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Home My WebLink About1984-09-10 84-330 ORDERE4 330 Introduced by Councilor Davie, September 10, 1984 CITY OF BANGOR (TITLE.) @rbtr;..Authorizing Execution of Agreement with State of Maine Department of Health 6 Welfare -- Penobscot,Piscataquis WIC Program By St ckY cmmaa of City wEaw: ORDERED, THAT the Director of Health and Welfare is hereby authorized and directed, on behalf of the City of Bangor, to execute an agreement, a copy of which is on file in the office of the City Clerk, with the State of Maine Department of Health A Welfare, providing Forthe. continued operation of the Penobscot-Piscataquis WIC Program as described therein for the period October 1,-1984 - September 30, 1985; and be it further ORDERED, THAT the Director of Health and Welfare is hereby authorized and directed to submit requests for payment pursuant to the terms of said agreement on behalf of the City of Bangor. in city Council September li Passed by the following Yes Votes 8 Yes I No Voting Yea FiankelJoidAn Mc Carthy.Ti Willey Voting No Davis city clerW c 04-330 '.eg Con_ ORDER 41*6eeler Title, Zp .$YFhorie]ng, 6YecutLM. p?.:"g£ffPC4k. P}td %JyonCfj. 'D?. State of Maine cepertment of Nelath s Welfare C(e✓y � Yj .'...................................... Fewbecct - Piscataquis WSC Progihm filed Introduced end led by � r /A `....\ . .. .. councilman 84-330 RePla s K 1: WIC -02-84B SLATE OF IMINE DEFAHTM@NT OF HUNAN SBI US BUREAU OF HEALTH WIC PRCGIW9 Contract Oaver Sheet Nd Of OPeratiM Ager : Department of Healtb and Welfare Address:- --- ----- ------ M.,.,e ALAn, ..a®1sPnone:...s4s-314s__ WIC Program C taOt Pers : Diana Aaak _ -- - — --^—� .Contract Oates: Frm October 1, 1984 To September 30, 1985 Type of Proposal: New [ ] Renewal ] x] Amen nt [ 7 Insurance C p yi United States Fire Comoanv Policy 9 6 Type: 500-165736-3 Comprehensive Ceaeral Liability AtLpinistratlye Use ApprMal K S mc -02-0.S WIC State Agency Representative Amendment $ Amendment 4. Date AmenAren[ 9 Amendment f Copy p (BHWIC-001) R 1/83 STATE OF MAINE DEPARTIFIENT OF HUMAN SERVICES RE" OF Ml RWRPM ARTICLES OF AGREEMENT 1. comer 1,tiffirtheta the p.� of n W the Child penmen Act It tees, an mazwIfo UE.C. ITUL enc Start w Mader, Oyvment m se^'beanmimltn,xenadmaatox� wwnumt"vrdth, DenaTiment of Health and Welfare If Bangor, Maine ,wlNr WM,n had o W •'Lwt A mw error into at, Aero ent. Vhm"Wh Fruit Far and P. miAMn not Ne prymenn eine pnemmu neMMter mmnoned, the nenrtmmtN ene Leal Anav alone to mmol wlro M tvmum enmmena OF farm In Fan wire m. In Wnnm",,am, toe Ommonent aN me Wul Aylyth than belt wmenvh naeunmrwe Ilton mk AnmmmL Department of Health and Welfare DEPARTMENT OF HUMAN SERVICES Nom, w Lam Aeanw Armored or Used Ferry Annmm Amamry wwra The 10111tiong IM In' MIMI If the Amovirml 1. The Agdrment OF Aunm.nc mber A - wwri mmon.af. wom.to be Performed, and new R — The Rwwt semen. The 'Amount,;Mar® ..... in �": ntrel me anln and neither eMs mw ce bounds e"Mmment our n not oonnwna nenln ended almovidod for 11 Iv onto RI Add Ste Fed[m atowta and rawlmma, em wen edolimable sure o�^n annined in thFsate Nmtil ao.a imaaurmau'e d `m 2. AutAmization The wl, y ay w.N�m similar when it, Upon dwy tl�c W ofin, Local Already maemi mar ewnav�a wmnm of the Aollm lane dirmned� nmm ,mornmm n new a rma„ea. e ham