HomeMy WebLinkAbout1986-11-10 87-03 ORDERB7-03'
Introduced by Councilor Brown, tmverner lo, 1585
_ CITY OF BANGOR
(nTLEJ (DrUT7 .......Authori zing.. the City Manager: tc.. Execute..a Grant......
--- Agre t with the Maine.Department o£„Human Services Childhood
iNinunlzation Project
By We aly Cowxei! of We CUy ofBaayor
OBD6&BD9 6.
THAT the City Manager,on behalf of the City of Bangor, is
hereby authorized and directed to execute a Count Agreement with
the Maine 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 Childhood Immunization services to
patients seen at the Bangor Health Department.
In city Coumcil November 10,1995
Passed
8]-03
ORDER
'ty Cie r 'Title,
Autheriziray The City Manage[ tO Execute
.......................... 6...........
a Grant Agreement with the Mine Department
........... 4.......... 4 ...............
of 9uman Services - Childhool Iammnization
traject
pIntroduced and filed by
.... 46C�XP.2.. a.. n
ru.gar O9 a 3
STATE OF MAINE Project No.
DEPARTRUNT OF HUMAN SERVICES
APprop.
STANDARD GRANT APPLICATION
Enc. No.
1. PROJECT NAME
Bangor City Childhood Immunization
vtment of Health and Welfare
Teams. Ave.$ Bangor, Me. DWI
Tel.
Director of Health and Welfare Tel, 949-D9A1
4. DEPARTMENT'S GRANT MANAGER
Saudis T. Dix
A. Total Amount of Great ..... $_ 9v_ E00
D. Payment Schedule
Initial Payment .................................. $ 5.075
Installments: No. 3 Period Amount $ 5 ECS
C. Appropriation and Activity Code
D. Encumbrance Amount $ No.
EXECUTION OF GRANT AGMIMUT
The State of Maine Department of Human Services (Department) and the Grantee have
executed this grant agreement on the "tea herein specified.
GRANTEE: DEPARTMENT OF HUMAN SERVICES
Authorized Signature Date Commissioner Date
Typed Name and Title
DEPARTMENT'S REVIEW
a. Program A. Legal
b. Administrative e. Review Committee
c. Budget
PRGTECT DESCRIPTION
PROTECT BUDGET
Hi•Ai•G oe MAINZ
DEPAR'TNUTf OF HUMAN SERVICES
STANDARD GRANT BUDGET FOAM
PAQIECIED
BY SGRM OP INCOME
CATEGORY OF EXPENDITURE
A
GRANT
TOTAL
FUNDS
FUNDS
WCUAE
INCOME
NTRIBBE
COUTRIHUTION
1. Personal Services (list
No.
types of positions)
Pos.
a. Full Time
b. Pert Time
Health Mucator —
1
18,849
18.849
30 hrs/xk
Clerk Typist — 5hrs/co
1
627
627
contracted to Departmen
of Health and Welfare
2. Travel
2100o
3. Disposable Snpplles
649
Rent and o OOwer cones
725
SDace
a
5. Telephone
P725
6. Other Utilities
7. Equipment (list durable
equipment items with
purchase cost in excess
of $100)
8. Other (itemive)
miniF 450
650
650
POSTAGE 200
9 Total Project
$23.500
$ 23,500
$
$
Costmated
AGREEMENT
The Grantee and the Department agree as follows:
1. Performance of Work
The Grantee will use the funds granted by the Depart ant Por the purpose
of carrying out the project described in the attached Project plan.
2. Independent capacity
The Grantee and his agentsand employees are
acting in independent
capacity and not as officers, employees' or agents of the State. Grantee
c
understands that he will a retirement benefits, vacation, sick
leave or any other benefits available to State employees.
j. Indemnification
The Grantee will defend and hold harmless the State and its officers and
employees against any damages or lasses suffered by any, person, firm,
OW
corporation in connection with the performance of the work under this
agreement.
4. payments
Me Department will make payments to the Grantee promptly in accordance
with the schedule of payments specified in the project Plan when the
Grantee submits written requests for payments and satisfactory progresa
reports.
$. Department's Grant Manger
The Department will designate a person as "The Department's Grant Manager"
who will be the Department's representative daring the period of this grant.
He will approve all payments to be made under this grant and has the
authority to stop the project or redirect the work if necessary to insure
satisfactory results.
6. Reports
The Grantee will make written reports to the Department concerning progress
Once
of the work on the project at least on month The content and format
of reports shall be as required by the Department's Grant Manager.
Upon completion of the Project the Grantee will submit a written report
to the Department's Grant Manager describing the causes of conduct and
results of the Project. Me report shall contain a description of all
activities under the project, an accounting of expenditure of grant fonds,
and such statistics and/or other material ad the Department's Grant Manager
shall require.
7. Ownership
All reports, systems, processes, orother products of the project are
the property of the Department And upon request shall be turned war to
the Department.
B. Access to Records
The Grantee will maintain complete records of work performed and expenditure
of grant funds. The Grantee will make these records available to the
Department'a Grant Manager, the Department's auditors, the State Auditor,
and Federal auditors at the Grantee's headquarters at any reasonable time
during the duration of the project and for a three year period after the
project's completion.
9. Subcontracting
The Grantee will not issue any subcontracts for work required by the
project unless approved in the grant plan or otherwise approved in writing
by the Department's Grant Manager.
10. Chanes in the Project plan
Changes in the scope, method or finances of the Project which require a
significant departure frac the approved project plan moat be approved in
advance and in writing by the Department's Grant Fenster. The Department's
Grant Manager may order changes in the project plan if he deems that such
changes are required for successful completion of the project. If a change
order issued by the Department's Grant Manager requires a change in the
total funds required for completion of the project the Department will
make an equitable adjustment of funds.
11. gqual employment opportunity
The Grantee agrees that he will not discriminate against any employee or
applicant for employment on this project because of race, color, a
religious creed, ethnic origin, ancestry, or physical o ental handicap
except whenrelated to a bona fide cacupational qualification.
_3_
The Grantee, if he has 15 ore employees, warrants that he has a
plan for affirmative action whimor
ch satisfies the criteria in the Depart-
ment's Affirmative Action Guidelines which are incorporated in this
agreement by reference. All advertisements for employment by the Grantee
will bear a statement that he is an Equal opportunity Enployer.
The following attachments are incorporated in this agreement:
1. Project plan (description)
2. Project budget
3. Project agency description
4. Affirmative action guidelines
State of Maine
Department of Human Services
AMRMATIVE ACTION GUIDELINES MR GRANTS
Written pleas
Grantee agencies with 15 or more enployees must have a written plan for
affirmative action signed by the chief executive officer of the agency which
contains the following:
1. A general statement of commitment to equal employment opportunity
with an affirmation that the agency will not discriminate in hiring,
promotion, training, layoff, termination or any other personnel
action or policy. This statement must be distributed to employees
and recruitment sources and a record kept of the documentation.
2. The designation of the official who is responsible for the affirmative
action plan and EEO policy.
Other Requirements
In addition to having a written statement and a designated affirmative action
officer the grantee agency must:
1. Examine its personnel policies and procedures and correct cry which
W appear to discriminate even if there is.no intent to do so.
2. Review its workforce to evaluate the effectiveness of the agencies
affirmative action program and to identity instances where there
nary have been failures to carry out affirmative action. When
natances of discrimination are discovered they must be corrected
and the correction documented.
Supplement: Bangor City
pLL1d IDanmilaticn Grant
M
The City of Bangor Depaxtrent of
Health and welfare is a full -tine
mmicipal human service agency poo-
v q services to residents of the
City of Ba . ' sss services in-
clude general assistance, public
health nursing, imamfzxtias, dis-
ease investigation and control, v
Coral and Gula health services,
adult bealth srpervisien, Grildems"
dental care, school nursing, health
slucetian and maternal, Giildr
and infant nutrition. Cr..rtain pro-
grams order special arrangement (SBO
Clinic, wtc asi Dnmmization Prmio-
tion) are provided for areas up to
ani exceeling two csaan tes in area.
