HomeMy WebLinkAbout1987-12-28 88-59 ORDER58-59
Introduced by Councilor Sullivan, December 28, 1987
CITY OF BANGOR
(TITLL) IOU,— Authorizingthe _.c ty Manager_ t E ecutea_Grant Agreement
with the Maine State Department of Human Services - STD Control Project
Clinical Services
By the Guy Gamin! of We City of Banks. ..
ORDERED.
TEAT the City Manager, on behalf of the City of Bangor, is
hereby authorized and directed to execute a Grant Agreement with
the Maine State Department of Human Services, a copy of which is on
file in the Office of the City Clerk, and to take all other
necessary action, including execution of documents and contracts,
for the purposes of providing STD Clinical Services to patients
seen at the Bangor Health Department.
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88-59
0R D I R
Title,
In City Council Decenter 28,1487 Aat izing the City Manager to e cute
Passed ......................................
a Grant Agieeoent with to Maine State
...............................
Ci y C ed depart ant of Hunan Servioee - STD Control'
Project Clinical Services
Introduced and filed by
. ..............unci...
Councilmen
STATE OF NA1NH
Standard Agreement S:msry Page
Department Human Services /Bureau
Nam of f ity Agency Nanacr project Nae/No.^_g
Dept, of Healt1k 6 Welfare Agency Fiscal Year 12/1/87 -11/30/88
Address 103 Texas Avenue xmyloyer IDBangor, M
4401 Agremment Hates fret December 1- 1987
to Novemi:er 30, 1988
Apprap/ Acwent No. Ammm Spcmbrmme /•s
1 $21,338.00
7,032.00
3.
4.
5.
b.
7.
Type of fmaOmlty Agency
(complete appropriate tatement)
--1. An individual doing business as
2. A partoersbip
3. A corporation of the State of
x 4. Otber: monicipality
Type of Agreement
x. M
_general
_ Amendment
supp1®nt
LI
Page 1 of 9
STATE OF MAINE
THIS AGREEMENT, made this 7th day of DecmmHer 1987, 1s by and
between the State ofMaine, - he
called
"Department," and "- , hereinafter
celled "Contractor." a
The principal office of the Contractor is located at (street,
city, state, zip): 1 -
Main, n4JAI
The Employer Identification Number of the Contractor is
036-0020
IRS or Social Security Number
WITNESSETH. that for and in consideration of the payments and agreements hereinafter
mentioned, to be made and performed by the Department. the Contractor hereby agrees
with the Department to furnish all qualified personnel, facilities, materials and
n
services and in consultation with the Department, to perform the services, -study or
projects described in Rider A. The following riders are hereby incorporated into
this contract by reference:
Rider A - Specifications of Work to be Performed
Rider B - Payment and Other Provisions
Rider C - If Applicable
IN WITNESS wHEREAE, the Department and the Contractor, by their representatives duly
authorized, have executed this agreement i (Number) originals asof
the day and year first above written..
APPROVED AS TO FORM: DEPARTMENT:
19-- Department Name
By: By'
Attorney Cenral Authorized Signature
Typed Name and Title
STATE CCOT O LEE CONIR.tCfOR'
Reeser Department of
H
Contractor name
gy
Authorized Signature
Thomas Small. Actino City Manager
Typed mle
STANDARD AGAEFdffNf Page 2 of 9
RIDER A
SPECIFICATIONS OF WORK TO BE PERFORMID
(Federal add State fwd sources shall be identified including agency name, catalogue
umber and agreement number. Compliance rewir®+dts shall be summarizedcad/nr
r
eferenced.)
The grantee shallprovideSTD Clinical and Epidemiologic services for the
citizens of Penobscot, Waldo,Hancock, Washington, Somerset, Piscataquis and
Aroostook counties. Two full-time and one part-time positions are funded:. ...
U Clinic coordinator/epidemiologist
(Job description, attachment 1)
2) Assistant Clinic Coordinator/epidemiologist
(Job description attachment 2)
3) Part-time Lab Technician
The grantee .shall be responsible for stat reporting of SID morbidity and
quarterly epidemiologic data using standardized STD Control Program forms and
will serve as the SID Program liaison with all private medical care providers
in the area.
