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Home My WebLink AboutCOM 0066.051 2004-2006 . nY~. ' Harry Kim ~ V~'~-` ~ Alan R. Parker Mayor Exeartive on Aging r J~ •~Ol~N•+ County o~ Hawaii OFFICE OF AGING Hilo Lagoon Centre, 101 Aupuni Street, Suite 342, Hilo, Hawaii 96720-4262 Phone (808) 961-8600 • Fax (808) 961-8603 Hanama Place, 75-5706 KuaAini Highway, Suite 106, Kailua-Kona, Hawa~ i 96740-1751 Phone (808) 327-3597 ~ Fax (808) 327-3599 t,v ra ,,.y rn i) O L~ ---i N S DATE: August 30, 2006 ~ cD TO: Stacy K. 'ga, uncil Chair and Council Members rc1 FROM: Alan Parker, xecu ive on Aging RE: FINAL REPORT Name of Grant Program: Senior Employment Program Federal or State Grantor: State of HI, Dept. of Lab & Ind. Rel., Workforce Dev. Div. County Grantee Department or Agency: Office of Aging Grant No. (IF KNOWN): PY05-SCSEP-H-HCOA Amount of Grant: $282,482.00 Amount of County Match: $ 80,002.64 Grant Period (Comm. & Completion): July 1, 2005 to June 30, 2006 Goals: To provide subsidized part-time employment & training opportunities for individuals 55+ and to achieve economic self-sufficiency. Objectives: See attached Final Report. Outcomes or Results: See attached Final Report. Comm. No. • s Cc: Parks & Recreation Ref. To: Ref. Dpte Hmvai'i Counry is an equal opparmniry provider and employer. An Area Agency orc Aging Hazry Kim big Alan R Pazker Mayor ' ~ Executive on Aging d~ P~ •~3'OF~11A~ County of Hawaii OFFICE OF AGING Hilo Lagoon Centre, 101 Aupuni Sheet, Suite 342, Hilo, Hawaii 96720-0262 . Phone (808) 961-8600 > Fax (808) 961-8603 Hanama Place, 75-5706 Kualcini Highway, Suite 106, Kailua-Kona, Hawaii 96740-1751 Phone (808) 327-3597 Fax (808) 327-3599 MEMORANDUM TO: Mr. Patrick Fukuki, Business Management Officer Department of Labor and Industrial Relations FROM: Alan Pazker, xecutive on Aging DATE: August 30, 2006 SUBJECT: SCSEP PY05 Closeout Package Enclosed herewith is the SCSEP PY05 Closeout Package for the Senior Community Service Employment Program (SCSEP) for Hawaii County. Please contact Lito M. Asuncion of our office if you have any questions regazding this report. Thank you. lma Enclosures ~ t } An Egual Opportunity Provider and Employer STATE OF HAWAII DEPT. OF LABOR Date Contract Number Subgrantee's Submittal of Closeout Documents 8/29/06 PY05-SCSEP-H-HCOA Contractor Name and Address Hawaii County Office of Aging Business Management Officer 101 Aupuni St., Rm. 342 Department of Labor & Industrial Relations Hilo, HI 96720 830 Punchbowl Street, Room 31 i Honolulu, Hawaii 96813 Attn: WIA Unit As you requested in the subgrant ccloseout notification letter dated 7/10/06 I have taken actions related to the closeout of subject SCSEP grant PY05-SCSEP-H-HCOA and am enclosing required closeout documents as follgws: Check appropriate boxes. Each item must be Covered, (if applicable). Explain fully any item not submitted. Use se crate shee if necessa . Unable to Enclosed Furnish Identiflcatiop of Document X 4. Final Subcontrector's Invoice and Final Expenditure Register. X 2, Subgrantee's Release X 3. Subgrantee's Assigpment of Refunds, Rrrbates and Credits X 4. Inventory Certification and Inventory Lists X 5. Speqial BanklFinancial Accpunt and Bank Statement NA a. List of possible claimants for unclaimed checks cancelled or payments stopped. NA b. Refund check (with breakdodvn statement) to include: o Unliquidated advance payments. o Aggregate of unclaimed wages/other outstanding