HomeMy WebLinkAboutCOM 0021.059 2002-2004 /~i- I~:V Vh i'~Cry .
'T~ w
C?~:.,
Harry Kim "
.tfgvor Alan R. Parker
Fxecurrvc nn .4grn,e
Of N~
County of Hawaii
OFFICE OF AGING
Hilo Lagoon Centre. 101 Aupuni Street Suite 342. I Lilo. Hawaii 96720-0262 `~I -
Phone(806)961-8600 Fax BOB)96I-R603 ,
I{anama Place, 75-5706 6uakini Highwaq, Suite 106. Railua-tiona, Hawaii 96 740-1 7 5 1 F ,
Phone (808)3273597 Fax (808)327-3599 ,
DATE: January 7, 200;
TO: .Tames Y. Arakaki Council Chair and
Council Members .
VIA: Deanna Sako ontroller ILV.-~Q.hhJl_ ~
CL1..%
FROM: Alan Park Executive on Aging
RE: NOTIFICATION OF GRANT AWARD
Compliance with Ordinance No. O,ihS'Section 7(1)
oa-~e
Name of Grant Program: CSE Chore Services
Grantor: State of Hawaii, Department of Human Services
County Grantee Department or Agency: Hawaii County Office of Aging
Grant Na. (IF KNOWN): DHS-02-POS-1207/DHS-02-POS-1208
Amount of Grant: $82,569.00
Amount of County Match: $ -0-
County Revenue Account Numbers: #3304.50
County Expenditure Account Numbers: #010-481-5481.01 to 5481.02
Grant Period (Commence. & Completion): July 1, ?002 to June 30, 2003
Purpose of Grant: To provide chore services to adults eighteen years of age or older
who are unable to perform chore activities because of physical or
mental disabilities.
Is final report required by grantor? [X] Yes ? No
Notification attached: [x~ Yes ? No, because
CC '~.~r~,~x 1~t?ve. Comm. No.,~z/. 59
File No. ,,g UD
Ref. T0: ® Porm NGA 6/01
8ef. Date J111 ^ ll 711~~ An Area Agency on Aging
CONTRACT MODIFICATION
STATE OF HAWAII
DEPARTMENT OF HUMAN SERVICES
MODIFICATION NO. 1 Effective Date: 10/01/OZ
Contractor: Hawaii County Office of Aging
Contract DHS-02-POS-1207 RFP HMS 601-02
Contract Title: Adult Chore Services -East Hawaii
COMPENSATION AND PAYMENT SCHEDULE
1. This Contract Modification provides for a change in funding for fiscal year(s):
2003 (10/01/02 to 6/30/03).
Accordingly, Paragraphs 1,7, and 12
of the Compensation and Payment Schedule shall be modified, where applicable, as follows:
1. Sum Not to Exceed.
Subject to continuing availability of State and federal funds, STATE agrees to pay
PROVIDER for services satisfactorily performed under this Modification, the total sum
not to exceed:
ONE HUNDRED FORTY NINE THOUSAND, EIGHT HUNDRED EIGHTY-
NINE AND NO/100 DOLLARS ($149,889.00)
This sum shall be allocated as follows for the specified fiscal yeaz(s):
FY 2002 FY 2003 FY 2004 FY 2005
State Funds $38,133.50. $42,628.50 $34,563.50 $34,563.50
00
Federal Funds -0- -0- -0- -0-
(CFDA N/A N/A N/A N/A
CONTRACT TOTAL $38,133.50 $42,628.50 $34,563.50 $34,563.50
IN-KIND N/A N/A N/A N/A
GRAND TOTAL $38,133.50 $42,628.50 $34,563.50 $34,563.50
7. Manner or Method of Payment.
Where the State has agreed to pay the PROVIDER according to an approved budget for
expenditures actually and appropriately incurred in the performance of this Modification,
the PROVIDER shall submit for approval of the STATE a revised budget for those fiscal
years in which funding has changed.
In the final quarter of the final fiscal year of the Agreement, the PROVIDER shall submit
the Activity and Expenditure Reports for the prior quarter and an invoice for two-thirds
(2/3) of the quarterly rate as specified below under the section on Service Capacity and
Payment Rate of this Exhibit "B". Activity and Expenditure Reports for the final quarter
shall be considered the Final Project Report under this Agreement and shall be submitted
2.
CONTRACT MODIFICATION
STATE OF HAWAII
DEPARTMENT OF HUMAN SERVICES
MODIFICATION NO. I Effective Date: 10/01/02
Contractor: Hawaii County Office of Aging
Contract DHS-02-POS-1207 RFP HMS 601-02
Contract Title: Adult Chore Services -East Hawaii
with the invoice for the balance of the contract funds no later than thirty (30) calendar days
after the termination date of the contract.