The grantee shall attach disease control priority to the control of
syphilis, gonorrhea, chlamydia and HIV infection. The application of disease
control to the problem of Human Immunodeficiency Virus entails the management
of anonymous counseling and testing for at -risk volunteers and the
notification of exposed contacts to infectious persons.
STANDARD AGREEMENT Page 3 of S
RIDER A
PAYMENT AND OTHER PROVISIONS
1. CONTRACT PRICE.
2. INVOICES AND PAYMENTS. Payment shall 6e made by the Department within 15 days
after receipt of an approved itemized invoice submitted by the Contractor upon
his usual billing farms or business letterhead.
3, ANABRIIS ANO, DEWCfICNS. If the Contractor is an individual, the Contractor
understands and agrees that he is an Independent Contractor for whom no Federal
r State Income Tax will be deducted by the Department, and for whom no
retirement benefits, survivor
a
r benefit insurance, group life ins vacation
and sick leave and similar benefits available to State employees will accrue.
The Contractor further understands that annual information returns as. required.. ,.
by the Internal Revenue Code or State of Maine Income Tax Law will be filed by
the State Controller with the Internal Revenue Service and the State of Maine
Bureau of Taxation, copies of which will be furnished to the Contractor for his
Income Tax records.
4, IIIDBPffiB)gNT CAPACITY. no parties hereto agree that the Contractor, and any
agents and employees of the Contractor, in the performance of this agreement,
shall act in an independent capacity and not as officers or employees or agents
of the State.
5. CONTRACT ADMINISIHAIDR. All invoices, progress reports, correspondence and
related submissions from the Contractor shall be directed to:
Name: David L. Akers
Title: Dir, STO control program
Address: state House, Station 11
who is designated as the Contract Administrator on behalf of the Department for
this contract.
6. DEPANTHRAP'S ABPRESENfA'PI9E. The Contract Administrator shall be the
Department's representative during the period of this agreement. He has
e
authority to stop the work if n s
necessary to a its proper execution. He
shall certify to the Department when payments order the contract are due and
the mounts to be paid. He shall make decisions onall claims of the
Contractor, subject to the approval of the Read of the Department.
). CHARGES IN THI NOU. The Department may order changes in the work, the
contract sum being adjusted accordingly. All such orders and adjustments shell
be in writing. Claims by the Contractor for extra cost must ba made in writing
and signed by the Contract Administrator before executing the work involved.
STANDARD AGREEMENT Page 4 of q
g,
MW OF PER[OWikNCg. no Contractor shall (check one as applicable):
A. Work when called by the Department,
�_ B. Use due diligence to complete the work within a reasonable time.
_ C. Complete the work no later than
D. If the work is not completed by
Contractor shall pay Department as follows
9. SUBCONTggtlS. Unless provided for in this contract, no contract shall be made
by the Contractor with any other party for furnishing any of the work or
services herein contracted for without the consent, guidance and approval of
the Contract Administrator. Any subcontract hereunder entered into Subsequent
to the execution of the contract must be annotated 'approved' by the Contract
Administrator before it is reimbursable hereunder. This provision will not be
taken as requiring the approval of contracts of employment between the.
Contractor and his employees assigned for services thereunder.
10. SUBL Cqg;, idWUt 8ffiR M TWANSFER. The Contractor shall not sublet, sell,
transfer, assign, or otherwise dispose of this agreement or any portion
thereof, or of his right, title or interest therein, without written request to
and written cosent of the Contract Administrator, except to a bank. No
subcontracts or transfer of agreement shall in any case release the Contractor
of his liability under this agreement.
