HomeMy WebLinkAbout1987-05-11 87-173 ORDERW,
Introduced by Councilor Brown, May 11, 1987
CITY OF BANGOR
(TITLE.) (Drb"I Aytho izing the „City Manager to Mxecute a., Grant
Agreement with the Maine Department of Human Services - Maternal
and Child Health Grant
By He City Causal of the GUY of Beazer:
ORDERED.
THAT the City Manager, on behalf of the City of Bangor, is
hereby authorized and directed to execute a Grant 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 Maternal and; Child caped-seimices.: for
patients seen at the Bangor Health Department.
S
87-173
J
ORDER R
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IN
CITY COUNCIL
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Department of Human Services Maternal
Y
and Child Health Grant
Introduced and filed by
�wi�k4?Nilsa.
V coumncllmav
S
STATE OF MAINE
DEPARTMETTE OF HUMAN SERVICES
AUGUSTA. SCAME An"
April 30, 1987
Mary -Ann T. Chalila, Director
Bangor Department of Health
6 Welfare
103 Texas Avenue
Bangor, Maine 04401
Dear Mary -Ann
Enclosed is the Standard Agreement package that needs to be completed and
copied into four separate documents, Original signatures must be obtained on
all four sets of Standard Agreements. Please return the completed documents
to me no later than Monday, May 11, 1987, in order to facilitate the encum-
berance process.
Be advised to read carefully, the contents of the Standard Agreement, a
it hes undergone significant r accordance with new State and Federal
requirements. Agencies are responsible in
ensuring that the contents of this
agreement are upheld.
Please contest me immediately should you have questions regarding this
process.
Sincerely,
Meredith Tipton, B.S.M., M.P.H.
Director, Warren and Children's
Program Preventive Services Program
MT/rlk
Enclosure
8]-113
STATE OF MARE
Standard Agreement Summary Page
o yertment of Human Services / Bureau or Division of Maternal and Child Health
Hose of Cmmsiity AF Baddo v�t Project M As . Hat a...=1 x rn:1n H"Itn
of Health h Walter- Program
AgaInscy
lter-
Agsoy Fiscal Yeast V
P dream 103 Texas Avenue
Employer W 0(
Rnnnor Main, 0pp01 Agreement Bates from a0v 1. 1987
ton l ne 30. 198A
Approy/ Accunt W. Ment Eraumoranee Vs
1. 1316
1700
6401 $63,915.00
2.
3.
4.
5. _ _
6.
7.
Type of Commonalty Ageaey
(complete appropriate statement)
1. M individual doing business as
_ 2. A partnership
X 3. A corporation of the State of
_ 4. Btter
NAME OF LEAD i
Type of Agreement
Now
y� Benemal
_ MendOeat
Supplement
Page 1 of za
� Fsffla(rli:
STANOAIH FCREFIENT
THIS AGREEMENT, made this Tat day of May , 19 87 is by and
between the State of Maine. m(i an Servire , hereinafter called
"Department," and Bangor Deimrtmmnt of Health A Welfare , hereinafter
called 'Contractor."
.The principal office of the Contractor is located at (street, city,
state, zip): 103 Taxes Avenue
Bangor, Maine 04601
The Employee Identification Number of the Contractor is
IRS or Social 9e-curity Number
NITHESSETH, Net for and in consideration of the mments and agreemento beminaftae MOTUDwa, to be While
W performed by tla Dem,temt, the Canumbme threat mires, With the Department to furnleb s11 qualified
resonant, fwllitm,, i stariam wo wrvime, and in cneultatlm With the Deperbwt, to Perform the eervlcw,
study or project, &,b,ibM in Rid r A. The foluminq rider, ew Mean imorporeted into this agweTnt by
mfefmhe,
Rider A - Specifications of Work to be Performed
Section A - identification/Compliance Requirements
Section B - Narrative
Section C - Budget
Rider B - Payment and Other Provisions
IN WITNESS HEREOF, the apartment w tNe contractor, by their reprwentati,em mly authanuan, neve.
e"mted this agreement In a (Number) orlsimae as of the my, and year first hive littm.
APPADVF.D AS TO FORK: DEPARTMENT:
Date: , 19_ De sotment of Human Services
Department Neme
B B Attorney "neral y Authorized Signature
Typed Name and Title
STATE MTHOLLER CONTRACTOR:
Ban De Ttment of Health 8 Welfare
mntreetar Name
By: 1,
Authorized Signature
�'lyped Name and Title
pL116Vm /.wmblt wy. 2 a 20
RIM A
MIFKATIMS T KM TO RE Ffl6P5FO
EEX;THE A - IMnrynCa11O0/GPp1 Ia:m Rpulrmnts
Qpllarcu Rdculrwnts vE1M g wrn the uN Of 1Mp funds are:
I. Soclal Exurl" !ct. Sil M. 5". 506 W U.S.C. 70, M. W5, M1:
E. NfuW Of Hall Division Of Maternal and Mild Wa1M Pollq lmal March. 1900.
Somme of funds:
1. General Fund - Title V Block Match
SbACN AAFQOR Reel 24
RIBA A
=101 e - Reran"
B. Program Miectives and strategies
2. rdajectives:
a) T 3 public ItexlN mssres will continue to recsivx at risk prenatal referrals from
aw c misiity soave. amt Mt l assess for ren -going lsalth supe iaien or refer W oUler'
ep ,,,Rfe xeswma.. Snitiel ae¢sments will include coepretlmsive hisrories re-
lating to wcial as well as physical risk facU:rs, dent presenting Prdnlags io
the has, coping skills of individal, family dynamics, intetleat and compliance
of bdfvidual, fnlsRificaticn of red flag signals tClard possible abuse arld neglect
efts, delivery. Haferrals torllil51D1 Yh classes, MC, f Samaritan. Ag ,
piysiclans, etc., are examples of Us other c,msauty resources.