rarmnr w e Almay w stun arnnwtmn who Inn ry,mmm en m pm. a me 3. Tenn of Agreement Tnb ARmm mmm"oh,; 10RI1184 adaalg 913171(AS m nm.mnebnnraw m aamdnd not 4. Agreement Amount The OF oWem MAMA mpildren. WIC Middle roura 1. o hm Mnemem, meaiml Adengtnauii crealm/mene rumor mm S at” 672 1n2 On be flood 11 the e ul Ne nmm a Fall Aaraemem: border Laos Already atoll awed no roam n $ dunn Ina dMnmunn el tlq m,m[ of Inin AEm M. ire Lael Fsenry u,aPonnble forest townseem nblsmav thin aeeM the Agnmort mount 5. Temmirration Earnsbva (SA move ,w d iranm' S.Am taro Na Mmm dmJM1 per a"me ro m:l�n;", Upon tornpronspon or If this e L)OWm data up sawayed costs nou Fred do Farm the oe a tthin fierme ma of the n;or,11 m.d .atm, man. Any each rerromman mel nw.aea.ny 0, Indiana, mwC11 further vers. full, 1 -vol Assal mal W 111, 5. °<edw either Rainy oma to m mmnmm.tal IsxWlfAm 1peU F lul i Penobscot-Piscataquis WIC Program Rider A- Fiscal Year 1964 A. The Bangor City Health and Welfare Department 'WIC Program distributes instruments (drafts) to clients on a monthly basis. Via encourage clients to pick up their drafts on or about the same day each month. This practice is also in effect at our eleven outreach sites. To reinforce this requirement we write the date of the next scheduled appointment on the inside of all WIC ID folders. As required by federal regulations, we issue 15 day notices to clients failing to participate. Mailing drafts to clients is done only :lien extenuating circumstances occur. Additionally, we maintain -a-daily logofall outgoing mail., is.affixedto-all-mail at the Treasurer's Office, City Hall. A waiting list is available for persons applying to WIC when funds are not available to serve the total needs. This agency has adopted a screening process (pre -application papers), which may be filled out in this office or mailed to perspective clients. _. The locations of the, Penobscot-Piscataquis WIC Program - _ ,facilities are as follows: - - I. Bangor Health & Welfare Department Bangor, Maine 2. Eastern Maine Medical Center Bangor, Maine 3,. Brewer . Auditorium Brewer, Maine 4. Dexter Municipal Building Dexter, Maine - 5. Dover-oxcroft Municipal Building Dover, Maine 6. United Methodist Church B. Corinth, Maine 7. United Methodist Church Guilford, Maine 6. penauis CAP Lincoln, Maine 9. Millinocket National Guard Armory Millinocket, Maine 10. Nilo Torn Office Milo, Maine 11. Newport -Fire Station Newport, Maine 12. Old Town Community Health Center :, Old Town, Maine 13. Capehart Community Center Bangor, Maine (1 of 3) 0. During the 1985 contract year this program anticipates the - ! following monthly caseloads By categoryt 'elomen Infanta Children Total 370 550 1,380 2t300 D. The Director of public Health and Welfare for the City of Bangor is the Administrator of the WIC Program. - The Program Director is responsible for the daily operations of all aspects of the program. The Nutrition Consultant is employed to oversee all education and nutrition information dispursed by the nutrition staff. The Consultant. is also responsible for certification procedures performed by the Nutrition Aides. The Nutrition Aides ape_responsiblefor the certification of the clients, as well as oerforming secondary and high risk contacts. The Office Manager oversees clerical duties. The Intake Clerk is responsible