85-57 `NHITE - CITV CLERK �
PINK - FINANCE GITY OF SAI�NT PAUL Council
CANARV - OEPARTMENT File NO. � �
BLUE - MAYOR
�
Co ncil 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 Helping
Hand Heal.th Center whereby the City and County provide funding to Helping
Hand Health Center, subject to the t�rms and conditions of said agreement,
a copy of which is to be kept on file and of record in the Departarent of
Finance and Management Services.
COU[VCILMEN
Yeas ^�s����a� Requested by Department of:
Drew Community Services
Masanz
In Favor
NiCOSia
scnetbei __ Against BY
Tedesco
Wilson
Adopted by Council: Date JAN 10 1985 Form Appr ed b Cit tt �y
Certified Pa.s y o �1 $e ry BY
gy,
Ap rov by Ma r: Da �— 11 -� �JAN i 1 19 5 App by Mayor for Sub si '�to� cil
B
PUBLISNE�D JAN 19 1985 �
: ���s�
Community Services DEpARTt•1ENT
Gary J. Pechmann �ONTACT
292-7716 PHONE � ��
December 3 1984 DATE ���
� � (Routing and Explanation Sheet)
Assign N� for Routing Order (Clip All Lacations for Mayoral Signature):
/� Department Di rectar � '
�' �ity Attorney °�'���-�c� IVED
3 Di rector of Manage�ent/Mayor RECE
4 Finance and Management Services Dir�ctor �
DEC 7�1984
5 City Clerk
B�t�t o,re�to� CITY ATTORNEY
�Ihat Wi1i be Achieved by Taking Action on tfie Atta�hed Materials? (Purpnse/Ratfonale):
��
Resolution to allow City signatures on a contract to provide funding to Helping Hand
Health Center, 539 W. 7th Street.
RECEI�/ED
��� ? 1984
MAYOR'S OFFICE
Fi na�ci al , Budc�fia,�r and Personnel In�acts Anti ci pated:
Neighborhood clinic will receive funds in the total amount of $ 63,000.00 allocated
in the 1985 budget. No personnel transactions are involved.
Funding Source and Fund Activit� Number Charged ar Gredit�d:
03232
Attachments �List and Nw�er all Attacha�entsl:
1. Copy of agreement
2. Insurance certificate
\
3. Resolution
DEPARTMENT REVIEW CITY ATTORNEY REVIE1�11
Yes No Council Resolution Required? Resolution Required? Yes No
Yes No Insurance �Required? Insurance Sufficient? Yes No
Yes No Insurance Attached? �� �
Revision of October, 1982 ��
(SPP RAVPI'4P ,S1(IP for �Instructi ans)
HOW TO USE THE GREEN 'SHEET
The GREEN SHEET has s�vezal purposes: � �
1. To assist�in�rout� docuntients and in securing
requ�rec� siqnatures
2. To brief the reviewers of docum,ents on the impacts
of aPProva
3. To helg ensure that n�cessary su�portina'materials
ar�e prepatred and, if required, attached.
R�4UTI�
�4ost G�EE�t S'SEET actiens must �e rev_e=�ea Sy a �e���ae.zt
�3.re�tcr, ;�e City �t��rney, t.�e �i�sctor of �rianaqeaasat, �he
. Director of Finance and l�ana.qement Servicea. Othez possibl�
reviewsrslsignatur�s are listed.
BRIEi�'ING •
._.�..._.,._
Most of th� GREEN SFiEET headinqs are desiqn�d to aaaist iri
developinq a rp ecis of th+� deci�ion which the attachm�nts
reprms�nt. Th� h�a�nqa are offered to remind users of some
of the more critical el�ments of this brief. � .
Th� Financiai Bud etar and Per�onnel � actm headinq provid�s
a apace to e�cpla n thm cost bene t aspeets of the decision.
