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HomeMy WebLinkAboutRES 714 Draft 01 2006-2008COUNTY OF HAWAII STATE OF HAWAII RESOLUTION NO. X14 ' ~)S RESOLUTION AUTHORIZING THE OFFICE OF THE MAYOR TO ENTER INTO AN AGREEMENT WITH THE STATE OF HAWAII DEPARTMENT OF HEALTH, PURSUANT TO HRS 46-7, FOR THE SEXUAL VIOLENCE PREVENTION AND PLANNING PROCESS GRANT WHEREAS, the State of Hawaii Department of Health's Maternal & Child Health Branch has authorized funding to the Hawaii Office of the Prosecuting Attorney for the Sexual Violence Prevention and Planning Process Grant; and WHEREAS, The Office of the Prosecuting Attorney is being contracted for services relating to the planning and development of an initiative for the primary prevention of sexual violence; and WHEREAS, these monies, derived from the Federal funds, will be used to convene a stakeholder committee for the Hawaii County, coordinate a minimum of three meetings, and represent the committee on a statewide Sexual Violence Prevention Planning Committee; and WHEREAS, Hawaii Revised Statutes, Section 46-7, requires that county departments obtain the consent of the council to enter into agreements with the federal or state governments respecting action to be taken pursuant to any of the powers granted by law to furnish, expend, and receive any funds or other assistance in connection with projects being or to be undertaken pursuant to those powers. NOW, THEREFORE, BE IT RESOLVED BY THE COUNCIL OF THE COUNTY OF HAWAII, in accordance with section 46-7, Hawaii Revised Statutes, that the Mayor of the County of Hawaii is authorized to execute, on behalf of the County, the agreement to perform services by a contractor, attached hereto and incorporated herein by reference as Exhibit "A", to enable the County to be contracted for services relating to the planning and development of an initiative for the primary prevention of sexual violence. BE IT FURTHER RESOLVED that the Mayor of the County of Hawaii is authorized to sign the above-referenced agreement and any related documents on behalf of the Office of the Mayor and the County of Hawaii pursuant to the Hawaii County Charter. BE IT FURTHER RESOLVED that the County Clerk of the County of Hawaii shall transmit copies of this resolution to the Office of the Mayor, the Office of the Prosecuting Attorney, and the Finance Department. Dated at xona ,Hawaii, this 27th day of August , 2008. INT ODUCED BY: (/V~---- COUNCIL MEMBE O N Y F HAWAII COUN"fY COUNCIL County of llawai`i Hilo, Hawaii I hereby certify that the foregoing RESOLU"fION was by the vote indicated to the right hereof adopted by the COUNCIL of the County of Flawai`i on August 27, 2008 A"fTEST ROLL CALL VOTE AYES NOES AI3S P,X roan x RIGA X tIOFPMANN X IIhGDA X .IACOI3SON x NArol.r_ x ru.AGO X Y.4GONG X YOSIiIMO'f0 g 9 0 0 0 C-1361/F'C -309 1'sSOLU'fION NO '714 08 STATE OF HAWAII DEPARTMENT OF HEALTH FAMILY HEALTH SERVICES DIVISION AGREEMENT TO PERFORM SERVICES BY A CONTRACTOR THIS AGREEMENT, made and entered into as of the date of approval of the State Purchase Order, by and between the State of Hawaii, Department of Health, hereinafter called the "DEPARTMENT", and the Office of the Prosecuting Attorney, County of Hawaii, hereinafter called the "CONTRACTOR." In consideration of the mutual promises hereinafter set forth, the parties agree as follows: I. DEPARTMENT will: A. Describe the scope of work and the policies and procedures governing the duties and responsibilities of the CONTRACTOR under this Agreement. (See attachment) B. Designate the period of services as: 1. ® Fixed, from the date of approval of the State Purchase Order to October 31,2006. 2. ^ Open, and contingent on circumstances. C. Reimburse the CONTRACTOR at the rate of: 1. ^ Diagnostic evaluation at per hour. N/A 2. ^ Conference services at N/A 3. ^ Theraphy services at per hour. N/A 4. ^ Programming services at per hour. N/A 5. ^ Health maintenance of primary care clinics at per hour. N/A 6. ^ Specialty clinics at per hour. N/A 7. ^ services at $ N/A 8. ® Total reimbursement under this Agreement shall not exceed $8,000.00. D. Review the effectiveness of the arrangement and the quality of performance. E. Review and verify the CONTRACTOR's report of services and findings. II. The CONTRACTOR will: A. Certify, by signing this agreement, that individuals providing services under this agreement have had a TB clearance. N/A B. Certify, by signing this agreement, that individuals providing services under this agreement have an unencumbered license to practice in the State of Hawaii. N/A C. Certify, by signing this agreement, that individuals providing services under this agreement are covered by professional liability insurance. (As applicable) N/A D. Comply with the DEPARTMENT's regulations. E. Abide by the DEPARTMENT'S policies and procedures and other requirements regarding fee-for-services providers. N/A F. Provide services as described under the scope of work. G. Submit the following reports to the DEPARTMENT: 1. ^ Physician's report of findings and recommendations. 