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Item L2 Meeting Date: December 17 2008 Division: JIealth Department SENT I _DEe 2 20 \Z:) o'-C', -1.8 C(;;-:;i::Jln c? It? /60 !~ BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY Bulk Item: Yes XX No Staff Contact Person: Robert Eadie #293-7500 AGENDA ITEM WORDING: Ratification of changes to Attachment II. Part II. of the FY '09 Core Contract between the County and the Health Department. ITEM BACKGROUND: On October 15, 2008, the BOCC approved the FY '09 Core Contract with the Health Department. Following approval by the BOCC, the Health Department submitted a contract to the Clerk for execution by the County which had changes to Attachment n. Part II. The change shifted a draw from the State Trust Fund to the County Trust Fund in the amount of $216,667 but did not change the County's total FY '09 contribution commitment of $510,720. Therefore, the County Attorney advised the Clerk to execute the contract conditioned upon placement before the BOCC to ratify the changes made to the attachment after approval by the Board. (See attached notes reflecting changes made by the Health Department), PREVIOUS RELEVANT DOCC ACTION: 10/15/08 Approved Core Contract with Health Department (Agenda Item L-l). CONTRACT/AGREEMENT CHANGES: Attachment II. Part II: Shifted a draw from the State Trust Fund to the County Trust Fund in the amount of $216,667 but did not change the County's total FY '09 contribution commitment of $510,720. STAFF RECOMMENDATIONS: Approval. TOTALCOST: N/A BUDGETED: Yes No COST TO COUNTY: N/A SOURCE OF FUNDS: REVENUE PRODUCING: Yes No AMOUNT PER MONTI:I Year APPROVED BY: County Atty ~ OMB/Purchasing _ Risk Management_ DOCUMENTATION: Included XX Not Required_ DISPOSITION: AGENDA ITEM # Revised 210'5 ---- C" -- (\', ?<-.l (r 3 -0 III C ~~ ~. ~ ~s O(J1 ~ ~ (fl 0 C I\:) Ii) ." ~Cn .8; C ~ ~Ill (1) 3 g S' ~ 3' -c 03 :;;: =;tog o (1) 3 .., 5 ~ ::J .... 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CSPS 0 0 0 0 0 007000 STD PROGRAM - PHYSICIAN TRAINING CENTER 0 0 0 0 0 007000 STD PROGRAM INFERTILITY PREVEN'nON PROJECT (IPP) 0 0 0 0 0 007000 STD PROGRAM.INFERTILITY PREVENTION PROJECT (11'1') 0 0 0 0 0 007000 SYPHILIS ELIMINATION 0 0 0 0 0 007000 TITLE X HIV/AlDS PROJECT 0 0 0 0 0 007000 TITLE X MALE PROJECT 0 0 0 0 0 007000 TUBERCULOSIS CONTROL - FEDERAL GRANT 0 0 0 0 0 007000 WIC BREASTFEEDING PEER COUNSELING 