Costm an8 �nefit� relate both to Citx budget (�neral Fund andlor
Sp�cia�l Ptiinda) and to broader tinaAC3.a1 i�apacts (cost tc users,
homeown�rs or other qreups �►i�ect�d b� the actfon) . The ger�onnel
impact is a c�escription of chaz�qe or shift of Fu11-Ti�e Equiv�lent
(FTE) pasitions.
S'JPPORTrN6 MATERIALS
In th� Attachments section, liat all attachments. If the GREEN
SHEET i� w�e one, no letter of transmittal need be included
tunless siqninq such a letter is one of the requested actions) .
Note: Actions which requue City Council resolutions include:
a. +Contractual relationship with anotlter qavesr�ent unit.
� b. Collective bargaininq. •
c. Purcha�e or sale of land, ar lease of land. •
� d. Iasuanc� of bonds by City.
e. Eminent domain.
f. Assum�tion of liability by City, or qrantinq
by City of indemnification.
g. Agreentients with State or Federal Government
under which they are grovidinq fundinq.
Note also: If an aqreement requires evidence of insurance/co-
insuranc�, a Certificate of Insurance should be one
� �r ds-��
' AGREEMENT
AN AGREEMENT, made and entered into this day of ,
198 among the City of Saint Paul , a municipal corporation of the
State of Minnesota, hereinafter referred to as the "City" , acting
through its Division of Public Health; 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 Helping Hand
Heal�h Center located at 539 W. Seventh `Street, Saint Paul, Minnesota,
hereinafter called "Grantee" ;
WITNESSETH:
In consideration of the Grantee functioning as a neighborhood
health center in caring for the medical-health needs of the citizens of
Ramsey County, the parties hereto mutually agree as f ollows:
1. The City and County will each give to the Grantee the sum of
. money 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 reports
� 2 �e -`-�',�-5�
required of this paragraph and shall be available to the City and County
for its review and audit as desired.
5 . The Grantee shaTl, 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 responsibl,e 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 resour ces .
' 7. The Gran�ee shall ensure that: -
(a) Services provided to eligible individuals are furnished
without regard to race, color, creed, sex, age, marital
status or f ami ly s i ze;.
. (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 iz� 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 ��'s-s�
9. The Grantee shall 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 endinq during the term of this agreement. The ,
Grantee shall submit a copy of the audit report to the City and County
by April 1, 1986.
11 . By April l, 1985 the Grantee shall submit a narrative which
highlights present status and/or future actions to be undertaken
conc�rning quality assurance. The report shall cover such items as
thosz identified in the Metro Community Health Consortiums Minimum
Standards for Operation of a Community 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.
I3 . 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 1985 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 manner 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 Edith Lallier to be the person responsible
for compliance with the terms of the Agreement, and its physician,
John Strommer,M.D. , as the person responsible for its me3ical services .
. 4 ��5?
16 . The City declares its Director of the Department of Community
Services or such designee as noted in writing 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 responsible 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
achievad. The manner and means of conducting the work are under the
control of the contractor, except to the extent they are limited by
statute, 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
f or any f ederal 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, FICA 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 the Grantee' s premises or
performance of this contract.
22 . Grantee shall obtain and attach certificate of insurance �o
signed contract for:
Comprehensive General Liability insurance policy with contracting
departments, County of Ramsey, and City of Saint Paul, its'
officials and employees as additional assureds. Policy will have
minimum limits of $600, 000 per occurrence, $1,00�,000 aggr�gate.
Coverage pertains to operation and premises of contractor.
! - � 5 ��--�7
Automobile Liability insurance, including non-owned and hired autos .
Minimum limits of $600,000 combined single limits .
Workers' Compensation
Professional Liability insurance in the minimum amount of $600,000
per claim and $1,000,000 aggregate . The County of Ramsey and eity
of Saint Paul, 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 Or 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 t form:
Risk Manager
f
Assistant Ci y Attorney Approved as to form:
GRANTEE Assistant County Attorney
Board Chairman
By :
Chief Clerk-County Board
By:
� � PsS�
ATTACHMENT A
Helping Hand Health Clinic
1985 City Contribution $ 63,000.00
1985 County Contributions $ 59,156.00
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.
