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HomeMy WebLinkAboutCOM 0140.040 2002-2004 MYY O/ M~ Harry Kim °°J_c ~ ~ Alan R. Parker Mayor ; ~ Executive on Agmq •f~Tf Of N/~' County of Hawaii o OFFICE OF AGING pn o Hilo Lagoon Centre, I OI Aupuni S[reet. Suite 342. Hilo, Hawaii 96720-4262 C ~j Phone (808) 961-8600 Fax (808) 961-8603 Z ~ !'i"' Hanama Place, 75-5706 Kuakini Higlnvay, Suite 10G, Kailua-Kona, Hawaii 967407~$k' pp Phone (808) 327-3697 Fax (808) 327-3599 ~ - CD - U1 CJ DATE: November 10, 2003 TO: James Y. Arakaki Council Chair and Council Members VIA: D~eanIn~a Sako ontroller FROM: Alan Parke , xe~i'itive on Aging RE: NOTIFICATION OF GRANT AWARD Compliance with Ordinance No. 03-91, Section 7(1) Name of Grant Program: CSE Chore Services, Contract Modification #3 Grantor: State of Hawaii, Department of Human Services County Grantee Department or Agency: Hawaii County Office of Aging Grant No. (IF KNOWN): DHS-02-POS-1207/DHS-02-POS-1208 Amount of Grant: $91,979.00 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, 2003 to June 30, 2004 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? ©Yes ? No Notification attached: ©Yes ? No cc: Parks & Recreation Comm. No. Ref. To: Ref. ~Q~~ ,In Aren ~Igency on Aging R~„EIVED OCT 1 0 20~~ LINDA LINGLE tE, o^ p~ LILLIAN B. KOLLER, ESQ. GOVERNOR 4~ ,eey i DIRECTOR e ~dl//~ HENRY OLIVA ` DEPUTY DIRECTOR STATE OF HAWAII DEPARTMENT OF HUMAN SERVICES Social Services Division Support Services Office 810 Richards Street, Suite 501 Honolulu, Hawaii 96813 October 8, 2003 Mr. Dennis Shigeta Hawaii County Office of Aging 101 Aupuni Street, Suite 342 Hilo, Hawaii 96720 Re: Adult Chore Services - C-H,~ Contract DHS-02-POS-1207 Contract Modification 3 Dear Mr. Shigeta: The details of the above contract modification are as follows: Sum Not to Exceed: With this contract modification the total sum not to exceed for this contract is now: One Hundred Sixty Three Thousand, Sixty-Five and no/100 ($163,065.00) This sum shall be allocated as follows for the specified fiscal year(s): FY 02 FY03 FY 04 FY OS State Funds $38,133.50 $42,628.50 $47,739.50 $34,563.50 Federal Funds N/A N/A N/A N/A (CFDA N/A N/A N/A N/A CONTRACT TOTAL $38,133.50 $42,628.50 $47,739.50 $34,563.50 IN-KIND N/A N/A N/A N/A GRAND TOTAL $38,133.50 $42,628.50 $47,739.50 $34,563.50 Revised Budget: Please be advised that you will have to provide a revised budget for those fiscal years in which funding has changed. Re: Adult Chore Services Contract DHS-02-POS-1207 Contract Modification 3 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 04 STATE $ FEDERAL $ OTHER $ TOTAL 15~ Qtr $10,890.87 N/A N/A $10,890.87 2nd Qtr $15,066.87 N/A N/A $15,066.87 3`a Qtr $10,890.88 N/A N/A $10,890.88 4`h Qtr $10,890.88 N/A N/A $10,890.88 TOTAL $47,739.50 N/A N/A $47,739.50 The annual number of Service Units and the monthly service unit Capacity which must be maintained for each fiscal year of the contract are as follows: FY 2004 Annual Service Units: 2808 Monthly Capacity: 234 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. Sincerely, 7 ~Lr,~~Liuct: iJ Td'LL"~ tSuzanrfe Hull Purchase of Services Program Specialist 2. CONTRACT MODIFICATION STATE OF HAWAII DEPARTMENT OF HUMAN SERVICES MODIFICATION NO. 3 Effective Date: 12/1/03 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): 1. Term of Contract: July 1, 2002 to June 30, 2005 2. Original Contract Amount: $138,254.00 3. Most Recent Contract Amount: $158,889.00 4. Change in Funding_by Fiscal Year for this Modification: $4,176.00 increase for fiscal year 2004 Additional Comments: B. CONTRACTOR'S QUOTATION The modifications described