checks. o Interest earned or owed on Government funds. o Workers Compensation/other insurance. o Other refunds. X 6. Subgrant Closeout Tax Certification. X 7. Representation Letter. X 8. Balance Sheet. NA 9. Other Documents (specify) Contrector's Signature Titie Executive on Aging SUBCONTRACTOR'S INVOICE Invoice Number: 13 1. Subcontractor's Name (Agency) Address (Number and Street) Hawaii Coun Office of Aging 101 Aupuni Street, Room 342 2. Clty or Town Funds Requested For: Hilo [ ]Initial [ ]Periodic [ X ] Reim- [ ]Final 6. Contract Number. Advance Advance bursement Invoice PY05-SCSEP-H-HCOA 8. Funds Re nested For. Senior Community Service Employment Program 9. Contract Period: 10. Report Period: From: To: From: To: July 1, 2005 June 30, 2006 1-Jun-06 30~1un-06 11. CASH TRANSACTION DATA a. Total cash received to date $243,860.93 b. Total disbursements to date from July 1, 2005 to June 30, 2006 $282,482.1)0 c. Cash on hand/deposit (38,621.07) d. Cash requested but not received . e. Cash on hand/deposit & cash requested but not received (38,621.07) f. Estimated disbursements from to N!A g. Amount of cash advance requested herewith $38,621.07 12. EXPENDITURE DATA Total Accrued expenditure to date $282,482.00 (From Expenditure Register, page 2) 13. CONTRACTOR'S CERTIFICATION -1 Certify that thg cost incurred are taken from the books of account and that such costs are valid and consistent with the terms of agreement. Authorised Subcontractor S' ature nd Title Date Signed pp Alan Parker`s Executive on Aging AUG 3 O 2006 . I'tt Recommendation Appropriation Number Amount to be paid Signature Date CONTRACT NO: PY05-SCSEP-H-HCOA SCSEP EXPENDITURE REPORT PAGE 1 COUNTY: HAWAII SUBCONTRACTOR'S NAME: Hawaii County Office of Aging REPORT PERIOD: CONTRACT PERIOD: FROM: TO: FROM: TO: 1-Jun-06 30-Jun-06 Jul 1, 2005 June 30, 2006 COST CATEGORY PROG. FEDERAL FUNDS PLANNED ACCRUED % OF ACT. BUDGET EXPEND. PLAN ADMIN WAGES/ SVCS, WORK LINE ITEMS FRINGE EXP. ADMINISTRATION Personnel 19,989.00 16,841.72 84% 16,841.72 16,841.72 Fringe Benefits 4,797.00 4,186.85 87% 4,186.85 4,186.85 Travel 3,486.00 2,116.00 61°h 2,116.00 2,116.00 Supplies 1,975.00 1,$19.03 sz% 1,819.03 1,819.03 Contractyal 854.00 365.24 43°~ 365.24 365.24 Equipment 550.00 4,012.22 729% 4,012.22 4,012.22 Other 3,543.00 1,885.92 53% 1,885.92 1,885.92 TOTALApMIN 35,194.00 31,226.98 89% 31,226.9$ 0.00 31,226.98 :Y:: con.:::is~ER1'~'ii;~l3tlaes.,t~...:~va>~a~ : aaid~~t~~~~at~h~s.. ~c,s~~.a~I>4 ~1~~a:f: at+bge~e ets ha~.ba I~ad~~ tbe. "''d"`bse' `''cbtt ~ t>#e ~ AUTHORIZED SIGNATURE TITLE DATE SUBMITTED ~ AUG 3 0 2006 Alan Parker Executive on Aging CONTRACT NO: PY05-SCSEP-H-HCOA SCSEP EXPENDITURE REPORT PAGE 2 COUNTY: HAWAII SUBCONTRACTOR'S NAME: Hawaii County Office of Aging REPORT PERIOD: CONTRACT PERIOD: FROM: TO: FROM: TO: 1-Jun-06 30-Jun-06 July 1, 2005 June 30, 2006 PROG. FEDERAL FUNDS PLANNED ACCRUED % OF ACT. BUDGET EXPEND. PLAN ADMIN WAGES/ SVCS, WORK LINE ITEMS ~ FRINGE EXP. ENROLLEE WAGES/F6 Personnel 212,940.00 221,648.23 104°h 221,648.23 221,648.23 Fringe Benefits 26,149.00 25,407.16 97'Yo 25,407.16 25,407.16 Total EW/FB 239,089.00 247,055.39 103% 247,055.39 247,055.39 OTHER ENROLLEE COSTS Sup lies/Enrollee Services 2,424.00 1,668.37 69°k 1,668.37 1,668.37 Equipment 2,700.00 2483.26 92% 2,483.26 2,483.26 Other 3,075.00 48.00 2°k 48.00 48.00 TotaIOEC 8,199.00 4,199.63 51°~ 4,199.63 4,199.63 TOTAL 282,482.00 282,482.00 100% 31,226.98 247,055.39 4,199.63 282,482.00 uttlitia(€ `>is?