0 0 0 0 0 015009 MEDIPASS WAIVER.HL THY STRT CLIENT SERVICES 0 0 0 0 0 015009 MEDIPASS WANER.SOBRA 0 0 0 0 0 015075 COO SUPPORT POSITION 0 0 0 0 0 015075 STATE ENVIRONMENTAL FEES 0 0 0 0 0 FEDERAL FUNDS TOTAL 786,849 0 786,849 0 786,849 4. FEES ASSESSED BY STATE OR FEDERAL RULES - STATE 001020 TANNING FACILITIES 970 0 970 0 970 001020 BODY PIERCING 1,350 0 1,350 0 1,350 001020 MIGRANT HOUSING PERMIT 0 0 0 0 0 001020 MOBILE HOME AND PARKS 16,834 0 16,834 0 16,834 001020 FOOD HYGIENE PERMIT 13,318 0 13,318 0 13,318 001020 BlOHAZARD WASTE PERMIT 5,030 0 5,030 0 5,Q30 001020 SWIMMING POOLS 59,500 0 59,500 0 59,500 001020 PRlV A TE WATER CONSTR PERMIT 0 0 0 0 0 001020 PUBLIC WATER ANNUAL OPER PERMIT 3,750 0 3,750 0 3,750 001020 PUBLIC WATER CONSTR PERMIT 0 0 0 0 0 001020 NON.SDWA SYSTEM PERMH 0 0 0 0 0 001020 SAFE DRlNKlNG WATER 0 0 0 0 0 001092 NON SDWA LAB SAMPLE 0 0 0 0 0 001092 OSDS VARIANCE FEE 0 0 0 0 0 00 I 092 ENVrRONMENT AL HEALTH FEES 118,083 0 118,083 0 118,083 001092 OSDS REPAIR PERMIT 0 0 0 0 0 001092 OSDS PERMIT FEE 0 0 0 0 0 001092 1& M ZONED OPERATING PERMIT 0 0 0 0 0 001092 AEROBIC OPERATING PERMIT 0 0 0 0 0 00 I 092 SEPTIC TANK SITE EV ALUA TION 330,000 0 330,000 0 330,000 001170 LAB FEE CHEMICAL ANALYSIS 0 0 0 0 0 001170 NONPOTABLE WATER ANALYSIS 0 0 0 0 0 001170 WATER ANALYSIS.POTABLE 0 0 0 0 0 010304 MQA INSPECTION FEE 4,300 0 4,300 0 4,300 FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 553,135 0 553.135 0 553.135 5. OTHER CASH CONTRIBUTIONS - ST A TE 010304 STATION AR Y POLLUTANT STORAGE TANKS 105,139 0 105,139 0 J 05.139 090001 DRAW DOWN FROM PUBUC HEALTH UNIT 373,299 0 _.....---'-,---~ 0 373.299 ~ OTHER CASH CONTRIBUTIONS TOTAL 478,438 0 478,438 0 478,438 \) rcf2 5 iDA' ;; // -. .- --- II\~, ( () icA((c( 1 10. FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION - COUNTY 00 I 077 RABIES VACCINE 0 0 0 0 0 001077 CHILD CAR SEAT PROG 0 0 0 0 0 00 I 077 PERSONAL ilEAL TH FEES 0 275,925 275,925 0 275,925 00 I 077 AIDS CO-PAYS 0 0 0 0 0 001094 LOCAL ORDINANCE FEES 0 300 300 0 300 00]094 ADULT ENTER. PERMIT FEES 0 0 0 0 0 001114 NEW BIRTH CERTIFICATES 0 18,500 18.500 0 18,500 001115 DEATH CERTIFICATES 0 60,500 60,500 0 60,500 001117 VITAL ST A TS-ADM. FEE 50 CENTS 0 600 600 0 600 001073 Co-Pay for the AIDS Care Program 0 0 0 0 0 FEES AUTHORIZED BY COUNTY TOTAL 0 357,525 357,525 0 357,525 11. OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY 001009 RETURNED CHECK ITEM 0 0 0 0 0 001029 THIRD PARTY REIMBURSEMENT 0 143,400 143,400 0 ] 43,400 001029 HEALTH MAINTENANCE ORGAN. (HMO) 0 0 0 0 0 001054 MEDICARE PART D 0 0 0 0 0 001077 RYAN WHITE TITLE II 0 0 0 0 0 001090 MEDICARE PART B 0 176,600 176,600 0 J 76,600 001190 Health Maintenance Organization 0 0 0 0 0 005040 INTEREST EARNED 0 0 0 0 0 005041 INTEREST EARNED-STATE INVESTMENT ACCOUNT 0 30,000 30,000 0 30,000 007010 U.S. GRANTS DIRECT 0 575,328 575,328 0 575,328 008010 Contribution from City Government 0 0 0 0 0 008020 Contrihution from Health Care Tax not thm ACC 0 0 0 0 0 008050 School Board Contribution 0 0 0 0 0 008060 Special Project Contribution 0 0 0 0 0 010300 SALE OF GOODS AND SERVICES TO STATE AGENCIES 0 0 0 0 0 010301 EXP WITNESS FEE CONSUL TNT CHARGES 0 0 0 0 0 010405 SALE OF PHARMACEUTICALS 0 0 0 0 0 010409 SALE OF GOODS OUTSIDE STATE GOVERNMENT 0 0 0 0 0 011000 GRANT-DIRECT: REFUGEE HEAL TIl 0 46,600 46,600 0 46,600 o 11000 GRANT-DIRECT: COUNTY SQWG 0 77,032 77,032 0 n.032 o I 1000 GRANT-DIRECT 0 0 0 0 0 011000 GRANT-OIRECT 0 0 0 0 0 o I 1000 GRANT-DIRECT 0 0 0 0 0 011000 GRANT-DIRECT 0 0 0 0 0 0\ 1000 GRANT-DIRECT 0 () 0 0 0 01 ]000 GRANT-DIRECT 0 0 0 0 0 011001 HEALTHY START COALITION CONTRIBUTIONS 0 393,684 393,684 0 393,684 011007 CASH DONATIONS PRIVATE 0 0 0 0 0 012020 FINES AND FORFEITURES 0 0 0 0 0 012021 RETURN CHECK CHARGE 0 0 0 0 0 028020 INSURANCE RECOVERIES-OTHER 0 0 0 0 0 090002 DRAW DOWN FROM PUBLIC HEALTH UNIT 0 ("6~ C2-"J 0 ~) 011000 GRANT DIRECT-QUANTUM DENTAL 0 0 0 0 0 011000 GRANT DIRECT-HEALTH CARE DISTRICT PAHOKEE 0 0 0 0 0 011000 GRANT DIRECT-NOV A UNIVERSITY CHD TRAINING 0 0 0 0 0 Ut (( j c !'-..) I I \~\ ( (; i,;j( t (' 11. OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY o 11000 GRANT DIRECT.COUNTY HEALTH DEPARTMENT DIRECT SERVICES 0 0 0 0 0 011000 DIRECT. ARROW 0 0 0 0 0 o I 1000 GRANT DIRECT.ARROW 0 0 0 0 0 OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL 0 1,442,644 1,442.644 0 1,442,644 12. ALLOCABLE REVENUE - COUNTY 018000 REFUNDS 0 0 0 0 0 037000 PRIOR YEAR WARRANT 0 0 0 0 0 038000 12 MONTH OLD WARRANT 0 0 0 0 0 COUNTY ALLOCABLE REVENUE TOTAL 0 0 0 0 0 13. BUILDINGS - COUNTY ANNUAL RENTAL EQUIVALENT VALUE 0 0 0 467,854 467,854 BUILDING MAINTENANCE 0 0 0 47,792 47,792 INSURANCE 0 0 0 0 0 UTILITIES 0 0 0 58,481 58,481 GROUNDS MAINTENANCE 0 0 0 0 0 OTHER (SPECIFY) 0 0 0 0 0 OTHER (SPECIFY) 0 0 0 0 0 BUILDINGS TOTAL 0 0 0 574,127 574,127 14. OTHER COUNTY CONTRIBUTIONS NOT IN CliO TROST FOND - COUNTY EQUIPMENT/VEHICLE PURCHASES 0 0 0 0 0 VEHICLE INSURANCE 0 0 0 0 0 VEHICLE MAINTENANCE 0 0 0 0 0 OTHER COUNTY CONTRIBUTION (SPECIFY) 0 0 0 0 0 OTHER COUNTY CONTRIBUTION (SPECIFY) 0 0 0 0 0 OTHER COUNTY CONTRIBUTIONS TOTAL 0 0 0 0 0 "...