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84-926 WHITE - C�TV CLERK PINK - FINANCE (jITy OF SAINT PAUL Council w GANARV - DEPARTMENT /{/� BLUE - MAVOR File NO• ✓ �_�� � Council Reso tion Presented By ✓ Referred To ��/v�'�' � 'Q- Committee: Date /� �'/�y Out of Committee By Date RESOLVED, that the proper City officials are hereby authorized and directed to execute an Agreement with the State of Minnesota; WHEREBY, the City's Division of Public Health will administer a refugee health program within Ramsey County subject to the terms and conditions of said Agreement, a copy of which will be kept on file and of record in the Department of Finance and Management Services. COUIVCILMEIV Requested by Department of: Yeas Nays � Fletcher Drew [n Favor C� Se s ,, Masanz Nicosia scheibei __ Against BY Tedesco Wilson Adopted by Council: Date JUL 17 198� Form A proved Ci ney � ` Certified Pa.s d cil , cr �Y By � /�pproved by A+(avor Dat `''� 9 Ap rov d �y Mayor f S ' s n t ouncil � By _ v � PUBLISHED J U L 2 8 i984 �""ri ' STATE OF MINNESOTA ' .J CaNTRACTUAL (non-state employee) SERVICES � ���� Tm.No. Account I.D. Organization F Y. ' 't�pn No. Vendor Number Type Terms Cost Code 5 . CD,1 C.CD.2 C.CD.3 A� 39�53 12500 �� 0713050003 V - 544 Cost CoAe 4 20C�ount Suffix Object FY4 6 000.00 < < 162 $END TYPE OF TRANSACTION FY — 1�F 8 H.00 ,' � � �2�3 1 � F�j {] A4o � A41 �2 .00 Ent��by Date Number ❑ A44 ❑ A45 ❑ A46 _ Entered by � "�" � � . Date Number fVOTiCE TO CONTRACTOR: You are required by Minnesota Statutes, 'l981 Supplement, Section 270.66 to provide your soci�l security number or Minnesota tax identification number if you do business with the State of Minnesota. This information may be used in the enforcement of federal and state tax laws. Supplying these numbers could result in action to require you to file state tax returns and pay delinquent state tax liabilities. This contract will not be approved unless these numbers are provided. These numbers will be available to federal and state tax authorities and state personnel involved in the paym2nt of state obligations. THIS CONTRACT, which shalt be interpreted pursuant to the laws of the State of Minnesota, between the State of Minnesota, acting through �ts Department of Heal th �hereinafter STATE� and the St. Paul Division of Public Hea t address 555 Cedar treet, a�aul;Rli nneso a Soc.Sec,or MN Tax I.D. No. Federal Employer I.D. No. (if applicable) , (fiereinafter CONTRACTORI,witnesseth that: WHEREAS,theST r� �., s nttoMinn t atut� 144.05, Sections nd (f 1977, is empowered to �c�1��a`�e, coord�°n���, d � n , WH�REAS, 1"O riate f n s t0 dS51St states an oca i es n mee n ,and public health ne�ds of their refugee popu at�on ,and WHEREAS,CONTRACTOR represents that it is duly qualified and willing to perform the services set forth herein, NOW,THEREFOFiE,it is agreed: I. CONTRACTOR'S DUTIES (Attach additional page if necessary►, CONTRACTOR, who is not a state employee, shall: A. Administer a refugee health program within Ramsey County in an efficient and effective manner pursuant to the procedures as outlined herein. ° 1. For each refugee whose initial U.S. resettlement is in Ramsey County after 1�, 1, : 1984 and for whom no previous screening services have been provided in this state, ..th�: follorring�::duties; sha11� �e;�underta�cen. �,;, �, : . �. �,� .{_,� , �:;a �t � �: ,n, ::;��;���:::: ;; . a.. �-�on��c.��:�he-.r.efug�e- or the ;sponsor�.of the: r�fugee; i,n order t,hat, a ;:�ef�rr,al,�might .. �t�N: � . �:fis,�macte::fo,�: a ;generarl�;;heal;th .as.sessment. • - : . : .;.� � -, i - ,�� b. Refer all refugees for�;a :gene�^al_,.t�eaE�-th .assessme�t,. �valuation.,. and, treatment or encaurage the sponsor to make such referral . � � � � ��� `���" � � '� � 2. Provide follow-up w�thin 30 days to all refugees who were referred for a general health assessment to ascertain if the assessment was completed and if acute disease problems necessitating follow-up were identified. 