Additional conditions for 1985 city contribution:
1. All revenue in excess of the anticipated $25 ,833 . per
month ($310,000.: 12) should be used to reduce the amount
payable on 1984 projected liabilities . Until such time
as 1984 projected liabilities are $15 ,000 . or less . Ex-
penses in excess of $ 25 ,250 . ($303,000 . r 12) per month
are grounds for cancellation of the contract .
2. Monthly financial reports must be made to the Director of
Community Services of the city of Saint Paul by the 15th
of each month. Any deviation from the budget would have
to be explained to the Director of Community Services .
3 . The monthly contributions from the �City to Helping Hand
Health Center may be halted if there is any further de-
terioration in the cash flow position of the Helping Hand
Health Center.
4 . The clinic should continue its effort to obtain other gifts
and grants . - -
Peter Frank,D.D .S. is the person responsible for the Helping Hand Health
Center Dental Program,
ATTACI-ntE`:T B
. . . �(=�5-�7
Repor�ing Perio3:
I�'�? of Clinic JaY:u�M,� 198 to �93
NUi�� OF USEF?S Al;� VISITS BY PROGRAM
- Progra.�: Prograu: Progra*�:
APe �nd Sex users visi�s users visits users • ti�
Fe�a1.e:
0-�t
5-9
l0-1�
15-�9 � .
20-3�
35-�+�
k 5-6'+ � �
' 65 a�d over -
Total Fema.l.e . � _
Male:
0-�+ .
5-9
10-1�:
�5-19
20-3�*
35-�+�+
45-64
65 and or-er
Total 1•4ale
Grand Total • _ �
� �
........ _. .. , . ,.. . _ ._.� _. _
•,��� •��r . � ,..::/ _ . _
: -� � �z��� o� 5.�..xz�7� ��.�.�� t._�-� � �s .��
}n_,�i, ,��{ r,,t� � •
:f, _ �,:� �
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r-:.-1� t>�,:s;;;':..,.� �:;� X COUICIL
"f�� `—..b ��=�"� ��
��•!:�� ' �>` �QtQ '
���A�' � . . . JanuarY 3, 1985
'`�:,: - .
C0 (VCI�} [E i EE F� EPOr;�'
�-o = s���� P��, i c��� co����� . � .
�� � n3� � Cd�'�rr'����� . �i? FINANCE, MANAGEMENT � PERSONNEL
' � C�A I R James S che i be 1 .
,. 1. Approval of minutes from meeting held December 27, 1984. A�pr<ov�
2. (Committee of the Whole for this item) "
Resolution amending Section 5.D of. the. Civil Service Rules pertaining to
Residence and allowing 5 points on only one certified appointment for each
appl i cant. (Personnel) (..A1p oUE2 I WK. .
3� Resolution. amending the Civil Service Rules concerning leaves of absences.
. W�tx �E rLEw�T1�) '► 5 U aM�l'T1-t�'gy tJ IGOSt A � AQPRO�/E.t� RS Cr�t E�J�E
4. Resolution requesting the Mayor to include leave of absence language in contract
:negotiations occurr;ng after the passage of this resol�tion. W��D2�,.3v �s��
5. Resolution transferring $20,000 from Contingent Reserve Specified to Budget
Section (1985 Budget Transfer) for Pu61ic Financing Study. L�D 0��2 ON� c���_
6. Reso]ution approving new assessment rates for storm retief sewers. �pp,qD��
'N07 ON PREPARED AGENDA: �
. Resolution to allow City 'signatures on a contract to provide funding _to
�Helping Hand Health Center, 539 W. Seventh St. .App(lo��p
CiTY HALL SGVENT'H FLOOR
SAINT PAUL, I►iII��FSOTA SSIO?
�T 1]