11. gxU OpPogTUNT1Y. During the performance of this contract, the
Contractor agrees as follows:
e The Contractor will not discriminate against any employee or applicant for
employment relating to this agreement because of race, calor, religions
sex, ex national origin, ancestry, age or physical handicap, unless
related to a bona fide occupational qualification. The Contractor will
take affirmative action to ensure that applicants are employed and
employees are treated during employment, without regard to their race,
color religion, sex,
age national origin Such action shall include
but not be limited to the following: employment. upgrading, demotions, or
transfers; recruitment o recruitment advertising; layoffs o
terminations; rates of paor other forms of compensation: and selection
for training including apprenticeship. TTe Contractor agrees to post in
conspicuous places available to employees and applicants for employment
notices setting forth the provisions of this nondiscrimination clause.
b. TTe Contractor will, in all solicitations r advertising for employee
placed by o n behalf of the Contractorrelating to this agreement, state
that all qualified applicants will receive consideration for employment
without regard to race, color, religious creed, sex, national origin,
ancestry, age or physical handicap.
STANDARD AGREEMENT Page of 9
C. The Contractor will send to each labor union or representative of the
workers with which he ham a collective or bargaining agreement, or
other
contract a understanding, whereby he is furnished with labor for the
performance of this contract, a notice, to be provided by the contracting
department or agency, advising the said labor union or workers'
representative of the Contractor's commitment under this section and shall
post copies of the notice in conspicuous places available to employees and
to applicant for employment.
d. The Contractor will cause the foregoing provisions to be inserted in any
subcontracts for any work covered by this agreement so that such
provisions shall be binding upon each subcontractor, provided that the
foregoing provisions shall not apply to contracts or subcontracts for
mpe
standard commercial supplies or raw materiels. TheContractor, or any
subcontractor holding a contract directly under the Contractor, shall, to
the maximum feasible, list all suitable employment openings with the Maine
Employment Security Commission. This provision
shall
ontractolyto
holding a
employment openings which the Contractor, or any
contract under the Contractor, proposes to fill from within its own
organization. Listing of such openings with the Eamployment Service
Division of the Maine Employment Security Commission shall involve only
the normal obligations which attach to such listings.
13. STAIR gMPLDYggS MDT TD ggNggf. No individual employed by the State at the
time this contract is executed or any time thereafter shall be admitted to any
share or part of this contract or to any benefit trot may arise therefrom
r
directly o indirectly due to his employment by or financial interest in the
Contractor or
o any affiliate of the contractor. This provision shall not be
construed to extend to this contract if made with a corporation for its general
benefit.
13. WARRANTY. The Contractor warrants that it has not employed or written any
company or person, other than a bona fide employee working solely for the
Contractor to solicit orsre this agreement, and that it has not paid, or
agreed to pay any company or other than a bona fide employee working
solely for the Contractor any fee, commission , percentage, brokerage fee.
gifts, or any other consideration. contingent upon, or resulting from the award
r
for making this agreement. For breach a violation of this warranty. the
Department shall have the right to aMulthis agreement without liability or,
at its discretion, to deduct it= the contract price r consideration, or
otherwise recover the full aent of such fee, commission, percentage,
brokerage fee. mgifts, or contingent fee.
14. ACCESS W RECORDS. The Contractor shall maintain all books, documents,
payrolls, papers, accounting records and other evidence pertaining to cast
incurred under agreementthis and to make such materials available to their
offices at all reasonable times during the period of this agreement and £
or
three years from the date of the expiration this
sagreement,
of inspMainection
tio
by the Department or any authorized representativeae
Statcopies thereof shall be furnished. if requested.
STsgDARD AGRe}]ffiNT page 6 of S
C. Me Contractor will send to each labor union or representative of the
workers with which he has a collective or bargaining agreement, orother
contract o understanding, whereby he 1s furnished with labor for the
performance of this contract, a notice, to he provided by the contracting
department or agency, advising the said labor union or workers'
representative of the Contractor's commitment under this section and shall
post copies of the notice in conspicuous places available to employees and
to applicant for employment.
d. The Contractor will cause the foregoing provisions to be inserted in any
subcontracts for any work covered by this agreement so that such
provisions shall be binding upon each subcontractor, provided that the
foregoing provisions shall not apply to contracts or subcontracts for
in
standard commercial supplies o raw
materials. TheContractor, or any
subcontractorholdinga contract directly under the Contractor, shall, to
the members feasible, list all suitable employment openings with the Maine
employment Security Commission. This provision shall not apply to
employment openings which the Contractor, or any subcontractor holdinga
contract under the Contractor, proposes to fill from within its own
organization. Listing of such openings with the employment Service
Division of the Maine employment Security Commission shall involve only
the normal obligations which attach to such listings.