12. Service Capacity and Payment Rate.
The quarterly payment rate is revised as follows for those fiscal years in which the
funding has changed:
QUARTERLY PAYMENT RATE TABLES
FY 2003
STATE $ FEDERAL $ OTHER $ TOTAL
151 Qtr $8,643.50 -0- N/A $8643.50
2"a Qtr $11,329.00 -0- N/A $11,329.00
3`a Qtr $11,328.00 -0- N/A $11,328.00
4`~ Qtr $11,328.00 -0- N/A $11,328.00
ToTAt. $42,628.50 -0- N/A $42,628.50
Unless otherwise agreed the annual number of service units expected for those fiscal
years in which the funding has changed will equal the approved budget for those fiscal
years, including approved carryover, divided by the unit rate as applicable.
Unless otherwise agreed the average monthly service unit capacity which must be
maintained for those fiscal years in which the funding has changed will equal the annual
number of service units for each of those fiscal years divided by twelve (12).
2. All other terms and conditions of the Compensation and Payment Schedule, including the
paragraphs amended pursuant to this Contract Modification, shall remain valid and enforceable
unless otherwise contradictory to this Contract Modification.
3.
CONTRACT MODIFICATION
STATE OF HAWAII
DEPARTMENT OF HUMAN SERVICES
MODIFICATION NO. 1 Effective Date: 10/01/02
Contractor: Hawaii County Office of Aging
Contract DHS-02-POS-1207 RFP HMS 601-02
Contract Title: Adult Chore Services -East Hawaii
A. MODIFICATIONS
The following modifications are to be performed in accordance with all contract stipulations
(specifications, delivery point, rate of delivery, period of performance, price, quantity, or other
provisions by mutual action of the parties to the contract):
The contractor shall provide an additional 474 units of adult chore services as described in the
RFP and contract. The contractor shall serve only those applicants on the DHS waitlist who are
approved for chore services by DHS staff. Every effort shall be made by the contractor to serve
new applicants for chore services.
B. CONTRACTOR'S QUOTATION
The modifications described in A above will be performed at a contract price X increase or
_ Decrease of $ 8,065.00
Contractor will not undertake to perform the changes in A above until this modification order has
been approved and issued. See Compensation and Payment Schedule.
fl-lug;-'S`,. j 4'it_e.b7Y
Contractor's Signature Title Dale
C. STATEMENT OF CONTRACT FUNDS
Original Contract Price: $138,254.00
Previous Adjusted Contract Price: $141,824.00
Amount this Change: Plus X Minus $8,065.00
New Adjusted Contract Price: $149,889.00
D. VALIDATION OF CONTRACT MODIFICATION
N/A
User Agency Signature * Title Date
Director
Head oJPurchasing Agency Signature Title Date
*Only if "User Agency" is different than "Purchasing Agency."
STATE OF HAWAII )
SS.
COUNTY OF HAWAII )
~-d
On this ~ day of ~ , 2002, before me
personally appeared DIXIE tWETSU, to me personally known, who, being by me duly
sworn, did say that she is the Managing Director of the County of Hawaii, a municipal
corporation of the State of Hawaii; that the seal affixed to the foregoing instrument is
the corporate seal of said County of Hawaii; that the foregoing instrument was signed
and sealed in behalf of the County of Hawaii by authority given to said Mayor of the
County of Hawaii by Section 5-1.3(g) of the County Charter, County of Hawaii (1991),
as amended, and assigned by the Mayor to the Managing Director pursuant to
Section 6-1.3(h) of the County Charter; and said DIXIE KAETSU acknowledged said
instrument to be the free act and deed of said County of Hawaii.
JEA VIERNES
Notary Public, State of Hawaii
My commission expires: 11/1/2005
,
d.~<:
CONTRACT MODIFICATION
STATE OF HAWAII
DEPARTMENT OF HUMAN SERVICES
MODIFICATION NO. 1 Effective Date: 10/01/02
Contractor: Hawaii County Office of Aging
Contract DHS-02-POS-120~~` RFP HMS 601-02
Contract Title: Adult Chore Services --~FasfHawaii
COMPENSATION AND PAYMENT SCHEDULE
1. This Contract Modification provides for a change in funding for fiscal year(s):
2003 (10/01/02 to 6/30/03).
Accordingly, Paragraphs 1,7,and 12
of the Compensation and Payment Schedule shall be modified, where applicable, as follows:
1. Sum Not to Exceed.
Subject to continuing availability of State and federal funds, STATE agrees to pay
PROVIDER for services satisfactorily performed under this Modification, the total sum
not to exceed:
ONE HUNDRED FORTY-EIGHT THOUSAND, TWO HUNDRED TWENTY-
ONE AND NO/100 DOLLARS ($148,221.00)
This sum shall be allocated as follows for the specified fiscal year(s):
FY 2002 FY 2003 FY 2004 FY 2005
State Funds $39,153.50. $39,940.50 $34,563.50 $34,563.50
Federal Funds -0- -0- -0- -0-
(CFDA N/A N/A N/A N/A
CONTRACT TOTAL $39,153.50 $39,940.50 $34,563.50 $34,563.50
IN-KIND N/A N/A N/A N/A
GRAND TOTAL $39,153.50 $39,940.50 $34,563.50 $34,563.50
7. Manner or Method of Payment.
Where the State has agreed to pay the PROVIDER according to an approved budget for
expenditures actually and appropriately incurred in the performance of this Modification,
the PROVIDER shall submit for approval of the STATE a revised budget for those fiscal
years in which fimding has changed.
