HomeMy WebLinkAboutCOM 0228.015 2020-2022 655 KILAUEA AVENUE
HILO,HAWAI9 96720
KELDEN B.A.WALTJEN a' T� PH:(808)961-0466
PROSECUTING ATTORNEY ;` �w 'r FAX:(808)961-8908
* 74-675 KEALAKEHE PARKWAY
STEPHEN L.FRYE - KAILUA-KONA,HAWAH 96740
FIRST DEPUTY 4 ;• PH:(808)322-2552
PROSECUTING ATTORNEY �7 FAX:(808)322-6584
64-1067 MAMALAHOA HIGHWAY,C-3
KAMUELA,HAWAII 96743
PH:(808)887-3017
OFFICE OF THE PROSECUTING ATTORNEY FAX:(808)887-3016
DATE: June 14, 2021
TO: Maile David, Council Chair and
Council Members
VIA: Kay Oshiro, Controller
FROM: Kelc�en B.A. Waltjen, Prosecuting Attorney
RE: NOTIFICATION OF GRANT AWARD
Compliance with Ordinance No. 20-45 (current Budget Ordinance), Section 7(1)
Name of Grant Program: Big Island Juvenile Intake & Assessment Center
Grantor: Dept of Human Servies
County Grantee Department or Agency: Office of the Prosecuting Attorney
Grant No. (IF KNOWN): DHS-2I-OYS-101
Amount of Grant: $200,000.00
Amount of County Match: $ 0.00
County Revenue &Expenditure Account Numbers: 3308.88 t 010.271.5271.95
Grant Period(Commencement& Completion): 10/1/2020 to 9/30/2021
Purpose of Grant: to implement a Juvenile Intake and Assessment Center to prevent
at-risk youth from juvenile delinquency and to prevent further involvement with the juvenile justice
system.
Is final report required by grantor? ®Yes ❑No
Notification attached: ®Yes [-]No, because
Comm. No.
Ref. To:
Hawai'i County is an Equal Opportunity Provider and Employer R e F. Dose JUN 1 7 2021
Form NGA 05/14
i
CONTRACT NO. DHS-21-OYS-101
G""OF h
E ,
STATE OF IIAWAI`I
t ,j
CONTRACT FOR HEALTH AND HUMAN SERVICES:
f
TRANSACTIONS EXEMPT FOMCHAPTER 103F, HRS
This Contract, executed on the respective dates indicated below, is effective as of
October 1 20 20 between the
Department of Human Services, Office of Youth Services
,
(Name of the state department,agency board or commission)
State of Hawaii ("STATE"), by its Executive Director
(Title ofperson signing for the ST,4TE)
whose address is: 1010 Richards Street, Suite 314
Honolulu, HI 96813
and County of Hawaii, Office of the Prosecuting Attorney
(Name of PROVIDER)
("PROVIDER") a Government Entity
(Legal orm o P D i.e., orporation,Limite Lia i-ity ompany,etc_
under the laws of the State of Hawaii whose business street address and taxpayer
identification numbers are as follows:
Business street address:
655 Kilauea Street
Hilo, Hawaii 96720
Mailing address if different than business street address:
F ederal employer identification number: 99-6000567
Hawaii general excise tax number: N/A
ce i that this is a complete,
true, and accurate copy of the
wiglgal on file to o EXEMPT TRANSACTIONS
Page 1 of 6
Office ofYoath 5ervi AG Fonn 103F6(02109)
CONTRACT NO, DNS-21-OYS-101
CITALS
1. This Contract is for a purchase of health and human services that is exempt from the
requirements of chapter 103F, Hawaii Revised Statutes, ("HRS"), because:
this Contract is between or among government agencies as provided in
Section 103F-101(a)(2), HRS;
this Contract is to award grants or subsidies of state funds appropriated
by the legislature to a specific organization as provided in section 103F -
101(a)(1), HRS, and section 3-141- 503(a)(2), Hawaii Administrative
Rules, or to award subawards and subgrants to specific organizations
directed by the funding source as provided in section 3-141-503(a)(1);
this Contract is wholly or partly funded from federal sources that conflict
with the procedures and requirements established by chapter 103F. HRS,
and its implementing regulations;
this Contract is wholly or partly funded from federal sources that(1)
identifies a target class of beneficiaries, (2) defines the requirements for a
provider to be qualified to participate in the federal program, and(3) has
the price of the provided health and human services dictated by federal
law;
this Contract is for an affiliation agreement with hospitals and other
health care providers required for University of Hawaii clinical programs;
this Contract is for the services of psychiatrists or psychologists in
criminal or civil proceedings as required by a court order or by the rules
of the court;
this Contract is for a transaction covered by a written exemption
from the Chief Procurement Officer for the STATE dated
20
2. The STATE needs the health and human services described in this Contract and
its attachments ("Required Services") and the PROVIDER agrees to provide the Required
Services.
