85-16 WHITE - CITV CLERK
PINK - FINANCE COUIICII P
CANARV - DEPARTMENT C I TY OF SA I NT PALT L /� /
BLUE - MAVOR File NO. "�
�
Council Resolution
Presented By
Referred To Committee: Date
Out of Committee By Date
RESOLVED, that the proper City officials are hereby authorized and
directed to execute an agreement with the County of Ramsey and Family Tree
whereby the City and County provide funding to Family Tree, subject to the
terms and conditions of said agreement, a copy of which is to be kept on
file and of record in the Department of Finance and Management Services.
COUNCILMEN Requested by Department of:
Yeas Nays
Dr`���NN� Community Services
In Favor
Masanz �
Nicosia �$_
Scheibel � __ Against BY .T ��
Tedesco
Wilson
Adopted by Council: Date JAN 3 — 1�85 Form App ve Cit At r C
Certified a_ •e b Counc.il , ret BY
l'
e
Ap e by Mavor: Da JA�d 8 — j�$�j Appr ve Mayor for Sub si n Council
�� BY
PUBLISHE�D .����, 12 i 985
� ; �L� (1��s.��
Cot�mnu�itv Services DEpART1�IENT /
Gary J. Pechmann____,�rONTACT
292-7716 PHONE � �� .
December 3 1984 �ATE �v�
(Routing and Explanation Sheet�
Assign Nua�ber for Routing Orckr (Clip Ali Locations for Mayoral Signature):
� Oepartment Dir�ctor � -
� �� ��ED
� Ci�,y Attorney I •
3 Di rector of M�nagementJMayflr `� - ���� ? �g�
4 Fi nance and Management servi ces Di rector C�rY AT l
5 c;�,r c��� ORN�Y
Bud�t Di rector �'CE�V
ED
�EC � �84
� MAYOR�S
i�hat Wi11 be Achieved by Taking Action on the Attached N��als? (Purpose/Rationale): .
Resolution to allow City signatures on a contract to provide funding to Family Tree, Inc.
1599 Selby Avenue.
Financia7 , Bud�tary and Persannel Impacts Anticipated:
Neighborhood clinic will receive funds in the total amount of $ 60,869.00 allocated
in the 1985 budget. No personnel transactions are involved.
fundi ng Source and Fund Acti vi ty Nw�rer Charged or Credi ted:
03232
Attachments (List and Nwnber all Attachments):
1. Copy of agreement
2. Insurance certificate
3. Resolution
DEPARTMEPlT REVIEW CITY ATTORNEY REVIEW
�
Yes Nfl Council Resolution Required? Resolution Required? Yes No
Yes No Insurance �Required? Insurance Sufficient? Yes No �
Yes No Insurence Attached? � ����
�
Revision of October, 1982
(�PP RPVPI"SP SiciP f�r �Instructions)
�
HOW TO USE THE GR�EN 8�I€ET
The GREEN SHEET has several purposes: � �
1. To assist in rou� documents and in securinq
requ�.re s qnatures
2. To }�rief the review�r� of documents on the impacts
of approva
3. To he lp �as�re that nece�sary supportina'materials
. are prepared auad, if required, attached ` �
RQt1TING .
_�_
:+Sost G�E�V S�EET acticn� n�ust �e rav_s��e� 5v a �e��:�e�t
�i,��c�o�. :.� ;Cizy �t�orney. t.he �i:�c�cor o: l�anna�qe�e:�t, �h�
. Dir�ctor of Finance and Man�tqement Service�. Other passible
revi.�w!�rs/siqr�aturea are li�ted.
B1t�EFING .
Most of the 6REEN SHEET headinqs are designed to assist ia
developinq a recis of the decision which the attachrtaents
represent. The hea nqs ar oe ffered to rem,i.nd users of so�
of the more csitical �les�ats of this brief. .
The �inancial Bud et a,rid Personnel I acts headinq provid�a
a apace t+o �xp a a the cost benefit aapects of the decision.
Costs and b�nefits =�l�t� both to City budqet (Generml Fund andlor
S�cial Funds) ar�d to broader fin�cial impacts (cost �c usex�s, �
homeowners or oth�r groups affect�ed by the aCtion) . 3'he g�rsonnel
impact is a descr�ption ot chariqe or shift of Fu11-Ti,a�e Equivalent
�F'TE) po�itions.
SJPPORTII�G MATERIALS
In the Attachments section, list all attachments. If th� GREE�i
SBEET ia we�cT`one, no ].etter cf transmittal nee8 be includ�d
(unless signinq such a Iett�r is one of the requested ac�icns) .
Note: Actions which requise City Cou�ncil. reaolutions include:
a. Contractual =�I.ationship with another qavernm�nt unit.