13. STATE gMd,DDyggS Mtrf TD ggMHPTe. No individual employed by the State at the
time this contract is executed or any time thereafter shall be admitted to any
share or part of this contract or to any benefit that may arise therefrom
directly orindirectly due to his employment by or financial interest in the
Contractor or
o any affiliate of the Contractor. This provision shall not be
construed to extend to this contract if made with a corporation for its general
benefit.
13. YARRANIY. The Contractor warrants that it has not employed or written any
other than
a bona fide employee working solely for the
Contperson,any or
Contractor to solicit o secure this agreement, and that it has not paid, or
agreed to pay any companyor
person, other than a bona fide employee working
solely for the Contractor any fee, commission, percentage, brokerage fee,
gifts, or any other consideration, contingent upon, or resulting from the award
for making this agreement. For breach orr
violation of this warranty. the
Department shall have the right to annul this agreement without liability or,
at itsdiscretion. to deduct from the contract price nsideration, or
otbervise recover the full amount of such fee, commission, percentage,
brokerage fee, gifts, or contingent fee.
16. ACGMS W ggWgDS. The Contractor shall maintain all books, documents,
payrolls, papers, accounting records and other evidence pertaining to cost
incurred under thisagreement ent and to make such materials available to their
offices at all reasonable times during the period of this agreement and for
three years free the date of the expiration of this agreement, inspection
by the Department or any authorized representative of the State of Maine and
copies thereof shall be furnished, if requested.
STANDARD AGREEMENT 'Page y of 9
15. AWIT. Funds provided under this agreement are subject to the audit
requirements contained in the Maine Uniform Accounting and Auditing Practices
for Community Agencies (MMP), and are further subject to audit by authorized
representatives of the Federal goverment.
16. TWO¢N.STION. The performance of work under the contract may be terminated by
the Department In whole. or, from time to time, in part whenever for any reason
the Contract Administrator shall determine that such termination is in the best
interest of the Department. My such termination shall be effected by delivery
to the Contractor of a Notice of Termination specifying the extent to which
performance of the work under the contract is terminated and the date on which
such termination becomes effective. The contract shall be equitably adjusted
to compensate for such termination and the contract modified accordingly. In
any event, this contract shall terminate on
ache, in, 19gp_.
11. COvgRNMH1fMRROU1RHd@1'P5. TTa Contractor warrants and represents that all
gov rmmental ordinances, laws and regulations shall he complied with.
Ig. IMgIVAE'fATTON AND PARFORMAO:g. This agreement shall be governed by the laws
of the State of Maine as to interpretation and performance.
19. OUNDOUSEELP. All notebooks, plans, working papers, or other work produced in the
performance
of this contract are the property of the Department and upon
request shall be turned over to the Department.
20. STAIT Him a.1WDd5g. The Contractor agrees to indemnify, defend and save
harmless the State, its officers, agents and employees from any and all claims
and lasses accruing o resulting to any and all contractors, subcontractors,
materialma . labor and any other person, firm o corporation furnishing or
v
supplying work, services, materials o supplies in connection with the
performance of this contract, and from any and all claims and losses
accruing
or resulting to any per, , fio corporation who may be injured or damaged
by the Contractor in therm performance of this contract and against any
liability.rncluding costs and expenses for violation of proprietary rights,
r
copyrights, o rights of privacy, arising out of publication, translation,
reproduction, delivery. performance, or disposition of any data furnished
under this contract or based on any libelous or other unlawful matter contained
in such data.
21. APPROVAL. This contract 1s subject to the approval of the Maine Attorney
General's Office and the State Controller before it can be considered as a
valid, executable document.