3. To the extent possible, evaluate all refugees who have previoasly resettled in Ramsey County or who have resettled in Ramsey County after having previously resettlec (continued on Exhibit A which is attached and made a part hereof.) II. CONSIDERATION AND TERMS OF PAYMENT. A. Consideration for all services performed and goods or materials supplied by CONTRACTOR pursuant to this contract shall be paid by the STATE as foll ws: ` � 1. Compensation Twen�y thousand eight hundred thirty-eight , 2. Reimbursement for travel and subsistence expenses actually and necessarily incurred by CONTRACTOR performance of this contract in an amount not to exceed four hundred dollars (S ��� ); provided, that CONTRACTOR shall be reimbursed for travel and subsistence expenses in the sama manner and in no greater amount than provided in the current "Commissioner's Plan" promulgated by the Commissioner of Employee Relations. CONTRACTOR shall not be reimbursed for travel and subsistence expenses incurred outside the State of Minnesota unless it has received prior written approval for such oui of state travek from the STATE. The total obligation of the STATE for a I co nsat'on and re' bursements to CONTRACTOR shall not exceed , Twenty-one thousand two hun�rec�'���r�y-eigh�' dollars ($ 21,238 !. 6. Terms of Payn�ent 1. Payments shall be rnade by the STATE promptly after CONTRACTOR'S presenta#ion of invoices for services performed and acceptance of such services by the STATE'S authorized agent pursuant to Ciause VI. Invoices shall be submitted in a form prescribed by the STATE and according to the following schedule: Reimbursement will be made upon submission of quarterly expenditure reports for the quarters ending June 30, September 30, and December 31. 8 U.S.C. 1I01 2. (When applicable) Payments are to be made from federal funds obtained by the STATE through Title et. Seq of the Immigration and Nationality _ a�c�t as �mended by__(Public law 97-363 of 198 and amendments thereto►. !f at any time such funds become unavailable, this contract shall be terminated immediately upon written notice of such fact by the STATE to COIVTRACTOR. In the event of such termination, CONTRACTOR shall be entitled to payment, determined on a pro rata basis, for services satisfactorily performed. CD-QOp32-02 (7/82) (ADMIN:1051) �`` ,�: � , ' - Exhi bi t A ��� ��� in another county i� the United States to determine if each has received a general health assessment, the type of health problems identified, and whether or not adequate follow-up has been provided. 4. Assure follow-up for all refugees identified as having an acute disease problem including all Class A (active or suspected active tuberculosis) and Class B (tuberculosis not considered active) tuberculosis suspects, those refugees needing tuberculosis prophylaxis, and those identified with parasitic disease. 5� Collect and record information which documents the results of each refugee's health assessment on the "Refugee Health Screening and Follow-Up Informa- tion" form (which can be found as Exhibit B which is attached and made a part hereof) for all refugees whose initial resettlement is in Ramsey County after M.ay 1, 1984. Completed forms shall be submitted to the State within 45 days of the refugee's arrival in Ramsey County. 6. Provide telephone interpretation upon request of the State for refugees whose initial resettlement in Minnesota is outside of Ramsey, Hennepin, or Olmsted Counties. 7. Submit narrative reports to the State within 20 days after the end of each quarter which shall address progress being made in achieving program objectives, probl�ms Wt�ich have bsen encountered and m�thods used or changes being made to resolve problems, need and justification for altering the targets of any objectives and any other information which may be useful to the State, the NHS Regional Office, the Centers for Disease Control , or the Office of Refugee Resettlement. 8. Utilize funds provided by the State to support staff whose responsibilities will relate to items 1 through 7. 