for most clerical, communications, and public relations of the program. The Check Clerks issue drafts as well as performing secondary contacts on each uIC client on a monthly basis. They are also re- sponsible for vendor monitoring, and Galan Payment Systems business. The 'Rork -Study Students will be responsible for group nutrition education. and some clerical activities. M. The Penobscot-Piscataquis WIC Program will provide nutrition educationservicesto all participants. Daring the certification process each recipient will be designated as in need of a high risk or secondary contact -by the Nutrition Aide. Secondary contacts All be made on a monthly basis at the. tine of check issuance. A demonstration, hand-out, and brief discussion of a particular subject selected by the Nutrition Con- sultant tall be provided to all recipients; (parents, guardians, or caretakers) both.at the main office and at outreach sites. All nutrition education services will be recorded on a specified sheet placed in the front of each "older, aswell as oil the Golan turnaround. (2 of 3) High risk counseling will be made as often as deemed necessary by the Nutrition Aide. Additional counseling may be provided by other health service agencies by referral-. Consistency in nutritional information will be ensured by philosophies agreed upon by area health service providers. F. During the 1985 contract year the only outreach efforts made will be through referrals, as we are pretty close to maximum caseload.- Agencies with whom we plan to continue close contact are Bangor Public Health Nurses, State Public Health Nurses, Family Practice, ib24C Prenatal Clinic, Family Planning,- State/local immun- ization program, EPSDT, Southern Penobscot County Preschool Project, Department of Human Services, area obstetricians and pediatricians. G. One of our check clerks is responsible for all -vendor -mon- itoring activities. Vendor contract renewals are staggered, there- fore she is scheduled to visit a certain section of our two -county area. each month to monitor and renew contracts. The Director usually handles any client/vendor complaints. H. As mentioned above, this program enjoys the unique privilege of .mrking with or towards goals established by state/local Public Health Nurses, Eastern Maine Medical Center prenatal clinics, EPSDT programs of Penquis CAP, Inc., Rural Pediatrics Program of WIC, state/local immunization programs, and various health-related educational programs. - - I. 1. Sob Descriptions -same as 3n Rider A or FY '84 contract 2. Affirmative Action Plan -same as in Rider A or BY 184 contract 3. - Agency By -laws - The Penobscot-Piscataquis WPIC Program has no By-laws. This comes under the City Charter, the governing body is the City Council. (3 of 3) Health DeWelfare of - 'Te Health G Welfare DEPA1riBM OF HUMAN SERVICES A an BUPwic OP HEALTH WIC P�GPMI MmLh/Y t n .e oR pt at 1985 x. VIC PtaDetN4 - 1wLDlH: ' II. WIC PRCGItAM - EXPENSES PERmNNEL E%PENSEE: Other Bureau of (Attach Total SWRCE OP Health Descri tion) Incoae ' INN $797,88340 le 1 797,883.00 II. WIC PRCGItAM - EXPENSES PERmNNEL E%PENSEE: Bureau of Other Total Nutrition Nealth Expenses F4ucation E enses $101,067.00 $101,067.0 $ 1. salaries 6 we es 16,844.00 2. Frin a Benefits 8,675.00 8,675.0 1,446.00 3. Total Persorael Ex 09,742.00 $ $109,742.0 18,290.00 er s EOulmm: 4. Purchases f 5. Rentals 6. Total Equipment $ $ $ Even es All, OTN R 7. Occugancy E ense 5,920:00 5 920.0 987.00 8. Utilities - 9. Heat 10. Maintenance 11. Tele tone 12. Materials 6 Su lies .0 13. Travel ' 14. Insurance 2. 