HomeMy WebLinkAboutAmend IGA - State - Child WelfareDeschutes County Board of Commissioners
1300 NW Wall St., Suite 200, Bend, OR 97701-1960
(541) 388-6570 - Fax (541) 385-3202 - www.deschutes.on,
AGENDA REQUEST & STAFF REPORT
For Board Business Meeting of March 5, 2008
Please see directions for completing this document on the next page.
DATE: February 26, 2008
FROM: Lori Hill Mental Health 322-7535
TITLE OF AGENDA ITEM:
"Consideration and signature of document #2008-114, an intergovernmental agreement with the
Department of Human Services for alcohol and drug screenings for parents involved in the Child
Welfare system.
PUBLIC HEARING ON THIS DATE? No
BACKGROUND AND POLICY IMPLICATIONS:
This is an amendment to an existing contract, and changes the contract expiration date from 1/31/08 to
1/31/09. The State of Oregon Department of Human Services will continue to pay the Mental Health
Department at a rate of $5000 per month to cover the services of a .7FTE (28 hours per week) alcohol
& drug treatment counselor. The alcohol and drug counselor will work collaboratively with the Child
Welfare division to provide screening and treatment referrals to parents involved in the Child Welfare
system.
FISCAL IMPLICATIONS:
$60,000 in revenue from the State Department of Human Services. Revenue & corresponding
expenditures are included in Mental Health's 2007/08 budget
RECOMMENDATION & ACTION REQUESTED:
Approval and signature of document #2008-114
ATTENDANCE: Sherri Pinner
DISTRIBUTION OF DOCUMENTS:
Return both originals to:
Eileen Blackman, DHS, Office of Contracts and Procurement, 500 Summer St NE, E-03, Salem, OR
97301-1080. Copy to Loretta Gertsch, Mental Health 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 returned 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.)
Date:
Please complete all sections above the Official Review line.
February 26, 2008
Contact Person:
Lori Hill
Contractor/Supplier/Consultant Name:
Department:Mental Health
Phone #: 322-7535
State Department of Human Services
Goods and/or Services: Pays for .7FTE of on-site services at Child Welfare. Services
include screening and referral to MH and Substance abuse treatment for parents
involved in DHS Child Welfare program. This amendment provides a one year
extension to an existing contract
Background & History: To support the efforts of Department of Human Services'
Child Welfare programs. Encourages clients to achieve success with family stability by
quickly identifying parents who could benefit from Mental Health and/or Alcohol & other
drug services. Mental Health recommends approval of this agreement, it is consistent
with the overall mission of Department. Program is carryover of program from prior
year.
Agreement Starting Date:
2009
February 1, 2008
Annual Value or Total Payment:
$60,000
❑ Insurance Certificate Received (check box)
Insurance Expiration Date:
Check all that apply:
❑ RFP, Solicitation or Bid Process
❑ Informal quotes (<$150K)
❑ Exempt from RFP, Solicitation or Bid Process (specify — see DCC §2.37)
Insurance not applicable
Ending Date:
January 31,
Funding Source: (Included in current budget? ® Yes ❑ No
If No, has budget amendment been submitted? ❑ Yes ❑ No
Departmental Contact:
Title:
Lori Hill
okdult Treatment Program Manager
Phone #:
322-7535
Department Director Approval: //tL J .48 -, �r� `� ('
Signature
Date
Distribution of Document: Include complete information if document is to be mailed.
2/26/2008
Official Review:
County Signature Required (check one): ❑ BOCC ❑ Department Director (if <$25K)
❑ Administrator (if >$25K but <$150K; if >$150K, BOCC Order No.
Legal Review Date
Document Number 4 200; - u1-1
2/26/2003
Agreement Number 113393
Amendment to
State of Oregon
Intergovernmental Agreement
In compliance with the Americans with Disabilities Act, this document is available in
alternate formats such as Braille, large print, audiotape, oral presentation and electronic
format. To request an alternate format, please send an e-mail to DHS.Forms@state.or.us or
contact the Office of Document Management at (503) 378-3523, and TTY at 503-378-3523.
This is amendment number 1 to Agreement Number 113393 between the State of Oregon, acting by and
through its Department of Human Services, hereinafter referred to as "DHS" and
Deschutes County Mental Health
2577 NE Courtney Drive
Bend, Oregon 97701
541-322-7535
Fax: 541-322-7565
hereinafter referred to as "Agency."
1. This Contract shall become effective on January 31, 2008, notwithstanding the execution dates per
authority under OAR 125-247-0288.
2. The Agreement is hereby amended as follows:
a. Amend Section I. EFFECTIVE DATE AND DURATION, only to change the Contract
expiration date from January 31, 2008 to January 31, 2009.
b. Amend Section III. CONSIDERATION only to change the maximum not -to -exceed
amount from $156,085.00 to $217,945.00.
c. Amend EXHIBIT A, Part 3, Payment and Financial Reporting, section 1.
CONSIDERATION, subsection 1.1 as follows: language to be deleted or replaced is struck
through; new language is underlined and bold.
1.1
As consideration for the services provided by the Contractor from execution of the
Contract, through June 30, 2007, DHS will pay Contractor at the rate of $5,000.00
per month, and
As consideration for the services provided by the Contractor during the period
beginning July 1, 2007, through January 31, 2005 2009, DHS will pay Contractor at
the rate of $5,155.00 per month.
3. Except as expressly amended above, all other terms and conditions of the original agreement and
any previous amendments are still in full force and effect. Agency certifies that the representations,
warranties and certifications contained in the original agreement are true and correct as of the
effective date of this Amendment and with the same effect as though made at the time of this
amendment.
4. SIGNATURES
AGENCY: YOU WILL NOT BE PAID FOR SERVICES RENDERED PRIOR TO NECESSARY
STATE APPROVALS
Approved By Agency
Authorized Signature
Approved By DHS
Title Date
Authorized Signature
Title Date
Approved by Department of Administrative Services: Exempt per OAR 125-246-0170.
Approved for Legal Sufficiency: Exempt per OAR 137-045-0050(2)(b)(c).
Office of Contracts and Procurement:
Authorized Signature
Title Date
113393-3/kel Page 2 of 2
February 26, 2008
Deschutes County Mental Health
2577 NE Courtney Drive
Bend, OR. 97701
Enclosed, for your signature, is Amendment Number 1 for Contract #: 113393
with the State of Oregon acting by and through its Department of Human Services.
After reviewing the document, please obtain the appropriate signatures on all
originals. If you have any contract -related questions, you may call the contract
specialist, Kristan Langley at (503) 945-6156.
Return all documents to me by fax, email or mail as soon as possible, in order that
I might facilitate obtaining the remaining signatures. Please see below for return
contact information. After obtaining the appropriate signatures, an executed
document will be mailed to you for your records. Thank you for your assistance.
Sincerely,
Eileen Blackman
DHS, Office of Contracts and Procurement
500 Summer Street NE, E-03
Salem, OR 97301-1080
Fax: 503-378-4324
Email: eileen.blackman@state.or.us
Enclosure(s)
c: File
C:\Documents and Settings\lorih\Local Settings\Temporary Internet Files\OLKI\113393-3 Amend Sign Cover Letter.doc 2/08 R v.