<° :i'ssii`i>?! >'i +~er€f£'icataoti:~ :I:4`f~J~71'Ek?#~ltlliiltl:;€tc31 i~.. ~UtkN~J~s3~d':&btk~ie,~.'E3?~is teP.::.:...: ~ °fii~l~iSEiriftki8!firapta'=.iiii„~[iiii€iiiii€i'siii`iiiiiii€€iiiiiii>iiiizi>iii"~i>i>[fii~ii~>~:` €i€i `€'iiiii€i€„;;:<Gsluii~ei4ttr$teiiia~ik~~Iptt~lef~rtlt~'::::s~€auct AUTHORIZED SIGNATURE TITLE DATE SUBMITTED ~Q AUG 3 0 2006 Alan Parker Executive on A ing CONTRACT NO: PY05-SCSEP-H-HCOA SCSEP EXPENDITURE REPORT PAGE 3 COUNTY: HAWAII SUBCONTRACTOR'S NAME: Hawaii County Office of Aging REPORT PERIOD: CONTRACT PERIOD: FROM: TO: FROM: TO: 1-Jun-06 30-Jun-OB July 1, 2005 June 30, 2006 COST CATEGORY PROG. NON-FEDERAL FUNDS PLANNED ACCRUED % OF ACT. BUDGET EXPEND. PLAN ADMIN WAGESI SVCS. WORK LINE ITEMS FRINGE EXP. ADMINISTRATION Personnel (Coord.) 35,433.60 35,115.80 99% 35,115.80 35,115.80 (Counselor) 11,403.00 14,012.18 123°~ 14,012.18 14,012.18 OEC Personnel (Coord.) 8,858.40 10,146.02 115% 10,146.02 10,146.02 (Counselor 34,209.00 20,728.64 61°h 20,728.64 20,726.64 TOTAL 89,904.00 80,002.64 89% 49,127.98 0.00 30,874.66 80,002.64 ~f) @#.::::;.:.:~' .b~'`1haC.:: €t~,. des, af~yrteiiawJe~ge et?d~41i~#1~tfh~s repD~ ~ ool~tacf and~.:...(ete# €hat alb -::::::.::::s::::: ~?~i8lulksei~~at:S 3A"e 6e i~ i:;'1d~`':;:i_ :<i:i:: ~•.:;:i:::;>:::::€::;: ::::i:::'~`°[I `ii ::ilk i <€i['iiiiii>ii[' ii<I i [iii~i[i[_ i`i i v en m ~or...tbe us~.8rtd ~on~7Gbrf stFlte f~tartt AUTHORIZED SIGNATURE TITLE DATE SUBMITTED AUG 3 0 2006 Alan Parker Executive on Aging -~YIWY State of Hawaii Department of Labor & Industrial Relations Workforce Development Division SUBGRANTEE'S RELEASE Pursuant to the terms of Grant Number No. PY05-SCSEP-H-HCOA and in consideration of the sum of: Two Hundred Eighty TwoThousand Four Hundred Eighty Two Dollazs 282.482 ) Total of smonnts paid and payable which has been or is to be paid under the said subgranY to: Hawaii County Office of Aging 101 Aupuni St. Rm. 342 Hilo, HI 96720 hereinafter called the subgrantee, the subgrantee, upon payment of the said sum by the State of Hawaii, Department of Labor and Industrial Relations, hereinafter called the Government, does remise, release, and dischazge the Govemment, its officers, agents, and employees, of and from all liabilities, obligations, claims, and demands whatsoever under or arising from the said subgrant except: 1. Specified claims in stated amounts or in estimated amounts where the amounts are not susceptible of exact statement by subgrantee as follows: None (If none, so state) 1. Claims, together with reasonable expenses incidental thereto, based upon the liabilities of the subgrantee to third pafties arising out of the performance of said subgrant which are not known to the subgrantee on the date of the execution of this release and of which the subgrantee files a valid claim, IN WITNESS ydI~REOF, this release has been executed this 29th day of Aueust. 2006. SUBGRANTEE'S NAME SIGNATURE Hawaii County Office of Aging EY 101 Aupuni St. Hilo, HI 96'720 Alan Pazker TITLE Executive on A ' State of Hawaii Department of Labor & Industrial Relations Workforce Development Division SUBGRANTEE'S ASSIGNMENT OF REFUNDS, REBATES AND CREDITS Subgrantee's Name & Address (No., Street, City, State, Zip Code) Grant No. Hawaii County Office of Aging PY05-SCSEP-H-HCOA 101 Aupuni St. Rm. 342 Hilo, HI 96720 Pursuant to the terms of SCSEP Grant No. PROS-SCSEP-H-HCOA and in consideration of