15. De reciatian 16. General 6 Administrative 600.00 600.0 100.00 17. other i Is. Total All oche[ $ Expen, 15,839.00 15 839.0 2 640.00 ' TOTAL ADMINISTRATIVE 19. EXPENSE&(lines 3,6 - -- c lel $25,581.00 $ 9125,581.0 9 20 930.00 2u. Food TMAL PROGRAM 21. Ex MES (lines 19 a y'97. 883.00 9 $797,883.0 $ 20.930.00 Nutrition EdµfyFp on expenses as 8 of Bureau bf Health -WIC Administrative' • SPATE OF MAINE OEPTR1BuBl OF MUM4N SERVICC9 BIIPBAU OF HEALTH WIC�PRGGBAM - BBWEP .NSfIFICATIIXI PERGNNEL e%PEN$ES - AGENCY: VMLT0 DBFAg'fMgNT OP HOiALTH MO NNVANB •• NNUGCl OATEO; OCTO80g 1984 - SEPI MIR 1985 bb Of Personnel Position or Title Hourly Rate Total Weekly B[8. Weekly salary Number Weeks Total salary For Conntt[iCt. 8 Tim Spent on WIC Program Total Sala Co ntrz Peri 1 Utncror MAI 719 17 9 940 91 —41r� Mo 135m Total Salary and Fringe $ 09 I42 614 oil Total ftunbe[. of Personnel )a PTg ig,n7l An 12 073 Reaa[ks: Fringe benefits not paid to Nutrition Consultant or York/Study Student Totals: 9.738 $8 675 229 520Iw 11,928 1 Mark Clark 5.50 179 37.5 206 224 52_10,L21 52 629 100 IN lu IZ1 11 629 in 2 9 380 1N 9 580 700 s N 0 10.0 5z 2,028 1N 811+ + 60b paid by U.M.O. SUMMARY 2 of 4 (BHWIC-004) 5/80 Type of Benefits 8 Payroll Expense CLrrent Year Total Sala 0 067 Total Fri e $ 6]5 Total Salary and Fringe $ 09 I42 Total ftunbe[. of Personnel )a PTg Reaa[ks: Fringe benefits not paid to Nutrition Consultant or York/Study Student Totals: 9.738 $8 675 2 of 4 (BHWIC-004) 5/80 STATE OF NAINE DE: ARTMENT Of HUMAN SERVICNS BUREAU OF I LTH WIC PROGRAM GEN CY: Occupancy Expense 989 square feet - - BANGOR DEPARTMENT OF HEALTH h WELFARE ONTRACT DAMS: OCTOBER 1984-SEPTE14BER 1985 MHER DIRECT 6XP01Se JUSTIFICATION 7, Occupancy Expense 989 square feet - - $5.50 per square foot, yearly(includes utilities) $5,L Lincoln Site -$20.00 per day 2 days per month $ L a Maintenance ' $50.00 per month contracted a th - Penobscot Valley Industries -$ i IL. Telephone Average monthly bill of $$145.00 p. Materials and Supplies % of total line Paper and Printing 70 $2f Miscellaneous30 $ . (Pens, pencils, data binders, ledger notebook;, carbon paper, scotch tape, staples, clips, correction fluid, folders, en- velopes, etc.) 113. Travel Car Rental (contract with Norstar Auto Lease, Inc. $2, $189.00 per month) Gasolene $ -14. Insurance Car Insurance $ 16. General and Administrative City Computer charge based on number of checks issued by City of Bangor 17• Other Postage $ -c.een -'. Der Meat Agree with Form 1 3of4 .0 5,920.00 600.00 1,741.00 0 �• 3,000.00 2,768.00-_ 250.00 (men!c - 006) 5/80 STATE OF !VINE aTNENT OF HUMAN SERVICES BUREAU OF HEALTH WIC PROGRAM ;encx: BANGOR DEPARTMENT OF HEALTH k WELFARE '- CONTRACT DATES: - OCTOBER 1984 -SEPTEMBER 1985 OTHER DIRECT EXPENSE JUSTIFICATIGH Itemmt IN-KIND BEPENSES I. Salaries and Wages Balance of MID work-study salary paid by UMO(60%) 1.217.00 7. Occupancy Expense at Outreach Sites 9,973 square feet total $5.50 per square foot 1.521.00 14. Insurance 'Liability Insurance defrayed by City 50.00 .e-:: _:.a r Must Agree with Form 4 of (BHNIC - 0061 5/80