EXEMPT TRANSACTIONS
Page 2 of 6
AG Fonn 103F6(02109)
CONTRACT NO.DHS-2I-OYS-101
t
3. Money is available to fund this Contract pursuant to:
NIA
1 (Identify state sources)
in the amount of N/A or
(state funding)
(2) Title If Formula Grant Award, JJDP Act of 2002, CFDA No. 16.540
(Identifvfederal sources)
in the amount of $200,000.00 or both.
(federalfta2ding)
D. The STATE is authorized to enter into this Contract pursuant to:
Section 346-63, Hawaii Revised Statutes
(Legal authority for Contracts)
E. The undersigned representative of the PROVIDER represents, and the STATE
relies upon such representation, that he or she has authority to sign this Contract by virtue of
(check any or all that apply):
corporate resolutions of the PROVIDER or other authorizing documents
such as partnership resolutions;
corporate by-laws of the PROVIDER, or other similar operating
documents of the PROVIDER, such as a partnership contract or limited
liability company operating contract;
the PROVIDER is a sole proprietor and as such does not require any
authorizing documents to sign this Contract;
✓� The PROVIDER is a government entity, and the undersigned
representative of the PROVIDER is duly-authorized to execute contracts
on behalf such government entity;
other evidence of authority to sign:
F. The PROVIDER has provided a"Certificate of Insurance" to the STATE that
shows to th e satisfaction of the STATE that the PROVIDER has obtained liability insurance
which complies with paragraph 1.4 of the General Conditions of this Contract and with any
relevant special condition of this Contract.
G. The PROVIDER produced, and the STATE inspected, a tax clearance certificate
as required by section 103-53, HRS,
EXEMPT TRANSACTIONS
Page 3 of 6
AG Form 103F6(02109)
CONTRACT NO. DHS-21-OYS-101 {
I
I
NOW, THEREFORE, in consideration of the promises contained in this Contract, the
STATE and the PROVIDER agree as follows:
I. Scope of Services. The PROVIDER shall, in a proper and satisfactory manner as
determined by the STATE,provide the Required Services set forth in Attachment "1"to this
Contract, which is hereby made a part of this Contract, and the Request for Proposals ("RFP"),
and the PROVIDER's Proposal, which are incorporated in this Contract by reference. In the
event that there is a conflict among the terms of this Contract, and either the Proposal or the
RFP, or both, then the terms of this Contract shall control.
2. Time of Performance. The PROVIDER shall provide the Required Services from
October 1 20 20 to September 30 20 21 as set
forth in Attachment "2" to this Contract, which is hereby made a part of this Contract,
3. Compensation, The PROVIDER shall be compensated
R1in a total amount for all required services not to exceed
TWO-HUNDRED THOUSAND DOLLARS AND NO/100 DOLLARS
($ 200,000.00 ), which amount includes all fees and costs
incurred and any federal, state and local taxes as set forth in attachment
"3" to this Contract, which is hereby made a part of this Contract.
based upon referrals to the PROVIDER from the STATE, payment
for each such referral shall be made according to Attachment "3
The STATE shall provide a minimum of referrals to
the PROVIDER.
