HomeMy WebLinkAboutCOM 0415.000 2010-2012William P. Kenoi
Mayor
October 5, 2011
County of Hawaii
Finance Department
25 Aupuni Street, Suite 2103 • Hilo, Hawai`i 96720
(808) 961 -8234 • Fax(808)961 -8569
Dominic Yagong, Council Chair and
Members of the Hawaii County Council
Hawaii County Council
25 Aupuni Street
Hilo, Hawaii 96720
Re: Operating Budget
Nancy E. Crawford
Director
Deanna S. Sako
Deputy Director
For FY 2011 -12, the State of Hawaii Department of Health, Executive Office on Aging
has awarded the Hawaii County Office of Aging a grant in the amount of $10,550 to be
used to continue implementation of the Chronic Disease Self Management Program
(CDSMP).
Enclosed is a bill for an ordinance amending the Operating Budget by increasing the
appropriation of the Area Plan on Aging Account by $10,550.
If there are any questions, please do not hesitate to call Brenda Isa of the Office of
Aging at 961 -8600.
Nancy Crawford
Director of Finance
Enc.
cc: Aging
ON 11
Comm. No. %/5
Ref. To: FG
Hawai`i County is an Equal Opportunity Provider and Employer Ref. Date 1t
Form #: B -52
7/18/91
DEPARTMENT OF FINANCE
REQUEST FOR COUNCIL ACTION
DEPARTMENT: Office of Aging
STAFF CONTACT: Pauline Fukunaga
DATE: September 26, 2011
PHONE: 961 -8600
A. REQUEST:
Requesting a bill to increase appropriation for the Healthy Aging Partnership - Empowering Elders Project
Appropriation:
Revenue:
010.411.5411.10
33oy,o cn
O— a
$10,550.00 for Healthy Aging /Chronic Disease Management
$10,550.00
B. BACKGROUND AND JUSTIFICATION (USE ADDITIONAL SHEETS AS NEEDED):
Grant funds (State Rainy Day Funds) awarded to Hawaii County Office of Aging to continue implementation
of the Chronic Disease Self Management Program (CDSMP).
SIGNED:
11"
Department H ad
DATE: 09/26/11
GRANT SUMMARY
Supplement to B -52, Request for Council Action
Type of Grant Appropriation being requested: (New or an additional appropriation)
OR
❑ Additional appropriation (to an existing grant);
Has the original grant notification been transmitted to
Council? ❑ Yes ❑ No
►1 New (for this fiscal year period).
Is a draft agreement attached?
Yes 1 No
Name of Grant Program: Healthy Aging /Chronic Disease Self Management Program
Grantor: State Department of Health, Executive Office onAging
County Grantee Department or Agency: Hawai'i County Office of Aging (HCOA)
County Grantee Contact Person: Pauline Fukunaga Phone Number: 961 -8600
Amount of Grant: $10,550.00
Grant Period (Commencement & Completion): September 13, 2011 to June 30, 2012
Purpose of Grant: To award funds to HCOA to continue to implement an evidence -based prevention
program.
County Match required ?: n Yes ® No
If yes, Matching Amount?
In -kind? Explain:
Budgeted in account# :
Explanation:
County's personnel requirements: Amount of new position(s)?
Qty: Permanent: ❑ Temporary: n, Duration:
Full -time: ❑ Part-time: ❑, Time Element:
Qty: Contractual: ❑ Explain:
Explanation:
Additional Comments about Grant:
B -52 Grant Summary Form
STATE OF HAWAII
REQUISITION & PURCHASE ORDER
DEPARTMENT OF HEALTH DECEIVED SEP
EXECUTIVE OFFICE ON AGING
ORGANIZATION FUNCTION AND ACTIVITY
NOTICE TO VENDORS
Conditions of purchase are listed on the back side of this purchase order. Please read
carefully. Payments may be delayed if all steps are not followed.
County of Hawaii
Office of Aging
1055 Kino'ole Street, Room 101
Hilo, HI 96720
The State of Hawaii is an EQUAL EMPLOYMENT OPPORTUNITY and AFFIRMATIVE ACTION employer. We encourage the
participation of women and minorities in all phases of employment.
PURCHASE
ORDER NO.
n
lli(11 tr., ► +t Pi llIt4ti
3 2011
Date 9/7/11
E0A06059
Deliver Before
DELIVERY ADDRESS
No. 1 Capitol District
250 South Hotel St., Suite 406
Honolulu, HI 96813 -2831
BILLING ADDRESS
same as above
QUAN.
UNIT
DESCRIPTION
UNIT PRICE
AMOUNT
2
Cycle of Chronic Disease Self Management Program (CD$MP)
Administrative Costs
O Caroline Cadirao 114' 808- 586 -0100
REQUISITIONER TELEPHONE
GOODS /SERVICES RECEIVED IN GOOD ORDER AND CONDITION BY DATE
VOUCHER
NUMBER
AUTHENTICATED BY:
$4,249.00 $ 8,498.00
2,052.00
$10,550.00
AUTHORIZED SIGNATURE
REQUISITION NO.
VENDOR
NUMBER
SFX
XXXXXXXXXX
XX
229436
05
FOR DEPARTMENT USE ONLY
.. 0" . - -,?-o 7
SFX
TC
F
YR
APP
D
OBJECT
CC
PROJNO.
PH
ACT
ESTIMATED COST
ACTUAL COST
M
R
OPT DEPT DATA
XX
XXX
X
XX
XXX
XX
XXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXHXX
XXXXXXXXXXXiXX
X
X
XXXXXXXXXXX
01
621
S
11
381
H
2990
019
10,550 00
COP7 r 1-- VENDOR
STATE ACCOUNTING FORM C -03
JULY, 19$3 (REVISED)
,t /i 11