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Home My WebLink AboutCOM 0108.019 2022-2024 • Mitchell D. Roth i OJSY,OF �gw9'1It, Kazuo S. K. L. Todd o Mayor Fire Chief • Lee E. Lord i • Eric H. Moller Managing Director DeputyFire Chief r' p1 County of R9acbiari HAWAI`I FIRE DEPARTMENT 25 Aupuni Street•Suite 2501•Hilo,Hawaii 96720 (808)932-2900•Fax(808)932-2928 4 cp Memorandum CD DATE: September 12, 2023 a : TO: Heather Kimball, Council Chair and .t 7:- Members of the Hawai`i County Council VIA: Kay Oshiro, Controller FROM: Kazuo S.K.L. Todd RP. :00 RE: NOTIFICATION OF GRANT AWARD Compliance with Ordinance No. 23-50 (current Budget Ordinance), Section 7(1) Name of Grant Program: Emergency Ambulance Services for the County of Hawai`i Grantor: State of Hawai`i, Dept. of Health County Grantee Department or Agency: Fire Grant No. (IF KNOWN): n/a Amount of Grant: $23,184,337.00 Amount of County Match: $0 County Revenue & Expenditure Account Numbers: 010.3304.02/010.221.6227* Grant Period (Commencement& Completion): - 7/1/2023 —6/30/2024 Purpose of Grant: To fund emergency ambulance services on the Island of Hawai`i Is final report required by grantor? l®IYes n No Notification attached: NYes n No, because Comm. No. Ref. To: nW 7. Ref'Date NV i -7 2023 t41 ik Form NGA 05/19 41 Hawai'i County is an Equal Opportunity Provider and Employer. CONTRACT NO. Nq .`".. 959 „ ` aye/ 4 STATE OF HAWAII o' ' '' CONTRACT FOR HEALTH AND HUMAN SERVICES: � '`: TRANSACTIONS EXEMPT FROM CHAPTER 103F, HRS This Contract, executed on the respective dates indicated below, is effective as of July 01 , 20 23 between the Department of Health , (Name of the state department,agency board or commission) State of Hawai`i ("STATE"), by its Director of Health (Title of person signing for the STATE) whose address is: 1250 Punchbowl Street, Honolulu, Hawaii 96813 and County of Hawaii , (Name of PROVIDER) ("PROVIDER"), a Government , (Legal form of PROVIDER i.e.,Corporation,Limited Liability Company,etc.) under the laws of the State of Hawaii whose business street address and taxpayer identification numbers are as follows: Business street address: 25 Aupuni Street, Suite 2501, Hilo, Hawaii 96720 Mailing address if different than business street address: N/A F ederal employer identification umber: 99-6000567 Hawai`i general excise tax number: N/A EXEMPT TRANSACTIONS Page 1 of 6 ADM. SERV. OFFICE AG Form 103F6(02/09) LOG NO. 24-035 CONTRACT NO. RECITALS 1. This Contract is for a purchase of health and human services that is exempt from the requirements of chapter 103F, Hawai`i 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), Hawai`i 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. ADM. SERV. OFFICE EXEMPT TRANSACTIONS LOG NO. 24-035 Page 2 of 6 AG Form 103F6(02/09) • CONTRACT NO. 3. Money is available to fund this Contract pursuant to: (1) Item E-3,Act 164 2023 (Identib state sources) in the amount of $21,001,753.00(State)and 32,182,5 8 4.00 (EMS Special Fund) (state funding) (2) (Identify federal sources) in the amount,of , or both. ' funding) D. The STATE is authorized to enter into this Contract pursuant to: Section(s) 321-224 and 321-228,FIRS (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; Ethe PROVIDER is a sole proprietor and as such does not require any authorizing documents to sign this Contract; X 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 produced, and the STATE inspected, a tax clearance certificate as required by section 103-53,HRS. ADM, SERV,OFFICE EXEMPT TRANSACTIONS LOG NO,24-035 Page 3 of 6 AG Form 103F6(02/09) CONTRACT NO. NOW, THEREFORE, in consideration of the promises contained in this Contract, the STATE and the PROVIDER agree as follows: 1. 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 July 01 , 20 23 , to June 30 , 20 24 , 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 X in a total amount for all required services not to exceed TWENTY-THREE MILLION,ONE HUNDRED EIGHTY-FOUR THOUSAND,THREE HUNDRED THIRTY-SEVEN AND NO/100 DOLLARS ($ 23,184,337.00 ), 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) July 31 , 20 24 .No amendment to the PROVIDER's Final Project Report shall be considered after(date) August 31 , 20 24 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 D eclaration. The Standards of Conduct Declaration of the PROVIDER is attached and made a part of this Contract. ADM. SERV. OFFICE EXEMPT TRANSACTIONS LOG NO.24-035 Page 4 of 6 AG Form 103F6(02/09) a � • 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 conflict 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: State Department of Health, Administrative Services Office, Room 312, P.O.Box 3378, Honolulu, Hawaii 96801-3378 - 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 By (Signature) Print Name Kenneth S. Fink,MD,MGA,MPH Print Title Director of Health Date FUNDING AGENCY (to be signed by head of funding agency if other than the Contracting Agency) By (Signature) Print Name Print Title Date ADM. SERV. OFFICE EXEMPT TRANSACTIONS LOG NO. 24-035 Page 5 of 6 AG Form 103F6(02/09)