the reimbursement of costs provided in said subgrant, the subgrantee (Name & Address) Hawaii County Office of Aging 101 Aupuni St. Rm. 342 Hilo, HI 96720 Does hereby: 1. Assign, transfer, set over and release to the State of Hawaii, Deparpnent of Labor and Industrial Relations (hereinafter called the Government), all rights, titles, and interest to all refunds, rebates, credits or other amounts (including any interest thereon) arising out of the performance of the said grant, together with all the rights of action accrued or which may hereafter accrue thereunder. 2. Agree to take whatever action may be necessary to effect prompt collection of all such refunds, rebates, credits or other amounts (including any interest thereon) due or which may become due, and to forward promptly to the State of Hawaii, Department of Labor and Industrial Relations, Fiscal Office checks for any proceeds so collected. The reasonable costs of any such action to effect collection shall constitute allowable costs when approved by the Business Management Officer as stated in the said grant and may be applied to reduce any amounts otherwise payable to the Government under the terms hereof. 3. Agree to cooperate fully with the Government as to any claim or suit in connection with such refunds, rebates, credits of outer amounts due (including any interest thereon): to execute any protest, pleading, application, power of attorney or other papers in connection therewith; and to permit the Government to represent it at.any hearing, trial or other proceeding arising out of such claim or suit. This assignment has been executed this 29th day of August , 2006 SUBGRANTEE'S NAME SIGNAT[JRE Hawaii County Office of Aging BY J/'t/&i~i 101 Aupuni St. Rm. 342 Alan Parker Hilo, HI 96720 TITLE Executive on Aging FINAL (CLOSEOUT) INVENTORY CERTIFICATION A. For Grants with Government Property. I do hereby certify as the responsible officer of (grantee's name) Hawaii County Office of Aging that the attached inventory listings for nonexpendable property which was 1) transferred from another Federal grant and 2) acquired with this grants funds is to be considered as the "final" inventory and lists all Government property for which I am accountable and is correct in 8yery respect. I further certify that the Government property identified above has been approved for use in the new grants number PY05-SCSEP-H-HCOA . SIGNATURE G2 NAME AND TITLE L..~1.F/~l~ ~ Alan Pazker, Executive on Aging A. For Grants with No Government Property. I do hereby certify as the responsible officer of (grantee's name) Hawaii County Office of Aging that no Government property was furnished or acquired under the terms of and conditions of this grant. SIGNATURE NAME AND TITLE Alan Parker, Executive on Aging A. For All State and Local Government Grantees. I do hereby certify as the responsible officer of (grantee's name) Hawaii County Office of Aging that any property acquired with funds made available under this agreement which is from the Employment and Txaining Administration, pursuant to United States Department of Labor regulations and OMB Circulars is included in a listing of properly acquired with grant funds, containing a description with manufacturers serial number (if any) and said listing is hereby submitted. $IGNATURE NAME .AND TITLE f~ ~ Alan Pazker, Executive on Aging 1NVENTORY LISTING A. Subgrantee Name C. Grant/Agreement Number Hawaii County Office of