b) 'fie 3 p.:blic hsalth mases will col w to receive referrals o£ high-risk infants
fogs physiciars, IIrWitals, local howl service agencies, as well as parents Utero-
selves. Initial asssments by public lsalth m¢sss will determine ds extent of
the services to to Provided depending on the diaaiosis, Plan of care arts by
ies, abili� to
idt
services already�irnlPlace. The public �1N m¢ses 'wall wzonlissticallyy ] 1p f�
and infant achie.,- treaded aervices for optiman %:tsdh aM develeimcnt by Mlatewr
momwention my he necessary.
c) etre puhlic health nurses will co rt a to ocm u t 2 immtizatio n clinics ncnthly for
cidldren frau Us age of 2 monds. all area children are invited to attend p idirg
tbey are amaQanied by a parent or gma Hian and tuve a written order from their
atteadug physician. nnnvnimticos offered Roe 1 tanus, Diphttteria, P tussis, Polio,
r asses, Mmpa, R,ttel]a and Haerplt w Wluenza Type B.
d) Tie public honith nurses will do Sdsol h.slth oursirg to s parochial aAsol. She
reviews and recmmade fmmniza i records upon entrance, vision and tearing verso
srolfosis screening anct is availavle for both teeders aM st,dents for ccn vleatim.
,An :late referrals are made after scrmrr4g procedures.
e) ]t e visits for gmetal healU pramtion are re�a to fasilies requesting rytlic "wale
arse or to tinse contacted U gh referrals. Hgslth eAlcation saterial is made ami:
able to families and this includes information for ergiectant parents, growth and de-
velapmnt in dtildxes, renponsibfldtles of p renting, accident preventim, motritiau:
brodsres, baby care, pmt s or infant feeding, dasCipliae, toilet trainees, dentes:
health, sp cif Mics such ss SMI, birth.defect , diabetes, etc. Hose assesammte
made by public hsalN mases include emirmvrental inspections, evidence of child
ata jreglect,oss; a lI%sIce of paoaoting skills in providt g a isalthy mMimal esti
off ehrornel child wloprentor satiM lasas wellasa taachirg tool f r paro,ts early
their roles.
f) the psblic health muses will reassure and support families by being available for
consultation or fn helping families deal with crisis in an organized effecdw
manmer for Uc Cast inberest of Chil(lren.
g) Ve pylic health nurses will I o omitted to health education of the o9mmity in
progar aoarrereas with possible eaggestiens of solutlam to current issues of child
atvx and neglect, teems Pr P1ancY an:l the amact of rearss M1ealthy reepol le
peeple, availability of affordable healcln,are for families, " tis quest for reeled
Page 4 of 24
MM A
8. Proaraa mlectlyes am St ateaies
2. - (jevtives: �'t.
amomitY se vwes ;to he3P veinin c4tha>m fi ticni+5 f lies In Hee fax of
af£1Q11t econa:ic tI1R9.
h) 1 M's will beY®nit to keepi Lwin w sing skills ciscatt mth paami ip
tion in tiw awst tp &te traini]available in'order to b aflt U:eir c1ie:Rs'.
well being.
Page 5 of 24
MM A
B. Proe=ms miertives and S reale
1. Coal (s):
p JO funding enables 2 full-time equivalent public health nurses to offer nnrsdrcg
amvim w � t teed/mild Iva PnPPatim of Bangor in the area of 11 1th'
motion and. preaamv n. 'lle Divisim of l is Btaltl: Ilissin is a iced a'.4 P:bl>c
health nurses. 3 M's are prmasombl with the Ml PDpulatdm arca 11 wan Ioaly
with the elderly.
a) Pt i g heals*+« matamal/ir1£ant outcaes by early snslrg dntea:ent£m to
high-risk pregnant wren and tbair families and by sncwaagioV utilimtim of
a(pI\'{r ate 1 filth Cate prOVlders-
b) t3antim of healthier ldfestYles m 9cive to gmesal Lgnoved health status
of all individuals secwEd by fauilies be�q sone repmsdgila for tteir an
health care tbrargh edu<atim.
C) BeAnirg early dvld stridents in the Issue by axe io-dePN child dsaelo
meat safety eAroatiam to �ts.
d) Pedmdng the mmtcr of chgl being victvu o£ child souse by =PPi
first -tine family health education and assesaoa¢.
e) sedutdng te°<'egs Premanciss by es a dog me -to -ore services as pall as
iHtiatirg 9ro:p edocatioa wM alpmRiiatc to teen corm win are maki:g
deices regarddng bd control, pregrarry endwnircd Parmtdng skilla.. 1if
style changes especially m areas of aabswxe abase and subsequent premantdes
f) greater nein r wiN otlwr. Proiddsrs to enable tr levet of prsssat to
brought to fas£lies at the Pr'iaexy levels.
g) Snereased awaremss of ide ms,huty in the arm of cldld abuse sad neglect by
vocalizing and corking with crgamIzsd grows to attractredia coeerege.
h) Fexhdng ptLnuu isssaisa i levels by contgnning to offer send.�th Y
inn Zation clinics against the vaccvie-preventable UailA diseases.
i) BregaL g handicapped children to reach t it paeasa al cod t delay by earlY
ddentifdcat£m of pxWl®ss through frdquent Moa_ ms Wro and streutin4.
j) beating a more �ive settLog do the 5 p rChial drools for rea3 istic...
health edumlUon especially do area of sex edwatWft and evphasizdng s l
taalth as a priority with other scM Per 1-
k) lnprove th° general hmltl' raze of w by h Ping them increase their gmo+
Ledge and awareness of dein ore bold s through health erbratdon and enhancing
Ucir self xoxth.
