89-68 i
wHiTe - cirv c�eRK COLLflCIl
PINK — FINANCE G I TY O F SA I NT PA LT L -�
CANARV — DEPARTMENT � �
BLUE — MAVOR File NO.
Co ncil Resolution
Presented By
,�� � I�
;
Referred To � Committee: Date
Out of Committee By Date
WHEREAS, the; City of Saint Paul has the authority to act as
the fiscal agent for the Saint Paul Board of Health; and
WHEREAS, the' State of Minnesota provides grants to local
Boards of He�alth to provide subsidized health care for
American Inddans within their jurisdiction; and
WIiEREAS, Speicial Fund 305 , Division of Health Special
Projects has budgetary authority to operate said Grant with
the State of Minnesota, through a subcontract with an
appropriate provider agency;
NOW, THEREFO�E, BE IT RESOLVED, The Council of the City of
Saint Paul authorizes the proper City officials to execute a
1988-1989 coritract with the State of Minnesota, Minnesota
Department olf Public Health to subsidize American Indian
Health Care.
COUNCIL MEMBERS Requested by Department oE:
Yeas Nays ��''' `
Dimond �Ni[Z �✓ ��
�� ;_� [n Favor
Goswitz
Rettman
sche;n�� J _ Against BY
Sonnen
Wilson
JAN 17 1989 Form rove by tor
Adopted by Council: Date `
Ceriified Pas e b Counci Se r BY
gy, ������
I#pproved by vor. Dat ��� � 8 ��8� Approved y Mayor for S ion to Council �
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BY � ;. : ,
pt�IS}{� �ti.:� ti � �989
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idWS OT L'1�J$�A. � J' �! j �!1?SOtd b2�w28� th� JtZ�E v^T '�� innesotai
3C� 1 �� i,hf': _ , i; t� '•ilflf'1�SC�d �2Jd ('�fi'2�t :i =2dith � ;'C�z � ndite "
STATc )
And : City of St Paul Givision of Health -
Aodress : 555 Ce ar Street , St . Paul , MN 55i01
MN Tax ID No . : 025095 _
Federal Employe� ID No . ( if applicable ) :
, _
(NOTICE TO GRAN EE. You are required by Minnesota Statutes,
Section 270 .66 , to provide your social secu,_rity number or _
Minnesota Tax i entification number if you do business with the
State of Minnes ta. This information may be used in the
enforcement of �ederal and state tax laws. Supplying these
numbers could r sult in action -to require you to file state tax
returns and pay delinquent state tax liabilities . THIS GRANT
CONTRACT WILL N T BE APPROVED UNLESS THESE NUP�IBERS ARE PROVIDED .
These numbers w 11 be availadle to federal and state tax
authorities and state personnel involved in the payment of state
obligations ) . , �
The City _of St. !Paul Division of Health ( hereinafter GRAN�EE ) ,
witnesseth that ' WHEREAS, the STATE, pursuant to Min�tesota
Statutes 145A. 1 , Subd . 2, provides that special grants may be
made to communi y health boards to establish, operate, or
subsidize clini facilities and services to furnish Itealth
services for Am rican Indians who reside off reservations, AND
WHEREAS, GRANTE represents that it is duly qual-ified and willing
to perform the Quties set forth herein, NOW THEREFORE, it is
agreed : '
I . GRANTEE�S DUTIES. GRANTEE , who is not a state employee,
shall :
A . Subsi�ize the health services for American Indians in
Ramse County through a subcontract with the St. Paul
Urban Indian Health Board, 1021 Marion Street, St.
Paul . Such a subsidy shall not exceed Seventy two
thous nd, seven hundred and fo�ty four dollars
( 572,744 .00) and shall adhere to the budgetary
provisions found in Clause II , paragraph A(3 ) .
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T� . CONS�DERATZON AND TER'�iS OF ?AYMENT.
