HomeMy WebLinkAboutCOM 0667.000 2008-2010
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• Alan R. Parker
William P. Kenoi
Executive on Aging
Mayor
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@hawaiiantel. 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: December 15, 2009
TO: J Yoshimoto, Council Chairman and 0 0
Council Members do c s
4 . rv , 1
VIA: Kay Oshiro, Acting Controller
_?w N
tain 6 FROM: Par er, ecutive on Aging M ITT
a
RE: NOTIFICATION OF GRANT AWARD
Compliance with Ordinance No. 09-64, Section 7(l) cap
Name of Grant Program: Empowering Older People to Take Control of Their Health
through Evidenced Based Prevention Programs
Grantor: Dept. of Health, Executive Office on Aging
County Grantee Department or Agency: Hawaii County Office of Aging
Grant No. (IF KNOWN): HI-EBI-08-N-CDSMP
Amount of Grant: $66,010.00
Amount of County Match: $9,900.00
County Rev. & Exp. Account Numbers: #3303.98 & #010.411.5411.93
Grant Period (Commencement & Completion): March 20, 2008 - December 31, 2009
Purpose of Grant: To coordinate the delivery of evidence-based prevention through an
aging service provider organization. The Office of Aging will
implement the Chronic Disease Self Management Program
(CDSMP) in a community setting.
Is final report required by grantor? ~ Yes No
Notification attached: E]Yes XX No, because contract is attached. My apologies for the
lateness of this notification. (0 ~'J
Comm, No. lP
pf Ref. To:
Ref. Date DEC 2
Haivai 'i County is an equal opportunity provider and employer. An Area Agency on Aging
OF
.p r'Y95o y
'y4 STATE OF HAWAII
CONTRACT FOR GOODS AND SERVICES
(IN THE FOLLOWING CATEGORIES: EXEMPT; SMALL PURCHASE;
~Bep.®;pp;ppgp" SOLE SOURCE; OR EMERGENCY)
This Contract, executed on the respective dates indicated below, is effective as of
March 20 2008, between Department of Health ,
(Insert name ofstate department, agency, board or commission)
State of Hawaii ("STATE"), by its Director, Executive Office on Aging ,
(Insert title ofperson signing for State)
(hereafter also referred to as the HEAD OF THE PURCHASING AGENCY or designee ("HOPA")),
whose address is 250 South Hotel Street, Suite 406, Honolulu, Hawaii 96813
and County of Hawaii
("CONTRACTOR"), a government entity
(Insert corporation, partnership, joint venture, sole proprietorship. or other legal form of the Contractor)
under the laws of the State of Hawaii , whose business address and federal
and state taxpayer identification numbers areas follows: 101 Aupum Street Suite 342, Hilo, Hawaii
96720 Federal Tax I.D. # 99-6000567 State Tax I.D. #W40893544-01
RECITALS
A. The STATE is in need of the goods and services, or both, described in this
Contract and its attachments. The CONTRACTOR is agreeable to providing the goods and services,
or both, as the case may be.
B. This Contract is for (check one box):
® (1) A procurement expenditure of public funds for goods or services,
or both, that is otherwise exempt from public bidding as set forth in section 103D-102, Hawaii
Revised Statutes ("HRS"), and chapter 3-120, Hawaii Administrative. Rules ("HAR"); or
or
? (2) A small purchase procurement of goods or services, or both, as set forth
in section 103D-305, HRS, and subchapter 8, chapter 3-122, HAR; or
? (3) A sole source procurement of goods or services, or both, as set forth
in section 103D-306, HRS, and subchapter 9, chapter 3-122, HAR; or
? (4) An emergency procurement of goods or services, or both, as set forth
in section 103D-307, HRS, and subchapter 10, chapter 3-122, HAR.
C. Money is available to fund this Contract pursuant to:
(1)
(Identify state sources)
or (2) 90AM3117/02
(Identifyfederal sources)
or both, in the following amounts: State $ 0.00
Federal $ 66,010.00
D. Pursuant to Section 349-3 H.R.S. , the STATE
(Legal authority to enter into this Contract)
is authorized to enter into this Contract.
E. The agency's Chief Procurement Officer is Aaron S. Fujioka
who ? has approved this procurement or ® is not required to approve this procurement.
NOW, THEREFORE, in consideration of the promises contained in this Contract, the
STATE and the CONTRACTOR agree as follows:
1. Scope of Services. The CONTRACTOR shall, in a proper and satisfactory
manner as determined by the STATE, provide all the goods or services, or both, set forth in Attachment-
S 1, which is made a part of this Contract.