The city of Bangor operates Wit an
aporo a affirmative action plan.
'this plan is an file for inspection
in the City of forger's Personnel
repaztt t.
Mr. John Peat', Perasmsl Director
for the City of Bmgar, is the atys
Affirmative Action Office.
Mary -Anne T. Qalila
Bangor City Childhood Immunization Project
(1987)
The Bangor City Childhood Immunization Project will begin
its eighth year of operation January 1, 1987. The staff of the
Project includes a part-time Health Educator with secretarial
services contracted through the Bangor Department of Health
and Welfare. The Director of the Bangor Department Of Health
and Welfare will serve as the Project Supervisor and grant
manager.
This Project focuses its attention primarily on Penobscot
and Piscataquis Counties and secondarily on Aroostook, Wash-
ington, Hancock, Franklin, Kennebec, Knox and Waldo Counties.
Project efforts will be monitored through monthly re-
ports and periodic staff meetings. The Health Educator will
make any programmatic recommendations to the Director of the
Maine State Immunization Program and will assist all new
staff hired to the State Immunization Program.
The main objectives of the Project for 1987 are to:
(1) Continue the promotion of the Mothers of Newborn
Education Effort through site visits, telephone
calls, mailings and provision of videotapes to
hospitals in the nine counties. New educational
materials which are added to the Mothers of New-
born Edocation Effort will be distributed ap-
propriately.
(2) Continue the promotion of the State of Maine
Official Immunization Record Card through dis-
tribution to hospitals, physicians and agencies
that serve children.
(3) Maintain standardized immunization practices by
provision of technical assistance to physicians,
school and public health nurses, hospitals and
other public and private health care providers.
Questions which a reported to the Maine
Immunization Program State Office, and written
documentation of appropraite courses of action
are provided in response to the concerns.
(4) Develop a tickler system for private physicians
to implement. Promotion of this system would
be initially conducted in Penobscot County and
spread to the other Counties in the Project area.
A suggested system has been presented to the
State office.
(5) Contact parent groups of Day Care Centers and Head
Start Programs to provide immunization education
through public speaking and presentation of work-
shops.
(6) Continue working with the WIC Programs to insure
maintenance of imunization record checks and
that referrals are made when necessary.
(7) Conduct public speaking engagments, develop and
present workshops, participate in health fairs and
continue to design health and i zation education
efforts, materials and PSA's (including those PSA's
. disseminated in August and september to acknowledge
the'school immunization law and parental cooperation).
(8) Provide immunization education to the Passamaquoddy
Indian Health Services.
(9) Continue to assist the State Office with the Survey
Of Two Year Olds as well as the Random School Survey.
(10) Assist the effort to eradicate measles in the State
of Maine by confirming diagnosis and assessing out-
break locations. Appropriate action will be im-
plemented by Project Staff.
STATE OF IMIDE Project No. 't
DEpdBTvSNT OF HDDAN SERVICES \
Approp.
STANDARD BEAST APPLICATION
Encumber -L.
Inc. Do.
it 1. miwgct wdo:
Bator City Childhood Imus deation
and welfare
.r. He. 04401 Tel.
Director of Health and Welfare Tel.
A. Total Amount Of Grant .....$
B. Payment Schedule
Initial PN'ment.................................. $ 5.895
Installment¢: No._3_ Period Amount $ 5.875
C. Appropriation and Activity Code
D. Encumbrance Amount
EXECUTION OF GRANT AGF8F14DT
The State of Maine Department of Humae Services (Department) and the Grentea have
executed this grant agreement on the dates herein specified.
DEPASMUOTT OF HISIN SERVICES
Awed SI uture (. t C®1¢aioner Oate
a. Program d. Legal
b. Administrative e. Review Committee
c. Budget
PROJECT DESCBIPTICN s
PROJECT BUDGET