--_.--_.-..-.,--.....,~ C~~:25,655 7,765,707 2.128,128 9,893.835 GRAND TOTAL ClID PROGRAM ( 5,240,O5}~, ~.._~-,._'-- C, "j r / <,~ l . u--- tC- I t,---~~i ( (~ I ( (( 'c (' c.... if"\ f:,-, p:"___l " U' r---.~ '" ('~ , r. "( '-~-1 1\ 1"'\', " . ~ (J 3 "U III ~ -. en 3.c III III -. :J :J _ ~o o~ <tl .,. :J . en 0 C J\l iil"-n ~0 15- c ~ III III co3 o _. III :J en -. :r3 -c 03 ::E - -g a <tl 3 " :J c o ~ :J _ en c - :J III a. men ., :r ~ ~ CD 0 :J 0 C :J <tl en en -. o ~ C 0 n :-!" CD en III :J o "0 <tl ~ S' IC (fJ "0 ~ el: () III "Q eI "U a ~ en III CO :J CD :;: o o :J ~ 2 g, ~ :J e. Q CO :J o < a 0' :J "0 <3 ~. 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III ::t: 3 60!!'. CD-I~ III ., en C (fJ o ~ S" ;;"co !€5(fJ wa.::r o III 23 CD ():) W -oJ W ;." I\) 10 1JJ0m -en ~ ()~. 1ll::t:3 goa ~:;i~ enc() o ~ 0 - C 0":J coc_ __:J,< wa.(fJ Q ::r o III CO ., CD -I o ~ <.n w C7l "'0 U1 o "D )> ~ :- "D > Z Z m o c (J) m o 'T1 (") o c z :;! ::t m )> r- -I ::t o m "D )> :n 3i! m z -I -I :n C (J) -I 'T1 C Z o OJ )> > Z (') m (J) li: o z :n o m (') o c z :;! ::t m )> !:j ::t o m "tl )> :n -I li: m z -I )> ~ (") ::t li: m z -I = 3. FEDERAL FUNDS - State 007000 STD FEDERAL GRANT - CSPS 0 0 0 0 0 007000 sm PROGRAM - PHYSICIAN TRAINING CENTER 0 0 0 0 0 007000 STD PROGRAM INFERTILITY PREVENTION PROJECT (IPP) 0 0 0 0 0 007000 STD PROGRAM-INFERTll.ITY PREVENTION PROJECT (IPP) 0 0 0 0 0 007000 SYPHTIJS ELIMINATION 0 0 0 0 0 007000 TITLE X HIV/AIDS PROJECT 0 0 0 0 0 007000 TITl.E X MALE PROJECT 0 0 0 0 0 007000 TUBERCULOSIS CONTROL - FEDERAL GRANT 0 0 0 0 0 007000 WIC BREASTFEEDlNG PEER COUNSELING 0 0 0 0 0 015009 MEDlPASS WAIVER-HL THY STRT CLIENT SERVICES 0 0 0 0 0 015009 MEDlPASS WAIVER-SOBRA 0 0 0 0 0 015075 CHD SUPPORT POSITION 0 0 0 0 0 015075 STATE ENVIRONMENTAL FEES 0 0 0 0 0 FEDERAL FUNDS TOTAL 7&6,849 0 786,849 0 786,849 4. FEES ASSESSED BY STATE OR FEDERAL RULES - STATE 001020 TANNING FACILITIES 970 0 970 0 970 001020 BODY PIERCING 1,350 0 1,350 0 1,350 001020 MIGRANT HOUSING PERMIT 0 0 0 0 0 001020 MOBILE HOME AND PARKS 16,834 0 16,834 