HI-EBI-08-N-CDSMP
1
AG-002 Rev 07/24/2006
2. Coml )sation. The CONTRACTOR shall l _j•ompensated for goods
supplied or services performed, or both, under this Contract in a total amount not to exceed
SIXTY-SIX THOUSAND, TEN AND N01100 DOLLARS
66,010.00 including approved costs incurred and taxes, according to the Compensation and
Payment Schedule set forth in Attachment-S2, which is made a part of this. Contract.
3. Time of Performance. The services or goods required of the CONTRACTOR
under this Contract shall be performed and completed in accordance with the Time of Perfomance set
forth in Attachment-S3, which is made a part of this Contract.
4. Bonds. The CONTRACTOR ? is required to provide or ® is not required to
provide: E] a performance bond, ? a payment bond, ? a performance and payment bond in the
amount of Not Applicable DOLLARS 0.00
5. Standards of Conduct Declaration. The Standards of Conduct Declaration of the
CONTRACTOR is attached to and made a part of this Contract.
6. Other Terms and Conditions. The General Conditions and any Special
Conditions are attached to 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. Liquidated Damages. Liquidated damages shall be assessed in the amount of
N/A DOLLARS
0.00 ) per day, in accordance with the terms of paragraph 9 of the General Conditions.
8. Notices. Any written notice required to be given by any party to this Contract
shall be (a) delivered personally, or (b) sent by United States first class mail, postage prepaid. Notice to
the STATE shall be sent to the HOPA'S address indicated in the Contract. Notice to the
CONTRACTOR shall be sent to the CONTRACTOR'S address indicated in the Contract. 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 CONTRACTOR is responsible for notifying the STATE in writing of any change of
address.
parties execute is Contract y eir signa res, on he
dates below, to be effective as of the date first above written.
STATE
(Signature)
(Print Name)
(Print Title)
(Date)
CONT TOR
C RPORA7 : SEAL
(I1` ~ e
(Name of Contractor)
(Signature)
(Print Name)
(Print Title)
(Date)
APPROVE AS TO FORM:
Evidence of authority of the CONTRACTOR'S representative to sign this Contract for the CONTRACTOR must be attached.
HI-EBI-08-N-CDSMP
2
AG-002 Rev 07/24/2006
IN VIEW OF THE ABOVE, the parties execute this Contract by their signatures, on the
dates below, to be effective as of the date first above written.
STATE
By:
Its:
Date: - Z 1- o FS
CON CTOR
By:
Its: ACTING MAYOR
Date: MAR 3 1 2w
APPROVED BY:
Hawaii County Office of Aging
County Executive
APPROVED AS TO FORM AND LEGALITY:
Deputy Corporatio ouncil
County of Hawaii
APPROVED AS TO FORM:
Dep , ty Attorney Gener Tofe State of Hawaii
* Evidence of authority O NTRACTOR's representative to sign this Contract for the
CONTRACTOR must be attached.
HI-EBI-08-N-CDSMP
2
AG-002 Rev. 07/24/2006
y P?~'°50 ` ' Attachment - S1 .
' STATE OF HAWAII
, QQ:.......... oQ SCOPE OF SERVICES
e
The County of Hawaii ("CONTRACTOR") through its Hawaii County Office of Aging
("HCOA") shall, in a satisfactory and proper manner as determined by the State of Hawaii
("STATE"), and in accordance with the terms and conditions of this Contract, use the funds
received under this Contract to implement the Chronic,Disease Self Management Program
("CDSMP"). CDSMP is an evidenced-based prevention program that closely replicates a
specific intervention that has been tested through randomly controlled experiments with
published results. The CONTRACTOR shall:
1. Implement the program pursuant to the terms and conditions as prescribed by the United
States Administration on Aging's ("AoA") Empowering Older People to Take Control of
Their Health through Evidenced Based Prevention Programs, A Public/Private
Collaboration, OMB Approval No. 0985-0018, which are incorporated herein by
reference.
2. Execute and monitor contract with Older Americans Act ("OAA") funded provider to
deliver CDSMP.
3. Coordinate with OAA funded provider to offer CDSMP training to a minimum of two (2)
individuals to become Master Trainers.
4. Coordinate with OAA funded provider to offer CDSMP training to a minimum of two (2)
individuals to become lay leaders, as needed.