9. Return to the State all unexpended Federal funds upon completion of the contract period along with a final expenditure report. II . State's Duties The Minnesota Department of Nealth will provide to the Contractor the following: A. Consultation and training on refugee health problems and recommendations for intervention. B. "Refugee Health Screening and Fo11ow-Up Information" forms for doc�nentation of health assessment information. C. Summary findings of data submitted by local health agencies and other epi- demiologic findings of refugee populations in the state. , Exhibit B � ���+�� , . _arri completed form to: Minnesota Department of Health Refugee H ealth Unit 717 Delaware Street SE P.O. Box 9441 Minneapolis, MN 55440 (612) 296-5505 REFUGEE HEALTH SCREEIVING AND FOLLOW-UP INFORMATION � Do not complete more than one form per month for each refugee: NAME(last,first,middle) DATE OF BIRTM �month,day,year) Alien Registration#f A (from ACVA form) **!f you have previously completed this form for this refugee and have no additional information, please go directly to item #7. MONTH YEAR 1. General Medical Screening Took Place on at: CLINIC OR PHYSICIAN CITY COUNTY 2. Immunization Record: DTP/Td T� �_ _L_ �_ ��cr Mo. Yr. Mo. Yr. Mo. Yr. Mo. Yr. ����• r�• Poiio � � � �— Mo. Yr. Mo. Yr. Mo. Yr. 1V1°• T �• � PJleasles _ � Mumps �_ Rubella / Mo. Yr. Mo. Yr. Mo. Yr. 3. Tuberculosis Screening: Chest X-Ray: Chemotherapy and Chemoprophylaxis Tuberculin Skin Test (taken in U.S.) 7.❑ Infected without disease- prophylaxis prescribed 1.�PPD 0-4 mm 1.O Normat 2.❑ Infected without disease- no prophylaxis � 2.O PPD 5-9 mm 2.C�Abnormal prescribed 3 �PPDZ10 mm 3.0 Suspected tuberculosis disease-chemotherapy prescribed 4.�Tuberculosis disease- chemotherapy prescribed 4. Hepatitis B Screening 1.O H BsAg negative 2.� H BsAg positive 3.O Screening not done 5. Screened for parasites: ❑ Yes ❑ N o If positive, check parasite for which treatment was given: ❑/�scaris ❑Trichuris ❑ Clonorchis OStrongyloides C7 Other;speeify ` O Hookworm ❑ Giardia ❑ Paragonimus ❑Amoebic Dysentery GHT(inches) WEIGHT (Ibs.) HEMOGLOBIN H�MATOCRIT % 6. • 7. DIAGNOSIS/REASON FOR TODAY'S V ISIT AGF_NCYSUBMITTING FORM DATE ADDRESS CITY,STATE,ZIP Distribution: White—MDH Refugee Health Unit !'anary—Local Health Agency H E-01196-01 _ � ' 4 : . �`�`� � . a�� . Co�unity Services DEPARTt,1ENT- � Garv J. Pechman� ---�:QNTACT . 292-�7`711 __PHONE � ' �y .�� 1984 oaTE ree� e. (Routing and Explanation Sheet� Assign Number for Routing Order (Cljp All Locations for ��ayoral si9nature)�ECEIVED �� Department Di rector MAY 3 O �� � City Attorney 3 Di rector of Management/Mayor RECEIVED C�� AjrORNEY 4 Fi nance and Management Servi ces Di rector ��U�,� 1 1g84 � 5 Ci ty Cl erk MAYOR'S OFFICE �Budget Director � ' 1� � y�.. � �Jhat Will be Achieved by Taking Action on the Attached Materials? (Purpose/Rationale�: Resolution to allow City signatures on an Agreement between the City of St. Paul and the State of Minnesota �ahereby the City will administer� a refugee health program ' within Ramsey County. Financial , Budgetary and Personnel Impacts Anticipated: - Terms of the Agreement are not to exceed $20,838. No personnel impacts are anticipated. Funding Source and Fund Activity Nurr�er Charged or Credited: Activity Code:�' 33244 . Attachments (List and Number all Attachments) : Copy of Agreement Appendix A & B � Resolution ' ! � � DEPARTMENT REVIEW CITY ATTORNEY REVIEW ' � 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 (See Reverse Side for 'Instruetions} '� 07-- ���, Co�nunity S�ces �EPARTI,1ENt Gary J. Pectmnann��ONTACT 292-7711 PHONE � �� ,e„ DATf �v`�✓ . {Routing and Explanation Sheet) Assign�r for Routinq Order (C1ip A11 Locations for Mayoral Signature): __l__ Department Di reetor ,� City Attarney 3 Di rectar of Managem�nt/Nlayor 4 Finance and P4anagement Serwi ces Oi rector RECE(VEp .