The URL can be used to link to this page

Home My WebLink AboutCOM 0408.018 2010-2012 Y,4o;N` OF '• Vf/%� Alan R. Parker William P.Kenoi �fe�"• +:��'mss,'1 •% Executive on Aging Mayor y County of Hawaii OFFICE OF AGING Aging and Disability Resource Center, 1055 Kino'ole Street,Suite 101,Hilo,Hawai'i 96720-3872 Phone(808)961-8600• Fax(808)961-8603• Email:hcoa @hawaiiantel.net West Hawaii Civic Center,74-5044 Ane Keohokalole Highway,Kailua-Kona 96740 Phone(808)323-4390• Fax(808)323-4398 DATE: August 14, 2011 c-? TO: Dominic Yagong, Council Chairman and - i Council Members •-‹ VIA: Kay Oshi o, Co troller FROM: Alan Parker, Executive on Aging c) RE: NOTIFICATION OF GRANT AWARD Compliance with Ordinance No. 12-86, Section 7(1) Name of Grant Program: Senior Community Service Employment Program Grantor: State Of Hawaii, Dept. of Labor & Industrial Relations Workforce Development Division County Grantee Department or Agency: Hawai`i County Office of Aging Grant No. (IF KNOWN): RFP# LBR 111-10(SCSEP) Amount of Grant: $373,028.00 Amount of County Match: $43,473.00 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, 2012 to June 30, 2013 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 No. �` /o Notification attached: N Yes No, because Comm. Ref. To: Please direct any questions to Vicki R. Belluomini at 961-8597 Ref. Date 2 8 Z01Z Hawai'i County is an equal opportunity provider and employer. An Area Agency on Aging CONTRACT NO. PY 12-SCSEP-H-HCOA STATE OF HAWAII r "i n, .. 4' 1 CONTRACT FOR HEALTH AND HUMAN SERVICES: . �:'' � COMPETITIVE PURCHASE OF SERVICES r�r This Contract, executed on the respective dates indicated below, is effective as of July 1 , 20 12 between the Department of Labor and Industrial Relations (Name of the state department,agency board or commission) State of Hawai`i ("STATE"),by its Director (Title of person signing for the STATE) whose address is: 830 Punchbowl Street, Room 321, Honolulu, Hawaii 96813 and Hawaii County Office of Aging (Name of PROVIDER) ("PROVIDER"), a county governmental entity (Legal form of PROVIDER i.e.,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 Hilo, Hawaii 96720 Mailing address if different than business street address: Federal employer identification number: 99-6000567 Hawai`i general excise tax number: 30016002 COMPETITIVE POS Page 1 of 5 AG Form 103F1 (10108) • PY 12-SCSEP-H-HCOA CONTRACT NO. RECITALS A. This Contract is for a competitive purchase of services (a"Competitive POS"), as defined in section 103F-402, Hawaii Revised Statutes ("FIRS"), and chapter 3-143,Hawai`i Administrative Rules. 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. C. Money is available to fund this Contract pursuant to: (1) (Ident ■state sources) in the amount of , or (state funding) (2) Public Law 112-74 (Identi&federal sources) in the amount of $373,028.00 , or both. (federal funding) D. The STATE is authorized to enter into this Contract pursuant to: Chapters 103F and 26-20, Hawaii Revised Statutes (Legal authority for Contracts) 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): n corporate resolutions of the PROVIDER or other authorizing documents such as partnership resolutions; n 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; n the PROVIDER is a sole proprietor and as such does not require any authorizing documents to sign this Contract; IN other evidence of authority to sign: Hawaii County Charter Article V, Section 5-1.5 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 COMPETITIVE POS Page 2 of 5 AG Form 103F1 (10/08) CONTRACT NO. PY 12-SCSEP-H-HCOA which complies with paragraph 1.4 of the General Conditions of this Contract and with any relevant special condition 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 ("RFP"), 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. 2. Time of Performance. The PROVIDER shall provide the Required Services from July 1 , 20 12 , to June 30 , 20 13 , as set forth in Attachment "2" to this Contract, which is hereby made a part of this Contract. 3. Certificate of Exemption from Civil Service. The Certificate of Exemption from Civil Service is attached and made a part of this Contract. 4. Standards of Conduct Declaration. The Standards of Conduct Declaration of the PROVIDER is attached and made a part of this Contract. 5. 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. COMPETITIVE POS Page 3 of 5 AG Form 103F1 (10/08) CONTRACT NO. PY 12-SCSEP-H-HCOA 6. 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: Workforce Development Division,Administration Office 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. IN VIEW OF THE ABOVE,the parties execute this Contract by their signatures below. STATE By (Signature) Print Name Dwight Takamine Print Title Director Date JUN 2 6 2012 FUNDING AGENCY (to be signed by head o f funding agency if other than the Contracting Agency) By (Signature) Print Name Print Title Date COMPETITIVE POS Page 4 of 5 AG Form 103F1 (10/08) CONTRACT NO. PY 1 2-SCSEP-H-HCOA CORPORATE SEAL (if available) PROVID ` fir By ignature Print Name WILLIAM T.TAKABA Print Title Managing Director Date JUN 2 0 2012 APPROVED AS TO FORM: a.c,ew R , Deputy Atto y ey General RECOMMEND APPROVAL Aprroved as to Availability of Funds hi the amounts and for the purpose set forth herein. lye C. 4_44L_tom 7" __ •' / •� � r Exec. on Aging DIRECTOR OF ft Dates JUN 2 0 2012 APPROVED AS TO FORM / D/EG�LITY: DEPU •RPORATION COUNSEL COUNTY OF HA Ally /t— Date -).() COMPETITIVE POS Page 5 of 5 AG Form 103F1 (10/08)