� b. Collective bazqaininq. _
c. Purchase or aale of land, or lease of land.
d. Issuanc� cf bonds by Cit�.
e. Eminent domain.
f. Asaum�ti.on of liability by City, or qrantinq �
by City of indemnification.
q. Aqreements with State or Federal Government
under which they are providi�iq fundinq.
Note also: If an aqreement requires evidence of insuranc�/co-
insurance, a Certificate of Insurance should be one
� � � ���-��
, • � , , AGREEMENT
AN AGREEMENT, made and entered into this day of ,
198 among the City of Saint Paizl, a municipal corporation of the
State of Minnesota, hereinafter referred to as the "City" , acting
through its Division of Public Heal�h; the County of Ramsey, a political
subdivision of the State of Minnesota, hereinafter referred to as the �
"County" , acting through its Department of Health; and Family Tree Inc.
located at 1599 Selby, Saint Paul , Minnesota, hereinafter called "
"Grantee" ;
WITNESSETH:
In consideration of th� Grantee functioning as a neighbarhood
health center in caring for the me3ical-health needs of the citizens of
Ramsey County, the parties hereto mutually agree as follows:
1. The City and County will each give to the Grantee the sum of
mon�y described in attachment A, and according to the Manner and
conditions described in attachment A.
2. The sum of money granted by the City and County is for the
Grantee' s use during 1985 . No additional or future funding or
� assurances thereof will be provided or honored unless set forth in an
amendment to this Agreement or a separate agreement approved as the free
act of the City and County. The City and County may, upon 30 days'
written notice, reduce the amount of funding.
3 . The City and the County will each act as independent
transmittal agents for their contributions to the Grantee.
4. The Grantee shall on April 20 , 1985 , July 20, 1985 , October 20,
1985 and January 20, 1986 submit to the City and County an itemized
statement of all Grantee revenue and expenditures; and a report of
services shown as attachment B . Further the Grantee shall preserve all
documentation used by it in complying with the statements and zeports
. . 2 �����
required of this paragraph and shall be available to the City and County
for its review and audit as desired.
5 . The Grantee shall, with approval of the City, enforce� a fee
schedule for patient charges . Said fee schedule shall be made available
to the City on January 15; 1985 .
6. The City shall act as the liaison to the Grantee for such '
day-to-day administration as may be needed and shall be responsible for:
(a) Reviewing and evaluating the program and fiscal activities
of the Grantee and disseminating reports thereof;
(b) Coordinating activities common to the Division of Public
Health of the City and/or the Public Health Department of
the County and the Grantee;
(c) Rendering to the Grantee such other assistance as within
the City' s resources .
7. The Grantee shall ensure that:
(a) Services provided to eligible individuals are furnished
without regard to race, color, creed, sex, age, marital
status or family size;
• (b) Services are provided with respect for individuals privacy
and dignity; and;
(c) Services are provided without coercion and shall not be
denied on the basis of refusal to participate in research
projects or other activities of the Grantee, or in an
emergency situation on the basis of ability to pay.
8 . The Grantee shall submit to the City and to the County on or
before February l , 1985 an operational plan of its services. to be
provided during the term of this Agreement. Such operation plan shall
show expected service volume by clinic visits and number of users by
program areas.
3
, . C�F ����
9. The Grantee shail attach to this Agreement prior to its
execution by the City and the County a 1985 operational budget to
include Revenue and Expenses. �
10. The Grantee shall obtain a financial and program audit by a
certified public accountant. This audit shall cover the Grantee ' s most
. recent fiscal year ending during the term of this agreement . The .
Grantee shall submit a copy of thE audit report to the City and County
by April l, 1986.
11. By April 1, 1985 the Grantee shall submit a narrative which
highlights present status and/or future actions to be undertaken
concerning quality assurance. The report shall cover such items as
those identified in the Metro Community Health Consortiums Minimum
• Standards for 0 eration of a Communit Clinic.
12. The Grantee shall make available relevant background and
qualification summaries, job descriptions and salary levels of both
� regularly employed and volunteer staff to the City and the County.
13. The Grantee shall submit to the City and the County the minutes
from its monthly board meetings.
14 . The Grantee agrees that deviations of ten percent (10$) or
� more, upwards or downwards, from its I985 agency budget, and/or
additions or deletions from its 1985 operational plan as approved by the
City and County will be transmitted to the City and County in a timely
f ashion and in a manne.r to be determined by the City's clinic
coordinator. Such information shall be before the fact and shall
include pertinent data relative to the planned addition, deletion, or
any other modification of programs and the subsequent projected
budgetary impact for the contract year and the following year.
15 . The Grantee declares Peg LaBore to be the person responsible
for compliance with the terms of the Agreement, and its physician,
Kari Mi11er,M.D. , as the person responsible for its medical services .
. � 4 �.�- �5��1�'
16. The City declares its Director of the Department of Community
Services or such designee as noted in writinq by her as the person
responsible for compliance with this Agreement .
