HomeMy WebLinkAboutCOM 0414.000 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 $50,000 to be
used to address the need to meet federally defined criteria of a statewide, fully
functioning ADRC.
Enclosed is a bill for an ordinance amending the Operating Budget by increasing the
appropriation of the Area Plan on Aging Account by $50,000.
If there are any questions, please do not hesitate to call Brenda Isa of the Office of
Aging at 961 -8600.
)T
JAI
Nancy Crawford
Director of Finance
Enc.
cc: Aging
12i>
Hawaii County is an Equal Opportunity Provider and Employer
Comm. No.
Ref. To: G
Ref. Date OCT 5 21111
Form #: B -52
7/18/91
DEPARTMENT:
STAFF CONTACT:
DEPARTMENT OF FINANCE
REQUEST FOR COUNCIL ACTION
Office of Aging
Alan Parker
DATE: September 26, 2011
PHONE: 961 -8600
A. REQUEST:
Requesting a bill to increase appropriation to address the Aging and Disability Resource Center (ADRC)
criteria of a statewide fully functioning ADRC.
Appropriation:
Revenue:
010.411.5411.10 $50,000.00 for ADRC Development
3301.04 $50,000.00
33C j.O(D Per
B. BACKGROUND AND JUSTIFICATION (USE ADDITIONAL SHEETS AS NEEDED):
Grant funds (State Rainy Day Funds) awarded to Hawaii County Office of Aging for administrative, personnel
or other operational costs of Hawaii County Office of Aging to develop the Aging and Disability Resource
Center (ADRC) in conjunction with the Executive Office on Aging and other county area agencies on aging,
to meet the federally defined criteria of a statewide fully functioning ADRC.
SIGNED:
aiCLAA— Cd7L
Department Hea
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
1 I Additional appropriation (to an existing grant);
Has the original grant notification been transmitted to
Council? n Yes ❑ No
New (for this fiscal year period).
Is a draft agreement attached?
' Yes n No
Name of Grant Program: Aging and Disability Resource Center (ADRC)
Grantor: State Department of Health, Executive Office onAging
County Grantee Department or Agency: Hawai'i County Office of Aging (HCOA)
County Grantee Contact Person: Alan Parker
Phone Number: 961 -8600
Amount of Grant: $50,000.00
Grant Period (Commencement & Completion): September 06, 2011 to June 30, 2012
Purpose of Grant: To award funds to HCOA to meet the federally defined criteria of a statewide fully
functioning ADRC.
County Match required ?: ❑ Yes ® No
If yes, Matching Amount?
In -kind? Explain:
Budgeted in account# :
Explanation:
County's personnel requirements: Amount of new position(s)?
Qty: Permanent: n Temporary: ❑, 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
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.
RECEIVED SEP 0 6 2011
County of Hawaii
Office of Aging
1055 Kino t 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.
*`>Zi`�'i4J n tt i
Date
ECAO 6 45,
6/22/11
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
►
OBJECT
CC
PROJ NO.
PH
ACT
ESTIMATED COST
For administrative, personnel or other operational
costs of HCOA to develop the Aging g and Disabilit y
M
R
OPT DEPT DATA
XX
Resource Center (ADRC) in co:n,ux;<ction with the
X
XX
XXX
XX
Ene cut ive Office OR Aging and other county area
agencies on aging, to meet the federally defined
XXXXXXXXXXXXXXXXXXXXXXXXXX'XX
criteria of a statewide fully functioning AD?C.
X
X
$50,060.00
■
621
S
11
376
11
2990
_ 11..
��do,
REQUISI 10 ER
586 -010
TELEPHONE
GOODS /SERVICES RECEIVED IN GOOD ORDER AND CONDITION BY DATE
VOUCHER
NUMBER
AUTHENTICATED BY:
AUTHORIZED SIGNATURE
REQUISITION NO,'
VENDOR
NUMBER
SFX
XXXXXXXXXX
XX
229436
05
FOR DEPARTMENT USE
.41400 444 r /.z /i, ee A- l 9
N LY
SFX
TC
F
YR
APP
D
OBJECT
CC
PROJ NO.
PH
ACT
ESTIMATED COST
ACTUAL COST
M
R
OPT DEPT DATA
XX
XXX
X
XX
XXX
XX
XXXX
XXXXXXXXXXXXXXXXXXXXXXXXXX'XX
XXXXXXXXXXXiXX
X
X
XXXXXXXXXXX
61
621
S
11
376
11
2990
019
50,000:60
COPY 1 — \s ._i',1[ O 5////,'//
STATE ACCOUNTING FORM C -03
JULY 1, 1983 (REVISED)