Aging PY05-SCSEP-H-HCOA D. Grant/Agreement Period B. Program From:07/Ol/OS Senior Community Service Employment Program To: 06/30/06 ITEM SERIAL OR DATE ACQUIItED iTNIT I.D. DESCRIPTION FACTORY LD. NO. (DA'T`E OF APPROVAL) COST TAG NO. P-Computer 99H4L61 02/05 1,473.88 SEP13 P-Computer 4YZM6B1 06/06 1,263.98 SEP15 P-Computer 8YZM6B1 06/06 1,263.98 SEP16 Laptop Computer 8DSHN91 03/06 1,673.27 SEP14 Copier K2068800712 06/06 1,019.23 SEP17 Laser Jet Printer USFC125273 12/21/94 1,495.83 SEP6 Computer 9800059453 10/16/98 2,061.72 SEP9 Total $10,251.89 CERTIFICATION: I hereby certify that, to the best of my lrnowledge, all property listed has been purchased or disposed of in accordance to applicable property management guidelines as provided by the State of Hawaii, DLIR/WDD. 8/29/06 SIGNATURE TITLE DATE SPECIAL BANK/FINANCIAL ACCOUNT Contractor HaWail COUnty Offics Of Aging COntraCt No. PY-05-SCSEP-H-HCOA A. Zero Balance Bank Statement: N/A B. Fidelity Bonds: N/A C. Unclaimed or Outstanding Checks: NIA D. Refunds Due Goverment: N/A 1) Unliquidated advance payments 2) Unclaimed wages/outstanding checks. 3) Interest owed on Government funds 4) Fidelity Bond 5) Workmen's Compensation 6) Other Retunds Total Check . ~2r,QY,~ 08/29/0 Signature Date App A-21 SUBGRANT CLOSEOUT TAX CERTIFICATION In the performance of SCSEP Grant No. PY05-SCSEP-H-HCOA, I certify that I have complied with requirements of the law and the Department of Labor & Industrial Relations, Workforce Development Division, regarding the obtaining of employer identification account number, collection, payment, deposit, and reporting of Federal, State, and local taxes; and the provision of W-2 forms to employee/enrollees who aze not now my employees. For present employees/enrollees, (formally employed under the subgrant), W-2 forms will be furnished as specified in Circulaz E, Employer's Tax Guide. AUTHORIZED SIGNATURE: ~ j1 ~ ~ ~~D~ ) NAME OF SUBGRANTEE: Hawaii County Office of grog ADDRESS: 101 Aupuni St. Rm. 342 Hilo, HI 96720 REPRESENTATION LETTER Nelson Befitel, Duector Department of Labor & Industrial Relations 830 Punchbowl Street, Room 311 Honolulu, Hawaii 96813 To Director Nelson Befitel In connection with this closeout on Grant No. PY05-SCSEP-H-HCOA, and I hereby certify the following representations based upon my best knowledge and belief: 1) This closeout was prepared utilizing the financial and program records which are available for your inspection. 2) All material transactions have been recorded in accounting records in accordance with the applicable OMB Circulazs in conformity with Senior Community Services Employment Program (SCSEP) regulations. 3) All related material events subsequent to submittal of this closeout will be made kno~4n to you by the most expeditious route. 4) All reported costs were incurred in the performance of the grant. There was never any intention to frustrate the provisions of SCSEP, the regulations, or the grant. Sincerely, X a,v. Alan Parker, Executive on A ing Au¢ust 29.2006 Date BALANCE SHEET Date: 08/29/06 ASSETS Petty Cash 0.00 Cash in Bank 0.00 Accounts Receivable 0.00 Property and Equipment Other Assets $10,251.89 Total Assets $10,251.89 LIABILITIES AND FUND BALANCE Vouchers Payable Accrued Liabilities Other Liabilities Total Liabilities Fund Balance Investment in Property and Equipment $10,251.89 Reserved for Encumbrances Reserved Fund Balance Total Liabilities and Fund Balance- $10,251.89