Page 6 of 24
S£,ffi.'t8 Pm= Pro9iaer Public eealth Nurse
! OF IIDMN SEAM
DPILSQi �' ?A'IDII✓nL AMl CeII� 88ATA8 Grant n test)/1/87 to 6/30/88
=R A
B. Pro]ram mlectitRs aM S teGies
1. Wel lel: Wn't.
ll SnprovLr9 family life `)Hires in the crass of 9cod child ®xe. cCMmmicatlat
with teen Cul&mn, �ng pcsitive perm tang skills.
m) mass N understmidug of the AIDS issue in-belpi g the canmmity to
gess up fw policy ®king, adw®tiog for the childrnnafflicted; imdVia^�...
tM fess which lis ccn t ty efforts at a distance.
Page ] of 24
RIDER A
B. PIS cticetiyes and atrategias
3. Strate@' St tment:
The resqonsibility of the Bonqur N ic Health Nwws Under the Department of Health 4
Walfare is to pxamte health and prevent diseases in the City of Bangor. Each of the 4
public haelth nurses 3s assigned a designated territory of the, City in WILdh-she Or he
becomes Imam w that segment of the population. In the temP0rary. absemee of a PEDI: the
other nurses have become familiar with his/her clients through staff meetings and case
ravie+s ac that at all tures coWYrage is provided when them is a need. This is of
utnm at inporlaee in providing continuity of faze 3n each ma'ne's areas. The yang
mother sed her children are the wet dependent and the most needy bamuiss of the lack Of
experience in parenting complicated by their us negative childhs0d experiences:. Families
with umret needs are usually a raailt of generational cycles. Tie 3 VCH public health
nurses will be focusing m inprovug that population at risk, by early and on-going inter-
vention thus interrupting the predictable cycle and enhancing the Wall-teing of the
clients through clow supervision and education. Tee change rate he evalwred only by
history—past vs. present—and charges are not easily me esu d stunt -term. However, the
tecmiques w ivprwe one returned and child health issues remain the same Asch as:
11 Assessing situation and identifying problems accurately.
2) using up -dated W ledge of cause sermon affect.
3) Giving frequent pe-[nrone cuff a with the itdividaal or the methm-/child duo in
need of hear.
4) Promoting a sxvsss l trust and respect between client and PEN.
5) Addressing the mast glaring nseda of the client first for hesic eumtional sta-
bility and coping abilities.
6) Gaming the client's o npliners and desire to barn by having the skill to inter
jest good health Rowledge into their every day life styles.
y) Being available to the client for onping reinforcement, follc up, referral
and to be the professiowl who listens and sup s.
8) Finding some accomplishment Which is positive in aeon emamter with both mother
and children, allowing theiand relfawrth to grow.
9) Identifying the client's coping skills and helping them resoles naw problems
through good ]ud9ement and 9siOsd kmwledge.
10) Helping familia hearses mare Independent and self-reliant through their ability
On assume the responsibility of their halth care, as well as their place 3n the
community.
11) Accurate record-keeping to dxmrmt prrhloUS, pr ]Vass, ormlutiow.
12) Acting as a liason professional between family and other health cam providers
for purpose of a mordutating needed Services, advocating for the intellectually -
limited parent.
13) liwgnizing early subtle signs of family dyggo mural behaviors and intervening
with appropriate Preventive services to prevent behaviors leading to abuse.
14) Offering caul nity education and awareress than maws inessessed k ledge
always seeking updates. with so assay environmhenfal sued social influences besmed
at Bangor's young mothers and their children, public health nursing must he
flexible and all-ev"nncessing profession which Only quality time spent with
families either individually or in sill gray settings ran begin to have any
inpaet on rearing hesithier, happier families. The continuity of care whether
It he with the nen first families or a near at -risk violent fmdly or a tre,sient
Page 8 of 24
RIDHt A
B. Praaram miecti a Btratenies
3. Si tag Statev rb C n't.
teemge vWpr with bar gym• all need.and � U best a t 1
hat l ledge ar her ti®. 'Mts can a 1p to achtwed w1tL.' adegiatestaff
acwking at f Potential.
15) P@t•s being actively imol in Plannim3 gioeps involved in new tmlda
in �th care system W keep a nu = aspect included in Planned cbw es.
Bangor ,the tenter of Mame-Ne Gnleoay to Maine's North Woods and.6'e �ore�RmBgb�-
MARY,04NE CNALU-A 103 TEXAS AVENUE
C% of CRatvaF Ain
DEPARTMENT OF HEALTH AND V aLFARE -
April 21, 1987
Maine Department of Human services
Division of Maternal b Child Health
Augusta, Maine 04333
Addendum to Maternal .and Child Health Block Grant - 1988 from
Bangor City Public Health Nursing.