=�. ONSIDER.ATION �or alI s'rvices per�cr^:ed a.^.: 7o�•;s __
.:a*_erials suppl�.ed bl GR�.*1TEE pursuant to �::�s g�a:,�
ontract shall be paid for the STATE as follows:
� . The total obligation of the STATE for all
- I compensation and reimbursements to GRANTEE shall
not exceed Seventy two thousand, seven hundred and
I'I forty four dollars ($72 , 744 . 00) .
� . Reimbursement for travel and subsistence expenses _
actually and necessarily incurred by GRANTEE'S
performance of the grant contract in an amount not
� to exceed One thousand, one hundred and fifty
dollars ($1150. 00) provided, that GRANTEE shall be
reimbursed for travel and subsistence expenses in
_ � the same manner and in no greater amount than
provided in the current "Commissioner' s Plan"
I promulgated by the Commissioner of Employee
Relations. GRANTEE shall not be reimbursed for
travel and subsistence expenses incurred outside
the State of Minnesota unless it has received
prior written approval for such aut-of-state
I travel from the STATE.
3 � Compensation shall be consistent with the Program
Line Item Budget below. GRANTEE shall not seek,
nor shall the STATE pay, compensation to GRANTEE
I� for an indirect overhead or administrat'v
Y , i e costs
not otherwise included as a direct expense within _
the Program Line Item Budget.
_
Proaram Line Item Budget •
I The GRANTEE shall adhere to the followin ro ram
.
g P g
budget in performing the activities listed in _
' Exhibit I, GRANTEE'S DUTIES:
Cateaorv of Expenditure Estimated Allocation
� Salaries and Fringe Benefits $46, 324.00
� Travel 1, 150.00
Professional Supplies 3 ,821. 00
Office Supplies, Print,
II Communications 7, 174.00
Contractual/Physician 9, 659. 00
Equipment Repair 60. 00
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a'taff Continuing Education �0� . 00
ient 4 , Joi . OG
TOTA.Tr �72 , �%i . 00
:�odifications within each category of the above
line item budget of less than 10 percent of any
line item are permitted without prior approval by
1 the STATE, so long as notification of such
� modifications is made through the submitted
quarterly expenditure reports. Provided, however,
- that the total obligation of the STATE for all
i compensation and reimbursements to GRANTEE shall
not exceed seventy two thousand, seven hundred and
forty four dollars ($72 , 744 . 00) .
B. T RMS OF PAYMENT
1 . Reimbursement shall be one initial cash advance of
Eighteen thousand, one hundred and eighty six
dollars ($18 , 186. 00) followed by quarterly cost
reimbursement based on the previous
expenses as documented by receipts, invoices,
travel vouchers, and time sheets.
2 . Payments shall be made by the STATE promptly after
� GRANTEE'S presentation of invoices fQr services
- performed and acceptance of such services by the
I STATE'S authorized agent pursuant to Clause VI .
, Invoices shall be submitted in a form prescribed
- �I by the STATE. GRANTEE agrees to provide the STATE
I with the following financial reports which are due
- ; on the dates listed below:
i
Minnesota Department of Health Public Health
_ Grant-Budget Request/Expenditure Report on March
31, June 30, September 30 and December 31 of each
calendar year this grant contract is in effect.
III. CONDI IONS OF PAYMENT. All services by GRANTEE pursuant to
this rant contract performed to the satisfaction of the
STATE, as determined in the sole discretion of its
autho ized agent, and in accord with all applicable
feder l, state and local laws, ordinances, rules and
regula ions. GRANTEE shall not receive payment for work
found y the STATE to be unsatisfactory, or performed in
violation of federal, state, or local law, ordinance, rule
or re lation.
IV. TERM O GRANT CONTRACT. This grant contract shall be
effective on January 1, 1988, or upon such date as it is
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exec ted as to encumbrance by the Com:nissioner ef �i^ar.ce ,
Hhic' ever occurs later, and shali remain in 2rrec� until
Dece �ber 31 , 1989 , or untii ail obligations set forth ir.
this �arant contract have been satisfactorily fulfilled,
*ahicY�ever occurs first.
