ~ O ;o I'I~ I~ Io ~Z ~ f ~ i ~ i m ICI I - x- 13 13 I I O ~ c ; s im Zi I ~ II 0 3 3 c •U> '~~I~ II !d i I 3 ~ ~ 7 Iw ''WW~~I~ m 7 ~ i0 I IUD ~ ~ ~ CA p ~ ~ i IN ' I 7 1Cn T 3 n?~m 31 U I ICI I C I W d O. Z S.D O ~ ~ ~ !O O ~ I O~ 7 ~ m ~ IIm' Z f l ~ I m ~ ~ IID ~ I ~ Ir i II 3 ~ 'll I I ~ ~ m j N m ~ C m T a I C I If I II' i yZ~-, 00 Iii ~I~ .rI ; ~~I~ ~ ~ mmp x171 to logo ~o I I Io I'o 0 0 0 0 ~I z T ~ ~ w I w ~ I ~ 'iw ~ ~ N w ~ ~ L j j I N N I j I I j N N N N D ~ X I~~ I I ~ m ~ I ~ ~ I I' I I a a D n I ~ ~ p ~ ~ ,v II I~II,~ I' Ills o Io rn ~ ~ ~ ~ m I w l 11 I, o I R i o w~ ~ o O ' I Q> N ! A A O Ut I A W N ~ ~ (v ' A II A O I (D O I N I (T N 1 0 ~ (n Z 0 0 0 o~ o 0 o i o 0 0 (O o ~ I o t o i_ o li o ~ o I~ o o i V 3 i m I rn I I lil OI w ~ O TI a co ~ 'v iv w rn r y Z 01 (O N (00 i O O W A N N CI) O 3 I I I I ~ IN ~ 171 it I, j ~ ~ I ~ z v N ~ i I ~ ! ~ ~ G X _ i, ~ i C (D Z fD N i ' I ' ~ ~ Gam) ° W Q' i I O ~ rn 07 I ~ ~ ~ I I ~ I 10 a O_ ~ I ill ~~I I, I ~ i J i m t0 V W N ~ Li ! ~ ~ I Z ~ C O I tD 6] ~ V Of (11 A W N ~ 'O DDD~ i I ~ o p~ olm ~ Ti I o O O m D y ~ aaa I ~ ~ d 0 !o - ~ cpNNn ~ , ~ 3 TI cn m mmm0 I,~ o n ~ i~'Lz A 0 0 0 n I O 1 I ' C O N N r 1 I 11 I m ,=o 'i i I ° ~ m m m Z ' ~I I i ~ ~ w i i II ~ -i m m m ' II 11 ! I ~ I m o~~ ~ I, 'i ~ I I > > > m y rv ~ 1 I I 4 1Q Q ~ 1 1 i c c c ~ ~ ~ ~ I II' ICI ( ~ ~ ~ 1 ~ y w i I i j~ O ~ ~ ~ ~ ~ ~ m ~ O N'o o I 11 ~ DZ c. < +n - N' r -i m y m I ~ ~ I I~ I o. I I ~ I ~I i ~ ~ o C a I j ~ ~ Z~ _ ~ ~ >mm ~ m I II i ~ ~ ~ 11 m o~ o I i o o I o 'III ~ 'n c 2 0 ~ ~ ~ ~ o ~ D _rn rr S> > w D o 'n o c a D m Z c ~ ~ O 5 ~ Z c a ~ 0 0 o m ~ °o I 0 0 0 W I I ~ 1 ~ D ~ I I C7 X 1 ~ ~ ~ > - o I I ~ I li o °o o ~ t ~ I ~ > ~ + ~ D r Wo I, i, 0 0 o n r T ~ O I, ~ O O N X i I m ~ ~ ~ ~ ~ I,, ~ ~ y (D Z O CY N W ~ (fl a 0 .P N' pOi I ~ it I i ~ O 10 ~ ~ n iii 1 ~ I O7 ~ O O 101 rn b7 ti W, A ~ 1, V I O i L ~ ~ ' C. 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' ~ irn C C D (A w o r' ~ i i ~ ~ I O ~ i ~ n ~ D ~ ~ ~ -a o I ~ o , m 0 ~ I ~ is ~ Z i ° v ; m to it I i o_ < i ! o i~ I i ~ ~ m T ~ ~ ~ O O N ~ l I m ~ ~ m o I m m O ~ ~ I I ~ m < ~ ~ I I r' ~ a p n m rn ! 3 m m -o m j I I to ° 'w p m r ~ I ~ v o ro ra l a ~ w x ' 'I m i rn II ~ rrr v o I o m ~p rn W ' I ~ m i cD ~ - ~ ~ J .A I Q ~ I O i C7 N ~ ~ o ~ D Q ~ _ v ~ (D m V1 W _ D ~ -O cD ~ I c ~ !m !c ',o c c o ~ ~ ~ ZI, O'!,~~Q, -O r CD 'LS,~ ~ ul 7 D (D. O O ice. ~ ~ O I fl1 ~ N~ ~ 3t ~ f m a I c.i~ i~,~ III ~l N m m I.» 2 ~ nP. ! ! ~ ~ ~ n ~ ~ I i ~t~ N ~ 7 00 III Iii ~ Ili I. ~ ~ o Itn I o ~ I ~ I I N o I II !I I O ! w w 7 it C o ~ ~ I ~ O I m o m _o li i I ~ w , _ I~ ~ ~ ~ O ~ NIN O O OI U~tN W ~ O W ~ (T ! O O C.JI O O j O O 107 . N a C i N ' I ~I, !I ! I ! ~ I ll ° ~ m D ~ ~ m ~ I O ~ i I ~ x ~ ~O' ~ N W ~I O iA ~ A I-' O ~ IO ~ fA iO i ! O(NT~ O O O OO~~,V IW ~ ~ `D I I ! 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Oil i ~ ~ ~ O ~ 1 01 f ~ I O ~ p' rc r AI i I~ i I i I w ~ CO ~ 'I ~C]~ ~ I N ~ ~ ~ , I cD do ~ ~ o rr ~I A O LT-~d p O 1,7 ~ p; O,O O1 O1O1 ~OiO1O (~D ~ O ~ I W ~ ~ W~ tL W(~~'J iJ,CD I(D ~l O~. iWiO O'IO P7 ~cOD 'O 0 G1 W C1 t,5 p 0~ wl O'OO O~NI OIIO A O~~I ~ a' • ~ Z ~ S C, ~ ~ v C~, I ~ I ~ ~ I~ c O'~ I I ~ m n;~ i ~ ii i I ~ ~ O m cmn Oi; ~i ' i ! ~ i D n ~ C ~ m I i iQ 3~ ~ f Z ~ ' ~ I~ m O Inlet ~ i ~ I m z z ~ i ~ n II i a ICI i~ IIO m I ~ o ~ ~ ~ 12., ID ~ ~ Io D m I'~l ~ ~ z o z ~ ~ C ~ T O A C i ~ y - C I - ~o I ' I o n ~ m I i i t o m~ I~ Z ~ ~ i ~ ~ y y II~ C O ~ I ~I 10 I ~ ~ I I ~ ~ ~ m i w D -D~I i ~ n~~ io ~ ono ~ ~ ~ m r I z I l ' I c I o~ ~ a j o r o l i to T Q Or ~ I' ~ Z Q I ~ O it ~ I d ~ ~ I ~ l i p a - I ~ nro, x ~ S ~ ~ i ui~I o v ~ ~ ~I M o ~I ~ r ~ ! ~ A ~I , NI~7c, I ; ~'I-.~.?I(o I^ICD i) ~LTIfU fD ~ rla v r,vtitil ~ ~ ~ m ~m~iz~I-~,I~D,O!~IOmlc~c~~cn~ -imp o D ~DI,`a v,'~OS ~alo~~ ~~~I~ ~I~~w.;__la mlco o O c~ Z cn'Iw w~2!~ ~'.-.!_.-.-i.mlc o~ N w ~IW~ ~I 7 O m 0I~ lip, c Imo; 7 w cD N 07 D ~x (D ~ ~lol~~, N'j~ BOZO N~ ~ y Z I~ I ~ l im iv' n ~ i ~ t0 ~ ,wi I ~Im I ~w m~ o' o !,c° I I ~ i I ~ I a! i = ~ m: a l I I! ~ w I ~ w i co' y O I ~I fD ~I ~ » (D ! ! C IN ~ ~ ~ ~ I ! 1 I ~ W i ! I I WI ~ W ~ i I ~ i ~ I ~ -oWil',f ~ m c~i i ! ~ I mil, ~~a ~ m ~ ~ t _ ! o WI Jr i, I~iN~~OI,-~ ~I7. 3 W liA N LO '~''iO 'VIW, IW~(D (Jt~v N C (D p O 'O O 10~~ I(O~Q)I~Ni' w w' O ~~I O - y]~ ~WIO ~ IO~VIOI OIO~~i - _.i ~ L7 l--J _ m I O 1 ! ICI AI ~ IJ ~ f~ CJIN A!^ ~ Irnlo ~.o w o 0 0 of°w°oioo°o~~l0 0 o~rnca ~ 3 O ~ ~ I D A ~ ~ ;i ~ o o z N ~ ~ ~ N N~ ~ CA ~ I.. II i N!~ (17 07.I ~ D p ! N N ~ p~ ~ t0 ! Q> W O O_ cDl0 C7 [70OOOO!OI O1O OiOOOO A (n O W 7 ~ I it W I~~ I ! 