Projections for services FY 1988 are as follows:
1) 5 private schools for which school nusing is
provided including health screenings for 500 students.
2) Immunization clinics - 500 to 800 children depending on
status of vaccine costs to the private physicians.
3) Caseload for home visits - approximately 1200 clients.
4) Number of total home visits - 5000-6000.
Patricia M. Bond, R.N.
PMR/cc Director of Public Health Nursing
Page 10 of 24
STATE )F IMINE Pm- nal.s rkh:lil ith
DEPARI3¢M OF IIRhV1 SFIIVIC6ES
DIVISIM OF A!fER Ik PND CIQGD 1ffN.1H G Dates: ]/1/8] to 6/30/88
FROfAPN BUDM - INFRff -
nt ear
1. State/Federal Fundi S01=63
a. Division OfNAf
C.
al 1 Sources
a. ToaJti
Ilk
vate Om=es
a.
C.
ran ono
.a. Ci at Fees
a tat1M Services
C.
t r Paks
a.
C.
NL
(H -003)
Revised F/SE
Page li of 24
STATE 9 INkINE !e
DIVISION OF M�� AW
04111)
mum mal u"_.Incaoe
MTS - Per Reports to Division
me
Balance
101.914
101,914
-0-
NA
i
I
axel Ad'ustments
...... even emx mR f SHBRENG (A minus B)
_
0 -012
Revised 5/95
Page 12 of 24
STATE OF MAINE Program: MCH
DEPARMU OF H SERVICES
DIVISION OF MXTE N AND CHILD HEALTH Cant Dates: 7/1/87 to 6/30/88
AIOWAb1 BODGEI - E1To ENSEB
1.
Salaries We as
Total
61,226
Vemes
2.
Prime BemEits
12
lin
S.
Consultant Fees
6,
Providers Fees
E
6.
5. Total Personnel Experawas
Purc mses
81336
T.
Rental
0. Total Equipmeent areas
9. Total Subcoottxt EMensas
AODHMIE
10.
11.
O e
Depmiation
12.
Utilities
13.
Heat
16.
Blaintaunce
15.
Tel hone
16.
Materials B sumplies
1,086
17,
1a1>orato
18.
Travel
19.
Insurance
20.
Port e
21.
eneral
Administrative (IMimU
10
002
22.
Otter Attach Detail)
23. Total All Other anses
5, 8, 9 6
Za, TOTAL. E1PF3 s
STATE OF MINE PROGRAM M!`X
0EPARTMENT OF NONAN SERVICES BURGER JUSTIFICATION
DIVISION OF MATERNAL AND CHILD RESUME PERSONNEL EXPENSES SPENT RATESI
(1)
NO. Of
Personnel
(31
Position or Title
(3)IO
Neatly
Pate
I61
Totaekly
l �
Weekly Salary
l6)
Nunbe[
Meeks
(Y)
Total
salaanlry ror
Period
IBI
! Time
SpenN1etP[OB. an
(9)
Total
Pro[ rog.toene
Period
III on
9�
in AIA
lop 65
%a
YAINSE RENEPITP
P of
Benefit
k Pe mit En
SUMMARY
anx
Total Salary
bG1 P[in a
sed year
m0 el Bele and
rriIsiee
RI 116
4R.6M 18
Total Number of
Rene[kaI
110
TotaIS1
BBIXN-005 1/92I�
Page 14 of 44
nA'PE OF MAINE Program:
MCH
DEPAEIW O OF FMAAN SA'=
DIVISION OF tMiFIWAL AND WID FffAL1M Giant Da�
D,' /q nts/Subcontracts
N/A
Page 15 of 24
mm OF MAINE ^"'" M: mrH
DEPP0.'13ffiNI OF H1MAN Ge2Y M
DIVISION OF MATERNAL PND C U Iff V Grant Dates: 243/o7 s..
no 'nTAIMYNA .ARAM OIREM EXPENSES
AiM all ..
11 IM
BilON
E15E mm
TOM UNITS
1. Maternal & Child Elth
I n; PTR
61%
3.
4.
S.
6.
].
'
10
9.
0. iDiAL
100%
PRO(i1Ml OR COSF CEMFE1t
BilON
E15E mm
TOM UNITS
1. Maternal & Child Elth
I n; PTR
61%
3.
4.
S.
6.
].
'
8.
9.
0. iDiAL
100%
Page 16 of 24
Line tem r t Agee [[ im tc4 n om
KI -007
Revised 5/85
STATE OF MAIMero — ' MCH
yEPAR'I}DNI HIMW 86RVICES
DIVSBION OF MAT6AWll. AND CHiM HFALTH Gran[ Dates: - 7/1 /a2
♦,. F/an/88
OIf<et DIRECT F%PHt$E J16TIFIWION
7otil
Lim
Lim Xtel N DO'ecriPtim of I Ba ' of as I[m E rtTe
E
MONS Grant
Fy 1988
$63,226
1)
Salaries
Public Health Nursing Director 808
Public Health Nurse 100%
Public Health Nurse 100%
Clerk Steno II 25%
18,110
2)
Fri
BC/BS/Major Medical (479.10/mo) 9.09% of payroll
_
Maine State Retirement 19_55% of payroll
TOTAL 28.64% of payroll
7)
Equipment Rental 45-05-06.01 6 45-05-06.15
5,968
$8,526 • 4 nurses x 2.8 MCH FTE
10)
Occupancy Expense 45-05-03.10
2.258
$3,226 + 4 nurses x 2.8 MCH FTE
15)
Telephone 45-01-04.01
343
$2,250/.25 nursing = 562.5 a 5 employees x 3.05 MCH FTE
16)
Materials s Supplies 45-05-02 (All accounts)
11086
$1,780 s 5 employees x 3.05 MCH FTE
18)
Travel 45-05-03.06
175
250 • 4 nurses x 2.8 MCH FTE
21)
General and Administrative
10,002
Clerk Steno II 14,]46
Director, H 6 W 36,237
TOTAL 50,983 x .2864 (Fringes) =
14,602
$50,983 + 14,602 = 65,585.x .25 = (16,396 • 5 employees)
3.05 MCH PTE
Line tem r t Agee [[ im tc4 n om
KI -007
Revised 5/85
Page 17 of 24
221 Other 746
Special Personnel 45-05-03.01 186
305 . 5 employees x 3.05 MCH FTE
Education and Membership 45-04-03.28 560
800 ♦ 4 nurses x 2.8 MCH FTE
Page 18 of 24
STATE OF IMINE Program.