0 16,834 001020 FOOD HYGIENE PERMIT 13,318 0 13,318 0 13,318 001020 BIOHAZARD WASTE PERMIT 5,030 0 5,030 0 5.030 001020 SWIMMING POOLS 59,500 0 59,500 0 59,500 001020 PRIV ATE WATER CONSTR PERMIT 0 0 0 0 0 001020 PUBLIC WATER ANNUAL OPER PERMIT 3,750 0 3,750 0 3,750 001020 PUBLIC WATER CONSTR PERMIT 0 0 0 0 0 001020 NON-SDWA SYSTEM PERMIT 0 0 0 0 0 001020 SAFE DRINKING WATER 0 0 0 0 0 001092 NON SDWA LAB SAMPLE 0 0 0 0 0 001092 OSDS VARIANCE FEE 0 0 0 0 0 001092 ENVIRONMENTAL HEALTH FEES 118.083 0 118,083 0 118,083 001092 OS OS REPAIR PERMIT 0 0 0 0 0 001092 OSDS PERMIT FEE 0 0 0 0 0 001092 1& M ZONED OPERATING PERMIT 0 0 0 0 0 00 I 092 AEROBIC OPERATING PERMIT 0 0 0 0 0 00 I 092 SEPTIC TANK SITE EV AUlA 'lION 330,000 0 330,000 0 330,000 001170 LAB FEE CHEMICAL ANALYSIS 0 0 0 0 0 001170 NONPOTABLE, WATER ANALYSIS 0 0 0 0 0 001170 WATER ANALYSIS-POTABLE 0 0 0 0 0 010304 MQA INSPECTION FEE 4,300 0 4,300 0 4,300 FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 553,135 0 553,135 0 553,135 5. OTHER CASH CONTRIBUTIONS - STATE 010304 STA TIONAR Y POLLUTANT STORAGE TANKS 105,139 0 105,139 0 105,139 090001 DRA W DO\\~ FROM PUrll ,Ie HEALTH UNIT 156,632 0 @:0~ 0 156,632 OTHER CASH CONTRIBUTIONS TOTAL 261,771 0 261,771 0 261,771 ~, (-, ~-) SIC' 1"-/ J-- L ( ,-. C.( 12j2 t ( l'e \J 10. FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION - COUNTY 00 I 077 RABIES VACCINE 0 0 0 0 0 001077 CHILD CAR SEAT PROU 0 0 0 0 0 00 I 077 PERSONAL HEALTH FEES 0 275,925 275,925 0 275,925 00 I 077 AIDS CO-PAYS 0 0 0 0 0 001094 LOCAL ORDINANCE FEES 0 300 300 0 300 001094 ADULT ENTER. PERMIT FEES 0 0 0 0 0 001114 NEW BIRTH CERTIFICATES 0 18,500 18,500 0 18,500 001115 DEATH CER TIFlCATES 0 60,500 60,500 0 60,500 001117 VITAL STATS-ADM. FEE 50 CENTS 0 600 600 0 600 00 I 073 Co-Pay for the AIDS Care Program 0 0 0 0 0 FEES AUTHORIZED BY COUNTY TOTAL 0 357,525 357,525 0 357,525 11. OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY 001009 RETURNED CHECK ITEM 0 0 0 0 0 001029 THIRD PARTY REIMBURSEMENT 0 143,400 143,400 0 143,400 001029 HEALTH MAINTENANCE ORGAN. (HMO) 0 0 0 0 0 001054 MEDICARE PART D 0 0 0 0 0 001077 RYAN WHITE TITLE II 0 0 0 0 0 001090 MEDICARE PART B 0 176,600 176,600 0 176,600 001190 Health Maintenance Organization 0 0 0 0 0 005040 INTEREST EARNED 0 0 0 0 0 005041 INTEREST EARNED-STATE INVESTMENT ACCOUNT 0 30,000 30,000 0 30,000 007010 U.S. GRANTS DIRECT 0 575,328 