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a. RANTEE shall have ninety (90) days immediately
ollowing the end of the qrant contract period to
' iquidate all unpaid obligations related to the project
�ncurred prior to the end of the grant contract period
nd to -submit a detailed accounting of these cumulative
xpenditures to the STATE.
B. RANTEE agrees to return to the STAT£ all funds
rovided by the STATE which are not expended for
�llowable project costs within ninety (90) days
ollowing the end of the grant contract period.
V. - CANC LLATION
A. pon GRANTEE' s substantial failure to comply with the
rovisions of this grant contract, the STATE may
erminate this grant contract without prejudice to the
s �ight of the STATE to recover any money previously
aid. The termination shall be effective upon the STATE
iving GRANTEE wri�ten notice at its last known
ddress. -
B. he STATE or GRANTEE may cancel this grant contract at
� ny time, with- or without cause, upon sixty (60) days
ritten notice to the other party. In the event of
uch cancellation, GRANTEE shall be entitled to
ayment, determined on a pro rata basis, for services
_ atisfactorily performed.
C. hould this grant contract be tenainated prior to the
cheduled data, GRANTEE shall refund to the STATE all
emaining unexpended grant contract monies within
orty-five (45) days of the date of effective
ermination.
VI. STAT �8 AOTHORIZED AGENT. The STATE'S authori2ed agent for
the urposes of administration of this grant contract is:
Lore e A. Wedeking, Minnesota Department of Health. Such
agen shall have that authority for acceptance of GRANTEE'S
servi ces and if such services are accepted as satisfactory,
shal so certify on each invoice submitted pursuant to
Clau e II, paragraph B.
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':II . ASSII NMENT. G�vTEE shall neither assigr. r.or transfe� an�-
�igh s or obl iga�iens under t!:is grant c,^r:��act ��t::��. =::e
prio �aritten consent cf t:�e STaTE.
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�::T= . AME MENT3. any amendments tc *_Ris grant �ontract s:73'_1 �^?
in �iting, and shall be executed by the same arties ti•no
exec�ted the original grant contract or their suc�esscr=_ in
offic�e.
IX. LIAB�LITY. GRANTEE agrees to indemnify and save and hold
the S��TATE, its agents and employees harmless from any and
all cllaims or causes of action arising from the performance
of th' s grant contract by GRANTEE or GRANTEE ' S agents or
emplo�ees. This clause shall not be construed to bar any
legal remedies GRANTEE may have for t�he STATE 'S failure to
fulfi�l its obligations pursuant to this grant contract.
X. 3TATE�, AUDITS. The books, records, documents, and �
accou ting procedures, and practices of the GRANTEE
relev nt to this grant contract shall be subject to
exami ation by the STATE, the legislative auditor, and the -
stateiauditor. Records shall be sufficient to reflect all
costsiincurred in performance of this grant contract.
XI . OWNERS�HIP OF DOCOMENTB. Any reports, studies, photographs,
negati�ves, or other documents prepared by GRANTEE in the
perfo ance of its obligations under this grant contract
shall�e the exclusive property of the STATE and all such
materi�ls shall be remitted to the STATE �y GRANTEE upon
comple�ion, termination or cancellation of this grant
contra t. GRANTEE shall not use, willingly allow or cause
to hav� such materials used for any purpose other than
perfon�ance of GRANTEE's obligations under this grant
contra�t without the prior written consent of the STATE.
XII. AFFZRMI�TIVE ACTION. GRANTEE certifies that is has received
a certi�ficate of compliance from the Commissioner of Human
Rights !ipursuant to Minnesota Statutes, Section 363 . 073 .