DEPARDHNE OF ME44N SERVICES 7/1/87 to 6/30/88
DIVISION OF MATEMAL PND OLD igiSLTN Grant Dates:
BUDGET M3TIFIMTION
GFHLRAI. AMI MIlM STMTIVE E%p M
MM -008 Revisei 8/85
p�pMNpL g
Total Agency
Expenses
2
Exclusimw Geroral
6 Administrative
DtullomablesExpenses
1. Salaries 6 N as
Z. rl a Benefits
Use tent Me
_
4. vi am Fees
. Total personnel s
Bqui NT
6. Purchases
J, ntal
8. otal went eases
SUBCDMBACTS
9. Total Subcontract
ALL R DR
10. Oc ant ease
3 226
11. reciat on
to tiles-_.
Heat
14. Maintenance
15. el ne
1 . terlals 8 lies
orato
8. ravel
Insurance
Fast e
21. t r time Detail
Tota All tr as
Liras S, 8, 9 6 21 144 665 16 96
23. TOTAL E%PkTN5E5 $
Less G6 its pll
To General Admin.
25. DalaMe m a.
Shared p rams
A: BASIS OF DISIRIEUI'ION OF B. 'DYTAL EASE THIS PLL 0TM
G�EN�EAAI. 6 AAIINLSTMTIVE I1 wim I2fl101RA^1 MORRIS
t Dirxt Salaries 4 1001 5 I 6
MM -008 Revisei 8/85
srlloxm /Raoult Page 19 at 24
RIM R
PRH AND OTHER MpyISIQIS
I. WMpwCt w6a.
io}al Mmwt $63,915.00
wd~ SchMee p efs2l terle - $15.978.15 each
z. IMYOICLS M M11uIK. Fammnt shalt be Inde by the Dopar • rite 15 hays after twine of an
approve6 lumtOwn lawlco sudnlHea by Mw Cowhmmr upon his mail Of I IIn fares cr p tl s
leharMaa
3. eoFFITs.W SEgci age. M the onem nar 1s an Individual, the Can meOr hMxstWs aq
npre•s that M is nn IMepmdent Osntri a Vt far vhG an f•%ral Or SYN" memo Tax will be
den int by 1M MperireM. and for Ohm an rellr nt 6aefns, survivor Motif Inummum. grown
life Insurance. exatlan and Risk Russ, aha smiler Misfits avaue6l• to gtab eglolers all
me mntimee further meetings test am"] mforselon returns as reylred by the
1Merv1 whim a Cotes v State of Madre lncaw icer Ma A I I he f 11e l by the Stall Central 6W with
the internal Rimmus Service and the Stow of Ham Bureau of ipytlon, spies of whim all 11 M
furnished b the Contractor for his Income Tax reason.
s. IIRPFIms! GM/41Ty. the parties hares, gree the 1M Ibnrracta'. and a" agents and apl,mm
of 1M mntmear. 1n the pxfOlmMc• of this egmadm0, shal l One 1n On IMepsdent c l" end
1e as orrlcers ar aployms or ne of the stand.
5. cYaW4T RMIxISIM1Q. All lnvolus, prearms pars. wrregam mon and related suMlasMns
flow Me mmmaeor SMM he dlreeas b:
Mm: Mr.I iio}on. M P H
Title- Director. WoMen-x 'ld Preventive Services Program
address: Division of Maternal 6 Child Health
=tat House Station #11
Mehta 04333
wed Is designated as 1M Contrast 6AnlnlsinM On behalf of 1M fundament for this coact.
6. [dNI11ENT's Rffl164]RaTIK. the cntrect Mnlnlstrabr deal) M the D parmse's. rmmwdnfative
during the periM of this egaxa•nt. 16 has authority b sfcp the work If necessary TO mown Its
prowl mention. IY shall eVtlfy to the Did trent when pryimnts under the agreement am Jude and
the exposure to M paid. N SMI I vats decisions on e11 flee, Of the feemeor, subject to the
approve) Of 1M rem of the COmflad 1.
i. GVdu.S Ix TIE him. fee Repayment my Order changes In b• work, the agrmxnt sun hang
adjusted moors gly. 611 such wave, aha ndjusmeds shall b In writing. Claim 6y the
fgnM1arx far extra wst Haat m cent In rrIting and algin by the rnnhact administrator Madre
exmufing the ,rk Inwlsed.