2. ® An original plus one copy of the report of services. 3. ^ An original plus one copy of the evaluation report(s). 4. ^ An original plus one copy of the therapy progress report(s). 5. ^ Report of medical records reviewed & data forms completed pursuant to scope of work. H. Submit an original plus three copies of the invoice to the appropriate program or Branch. 1 EXHIBIT "A" I. Inform the DEPARTMENT of any change in legal status to practice in Hawaii. N/A III. Both parties agree that the following checked items are to be included in this Agreement: N/A A. ^ Mileage at per mile. B. ^ Travel time. C. ^ Coupons to be provided if travel indicated. D. ^ Per Diem at the current rate for fee-for-service professionals. E. ^ Neighbor island car rental cost. F. ^ Supplies will be provided by the DEPARTMENT. G. ^ Equipment will be provided by the DEPARTMENT> IV. Both parties agree that this Agreement may be terminated at any time by either party by giving thirty (30) days advance written notice to the other party of such termination. V. All reports are the property of the DEPARTMENT. Any disclosures shall be in accordance with the rules and regulations of the DEPARTMENT. VI. The CONTRACTOR shall indemnify and save harmless the State of Hawaii, the DEPARTMENT, and their officers, employees, and agents from any and all actions, claims, suits, damages, and costs arising out of or resulting from the acts or omissions of the CONTRACTOR of the CONTRACTOR'S officers, employees, agents or subcontractors occurring during or in connection with the performance of the CONTRACTOR'S services under this Agreement. VII. Cost element of funding: Account(s) S 09 206 H 2000 000278 08 178 The parties have executed this Agreement, effective the day and year first above written. STATE OF HAWAII DEPARTMENT OF HEALTH "I certify that these services may be performed concurrently with a private business or profession or other private employment, and it is impracticable to ascertain or anticipate the portion of time to be devoted to the service of the State. Pursuant to Section 76-16(15), Hawaii Revised Statutes, the services are exempt from the State civil service." By LORI KAMEMOTO, M.D. CHIEF, MATERNAL AND CHILD HEALTH BRANCH By CONTRACTOR'S SIGNATURE HARRY KIM MAYOR CONTRACTOR'S TITLE NOTED: LORETTA J. FUDDY, A.C.S.W., M.P.H. CHIEF, FAMILY HEALTH SERVICES DIVISION cc: Contractor Branch Division FHSD Form 103D-03 (6/06) 2 Scope of Services Hawaii County Participation in a Statewide Sexual Violence Prevention Planning Process: Coordination and Representation The Department of Health (DOH) Maternal & Child Health Branch will contract for services relating to the planning and development of an initiative for the primary prevention of sexual violence, as provided by the Sexual Violence Prevention and Education Cooperative Agreement with the Centers for Disease Control. The contractor will convene a stakeholder committee for the Hawaii County, coordinate the committee, and represent the committee on a statewide Sexual Violence Prevention (SVPP) Planning Committee. Primary prevention is defined as actions taken to prevent sexual violence BEFORE it occurs. Actions to prevent sexual violence include: changes in social/community norms, organizational culture, institutional policy, media messages, etc. For purposes of this grant, victim services do not meet the criteria of primary prevention and are not included in this planning process. The Contractor shall complete the following services, hereinafter called Deliverables, and may invoice for completed Deliverables, according the dollar value shown below: 1. Convene a committee of Hawaii County stakeholders and coordinate a minimum of three meetings of the committee to elicit input and assure county-level participation in the development of a statewide sexual violence prevention plan. 2. Record and disseminate notes of the Hawaii County SVPP stakeholder committee meetings, and disseminate meetings notes and materials of the SVPP Planning Committee to the Hawaii County SVPP stakeholders committee. [Note: The combined value of Deliverables 1 and 2 is $6,300. After each of three meetings, and the related dissemination of notes and other materials, the amount of $2,100, or one third of $6,300, maybe invoiced.] 3. Provide assistance to the DOH's Sexual Violence Prevention Assessment Contractor in developing a list of focus group participants for Hawaii County. $500 4. Attend one training session of Neighbor Island County SVPP coordinators on Oahu in August 2008, to assure that the planning process is consistent and coordinated between state and county committees. $600 5. Represent Hawaii County SVPP stakeholders committee at the October 2008 meeting of the SVPP Planning Committee on Oahu. $600 6. Provide reports of these services, and submit invoices according to the assigned value of the above Deliverables.