-XIII. WORRER��S COMPEN3ATION. In accordance with the provisions
of Minn�esota Statutes, Section 176. 182, the GRANTEE has
provide�l acceptable evidence of compliance with the
workersi' compensation insurance coverage requirement of
Minneso�a Statutes, Section 176. 181, Subdivision 2 .
XIV. ANTITRIIIT. GRANTEE hereby assigns to the State of
Minneso�a any and all claims for overcharges as to oods
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and/or �ervices provided in connection with this grant
contrac resulting from antitrust violations which arise
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III
, � ! ��r ��
��r.der he ar.ti*�r1.:st laas of t`.:e �^ite� S�a*_es �^� �,_e
antitr st laws of the State of �Iinnesota.
���. DATA P I CTICES. The GRANTEE shal l ag�ee �o �nden�i�� a:�d
save a�id hold the STATE, its agents and employees, harmless
from a�y and all claims or causes of action arising Fro�^ a
violat�on of any provision of Minnesota Statutes 13 . 01-
13 . 90.
XVI . GRANTE shall provide nonpartisan voter registration
servic s and assistance, using forms provided by the ST�TE-,
to emp oyees of GRANTEE and the public as required by _
Minnes ta Statutes, 1987 Supplement, Section 201. 162 .
- XVII. GRANTE certifies that no funding provided under this grant �
contra t will be used to support religious counseling or
partis n political activity.
XVIII.OTHER �ROVI3ION8. - �
A. G TEE agrees to utilize competitive bidding and other
pr cedures required by Federal, State, and local laws,
or inances, or regulations governing purchasing and
fi 'cal procedures. �
B. (T is paragraph has been deleted. )
C. G EE agrees to provide the STATE with the following
gra t contract status reports which are due on the
dat s listed below: July 31, 1988, December 31, 1988 ,
and July 31, 1989. A final report describing the grant _
act'vities will be provided to the STATE on or before
Mar�Ch 1, 1990.
D. TheIBTATE shall, during the course of this grant
con�ract, evaluate GRANTEE'S progress towards goals and
obj ctives of the grant contract and compliance with
any' special conditions. The STATE reserves the right
to equest additional information from GRANTEE to carry -
out its evaluation.
,
E. c3�E8 agrees to make all its financial records
rel ted to the grant contract available to the STATE
upo request during normal working hours.
F. If he GRANTEE has an independent audit, a copy of the
aud t shall be submitted to the STATE.
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�. G EE agrees �hat prior to subcontracting any �u:::s
� ceived under �his grant contract it shali rece•�•�e
�r itten approval from the STATE. The STATE will �esper.:
t requests of GRANTEE for authorization to subcontracc
within ten (10) working days of receiving the request.
IN WITNESS EREOF, the parties have caused this grant contract
to be duly xecuted intending to be bound thereby.
' (3) ATTORNEY GENERAL
(If a corpo ation, two corporate By:
_ officers mu t execu e. )
; - Date•
,. _
By: • , �:� _�`r:... {-' r1-''��.
Title: Mayor �, - (4) CONIIrITSSIONER OF
� ►- ..�� .-,- ADMINISTRATION
�.�.- _�__...
Date: —� - �-� E!,
.� � gy;
B ,' '� ///1 /_` ,.
Y: � ....:._ (.��r - %L�. Date:
Title• Assis ant City Attorney
— � ' (5) COMMISSIONER OF FINANCE
Date: i ��� / ' ��
By:
(2) STATE A �NCY OR DEPAR�NT Date:
By: - � �.L^,� _ -! =
• �,
Title: ���-:_ . _ .