SiMpylb A9rFBpr Fees 20 of 24
a. 1911m op W641W4E. The contractor Mal l (call CY as awl Cable1:
A. fork wean cal lap by the Department.
0. We due e111 gent M onto l eat the Frit With In A lemmata tlm.
X�C. Caplets sae ork no left, Man June 30 1990
D. If Ma "k Is not cmplated of
Ccntracter Baal l pay Department as fOl lees
9. 91NYIMACIS:. The I"a Cron ibe'for In MIs agreement, no cnhxt anal) W mode by Me Contractor
with any ~ party far furnishing any Of the fork fir services all centrecfe] fy WIMwt Ma
conYM, gulEenci and approval Of its (entre IMlnletiel MY au0cwhmt baluster Y1wed
Ina MinewpMnt M the mewtlw of Me Con tract must M eniofetad -approval by Me Contract
nylnlshebr oaten It Is reimbursable Perfumer. lata prOletan at II not M token as rpulrw
M. approval of COM -acs, of paplayant atwam thi N.hectcr ant fits Yplovees ossl9ned fat
mvlws fte eunder.
10. & IIp. AAIQIEIIf M RANYSR. The Wrtlrectar she$I net note+. »I I, transfer, asslgn. Or
atbrwlY disuse of MIS egaawnt or any wrtiw thereof. or Of his right. title or interest
Meraln..IMMI ^,hien closely M felt elfM Consent of The Crnhact AdnlnlsMeM, mmpt to a
al he noafifil or transfer of agreement Shall In any neap release the Contractual of his
I Mallity. under this egreanerrf.
$I. EG W. fl oMENr aRWN11m. During the prlorml M MIS "rYsnnt. Mf Contractor agrees as
Muo.ar
a. TM Contractor .1II not ltlaclmMeM agaMs+any ewlovice Or ppnwnt for eptaPent relating
be +fits Israeli MCYY of raw wap rel lglous neat, Son. national algin. mushy. aw
w physical hanaleep, unions related M a bore fta ONAM nl OnilflcMlm. no com}racfor
wit I two affirmative action M ensure that applicants are employed and MIOYOrs easy treated
during awMpenf, without regard to Meir rNal Color, Tel 191on, lox. p W national w19111.
SuT action smell Include but wt to IWild TO IM follwlnei eaalvpemn+. upgrading.
lam+i ms, re tmsfers: recr,jwot or ewulteent fdwrtlslbl layoffs Or terminations: rates
of pay m ofPer fare of wpenaNlw: one Yocum icr training Mcleding apprenticeship.
The Contractor agrees to pont In wnpicmws places available To deplorable and applicants fon
erplo Mies Settig forth the provisions of MIS mndlsSlmMatim clause.
b. TM Contractor hill, In all Solicitations w eewrt$sln9 fon emplawas p1eW by or an behalf
of the fmiraNef nl Ming"Mis "w +. state Met all Ouel Tilde applicants .III wceiw
cesMerAlon fon aw$oynant .ItMet regard to Tabs. coin, rel I91aus net. m. national
Origin. tenantry. age Or pfiplwl bandlca.
c. 1M contractor W11 Chad M loch IaWr union or rMresentetive Of Me wrkara .IM Mich M hes
w11Mlw or bargaining agreement, or Other agreennt w un standing. Whorl M Is
fwn$sad with labor for the wMrM of MIS egry t. a MIw. b a pnldet
by MM mrhMing dapa^fwnt or-a3ency. edvlslog Mo said IoM Sa w ear wlxsr
rapresenMlve of Me ConhMor,s wmmlt®nt under this section and shall best Coal" of IM
notion In sensational places available M wpip"s and M epploa is for empio t.
arnmm Im6swr pegs zt of 24
A. no mnhMcr.11l "Use the foregoing pravlslms to An InsxfeE M any suesnrrecl. far my
wok mvelM by this agrement an that each ironstone shat$ W elnaing upon each
subcontractor. provided Mat If, foregoing provisions shall at Apply to contracts or
subontracts fur standard uwsclel supplies, or raw eeMrlels. The mntracW, or any
subcontractor holding a contrast d1lictly under Me Mntymlhsr. shall, to the emlom feasible.
I Is+ all suitable aplayront shortage wIM the be ne tplopenf Security Gmelsslm. This
Irby is ion shed I not apply to wpioymmf open l ngs which Me funtreelor, m any subcontractor
held Ing a cmh%f under +b Wnhacfs. proposes TO fill free wlMln Its con W9e043e11 on.
Using of such openings wind rhe Fplayont Service Ulvlalm of the Rine 6ploymm+ Security
Coeelsslon mail Involve only the aoamsl obligations which attend to $uch listings.
13. SME glpi P S WT M Pigg . R Indtvlbel isolated by she Stab At no flow MIs A rosol Is
rowed M any flee thereafter past has eA1fM to any shore ar pert of this Apartment Or to any
Army if Met my mise therl directly Or Indirectly be to his eplgrtent by x financial
Internet In the fontrac Or and off ]I Into of the infractor. nis pwisldns salt M be
construed to extend to MIs agreement If sub with a Wfla Welm for IH gererel mall
13. YM0.W1Y. no f hector warrants fat 11 fins not aglcted or written any com any or person,
other Man a ane f Ib enployw wx0cln9 solely for the Gnha~ M vol lclt ser secure MIs
aymmnt, and that If as no+ paid, w agreed to pay any wpany or parson. other Men A mall fla
eploya working wiely fm fb Mnfracfar any fee, emnlssim. PorMangi brokerage fee. glfft-
Or
any other comida llnn. contingent upon, her resulting free fin ward for making this
agreeynf. Fa' Meech x violation of Mls errancy. the apartment Nell here Me right to most
MIs agreeme wfibmt I I W II Ity w. At Its dlsTethm, fo deduct Iran the contract prim Or
consideration, or otherwise remva the ful l mrrint of such fee, melsslm. percentage, brokerage
fee, gifts. ac cmMngmt fee.
