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Home My WebLink AboutCOM 0041.002 2008-2010 Nov os ~ Alan R. Parker William P. Kenoi Mayor Exendive on Aging q![ pj~M1.'t County of Hawaii OFFICE OF AGING Aging and Disability Resource Center, 1055 Kino'ole Street, Suite 101, Hilo, Hawaii 96720-3872 Phone (808) 961-8600 • Fax (808) 961-8603 • Email: hcoa@liawaiiantel.net Hanama Place, 75-5706 Kuakini Highway, Suite 106, Kailua-Kona, Hawaii 96740-1751 Phone (808) 327-3597 • Fax (808) 327-3599 • Email: hcoakona@hawaiiantel.net DATE: July 1, 2009 0 C- TO: J Yoshimoto, Council Chairman and Council Members VIA: Kay Oshiro, cting ontroller FROM: Alan Parker, Ex cutive on Aging CO _ cn RE: NOTIFICATION OF GRANT AWARD co Compliance with Ordinance No. 09-64, Section 7(1) Name of Grant Program: Senior Training and Employment Grantor: State Of Hawai'i, Dept. of Labor & Industrial Relations Workforce Development Division County Grantee Department or Agency: Hawaii County Office of Aging Grant No. (IF KNOWN): PY 09-OACSEP-H-HCOA Amount of Grant: $334,770.00 Amount of County Match: $45,576.00 County Revenue & Expenditure Account Numbers: 3301.20 and 010.481.5484.01, 010.481.5484.02, 010.481.5484.03 Grant Period (Commencement & Completion): July 1, 2009 to June 30, 2010 Purpose of Grant: To provide subsidized part-time community service employment opportunites and training to individuals 55 years of age and older. Is final report required by grantor? ® Yes ? No Notification attached: ? Yes ? No, because . Comm. No. Ref. To. Please direct any questions to Vicki R. Belluomini at 961-8600 Ref. Date Hawn, i County is an equal opportunity provider and employer. An Area Agency on Aging CONTRACTNO. PY09-OACSEP-CC-HCOA STATE OF HAWAII CONTRACT FOR HEALTH AND HUMAN SERVICES, . COMPETITIVE PURCHASE OF SERVICES This Contract, executed on the respective dates indicated below, is effective as of July 1 20 09 , between the Department of Labor & Industrial Relations (Name ofstate department. agency, board or commission) State ofHawai`i ("STATE'), by its Director (Title ofterson signing for the STATE) whose address is: 830 Punchbowl Street, Room 321 Honolulu, Hawaii 96813 and Hawaii County Office of Aging (Name ofPROYMER) - ("PROVIDER") a County Governmental Entity (Legal fornt ofPROMER Le., 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: 1055 Kino'ole Street, Suite 101 Hilo, Hawaii 96720 Mailing address if different than business street address: Federal employer identification number: 99-6000567 Hawaii general excise tax number: 30016002 RECITALS A- This Contract is for a competitive purchase of services (a "Competitive POS"), as defined in section 103F-402, Hawaii Revised Statutes ("HRS"), and Hawaii Administrative Rules ("HAR") chapter 3-143. B. 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. AG Form 103F (9/06) Compelitive CONTRACT NO. PY09-OACSEP-CC-HCOA C. Money is available to fund this Contract pursuant to: (1) in the amount of or . (Identify state sources) (state funding) (2) Public Law 111-8 in the amount of $334,770.00 or both. (Identify federal sources) federal funding) D. The STATE is authorized to enter into this Contract pursuant to: Chapters 103F and 26-20, Hawaii Revised Statutes (Legal authorityfor Contract) 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; EJ the PROVIDER is a sole proprietor and as such does not require any authorizing documents to sign this Contract; 0 other evidence of authority to sign: the PROVIDER is a county governmental entity F. The PROVIDER has provided a "Certificate of Insurance" to the STATE that shows to the satisfaction of the STATE that the PROVIDER has obtained liability insurance which complies with paragraph 1.4 of the General Conditions of this Contract and with any Special Conditions of this Contract. G. The PROVIDER produced, and the STATE inspected, a tax clearance certificate as required by section 103-53, HRS. 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 ("UP"), 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. AG Fovn 103F (9/06) Competitive Page 2 CONTRACT NO. PY09-OACSEP-CC-HCOA 2. Time of Performance. The PROVIDER shall provide the Required Services from July 1 , 20 9, to June 30 20 1 , 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 in a total amount for all required services not to exceed: Three Hundred Thirty Four Thousand Seven Hundred Seventy Dollars DOLLARS ($334,770.00 which amount includes all fees and costs incurred and any federal, state and local taxes, at the time and manner set forth in Attachment 113" to this Contract, which is hereby made a part of this Contract. 4. Certificate of Exemption from Civil Service. The Certificate of Exemption from Civil Service is attached and made a part of this Contract. 5. Standards of Conduct Declaration. The Standards of Conduct Declaration of the PROVIDER is attached and made a part of this Contract. 6. 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. 7. 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: Director-830 Punchbowl Street Room 321, Honolulu HI 96813 and Workforce Development Division-830 Punchbowl Street, Room 329, Honolulu, HI 96813 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. AG Forth 103F (9/06) Competitive Page 3 CONTRACT NO. PY09-OACSEP-CC-HCOA IN VIEW OF THE ABOVE, the parties execute this Contract by their signatures below. STATE By ~lV14 L, (Signamref Print Name Darwin L.D. Ching Print Title Director Date CORPORATE SEAL (if available) FUNDING AGENCY (to be signed by head of funding agency if other than the Contracting Agency) By (Signature) RECOMMEND APPROVAL Print Name Print Title B Exec. on Aging ocr® JUN 0 9 2009 Date APPROVED AS TO PROM FORM AND LEGALITY: By ^,t I (Sigrtarure) WILLIAM T. TAKABA DEPU OR RATION COUNSEL Print Name COUNTY F H WAII Print Title Managing Director Dote Date ']UN 1 APPROVED AS TO FORM: Deputy Attorne eneral AG Form 103F (9/06) Competitive Page 4 CONTRACT NO. PY09-OACSEP-CC-HCOA PROVIDER'S ACKNOWLEDGMENT STATE OF SS. OUNTY O~ ) On this 1 day o 200 9 before me appeared TT A jl~', /2A and to me known, to be the peison(s) described in and, who, being by me duly sworn, did say t h /she/ 91S/ e the Managing Dire nr . and of the PROVIDER named in the forgoing instrument, and that he/she/t . /are authorized to sign said instrument on behalf of the PROVIDER, and acknowledges that he/she/they executed said instrument as the free act and deed of the PROVIDER. (Signature PATRICIA A. kOGA Print Name (Notary Seal) Date QN 19 200 _ Notary Public, State of. _ J My commission expires: 07117110 Do A. te: 'v #P P da A. Koga hf' trcuit Dqc, Desc '1 ~e~-- - UN 19 9 Notary Signatun; Date My commission expires 20 NOTARYC IFICATION AG For on 103F (9/06) Competitive Page 5