HomeMy WebLinkAboutDoc No 2014-458 Notice of Federal Interest Sisters Clinic property'CES
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{ Deschutes County Board of Commissioners
1300 NW Wall St., Suite 200, Bend, OR 97701-1960
(541) 388-6570 - Fax (541) 385-3202 - www.deschutes.org
AGENDA REQUEST & STAFF REPORT
For Board Business Meeting of August 27, 2014
DATE: August 20, 2014
FROM: Susan Ross, Director Property and Facilities Department 541-383-6713
TITLE OF AGENDA ITEM:
Consideration of Board Signature of Notice of Federal Interest for Sisters Clinic property.
PUBLIC HEARING ON THIS DATE? No
BACKGROUND AND POLICY IMPLICATIONS:
The Sisters School-based Health Clinic was awarded $500,000 in federal grant funds from
Health Resources and Services Administration (HRSA) to apply toward construction. To
ensure that the facility continues to be used in the manner it was intended, the granting
agency requires a continuing Federal interest.
Deschutes County acquired the property from McKenzie Meadow Village LLC for no
consideration. It was donated to the County specifically to house the clinic.
FISCAL IMPLICATIONS: N/A
RECOMMENDATION & ACTION REQUESTED:
Staff recommends Board of County Commissioners signature of Document 2014-458.
ATTENDANCE: Susan Ross
DISTRIBUTION OF DOCUMENTS:
Return all documents to the Property and Facilities Department.
DESCHUTES COUNTY DOCUMENT SUMMARY
(NOTE: This form is required to be submitted with ALL contracts and other agreements, regardless of whether the document is to be
on a Board agenda or can be signed by the County Administrator or Department Director. If the document is to be on a Board
agenda, the Agenda Request Form is also required. If this form is not included with the document, the document will be retumed to
the Department. Please submit documents to the Board Secretary for tracking purposes, and not directly to Legal Counsel, the
County Administrator or the Commissioners. In addition to submitting this form with your documents, please submit this form
electronically to the Board Secretary.) Please complete all sections above the Official Review line.
Date: August 20, 2014 Department:
Type of Document: Notice of Federal Intent
Goods and/or Services: none, recorded document
Property & Facilities
Background & History: The Sisters School-based Health Clinic was awarded
$500,000 in federal grant funds from Health Resources and Services Administration
(HRSA) to apply toward construction. To ensure that the facility continues to be used in
the manner it was intended, the granting agency requires a continuing Federal interest.
Deschutes County acquired the property from McKenzie Meadow Village LLC for no
consideration. It was donated to the County specifically to house the clinic.
N/A
Agreement Starting Date: E Ending Date: ❑
N/A
Annual Value or Total Payment: ❑
N/A
❑ Insurance Certificate Received (check box)
Insurance Expiration Date: ❑
N/A
Check all that apply:
❑ RFP, Solicitation or Bid Process
❑ Informal quotes (<$150K)
❑ Exempt from RFP, Solicitation or Bid Process (specify — see DCC §2.37)
N/A
Funding Source: (Included in current budget? ❑ Yes ❑ No
Is this a Grant Agreement providing revenue to the County? X Yes ❑ No
Special conditions attached to this grant: Notice of Federal Interest to be notarized,
recorded, and submitted to the HRSA's Electronic Handbook. Grant award number is
C12CS21835.
Deadlines for reporting to the grantor: Quarterly with completion by October 31, 2014.
8/20/2014
N/A
If a new FTE will be hired with grant funds, confirm that Personnel has been notified that
it is a grant -funded position so that this will be noted in the offer letter: ❑ Yes ❑ No
Contact information for the person responsible for grant compliance:
Name: Susan Ross Phone #:
541-383-6713
Departmental Contact and Title: !Susan Ross, Director Phone: 541-383-6713
Department Director Approval:
Signature
4/3/-0/ t ci
Date
Distribution of Document: Documents should be returned to Property & Facilities
Department.
Official Review:
County Signature Required (check one): BOCC D Department Director (if <$25K)
D Administrator (if >$25K but <$150K; if >$150K, BOCC Order No. )
Legal Review
aniu
Document Number 2014-458
Date
8/20/2014
REVIEWED
rit/
LEGAL COUNSEL
fJIy ro v;et eY
For Recording Stamp Only
NOTICE OF FEDERAL INTEREST
On June 23, 2011, the Affordable Care Act (ACA) Grants for School -Based Health Centers Capital Program awarded
Grant No. C12CS21835 to Deschutes County, Oregon. The grant provides Federal funds for construction of Sisters
School Based Health Clinic, located on the property described below in Deschutes County, State of Oregon:
Legal Description: "Parcel 2" of Partition Plat 2014-24, recorded in Deschutes County official records 2014-
26471; and a 2,400 square foot building commonly referred to as Sisters School Based Health Clinic with a
physical address of 1680 W. McKinney Butte Road, Sisters, Oregon.
The Notice of Award for this grant includes conditions on use of the aforementioned property and provides for a
continuing Federal interest in the property. Specifically, the property may not be (1) used for any purpose
inconsistent with the statute and any program regulations governing the award under which the property was
acquired; (2) mortgaged or otherwise used as collateral without the written permission of the Associate
Administrator, Office of Federal Assistance Management (OFAM), Health Resources and Services Administration
(HRSA), or designee; or (3) sold or transferred to another party without the written permission of Associate
Administrator, Office of Federal Assistance Management (OFAM), Health Resources and Services Administration
(HRSA), or designee. These conditions are in accordance with the statutory provisions set forth in Patient
Protection and Affordable Care Act, P.L. 111-148, 45 CFR Part 74 or 45 CFR Part 92 as applicable, the HHS Grants
Policy Statement, and other terms and conditions of award.
These grant conditions and requirements cannot be nullified or voided through a transfer of ownership.
Therefore, advance notice of any proposed change in usage or ownership must be provided to the Health
Resources and Services Administration (HRSA), Office of Federal Assistance Management (OFAM).
DATED this day of August 2014. BOARD OF COUNTY COMMISSIONERS
OF DESCHUTES COUNTY, OREGON
TAMMY BANEY, Chair
ATTEST: ANTHONY DEBONE, Vice -Chair
Recording Secretary ALAN UNGER, Commissioner
STATE OF OREGON
) ss.
County of Deschutes )
Before me, a Notary Public, personally appeared TAMMY BANEY, ANTHONY DEBONE, and, ALAN
UNGER, the above-named Board of County Commissioners of Deschutes County, Oregon and
acknowledged the foregoing instrument on behalf of Deschutes County, Oregon.
DATED this day of , 2014.
Notary Public for Oregon
DOCUMENT NO. 2014-458
My Commission Expires:
DC —2014-458