in A above will be performed at a contract price X increase or decrease of $4,176.00 Contractor will not undertake to perform the changes in A above until this modification order has been approved and issued. Cantracior's Signature Title Date C. STATEMENT OF CONTRACT FUNDS Original Contract Price: $138,254.00 Previous Adjusted Contract Price: $158,889.00 Amount this Change: Plus X Minus $4,176.00 New Adjusted Contract Price: $163,065.00 D. VALIDATION OF CONTRACT MODIFICATION User Agency Signature Title Date Director Head of Purchasing Agency Signature Title Date RE~EId~D OC7 1 0 200 LINDA LINGLE ~ o r „ LILLIAN & KOLLER, ESQ. GOVERNOR ,y_p ~ DDtECTOR yio/G HENRY OLIVA DEPUTY DIRECTOR o ~Oru s+s~ STATE OF AAWAD DEPARTMENT OF HUMAN SERVICES ~xvC i6 L ~Y I I I ~J Social Services Division Support Services Office 810 Richards Street, Suite 501 Honolulu, Hawaii 96813 October 8, 2003 Mr. Dennis Shigeta Hawaii County Office of Aging 101 Aupuni Street, Suite 342 Hilo, Hawaii 96720 Re: Adult Chore Service-West Hawaii Contract DHS-02-POS-1208 Contract Modification 3 Dear Mr. Shigeta: The details of the above contract modification are as follows: Sum Not to Exceed: With this contract modification the total sum not to exceed for this contract is now: One Hundred Fifty Seven Thousand, EiQIIt Hundred Ninety-Seven and No/100 ($157,897.00) This sum shall be allocated as follows for the specified fiscal year(s): FY 02 FY 03 FY 04 FY OS State Funds $39,153.50 $39,940.50 $44,239.50 $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 $44,239.50 $34,563.50 1N_g1ND N/A N/A N/A N/A GRAND TOTAL $39,153.50 $39,940.50 $44,239.50 $34,563.50 Revised Budget: Please be advised that you will have to provide a revised budget for those fiscal years in which funding has changed. Re: Adult Chore Service-West Hawaii Contract DHS-02-POS-1208 Contract Modification 3 Service Capacity and Payment Rate: The quarterly payment rate is revised as follows for those fiscal yeazs in which the funding has changed: QUARTERLY PAYMENT RATE TABLES FY 2004 STATE $ FEDERAL $ OTHER $ TOTAL 1~`Qtr $10,015.87 -0- N/A $10,015.87 2"d Qtr $14,191.87 -0- N/A $14,191.87 3`d tr $10,015.88 -0- N/A $10,015.88 4`h Qtr $10,015.88 -0- N/A $10,015.88 TOTAL $44,239.50 -0- N/A $44,239.50 The annual number of Service Units and the monthly service unit Capacity which must be maintained for each fiscal year of the contract are as follows: FY 2004 Annual Service Units: 2602 Monthly Capacity: 217 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. Sincerely, ~ Suzanne Hull Purchase of Services Program Specialist CONTRACT MODIFICATION STATE OF HAWAII DEPARTMENT OF HUMAN SERVICES MODIFICATION NO. 3 Effective Date: 12/1/03 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): 1. Term of Contract: July 1, 2002 to June 30, 2005 2. Original Contract Amount: $138,254.00 3. Most Recent Contract Amount: $153,721.00 4. Change in Funding by Fiscal Yeaz for this Modification: $4,176.00 increase for fiscal yeaz 2004. Additional Comments: B. CONTRACTOR'S QUOTATION The modifications described in A above will be performed at a contract price X increase or decrease of $4,176.00 Contractor will not undertake to perform. the changes in A above until this modification order has been approved and issued. Contractor's Signature Title Date C. STATEMENT OF CONTRACT FUNDS Original Contract Price: $138,254.00 Previous Adjusted Contract Price: $153,721.00 Amount this Change: Plus X Minus $4,176.00 New Adjusted Contract Price: $157,897.00 D. VALIDATION OF CONTRACT MODIFICATION User Agency Signature Title Date Director Head of Purchasing Agency Signature Title Date