STANDARD AGREEMENT Page 8 of 9
22. NONDISCRIMINATION. The Contractor x111 comply with the U.S. Department of Health
and Human Services, U.S. Dept. of Agriculture, and U.S. Dept. Of justice
regulations implementing Federal statutes that
prohibit discrimination
the
e
basis of race, color, national origin, sexp, age a^ religion in
linable:
programs and activities receiving Federal financial assistance, as app
45 C.P.A. Part 80 7 C.P.R. Part 15, and 28 C.P.A. Parts 42 6 50, implementing
Title VI of the Civil Rights Act of 1964 (42 U.S.C. 62000d at sea.): 45 C.P.R.
Part 83 implementing Section 704 and 855 of the Public Health Service Act
(42 U.S.C. 4292d and 298b-2); 45 C.P.R. Part 04, implementing Section 504 of
the Rehabilitation Act of 1973, as amended (29 U.S.C. 4294): 45Part 86,
implementing Title IS of the Education Amendments of 1972, as mended (20
51681 at sen.): 45 C.P.A. Part 91, implementing the Age Discrimination Act of
1975, as mended (41 U.S.C. 46101 at seg.) and 45 C.P.R. Part 92, implementing
block grant provisions of the Omnibus Budget Reconciliation Act of 1981
(42 U.S.C. 4300v-7, 300n-7, 3007-9, 708, 8625, and 9906). In addition the
contractor will comply with the Was Human Rights Act (5 !LISA 54551 at seg.).
23. PNTIAE AGREEMENT, This contract contains the entire agreement 0f the Pardee,
and neither party shall be bound by any statement or representation not
contained herein.
STARE OF MAIB%
DEPARTHENT OF RUMAN SERVICES
SPAUDARD GMRT BMW M4
PROjECfID E)0?ERDIT0RE6 N SOURCE OF INCOm
GMNTEE
CONTRIBIITIM
CATEGCRR of E%PERDIINflM
AUNT GMNT
MCOM
TOTAL PUEDE
1. Parental Services (list
No.
ANTICIPATED
ANTICIPATED
types of positions)
Poo.
AMENDMENT
TOTALS
(mid-term)
e. Fill Time
Clinic Coordinator
1
10,558
8,638
19,146
%sistant Coordinator
1
7,208
5,897
13,105
h. Part Time
Lab Teohndcian
1
2,000
2,000
2. Travel
3. Disposable BvppliesIF
-
Rent and or Other Costs
2,110
1,482
3,600
of Space
5Telephone
6. Other Utilities
7. Equipment (list durable
equipment Itwaa with
purchase cost in excess
of $300)
E. Other (itemize)
Fringe benefits (full time)
4,580
3,747
8,327
%Lvinistrative fee
1,906
1,559
3,465
9• Estimated Total Project
$
$ 28,370
131,323
$49,693
Cost
2% Performs investigative inquiry in order to verify treatment and interview
status on all lab reports indicating syphilis, gonorrhea and chlamydia
trachomatis infection. Also performs similiar investigative inquiry of all
named contacts to infectious cases of above-named infections. Documents, i
writing, said investigations an reverse of Epidemiologic Report from
(29.36). Maintains current alphabetic files of FIIF's. Strives to meet
commitments made in SID Control Program objectives relating to treatment
verification and speed factors attached thereto. PRIWY RESPONSIBILITY
20% Assures interview services, either personally or through attending care
providers effectively promoting the services of the Bangor SID Clinic for
examination and treatment of persons named as contacts to infected persons.
This will be accomplished through the use of 1)interview logs and 2)
self-referral cards. Strives to meet epidemiologic indices of the SPD
Control Program as itemized intheSID Control Program Grant objectives.
Maintains recommended interview logs for both clinic and non-clinic
interviews of gonorrhea, chalmydia (including NGU/MPC). Maintains Lot
Record System for Syphilis interview (9.54) files. PRIINRY RESP...
401 Provides counseling and testing services on the premises of the Bangor SID
Clinic on behalf of that department and the AIM Prevention Program for at
least three hours par day. This will involve 1)accessible live telephone
Coverage for persons calling in for counseling and testing appointments,
Meaning Nose pre and posttest appointments serviced as a state-certified
counselor and phlebotomist and 3)providing records of counseling and testing
activities to the Health Educator II SID/AIDS and the Reactor Program. Ibis
service will also be available to nortbern region private-sector counseling
requests which originate with the Reactor Program and through the health
Educator lI In Augusta. PRIMARY RESP.