'I I ~ I I~ I I II II I T I , 'W I !IVI ~ (D ~I J II m 'I ~ . N ~I Ili m f' ~ o ro to ~I IU1 Q 'I p'I QI I~ I I w' ~ l0 ~I ~I ~I N ~ rn ~i[O ~ O ~ IJ. N ~ QQi OJIv IA O D-O©O O O''. O'~O'~O O~O~(n O OI OCp i' ~I W O lD ~ --r-1 W~,,., ~ i ~ N II Oil-. ~ ~ J ~ ~ A'~ (Tl (D i U7 ~ ~ O W Q~ tb tD y ~V (D IW'~V~'O' W O'OIIIp ~ ~O Na O ~N O 10)I OiW (D O~~N h 'Q~O 03~ W O OIO O!W O~O Oi O~N'O~O AtO ~J ~ ~ ~ ~ - ~ ~ - _ o' o > W N ~ ~ Utr,A W N 7 ~ C7 CO D ~ C7 Co D ~ D p7 D Z ~ pmD~ OmDO Z I O Om~a T~ I ~ ~ C D 07 l,D m~~ D m~~ D ~ ~ D" C7Tt3('n Z c _ ~ m n m ~ a r' w. ~ Z ~ a z ~T o m o~ ~ c it I ~.,IDZO ~ - ~ = C C N I II I III ~ D Z Z ~ I I i Ili ~ ~ ~ C 'ICI j'-~ C O ~ I III ~ Z Z V I ~ D ~ ~ it I IwIC D mI s < ii I I~ O D ~ n I ~ I~ O rI, - m ~I I I ~ 3 ~ ~ c I o ' 'I I it i i ~ I I O ?i m I m j~ I I I~,~ I ! I ICm ~ ~ I ~ I~ I ' I Z o I Z O ! ! Horn I m imll Im Im III I I~IN,~~ D O III I ~ '~NI(17'(O la. I~I~ IWI(DIWIIC7 r 7J Q) I I I(p~All m'N 'I~il i-+,' '0101 A~~. III ' ~ IN'0 ~1~0 I m'~ O~~II01I ~ D iAICJI W~.N j U1II, 01(D, -+.I ~ r~ Z 'IW I I I INI'~ W C, ,V.: W WI,-, cn I ~ I~IA~m y~ o~~ rnl ~10~ ~ D N ! OD~O mjA ~I 'Ai~ ~ C0l7 r ? { c_ ~ 1 ~ I ~ I~I~ y II 17'I ~ i I-1 ' ~ 11 ~Q' I ~ ~ b N NI~J VIII ICI = _ 0 i J I A m I QJ I, CAD i I ~ .,,i 'IN '~~,p WIW i IOIi~ III- I m X ~ ~ I I II ~ ~ T II ~I~ I ~ II p ~ fD F+- ~ r- D II ~'I I II ~ ~I T w rt OJT"1 I 'I ~I IA Nv D A~I AAA (IIZ ~ ~ ~ 10 i ~ W'~.0 WI~I ~ IV I~,(llJ O r m I mlO A~~ III ImI~ 010i~Cn ~ .a A I 0'~l 01m I(OOIIIOA01m`~ i Exhibit B Page 14 of 14 Part I11. SCSEP PROGRAM PLANNING SUMMARY I. IDENTIFYING INFORMATION l A. Subproject Sponsor's Name & Address B. Grant Number C. MOD Number Hawaii County Office of Aging ~ I i 101 Aupuni Street, Suite 342 I D. Grant Period E. Authorized slot/ Hilo, Hawaii 96720 Position Level for Duration of Project: 42 IL ENROLLMENT AND TERMINATION ~ 1st Otr. 2nd Otr. 3rd Otr. 4th Otr. i ' SUMMARY ~ 9/30197 12/31/97 3/31/98 ~ 6/30/98 ~I ~ ! A. TOTAL ENROLLMENTS 46 50 54 ~ 68 1. Enrollees Carried Over from ~ Previous Project 42 42 42 ! 42 i 2. Enrollees Started Under ~ this ro'ect 4 I~ 8 12 16 B. TOTAL TERMINATIONS 4 8 12 16 ~i 1. Placed in Unsubsidized II Employment in this Project 2 4 6 8 2. Other Terminations this Project 2 4 i, 6 8 I C. CURRENT ENROLLMENT 42 Ili 42 42 42 ,y'