17. The County declares its Executive Director or such designee as
, noted in writing by him as the person responsibl.e for compliance with
this Agreement. �
18 . The parties to this Agreement intend that the relation between
them created by this Agreement is that of employer-independent
contractor. The City and County is interested only in the results to be
achieved. The manner and means of conducting the work are under �he
controZ of the contractor, except to the extent they are limited by
sta`ute, rule or regulation and the express terms of the Agreement .
19. No Civil Service status or other rights of employment will be
acquired by virtue of the Grantee' s services .
� 20. From any fees due the contractor there will be no deductions
for any federal income tax or FICA payments, nor for any state income
tax, nor for any other known purposes which are associated with an
employer-employee relationship unless required by law. Payment of
' federal income tax, FYCA payments and state income tax are the
responsibility of the Grantee.
21. The Grantee will defend, hold harmless and pay on behalf of the
County of Ramsey and the City of St . Paul, its officials and employees
any demands, claims or suits arising out of t�he Grantee's premises or
performance of this contract.
22 . Grantee shall obtain and attach certificate of insurance to
signed contract for:
Comprehensive General Liability insurance Qolicy with contracting
departments, County of Ramsey, and City of Saint Paul, its '
officials and employees as addition.al assureds. Policy will have
minimum limits of $600, 000 per occurrence, $1,000,000 aggregate.
CoveraQe tJE�rt31riS t� c�t�P_Yafi i nn a nrl nrcmi ccc �� �.�.,�-,-�..+.,.,..
� � �si�
. � . 5
. • �
Automobile Liability insurance, including non-owned and hired autos .
Minimum limits of $600,000 combined single limits .
Tn'orkers' Compensation
Professional Liability insurance in the minimum amount of $600,000
� per claim and $1,000,000 aggregate. The County of Ramsey and City
of Saint Pau1, contracting department and officials and employees
are additional assureds as to the services of the contractor.
23 . This Agreement may be terminated by either party with or
without cause upon 30 days' written notice.
24. The term of this Agreement shall be from January 1, 1985
through December 31, 1985.
IN WITNESS WHEREOF, the parties have set their hands as follows:
CITY OF SAINT PAUL COUNTY OF RAMSEY
Activity code: 03232 Recommend Approval:
Mayor Department Director
Funds are available
, Account Number
Director, Department of Finance Amount:
_ and Management Services
Budgeting and Accounting
Director, Department of
� Community Services Insurance Approved:
� Approved as to form:
. Risk Manager
f
�
Assistant Cit Attorney Approved as to form:
GRANTEE Assistant County Attorney
Board Chairman
By :
Chief Clerk-County Board
By :
� - ���-, �
ATTACHMENT A
Family Tree Inc.
1985 City Contribution $ 60,869 .00
1985 County Contributions $ 57,184 .00
The City and the County shall each pay to the Grantee their
contributions in equal monthly installments on or before the first day
of each month.
ATTI1CI�tF::T B
- - ��--�s-/�
Reportin� PE'�'10':�:
1�'?�*:? Oi C�1ri1C JariLi?I'y 19v_ t0 �9�^
NUi'1fB� OF USEF?S �,;� VIS�TS BY PR�GRAhi
� Progra.m: Progra�: Prograrc:
APe end Sex users visi�� users visits users • tis
Fe�.ale:
0-�+ �
5-9
10-1�:
15-19 .
20-3�+ .
35-�+�+
k5-6�+ �
$ 65 and over '
Total Fem�.le
,
Male:
0-�+ .
5-9
so-i��
�5_19
20-34
35-�►�+
45-64
65 and over
Total t•?ale
Grand Total .
,
. i . r
Resolution allowing City Signatures. on a c .ntract to prvvide fwiding to ramily Tree, Inc.
1599 Selby /lveiiue. (Coimnuiiity,Services)�j���--� ���ys��
. " '/- C Q
i�. Resolution allo►vit�g City Signatures on a contract to provide funding to r ce to Face
Ilealth a�id Couliseliiig Service, 73U hiendvta Street. (Conuntuiity Services)'%"��� .
15. Resolutioci llloiri�ig City Sigiiatures on a coritract to. provide furidilig to IYes� S' e � • �
Cortununity Ilealth Center, 153 Concord Street. (Commuiiity Services) ��
_ .__ _. , ��
__s�,s not on prepased. Agenda: '
1:� Resoiution tz-a.ns�erring $20,000 £rom Contingent Reserve Specified to Budget Secr.ion
(198S :Budget Trans�er) for Public Financin� Study.L,�}L� �1f � ( ��J��
t
I3. Resolut�on transfe�ing $25,000 from Contingent Reserve Spe�ci�ie3 to Civic Oroanizations
Cor.��ioutions��for the Dispute Resolution Center.� �V�(,�
��t �e �ieetin �
4 i e �� t..
1.._. .4pproval of Mi,nutes of December 18, 1984 F nanc C g•� , (��°��
. �
