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276151 WMITE - C�TV CLERK j;�r ,� .� � PINK - FINANCE COUIICII � 1 CANARV - DEPARTMENT G I TY OF SA I NT PAU L � �(��, y BLUE - MAVOR File NO. Counc ' n Presented By Leonard W. Levine Referred To Committee: Date Out of Committee By Date RESOLVED, that the Council of the City of Saint Paul hereby authorizes and directs the proper City of�cials to execute an agreement with the County of Ramsey and Helping Hand Health Center, whereby the City and County wi II assist in its functioning as a neighborhood health center in caring for the medical-health needs of the citizens of the city and county in the adjacent geographic area; the City's contribution for the calendar year 1981 being $62,603.00, and said agreement e'xpi ring December 31, 1981 . Funding code: 03215 COU[VC[LMEN Requested by Department of: Yeas Hurtt Nays Levine � Communit $@rvIC@5 Maddax In Favor McNFahon � .�/�'.lY Showa►ter -�-- Against �ju I,e,�t Tedesco '�'�S 1981 Adopt y Counc� : Date �AN 6 For Appro d A or y . � C tified Pa� d by Co ncil Secretar �1p I d by ;Navor: D� JAN 9 1981 App e by Mayor for Su ' si to ouncil � � By BY �� PU�i.t��D ,!A iJ 1 7 19 81 � . -2- � - , ' ;�,�����. � (o) 25% of the ,total contribution of both the City and County on or before January 1, 1981 . (b) 25% of the total contribution of both the City and County on or before Apri I 1, 1981 . (c) 25% of the tofial contribution of both the City and County on or before July 1, 1981 . (d) 25°�6 of the total contribution of both the City ond County on or , _ before October 1, 1981 . , 5. The City, acting as the transmittal ogent of the contribution of both the City and County, as set forth in Paragraph 4, shatl not be liable to pay to the G�antee fihe C�unty's contribution if not received by it from fihe County • pursuant to Paragraph 3. - 6. The Grantee shall on Apri) 20, July 20, October 20, 1981 and � January 20, 1982 submit to the City an itemized statement of all Granfiee's expenditures, revenue and report of services on a form or forms to be provided by or approved by the City. The City shall make such reports available to the - County upon receipt. Further, the Grantee shall preserve oll documentation � used by it in complying with the statements and reporh required by this para- . , graph and shall be available to the City and County for its �eview and audit _ cs desired. � � f 7. The Grontee shall, with app�ovol of the City, develop and enforce a fee sckedule for patient charges. Said fee schedule shall be made available to the City on January 15, 1981 . � - -3- � • . . , ; � . . . , � `�.�.c�_�. 8. The City shal) act as the liaison to the Grontee for such day-to-day administration as may be needed and shall be responsible for: (a) Reviewing and evaluafiing the program and fiscal activities of the Grantee and disseminating reporh thereof; (b) Providing technical assistance to the Grantee in developing and implementing the fee scfiedule referenced in Paragraph 7; (c) Coordinafiing activities common to the Division of� Public Health of . - the City and/or the Public Health Department of the County and the Grcnfiee; (d) Rendering to the Grantee such other assistance as within the City's resources. 9. 7he Grantee shall e�sure that: • (a) Services provided to eligible individuals are fumished without regord to roce, color, creed, sex, age, marital status or fami ly size; (b) Services are provided with �espect for individual privacy and dignity; ond (c) Servic� are provided without coercion and sholl not be denied on the basis of refusal b participate in research projects or other acfiivities of the Grontee, or on fihe basis of ability to pay. 10. The Grantee shall obtain and keep in force at its own expense during � , ,•the term of this Agreement, professional liabitity insurance in fihe amount of Three . ' Hundred Thousand Dollars ($300,000). A certi�cate evidencing sucF� insurance ps � being in force during 1981, and co-insuring the City and County, shall be fur- nished to the City Attomey for review and approval before Januory t, 1981 . 11 , The Grantee shall submit to the City an operational plan of its services to be provided du�ing the term of this Agreement on or before January 15, 198T . . -4- . . • 12. The Granfiee shall s�bmit to the City a totol operating budget on forms provided by the City and an operational plan of its services to be provided during the calendar year 1982 on or before April 30, 1981 . 13. The Grantee shal) obtain a financial and program audit for the period of this Agreement by a certified public accountant. This audit shall certify to compliance with the terms of this grant and budget developed for this grunt period. The Grantee sholl submit a copy of the audit report to the City by April 1, 1980. ' The City shall make said report available to the County upon receipfi. 14. The Grantee sholl make available relevant background and qualificction ". summcries of both regularly employed and volunteer staff to the City and County. 15. The Grantee agrees that deviations of ten percent (10°!0) or more, up- wards or downwards, from its 1981 agency budget, and/or additions or deletions from its 1981 operational plan as approved by the City and County will be trans- ' mitted to the City and County in a timely fashion and in a manner to be determined � by the City's clinic coordinabr. Such information shall be before_the fact and � shall include pertinent data relative to the planned addition, deletion, or any • other modification of progroms and the subsequent projecfied budgetary impact for � the controct year and the following year. lb. The Grantee declares George Costilla, Exec. Director to be the • ;, . person responsible for compliance with the terms of the Agreement, and its physician, . � . Timothy Rumsey � , M.D., as the person responsible for its' ' medica) services. '�� 17. The City declares its Director of the Deportment of Community Services � or such designee as noted in writing by him as the person responsible for compliance with this Agreement. � r . - -5- � � 18. The County declares ih Executive Director .or such designee as noted in writing by him as the person responsible for compliance with this Agreement. 19. The Grantee agrees that at all times under this Agreement, it, ond its employees, agents, and volunfieers are independent contractors as to the City, and not employees of the City. 20. The Grantee agrees that at all times under this Agreement, it, and its . employees, agents, and volunteers are independent contractors as to the County, . and not employees of the County. � 21 . The term of this Agreement shall be from January 1, 1981 throuyh December 31, 1981 , IN WITNESS WHEREOF, the parties have set their hands as follows: � . CITY OF SAINT PAUL _ COUNTY OE RAMSEY Funding Code: 03215 . By: By: Mayor Board Chairman By: By: Director, Department of Finance Executive Director and Management Services Funds are available By: Account Number. Director, Department of � � Community Services Amount: $ . Ap ed t By: , 1 Budgeting and Accounting Assistant City Attomey � GRANTEE , . ' , Insuronce Approval By: R isk Manager By: � Approved as to form: ' . . By: � . � � Assistont Counfiy Attorney ' • . . � ' ..�^•1 M.:-' a'r . - . , ' • �r�.��� • APPENDIX A Helping Hand Health Center, Inc. Revenue Sources - 1981 City of Saint Paul $ b2,603 County of Ramsey 62,603 Patient Fees 166,013 Grants 67,730� Interest 1,500 General Contributions 500 $ 360,949 ' ' _ - . . , ' , _ . ' ' * ` 1 �G+��;���� OM O1: Z2/1975 Ren. : 9/8/76 EXPLANATION OF ADMINISTRATIVE ORDERS, RESOLIITIONS, AND ORDINANCES �������� Date: DECEMBER 3, i9so OEC 1 �-�� ���� TOs MAYOR GEQRGE LATIMER FR: THOMAS J. KELLEY � N�= COUNCIL RESOLUTION - HELPTNG HAND HEALTH CENTER ACTION REQUESTED: Approval and signature of attached Resolution PQRPOSE AND RATIONALE FOR TBIS ACTIOI�i: Support for ac�ivities of Helping Hand Center - , ATTACffi�IENTS: Council Resolutipn One c� of Agreement