Date: — S�
- Misc./STPCO�J.WS2
Ol/07/88
sjt:jd �� ' . �
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By: BY: ' �. ;�1 � '�
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Titl�rect�Or of Community Service Title: Dir, of Finance & Management
Date: � Date: �—��j�r _ „ }�
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I MINNESOTA DEPARTMENT OF HEALTH
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=ace �heet
� �or
� =xhibit i , G�AyTEc'S Duties
Indi_an Health Special Grant
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�I - 5 pages, numbered 1 through �
I -
-
� (� �y
� /� � �'Birector of Community Service
Please initial : ,
i _ - �" - Assistant City Attorney
- �
I� CONTRACTOR: ��-ir— Mayor
� , ,,�,
—';��� ; Di rector of Fi nance and
II _ a . !�anagement Service
STATE AGENCY OR �_;
� DEPARTMENT: ,' a
. _
ATfORNEY 6ENERAL:
-
I COMMISSIONER Of _
� ADMINISTRATION:
COhMISSIONER OF
II FINANCE:
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II
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OBJECTIVES
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�.O:i.^.=Y �ni� .� :."1CW 3 ��S C:°�^�°352 , _ =.^..T, 7�2 ) �^ �^:2 ..�:i.DE� .._ -
=e�nage T� t::ers .
�C 3y 1990 , merican Ind�an ?Y;,ec�an_ :�ot:�ers o� St . Paul/Rams�;; �
Coun�y wi' 1 s^ow a 203 dec:ease ( *rom ? 985 ) in the number .^.c=
recei�vi:;g p_�na=a1 c3re e: �ec�r..^._r.� �are in the ��:ird tri:,.es��� .
' � 3v � 990 , .�,erican Z.^.dian b�r=tis of S=. Paul;Ramsey County will
�how a 2� �ecrease =_em i � y82 ) �n _:.e number of _�w bir_^ we�c�=
�ir�as . "
� E. By 1990 , .�:ericar. Z:�dian infan�s o� Ra�rsey Coun*_y wiil s:�ow a
10� decre se ( from t �78- � 983 ) �n t:�e nu:nber of in:an*_
rnortaliti s .
� F Presently 25� of the clinic �.atie.^.�s with diagnosis o� '�yp�r-
tension a e in compliance wlth the clinics nypertension heai_z
care plan This will increase to 90$ by 1990 .
1G Presently 50$ of the clinic �emale patients receiving pap
smears sh winq evidence of carcinoma or dysplasia referred to
soecialis s are in compliance w:th clinics health care plan.
This will increase to 90� by 1990.
1I Presently 108 of clinic patients with diagnosed diabetes are
in compli nce with clinics !:eaith care plan. This will in-
- crease to 90$ by 1990 .
1J Presently, 100$ of the clinic ratients diagnosed with anemia
are in co pliance with the c:iric health care plan. The $ will
be maintained through 1990, by .'ollow-up assuring compliance to
clinic health care plan.
1KETHODS
lA-B (a ) The N alth �ducator/.Jutreac!� w�rker will instruct 24
"yout choices classes" °or the St. Paul/Ramsey County
Ameri an Indian popula�icn by the conclusion of 1990.
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'dl �^.i�,^.':�.^..? L� " ��_� 7E:'.C::�i..���:� `.i3»25 �� _.^. _'_
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:.�_ =:�e coa�1•.:sic^ �= ' ?9�3 . - _
• °- ' ::� �:ea__:� °_c•,.�a_c:, :..:=-�a�.. �;or{�r , tiurse , r� •s�_��:: -
wl' 1 �rcviCe ir.�or:r,a�io;. o� c.�rerent iamily p��nr.:^.+, -
Te hods and previde services in cnoices made :or ra:r,-
il planning by *_he patien=s .
1 C-D-E ( a ) Th Case Manager o: *_:�e �re.^.a*_al clinic will perfor�
co. uity awareness of _^e se:�ices available *_::rough
_ tz prenatai clinic . T`�is will be accompliszed through
400 mailings of program brec�ures , 25 in-service nreser.-
tatior.s , newspaper ar*_icies , and the distributioz� of
brochures at community events by the conclusion of 1990 .
( b ) The OB/GYN Physician , �lurse , Practitioner, Medical assis-
tan , Social Worker, Nutritionist , and �Iealth Edu:.a*_or
will provide prenatal services to 50 expectant mothers
by h conclusion of -1990 .
1 r (a ) The Physician, Nurse , Medical Assistant will provide 500
hyp rtension screenings considering blood pressure , age ,
and duration of elevated blood pressure. All patients
mee ing the clinics cri*_eria for hypertension will enter -
int the clinics follow-up tracking system, consisting
of reatment goal , frequency of visits for pressure
che ks , education, frequency of re-evaluation , and re-
vie of records to assure comliance to clinic treatment
pla by the conclusion of 1990 .
1 G (a ) The Physician will prov�de pap smears to 100 clinic fe-
mal patients . Abnormal pap smear identified patients -
wtl be referred to a gynecologist and followed up to
ass re compliance at the clinics health care plan util-
izi g the clinic' s patient tracking system, pap smear
fil , and lab log by the conclusion of 1990.
1 H (a) The Physician, Nurse will provide immunizations to at
lea t 90$ of the clinic ' s patients aqes 24-27 months and
six years . The clinic will utilize its system to ident-
ify enroll , and immunize newborns to assure provision
of rimary immunizations and a tracking system which a-
ler s staff to childhood immunizations which are due or
ove due and triqqers appropriate follow-up this will be
per ormed by the conclusion of 1990.
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diab tes bv being o�ese ' c_e3_er =`.�.a:� 20� c� ��ea1 �cC•.
weig t ) , zavi^g a �c=- -- :� =a:r� •. .._s=.;r� o� �13DE=25 �_
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C3_? I^1�:: be�ore �:�e co^c�.:s:er. o� ' ��9Q .
' .: ! 3 ! T:�e hysic�ar. wiil cor.ti:�::� �o per=crT a:.e;�ia sc�=�r.i-:� _�
*_ne atien*_s of *_he cli.^.ic ar.d �rc:•�de ^eal�z �are _'or
diagr�osed anemia gatien�s . These pa*_ien*_s wii= be �o����_�
�p hy{ c:^.art reviews to asssre compliazce to r�ealt^ �ar�
_ pian ,' this will be accomplished *_hrougn-out 1990 .
EVALUATION i
1 A-D ! a ) Nu ber of "Youth Choices Class2s" provided
( b ) �uml�er of AIIIS Education/Prevention Classes provided
; c ) �1um er of individuals receiving family planning
inf�irmation '
( d) Num�er of "Male Responsibility Classes" provided
(e ) Cha ted family planning choices , methods utilization
_ °- wit in patient files -
1 C-D-E (a ) Num�er of brochure mailing; number of in-services ; n�smber
of ewspaper articles ; number of brochures taken at re-
cor�ied community activities
( b) Num er of patients receiving prenatal serivices
1 F (a ) Num er of hypertension screeninqs provided; number of
di�a nosed hypertension patients followed up for compliance;
num�er of hypertension patients provided with clinic health
car plan
- 1 G (a) Nu r of papa smears provided; up-to-date pap smear file;
up- o-date lab log
1 H (a ) Per entage of patients immunizated
1 I (a ) Rec rded diabetes testing; patient diabetes healtb care
pla� provided; follow-ups performed on at-risk anz/car diag-
nos d diabetes patients
1 J (a ) Chaz�ted anemia patients provided with health care plan;
foll�ow ups performed on diaqnosed anemic patients
J J�. ?dl1 i .. �l .., ..� , �'1 rf' '
. �
� � Page 4 Of 5 ��j�-���,
GOAL 2: ' ""
�
To administ r the activi:ies of t:�e St . Paul ::rban Indian ::eai�^
Board in accorda ce witZ Board policies and directi�es and �::ndi^g
source requireme ts on grants receiv2d and �ur.ctior.s served.
OBJECTIVES:
2A. To =1 va�� :iscal _.._eg_ity or. alI accc�.:r.ts and grant;
rec�i Ad.
ZB. To el Ivace e`Fect_i�:e personnel :^anagemer.t and s:a_°=
devel oment .
2C. To co�rdinate depar_:nent%orogram services , inte=age.^.c_:
activil�ties , -ar.d service needs .
METHOD:
2A( a ) . To mai tain a mon�hly financial and quarterly reporting
system to :.he Baord and appropriate source agency.
2A( b) . To mai tain invoicing/budget control systems to Community
- Health Services and other funding sources as appropriate.
2A(c ) . To pro ide applicable year-end program summary and analysis
as app opriate .
2Atd) . To pro ide for annual financial reports/audits as required by
fundin sources .
2B( a ) . In acc�rdance with-Board recommendations , reruit , interview/
employ , number of persons essential/approved for agency
operat�ons .
2B(b) . Resear h/identify individual/staff development sources con-
sisten with specialty area.
2BCc ) . Provid� an annual appraisal and recommendations/staff
adjustn�ents to the Board as appropriate.
2B(d) . Provid for weekly/biweekly staff ineetings and reports.
2Cta) . Ta coo dinate and provide systems diversification through
d�valo ment of interagency agreements and understandings .
2C(b) . To pro ide liaison with appropriate public/private insti-
tutions as appropriate.
EVALOATIONs
2A(a ) . Monthly�/quarterly reporting system to Board of Directors and
other a�gency/source as appropriate.
�
2A(b) . Actual/�rojected proqram expenditures.
2A(c-d) Employ ICertified Public Accountant - Annual Report and audit.
i _,t�i :.i *. i: ��a`���� ., �i;i._�
�' St. Paul Indian �'ea' th Grani
♦ f I U
, i Page 5 Of 5 ����
i
28( a ) . Numb r of persons hired.
2B( b1 . Pers nnel development sourcesirescurc�s .
2B( c ) :work plan/staff adjustme.^.ts .
2B(d ) . Meet ' ngs and staff acti�ity reports .
2C(a ) Lett r of understandingiinteragency agreements .
2C( b ) . Liai on/interagency activi*y. -
,
�I
I
�i
, ���'
. . .�t° �13659 ,
Ga��iauLi. Serv' DEPAItZ`1�:NT .- - - - -
ruie ca i . _CONTACT NAHE
—�. -_ ,_� . '
29�,-77�3 PHONE � ,
15 198 DATE
ASS (See reverse side.)
�Department Dir ctor RECEIV�� 3 Mayor (or As�istant) RECEIVED
4 Finance and lia g�m t Services Director 5 City Clerk
Budget D�re�to . �AN 0 � ��$9 — DEC 1 91988
+� City Attorney _ .
�l. h� ( ,
0 L : ��CL"i��H�����ons for signature.)
T il G 0 0 C 4 (Purpose/Rationale)
Resoluti:on t�o all ci.� signatures, as authorized by the St. _Paul Board of Health, on
an �ent be City of S�. Paul, th�.rough its Division of PubLic Healfh and th,e
MinrLesota t �lof Health. Under �terms of the a�resnent, the Urb�an Tr�c3i.an Health
Boarcl wi11 codx�uct servi ces listed in the ccmtract.
COS U G AND PERSO L
Ftzrxling will be fram the Minnesota D��t of Health for tl�e c�ontra+ct period
o� January 1, 1988 DeceN�er 31, 1989. Total :a�awzt of the oo�tra,ct i$ $72,744. �
No persor�nel ' anticipated. 'i'hi.s aontract naast be appr�oved tc> reooa� the
$15,418 that the C ty disbursed t�o this clinic in 1988.
RECEIVEQ
FINANC N SO C D V R C n JAN 0 31989
(�iayor's signature ot r quired if under $10,000.)