4. Reporting Requirements. In addition to whatever other reports may be required
elsewhere in this Contract, the PROVIDER shall also submit a Final Project Report, by (date)
October 30 20 21 No amendment to the PROVIDER's
Final Project Report shall be considered after(date) October 30 20 21
5, Certificate of Exemption from Civil Service The Certificate of Exemption from
Civil Service is attached and made a part of this Contract.
6. Standards of Conduct Declaration. The Standards of Conduct Declaration of the
PROVIDER is attached and made a part of this Contract,
EXEMPT TRANSACTIONS
Page 4 of 6
AG Form 103F6(02/09)
DNS-21-OYS-101
CONTRACT NO.
7. General and Special Conditions, The General Conditions for Health and Human
Services Contracts ("General Conditions") and any Special Conditions are
attached hereto and made a part of this Contract. In the event of a conf lict
between the General Conditions and the Special Conditions, the Special
Conditions shall control.
8. " Notices. Any written notice required to be given by any party under this Contract
shall be (a) delivered personally, or(b) sent by United States first class mail,
postage prepaid.
Notice required to be given to the STATE shall be sent to:
Department of Human Services, Office of Youth Services
1010 Richards Street, Suite 314, Honolulu, Hawaii 96813
Notice to the PROVIDER shall be sent to the mailing address as indicated on page 1. 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 PROVIDER is responsible for notifying the STATE in writing
of any change of address.
IN VIEW OF THE ABOVE, the parties execute this Contract by their signatures below.
STATE J
Y
(Signaturc)
Print Name Merton Chines
Print Title Executive Director
Date � 1t ,
FUNDING AGENCY (to be signed by head of funding
agency if other than the Contracting Agency)
By
(Signature)
Print Name
Print Title
Date
EXEMPT TRANSACTIONS
Page 5 of 6
AG Form 103F6(02/09)
i
I i
CONTRACT NO.DHS-2 I-OYS-10 1
CORPORATE SEAL
(if available)
PROVI R
By Managing Director
HARRY IM
41(MAYOR
COUNTY OF HAWAII
Date 1UL2422
APPROVED AS TO FORM:
Deputiv Attorney General
APPROVAL RECOMMENDED:
MITCHELL D. ROTH
Prosecuting Attorney
Date:
APPROVED AS TO FORM AND LEGALITY:
JO . KAMELAMELA
Corporation Counsel
Date: �t
EXEMPT TRANSACTIONS
Page 6 of 6
AG Form 103F6 (02109)
i
i
STATE OF HAWAII )
} SS.
COUNTY OF HAWAII }
On this 24th day of July, 2020, before me personally appeared ROY TAKEMOTO, to me
personally known, who, being by me duly sworn, did say that he is the Managing Director of the
County of Hawaii, a municipal corporation of the State of Flawai`i, that the foregoing
instrument was signed on behalf of the County of Hawaii by authority given to said Mayor of
the County of Hawaii by Sections 5-1.3 and 13-13 of the County Charter, County of Hawaii
(2016), as amended, and assigned by the Mayor to the Managing Director pursuant to Section 6-
1.3(h) of the County Charter, and said ROY TAKEMOTO acknowledged said instrument to be
the free act and deed of said County of Hawaii.
awl
Signature
AMBER K.S. KEPOO
Print or Type Name
Notary Public, State of Hawaii
My Commission Expires: 04101122
NOTARY CERTIFICATION
[NotaryName:
oc. Date: Undated No. of Pages: 7
AMBER K.S. KEPOO Third Circuit
State of Hawai'i Contract for Health and
Doe. Description: Human Services:Transactions Exempt
from Chapter 103F,HRS Between the Department of Human
Services,and the County of Hawaii,Office of the Prosecuting
Attorney
. S 124120
Notary Signature Date