� �► City Clerk AUG g i984 Budget Di rector MAYOR`S OFFICE �lhat Will be Achieved by Taking Action on the Attached Materials? (Purpose/Rationale�: City signatures on an Agreement between the City of St. Paul and the State of Minnesota whereby the City will administer a refugee health program within Ramsey County. Exhibits A � B must both be initialed by 2 officers of the city. Financial , B�dc,�tary and Personnel ImQacts Anticipated: Terms of the Agreement are not to exceed $20,838. No personnel impacts are anticipated. Funding Source and Fund Activity Number Charged or Credited: Activity Code: 33244 Attachments (.List and Nurt�r al1 Attachments}: 1. Agreement Original and 4 copies 2� Appendix A � B 3� Resolution DEPARTM£NT RfVIEW CITY ATTORNEY REVI�W Yes Na Council Resolution Required? Resolution Required? ✓ Yes No Yes No Insurance �Required? Insurance Sufficfent? Yes No N/j Yes No Insurance Attached? Revision of October, 1982 ' (�PP RPVPf"CP 51(�P fc�r Instructions) HOW TO USE THE GREEN SHEET The GREEN SHEET has several purposes: l. T+� assist in routinq documents and in securinq requ�i`ed�`a�atures Z . To bri�f the �reviawers of c1ocumeats on the impacts of approva 3. Ta h+elg ensure that necessary surrportina'materials are prepared and, if required, attached. R�U'SINt* • �ost ��E '�.'�1 SBEET acti.Cns must �ae rev_m*�e� Sy a De�a�*:aent airector, �e City ?,ttos�ey, t�e �ir�ct�r oi :�sanaqe�ent, �he . Di.rector oi� Finanet and lyaaaqament Services. Oth�r possible + rmvi.ew�s/�#.qnatures ars listed. BR2EFING . �� I�bat of the 6REEN S�iEET headinqs are desiqned to a�sist in dev�elopir�q a =ecis of the decision which the attachm�ents represent. R�e h�a nqa are Offered to remind users of some - of the more critical el,eme�ts of this brief. - - . The Financial Sud etar and Personnel I a�t� headinq ptevides a space to eaxp a the co st ne f it-a spe ct s a f thre ciec i s i.on. Coats and b�nefits relate both to City budqet (General Fund and/o�r 3pacial F'tuids) �d to 2a�arader fina�cial im�acts (coat to users, homeowners or other qroups a€fected by ths a�tion) . The persvnael impact is a descripti.on of chanqe or shift of Full-Time Equivai�nt tF'TE) pemi�ion:. S'JPPORTING MA�ERIALS ° _ In the Attachment� s�ction, li�t all attachments. If the GREEN SHEET is�, no letter of transAtittal need be included (unless siqninq auch a letter is one of th�a requested actions) . Note: Act3on�s which re� City Council re:olutions inclu�3e: . a. Ccntractual rel�tionship with anoth�r qovernm�ent unit. � b. Collectiv� bargaininq. � c. Purchase or sale of land, or lease of land. • d. Zssu�nc� of bcnds by Gity. e. E�ninent domain. t. Assum�tion of liability by City, or qranting by City of indemnification. g. Agreements with State or Federal Government under which they are providinq fundinq. Note also: If an aqreement requires evidence of insurance/co- insurance, a Ce.rtificate of Insurance should be one , �� �= 9 ,.�'�'��'�'��� CT'JCY` O�+` SAIN�' P.E�,U'L ��- �� ;�: �-�.-,; :�`='�� ��: '�%� � f•�l _;r ;:t,;_ � � OI�'Z�ICF OI+' '1'Hi�: CITY COUI\CIL �t:: t�`'• '='L-° `L� i.. ��,_.�:a.� �� •; . a:.:�s+r.;f. �:r{4�, -- :-` �t- D d t e : July 5, 1984 '�.�- A.,�. -'.f.�� . . �'":�:.,- - COMM (T�' EE RE P � RT � - TO � Sa�n.t Paul Cifiy Cou�cit �� � � = C O R�C11�IP�'Q l.° O h FINANCE, MANAGEI�NT � PERSONNEL � - . � � C N A I R COUNCI LMAN SCHEI BEL � � . . � • �-'� " 1. Approval of minutes from meeting held June 28, 1984: �i°f' 2. I:�ssc.iution amending �he 1984 CIB budget and transferring �49,00 from ' S:ielling Avenue Signal - Selby to Hetivitt �to Ruth St. F� Burns Av: (P. {Vorks) /.; ' � � =-�y �_. • f � � 3. Resolution approving an agreement ►vith the State�of blinnesota �rhereby the , City will provide pre-pregnancy. family planning services at the Model � ; Cities Health Center. (Community Services) .�� + 4. Resolution approving an agreement �uith the State of l�:innesota whereby the , � � City will provide pre-pregnancy family planning services. (Community Service ; � � - . � ' . S. Resolution approving an agreement with the State of D:innesota whereby the = City;s Division of Public Health will administer a refugee healtfi pro�ram � within Ramsey County. (Community Services) i�.� � . . . . � 6. � Ordinance amending Section 32.01, Subsection (1) of the Administrative Code as regards the salaiies of the l�iayor�and members of the City Council. . . � � - .ly,,�Dr/-�- i i ' CITY HALL • SEVENTH FLOOR SA1NT PAUL,Ai1t�NESOTA 5` . •�r a �. . . , .. . .... ._..._ . .. _ . .. ._ __ __._ _ .._ . _..-_._..