575.328 0 575,328 008010 Contribution from City Government 0 0 0 0 0 008020 Contribution from Health Care Tax not thru BCC 0 0 0 0 0 008050 School Board Contribution 0 0 0 0 0 008060 Special Project Contribution 0 0 0 0 0 010300 SALE OF GOODS AND SERVICES TO STATE AGENCIES 0 0 0 0 0 010301 EX? WITNESS FEE CONSUL TNT CHARGES 0 0 0 0 0 010405 SALE OF PHARMACEUTICALS 0 0 0 0 0 010409 SALE OF GOODS OUTSIDE STATE GOVERNMENT 0 0 0 0 0 011000 GRANT-DIRECT: REFUGEE HEALTH 0 46,600 46,600 0 46.600 011000 GRANT-DIRECT: COUNTY SQWCi 0 77,032 77.032 0 77,032 011000 GRANT-DIRECT 0 0 0 0 0 011000 GRANT-DIRECT 0 0 0 0 0 011000 GRANT-DIREC I 0 0 0 0 0 011000 GRANT-DIRECT 0 0 0 0 0 01 1000 GRANT-DIRECT 0 0 0 0 0 011000 GRANT-DIRECT 0 0 0 0 0 011001 HEALTHY START COALITION CONTRJBUTIONS 0 393,684 393,684 0 393,684 011007 CASH DONATIONS PRIVATE 0 0 0 0 0 012020 FINES AND FORFEITURES 0 0 0 0 0 012021 RETIJRN CHECK CHARGE 0 0 0 0 0 028020 INSURANCE RECOVERJES-OTHEK. 0 0 0 0 0 ,-66(7) (216,667~ ~ -...-.--..-.- 090002 DRA \V DOWN FROM PUBLIC HEAL HI UNIT 0 0 ~-' o I 1000 GRANT DIRECT-QUANTUM DENTAL 0 0 0 0 0 011000 GRANT DIRECT-HEALTH CARE DISTRICT PAHOKEE 0 0 0 0 0 011000 GRANT DlRECT-NOV A UNIVERS1TY CHD TRAINING 0 0 0 0 0 \j 0) [DIU /1 ~ .7 ( ( I :) Ii 11. OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY 011000 GRANT DIRECT-COUNTY HEALTH DEPARTMENT DIRECT SERVICES 0 0 0 0 0 011000 DIRECT-ARROW 0 0 0 0 0 0\ 1000 GRANT DIRECT-ARROW 0 0 0 0 0 OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL 0 1,659,311 1,659,311 0 1,659,311 12. ALLOCABLE REVENUE - COUNTY 018000 REFUNDS 0 0 0 0 0 037000 PRIOR YEAR WARRANT 0 0 0 0 0 038000 12 MONTH OLD WARRANT 0 0 0 0 0 COUNTY ALLOCABLE REVENlJE TOT AI, 0 0 0 0 0 13. BUILDINGS - COUNTY ANNUAL RENTAL EQUIV ALENT VALUE 0 0 0 467,854 467,854 BUILDING MAINTENANCE 0 0 0 47,792 47,792 INSURANCE 0 0 0 0 0 UTILITIES 0 0 0 58,481 58.481 GROUNDS MAINTENANCE 0 0 0 0 0 OTHER (SPECIFY) 0 0 0 0 0 OTHER (SPECIFY) 0 0 0 0 0 BUILDINGS TOT AI, 0 0 0 574,127 574,127 14. OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND - COUNTY EQUfPMENTIVEH1CLE PURCHASES 0 0 0 0 0 VEHICLE INSURANCE 0 0 0 0 0 VEHICLE MAINTENANCE 0 0 0 0 0 OTHER COUNTY CONTRIBUTION (SPECIFY) 0 0 0 0 0 OTHER COUNTY CONTRIBUTION (SPECIFY) 0 0 0 0 0 OTHER COUNTY CONTRIBUTIONS TOTAL 0 0 0 0 0 G~85j .--'---_..,-' GRAND TOTALCHD PROGRAM ~~) 7,765,707 2,128,128 9,893,835 ~~. l;[ c~ ( Ii L. .{.- I k c.