Id. M M NF19ms. Tu Matracfcr shell melntaln at I ticks. documents. payrolls. pears,
counting records and elan evlmmO pertaining to coif Incurred under this agmnnt and N aka
such rofalels wel leble to their Offices M all thmmble time during Me period of MIs
AgrMunt and for three years free the data of Me eplroflw of Mla Dynamist, for Inspection by
the WpaYanf ar any Authorized representative of the State of Milan end spies thereby shell As
furnished, If requsbd.
Is. nwlT. Funds provided ulwm this agroment are Subject to the welt cameraman obntetmd In Me
Mine talions accounting and wdnmg practices for tmmunny, bgancles tIMIP1. and w furter
sublet+ fo coda by wthxl:ed rep'esentarlma of the Federal gove +,
16. lE1MIRTIW, ne }rfmnayV of were under the egrearnt my be farm ehd by the Werineat is
whole, hep Ron fico in than, In part wherever for any to son the Contract Administrant mail
mterelm +het suis faminaflm Is In Me beat IMeresl of the Departanf. My such faminMlan
she I he Affected by del leafy to Ma Contractor of a Rtlp of Terminellao specifying 1b extent te
which parfonnnm of the work under the akeemmt Is hrminaim and tell deco Oa which such
xlimatlon beaus effect(". The ayes+,+ shall As eryi+tlly Wanted to c nsafe for mch
termination AM the ayonl mAlfled eccar41n91Y. In any avant, this eyenant seal I tmminefe
on dUne 30 , 19 86
I). B]yETMR2aL PEWIl9pf6. The Wntrecfcr warrants and rpremnts that all 9na'n tai
ordl reams. laws and regulatlons shot of aaspllad WM.
1111 page22 of 24
19. IbhSdmTaTld MD MFWMJSL. this agremeM shot be governed by flus lam of Xie sash of
Nnlna as to intNgretattm and p Morten[.
19. OWNERSHIP. all mtebmbs. plans, Working papers. > oils lark produced In the WfO v of
this paramont are Me property of me CaperlMnt and upon request snail be turned ov« m fee
Degeneration.
10. WAM 1EIll faidd 99. M Unhecrx abrins to Indemnify, defend and sem heelless the Stand, Its
officers, "sets and a imam frons any and all claim and Imes Oc uing Ce rewlttng to my and
all continental subcontractors. ararlalmn, labprePs and any other Para,. tire mpNation
i rnablrg or implying learn, sav(as, notarially or SWPIl s In cmrccrion elm rot Pheromones of
.MIs agrNmnr a, laY a" and all claims and losses scorning or resulting to any mrWa film or
mrpverlm illn my be Injured of damage! by the CntraaM 19 Ma parformbnd of +lila ay®imni
bad against any liability, Including costs ane expenses far vIO14+lw of prap9etary rights,
copyrights, a Flgnts of drives, arising Out of publication. translation, repo tim. mllmry,
van a dlsposltl000f any Onto furnished upper this agreamnr Of based an a" I lbI s OmC
pelletal mix contained In such data.
21. suflpvK. nils ab mer Is subject to the Vessel of rho MIs, attorney Peneralts mrlm and
me state col"l lx bated It par be considered as a pend. emcvtabla docPmnl.
2S. Elf OWN6g. Flat pproval is required far baptist cholas In exwY of 14 Or 91.000
1vhloxamr 1s grew.) In my budget "teary.
v. TMyliL E#£IOIyVES. Aloe notification Is rewired far any travel cantof-state al, putuf-cwntry.
that is "t reflected 1n the budget. bleb,rmaf for a lleepa and ether travel expenses shall 00
hose, am fonrran, bawl policy. sharp m policy exists, state rates shall apply.
24. sTMEN95. 0ntract« a9mnas, providing sera"s to clients shall use the 00parmanr standards
Is
Of ➢eremite Gild (balm wpxplslon and Omar professional standards of conduct phare f apply.
0. Ey,LLMT1M. thus Deponent either directly or mlcugh s contract aaganr, may m.Muct amluntlon '
srWlm on the effectiveness.. efficiency, a"I Ity andfcr rui<cm of servi"s Mlt,ered by the
contractor. the Sgatmmt sgreee to rorlfv the Contractor In advaro of. the Initiation of such do
milysls. Tee mntractor mal I provide access to staff, pro rot records and adminlsrrarim
Information as requested by evaluation staff In accmdan" lith the Department's confidentiality
on Was.
M. LIMSIK NE 011011 UM S. In order ran assem ma MIM and safety of total persons xvef
under Mia grant as hell as the coal sty of mrvl"s. borh parties shall "ugly a 111
reau l results as to Ilcmwre. vnI calon porus➢. or aared l tarlonagiargMerWmeratt lion of
foci IIties far the provision of earn as admit too hare+n. IDC led In gated by
the hpartmnr. federal. state and g al Lbmrnm". mntr Mae employs. oto arlue in
perfcrmore of this paramount Nail how ml Id license M dolm.