5. Replicate the CDSMP with fidelity in OAA funded programs in Hawaii County.
a. Prepare to implement CDSMP at an OAA funded nutrition site.
b. Monitor that the implementation of CDSMP is replicated with fidelity.
c. Coordinate with OAA funded provider to market CDSMP.
d. Recruit and support a minimum of ten (10) older adults to participate and
complete the six (6).week CDSMP program and evaluation protocol.
6. Staff the Hawaii County Healthy Aging Program ("HAP").
HI-EBI-08-N-CDSMP 1
AG-011 Rev 07/28/2005
6 ~ ~ M
~P: „',959„ •..9 Attachment - S1
STATE OF HAWAII
' . Q SCOPE OF SERVICES
a. Convene meetings, develop agendas, and compile and distribute minutes of the
meetings.
b. Work with the HAP Steering Committee to identify and invite new partners.
c. Provide updates to the HCOA advisory committee.
7. Participate on the statewide HAP Steering Committee and Evaluation Sub-committee.
8. Coordinate with the STATE Executive Office on Aging to build the Aging Network
capacity in evidence-based programming.
9. Oversee progress towards goals and objectives.
10. Support Healthy Aging Partnership - Empowering Elders ("HAPEE") partner in fidelity
monitoring and program evaluation.
11. Submit the following reports to the STATE:
a. Semi-Annual Progress Report, due thirty (30) days after the six (6) month and
twelve (12) month periods, that shall include major activities and
accomplishments, problems, significant findings and events, dissemination
activities, future activities, and copies of meetings, agendas and other related
materials.
b. Semi-Annual Financial Status Reports (SF-269) due thirty (30) days after the six
month and twelve (12) month periods.
c. Any other additional information or special reports required or requested by the
STATE.
HI-EBI-08-N-CDSMP 2
AG-011 Rev 07/28/2005
,(P••'~' 19.59.• 9
h;
STATE OF HAWAII Attachment-S2
COMPENSATION AND PAYMENT SCHEDULE
In full consideration for the services performed by the CONTRACTOR under this Contract, the
STATE agrees, subject to receipt of federal funds under the Federal Grant and subject to
allotments to be made by the Director of Finance, State of Hawaii, pursuant to Chapter 37,
Hawaii Revised Statutes, to pay to the CONTRACTOR a total sum of money not to exceed
SIXTY-SIX THOUSAND TEN AND NO/100 DOLLARS ($66,010.00), consisting of federal
funds to be received under the Federal Grant, which shall be paid in accordance with and subject
to the following:
a. Payments shall be made according to scheduled deliverables upon
submission by the CONTRACTOR of invoices in triplicate for the
services provided in accordance with Attachment-S 1, "Scope of Services,"
and in accordance with the Project Workplan attached hereto as Exhibit
"A" and made a part hereof. The STATE shall withhold TWENTY
THOUSAND ONE HUNDRED SIXTY-NINE AND NO/100 DOLLARS
($20,169.00) until final settlement of this Contract.
b. Invoices shall be certified by the CONTRACTOR and accompanied by
progress reports describing the services performed in providing the
deliverables required under the Contract.
C. Final settlement of this Contract shall include submission and acceptance
of all reports and other materials to be submitted by the CONTRACTOR
to the STATE, resolution of all discrepancies in the deliverables received
or performance of services, and completion of all other outstanding
matters under this Contract.
HI-EBI-08-N-CDSMP
1
P o q`5 ^ u 9 ,
Attachment - S3
STATE OF HAWAII
Xk;
' TIME OF PERFORMANCE
Q~'® C(E] PAW .
The CONTRACTOR shall provide the required services from March-20, 2008 to December 31, 2008,
unless this Contract is extended or sooner terminated.
HI-EBI-08-N-CDSMP 1 AG-013 Rev 11/15/2005
Form #:B-52
7/18/91
DEPARTMENT OF-FINANCE
REQUEST FOR COUNCIL ACTION
DEPARTMENT: Office of Aging DATE: March 4, 2009
STAFF CONTACT: Pauline Fukunaga PHONE: 961-8600
A. REQUEST:
Requesting a bill to increase appropriation for the Healthy Aging Partnership - Empowering Elders Project
Appropriation: .010.411.5411.93 $16,000.00 for Healthy Aging/Chronic Disease Management
Revenue: 3303.98 $16,000.00
B. BACKGROUND AND JUSTIFICATION (USEADDITIONAL SHEETS AS NEEDED):
Grant funds awarded to Hawaii County Office of Aging to continue implementation of the Chronic Disease
Self Management Program (CDSMP).
SIGNED: DATE: 03/05/09
Department Head