54 Provides contact notification services as requested by clinic and on-clinic
patients either 1) as a direct request from a counseled patient, 21a request
resulting from Reactor Program inquiry, 3)a confirmed interstate request
from another Program. Refers notified contacts to HIV infection to the
Bangor SID Clinic for CES services and completes disposition of those
contacts. 1Mintains anonymity of the CTS system by utilizing the Reactor
Program (lab slip) number system. Observes standard Program confidentiality
when names are used. PRIWARY
RESPONSIBILITY
71 Performs all other duties as assigned by the Program office (ea. Program
bl itzs, surveys. ODI assignments, monthly meetings, etc.)
31 Maintains records of all SID Intervention activities and quarterly completes
the 21.27 STD Surveillance Activity
RRARYortSP@JS the
10 h of the following
month.
TY
As requested by area officials or by the Program office, performs
educational sessions on the subject of Sexually hansmitted Diseases.
Si
As requested The Office on AIDS or, after conferring with that Office on
local requests,
performs educational sessions on the subject of AIM.
PRIWY RESONSIBILITIES ASSAYIE PRECENDENCE OVER ALL ODER ACTIVITIES.
0924v
Aft r2
201 Performs investigative inquiry in order to verify. treatment and
interview status on all lab reports indicating syphilis, gonorrhea
and chlamydia trachomatis infection. Also Performs similiar
investigative inquiry of all named contacts to infectious cases of
above-named infections. Documents, in writing, said investigations
on reverse of Epidemiologic Report From (29.36). Maintains current
alphabetic files of FRFs. Strives to rest commitments made in STD
Control Program objectives relating to treatment verification and
speed factors attached thereto. PRIMARY RESPONSIBILITY
2% Assures interview services, either personally or through attending
care providers effectively promoting the services of the Bangor SID
Clinic for examination and treatment of persons named as contacts to
infected persons. phis will be accomplished through .the use of
])interview logs and 2) self -referral cards. Strives to meet
epidemiologic indices of the SID Control Program as itemized in the
M Control Program Grant objectives. Maintains recommended
Interview logs for both clinic and nonclinic interviews of
gonorrhea, chalmydia (including NGUIWC). Maintains Lot Record
System for Syphilis Interview (9.51) files. PRIMARY RESP.
401 Provides counseling and testing services on the promises of the
Bangor SID Clinic on behalf of that department and the AIDS
Prevention Program for at least three hours per day. This will
involve ])accessible live telephone coverage for persons calling i
for counseling and testing appointments, 2)keeping those pre and
post-test appointments serviced as a state -certified counselor and
phlebotomist and 3)providing records of counseling and testing
activities to the Health Educator II STDAIDS and the Reactor
Program. This service will also be available to northern region
private -sector counseling requests which originate with the Reactor
Program and through the Health Educator II in Augusta. PRIMARY RESP.
51 Provides contact notification services as requested by clinic and
non -clinic patients either 1) as a direct request from a counseled
patient, 2)a request resulting from Reactor Program inquiry, 3)a
confirmed interstate request from another Program. Refers notified
contacts to HIV infection to the Darfur SID Clinic for US services
and completes disposition of those contacts. Maintains anonymity of
the CIS system by utilizing the Reactor Program (lab slip) number
system. Observes standard Program confidentiality when names are
used. PRIMARY RESPONSIBILITY
101 Performs other duties as assigned by the supervisor or Program office
(eg. program blitas, surveys, 007 assignments, monthly meetings, etc.)
As requested by area officials or by the Program office, performs
educational sessions on the subject of Sexually Transmitted Diseases.
SB
As requested by The Office on AIDS or, after conferring with that
Office on local requests, performs educational sessions on the
subject of AIDS.
PRIMARY RESONSIBILITIES ASSUME PRECENOENCE OVER ALL CITER ACTIVITIES.
0924v