22. BOIDIK. TM1e G pow all I obtain and ,IntalP at all has during M egrcavenr garland a
fldel Ity, bond "verly the acrivtrles of aI I neoplasms An handle Contractor funds In IM mount of
Mg of the Gntracrals gross annual budget as ren roral mount of the agreme t' .nldevar Is tms.
STu Im6 u - Ppm L3 o124
2B. KIFIRNFIKITY. In wnlormance wife Federal and Stale stelures one regulations, the Contractor
as ell as fed bprto nt guarantee the premctlm of information of a confidential nature
re9amlig all Whom Mvea user the term o1 this agreement, Including flim prcOv csa. custody.
na Preawvat I" of recaMe, papers. }Iles. crneunlcatloln Of the agency and any such Other
_
s that my rewnl mnf Want I al Informal lm of games earned through tens agnymet.
29. REPORTING SUSMi MISEysile CT. They Contractor ham" test when any staff in Its alloy Malt -
this agradmet Ns reasonable cause, punuaM b 22 ARM 4011. and 22 MST 3472 ere 3439, to
swpact a cella or adult hes Lean or Is fifes TO, N ebuaed m neglwNd, the mllhxM will ween
seprct N M mat. unlMs ire factual basis far handling or susgctln9 allow w Mglmt.coes free
treaewat of a Wall remonslele for the falls w Mutt. the trgfinent was sought by that perMA
fa' a proalaa M Mum or an"iecf and tate Is IIM1a MMPI of Various ham To the wild or Malt,
N. MEUERT SETLFNr. Ulan teminMlCn m expiration of this agreement. all hgarer¢nl of Know
Swim lateness AT the Foolproof that aha In mcess of 1M egmas rep Med. wall e t reared N
the apartment..
31. CIVIL RIGHTS ASApWlFS.
e. They Contractor will costs with the U.S. Ceprtnent of wealth and 14en Services, U.S. Cast. of
Agriculture. AM U.S. Chat. of justice regulations Inplonflng Federal statuses Me prohibit
mSKlmirotlon an the basis of ran color, national ,ige.x, handicap, age am religion In
prrys, reand activities receiving Central mmnclel assistance, as applicable: 45 O.F.R. Wt
00, 1 C.I.R. Port 15. and 28 C.F.R. Ferre 42 6 50, IsplgntIM Title VI at the Clvl l flight
M of 1964 (42 U.S.C. 52ttVla at Mo.hi 45 C.F.R. Pert 83 Ingemallng Section 304 and 055 Of
ire Wbllc Health Srvlce Act (42 U.S.C. IAN aha 29111th -2)i 45 O.F.R. Fart 81 Intim ng
Sectlm 504 of Me Rehatht Itation Act of 1923, as sanded (29 U.S.C. 5294): 45 C.I.R. PM 86.
LylamMing Title IF a Me Education Mn6 ft of 197. as awanded (20 U.S.C. 51681 at
AM.); 45 C.F.R. Part 91, Inclement, fed Aga Discrimination Act of 1925, as aeMM (42
U.S.C. 36101 a mg.) and 45 L.F.R. Part 92. IrplMnling black grant prevision of the 0maus
&Mgt Rennd 11Nioo .H of 1901 (42 U.S.C. I'AY-T, 300V-2. SCQ/S, 708, 8625, ere 9906)
a. in Mdltlon the Contractor will chMIV wife the WIM Iselin Rights Act (5 RRM 54551 at sai
c. The Contracts sell Include The fol lowing steam} on all Met lcalon tarns. pc9rae
Lnchures, resmitMnt mtrlels and ~ publications containing 9ere-a1 Infarmtlon eeM
avallable ft pcticlpant; beneficiaries, s Other Interested persons. This resistances was be
dM either by Including approprleN Inserts In existing wtrlals and publications s by
revising and «prleln9 the meNrlals and publications:
In asardanch, rite Title VI of Me Chll Rights Act of IMd 142
U.S.U. 52000d Of Shi . Settles 504 of 1M Retool Ilfalon M of
1913, as mended (A U.S.C. IAe). aha the Aga Olacrlmletlan Act of
1925. as conceded (42 U.S.L. 361ol a m9.). the Main& geperhent of
Hash, Servlme adds M discriminant m the basis of raw, m1w.
national origin. hwdlcq s ag In aOnlsslm or access fo s
reeM1om w Mploymnt In it, progress lir anlvltles. 6r. Leal la
D. Slow, Tfflrmtlw Aslan officer. has bean designated to
weaka a our efforts to cmply rife the U.S. OeWc f of Waith
w9n 24of 24
end Mbn S Ices re9ulatlms 45 C.F.P. Pxts BO. Ba. and 911 -
1n01asmin9 tMw Fedotel lass. Fa' furiMt Information about tM
re9ulatlons and our F1aaaMe procadutas f0C renlutloo of
omplalnfs el 1e9in9 Olsclnlnatlm. please contMt W. Waite 9.
Bits at 321 State Sheet, Io9uste. Pel" OOA, ielepbwn Wnbat:
1 z0112B9-3bB.(votce) cr l-SWau-1003 mn.
32. AFIRE B9IEBFPf. Sn4 aFee"nt mntalns tM enM[e e9rN»nt of tM parties, and "ItW perh/ '
SMll W bound by u,, stMmwnt , rdp"mntetlon not wnyl"d Mreln.