In the final quarter of the final fiscal year of the Agreement, the PROVIDER shall submit
the Activity and Expenditure Reports for the prior quarter and an invoice for two-thirds
(2/3) of the quarterly rate as specified below under the section on Service Capacity and
Payment Rate of this Exhibit "B". Activity and Expenditure Reports for the final quarter
shall be considered the Final Project Report under this Agreement and shall be submitted
2.
CONTRACT MODIFICATION
STATE OF HAWAII
DEPARTMENT OF HUMAN SERVICES
MODIFICATION NO. 1 Effective Date: _ 10/Ol/02
Contractor: Hawaii County Office of Aging
Contract DHS-OZ-POS-1207 RFP HMS 601-02
Contract Title: Adult Chore Services -East Hawaii
with the invoice for the balance of the contract funds no later than thirty (30) calendar days
after the termination date of the contract.
12. Service Capacity and Payment Rate.
The quarterly payment rate is revised as follows for those fiscal years in which the
funding has changed'
QUARTERLY PAYMENT RATE TABLES
FY 2003
STATE $ FEDERAL $ OTHER $ TOTAL
ls` Qtr $8,643.50 -0- N/A $8,643.50
2"a Qtr $]0,433.00 -0- N/A $10,433.00
3`a Qtr $10,432.00 -0- N/A $10,432.00
4`~ Qtr $10,432.00 -0- N/A $10,432.00
TOTAL $39,940.50 -0- N/A $39,940.50
Unless otherwise agreed the annual number of service units expected for those fiscal
years in which the funding has changed will equal the approved budget for those fiscal
years, including approved carryover, divided by the unit rate as applicable.
Unless otherwise agreed the average monthly service unit capacity which must be
maintained for those fiscal years in which the funding has changed will equal the annual
number of service units for each of those fiscal years divided by twelve (12).
2. All other terms and conditions of the Compensation and Payment Schedule, including the
paragraphs amended pursuant to this Contract Modification, shall remain valid and enforceable
unless otherwise contradictory to this Contract Modification.
3.
CONTRACT MODIFICATION
STATE OF HAWAII
DEPARTMENT OF HUMAN SERVICES
MODIFICATION NO. I Effective Date: 10/01/02
Contractor: Hawaii County Office of Aging
Contract DHS-02-POS-1208 RFP HMS 601-02
Contract Title: Adult Chore Services -West Hawaii
A. MODIFICATIONS
The following modifications are to be performed in accordance with all contract stipulations
(specifications, delivery point, rate of delivery, period of performance, price, quantity, or other
provisions by mutual action of the parties to the contract):
The contractor shall provide an additional 316 units of adult chore services as described in the
RFP and contract. The contractor shall serve only those applicants on the DHS waitlist who are
approved for chore services by DHS staff. Every effort shall be made by the contractor to serve
new applicants for chore services.
B. CONTRACTOR'S QUOTATION
The modifications described in A above will be performed at a contract price X increase or
Decrease of $ 5,377.00
Contractor will not undertake to perform the changes in A above until this modification order has
been approved and issued. See Compensation and Payment Schedule.
A1..,.. ii'a rirs_~ ;r
Contractor's Signature Title Date
C. STATEMENT OF CONTRACT FUNDS
Original Contract Price: $138,254.00
Previous Adjusted Contract Price: $142,844.00
Amount this Change: Plus X Minus $5,377.00
New Adjusted Contract Price: $148,221.00
D. VALIDATION OF CONTRACT MODIFICATION
N/A
User Agency Signature* Title Date
Director
Head of Purchasing Agency Signature Title Date
*Only if "User Agency" is different than "Purchasing Agency."
STATE OF HAWAII )
SS.
COUNTY OF HAWAII )
On this day of 0 c~i,6-e.r , 2002, before me
personally appeared DIXIE KAETSU, to me personally known, who, being by me duly
sworn, did say that she is the Managing Director of the County of Hawaii, a municipal
corporation of the State of Hawaii; that the seal affixed to the foregoing instrument is
the corporate seal of said County of Hawaii; that the foregoing instrument was signed
and sealed in behalf of the County of Hawaii by authority given to said Mayor of the
County of Hawaii by Section 5-1.3(g) of the County Charter, County of Hawaii (1991),
as amended, and assigned by the Mayor to the Managing Director pursuant to
Section 6-1.3(h) of the County Charter; and said DIXIE KAETSU acknowledged said
instrument to be the free act and deed of said County of Hawaii.
JEA VIERNES
Notary Public, State of Hawaii
My commission expires: 11/1/2005...- , ,
-
I i
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