Total Aa�ount of T ansg tion: $72,744 Activity Numbe�: 33�2 Y��S C�FICE
Funding Source: D�^trn�lzt of Health
ATTACHMENTS: (List and umber all attachments.> Co�,n��� Research Center.
Y. Agreement - Or g'
a. �asolutio�n ` JA N �5 ;v$9
ADMINISTRATIVE PROC DU E
_Yes _No R le$, egulations, Procedures, or Budget Amendment required?
_Yes _No I yes, are they or timetable attached?
DEPARTMENT REVIEW ' CITY ATTORNEY REVIEW
,
_Yes _No Co il '� solution required? Resol�ition required? Yes � ./
_Yes _No Ins ar�ce xequired? Insurance sufficient? _Yes _No /!/�
_Yes _No Ins atkce attached?
i
S
` �iOW TO USE THE GREEN SHEET ;�
.. . _ �..� �:.,:,.
The GREEN SHEET has three PURPOSES: . �
_ 1. to ass3st in routing documents and in securing required signatures;
2. to bri8f the ravie�rers of docwaents on the impacts of appraval;
3. to help ensure that necessary supporting materials are prepared and, if reqnirad,
. attached. .
Providing complete information under the. listed t�eadings enables revie�ers to make
decisions on the documents and eli�inates follow-up contscts that may delay execution.
Below is the prefarred ROUTING for the five mast frequent tppes of documents: -
CONTRACTS (assumes suthorized budget exists)
1. Outside Agency 4. Mayor
2. Initiating Department 5. �'inance Director
3. City Attorney 6. Finance Accounting
Note: If a CONT, tF�CT amount is less than $10,000, the Mayor's signature is not required,
if the department director signs. A contract �ust al�rays be signed by the outside� agency
before routing through City offices.
�A,DMINISTRATIVE ORDER (Budget Revision) ADMINISTRATIVE ORDE& (all. others)
1. Activity l�anager 1. Initiating Department
2. Department Account�nt 2. City Attorney
3. Department Director 3. Mayor/Assistant
4. Budget Director 4. Citq Clerk
5. City Clerk ,
6. Chief Accountant, Finance and Management Services
COUNCIL "RESOLUTION (Budget Amendment/Grant Aeceptance) COUNGIL RESOLIITION (all others)
1. Department Director l. Departm�nt Director
2. Budget Director � 2. City Attorney
3. City Attorney " 3. Mayor/Assistant
4. Mayor/Assistant 4. City Clerk
5. Chair, Finance, Mgmt. , and Pers. Cte. 5. City Council
6. City Clark
7. City Council
8. Chief Accountant, Finance and Management Services
The COST,�BENEFIT. BUDGETARY. AND PERSONNEL IMPACTS heading provides space to expla3.n the
cost/benefit aspects of the decision. Costs and benefits relate both to City budget
(8eneral Fund and/or Special Funds) and to broader financial impacts (cost to usera,
homeowners", or other groups affected by the action) . The personnel impact is a description
of change or shift of Full-Time Equivalent (FTE) positions.
The ADMINISTRATIVE PROCH:DURES section must be completed to indicate whether additional
administrative procedures, including rules, regul�tions, or resource proposals a�e
necessary for implementation of an ordinance or resolution.. If yes, the procedures or a
timetable for the completion of procedures must be attached.
SUPPORTYNG MATERIALS. In the ATTACHMENTS sectton, identify all attachments. If the Green
Sheet is Nell done, no letter of transmittal need be included (unless signing such a letter
is one of the requested actions).
Note: If an agreement requires evidence of insurance/co-insurance, a Certificate of
Insurance should be .one 'of the attachments at time of routing.
Note: Actions which require City Council resolutfons include contractual relationships
with other governmental units; collective bargaining contracts; purchase, sale, or lease of
land; issuance of bonds bq City; eminent domain; assumption of liability by City, or
granting by �City of indemnif3aation; agreements with state or federal government under
which they are providing funding; budget amendments.