276153 �MMITE — CITV CLERK »�,e�(i1'���
PINK — FINANCE COUflCII rP �V V
CANARV — DEPARTMENT � GITY OF SAINT PAITL File NO. Iv/
BLUE — MAVOR
Council ol '
,
Presented By Leonard W. Levine
Referred To Committee: Date
Out of Committee By Date
RESOLVED, that the Counci I of the City of Saint Paul hereby authorizes and
directs the proper City officials to execute an agreement with the County of Ramsey
and Family Tree, Inc., whereby the City and County will 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 contri-
bution for the calendar year 1981 being $58,701 .50, and said agreement expiring
December 31, 1981 .
Funding code: 03215
COUNCILME[V Requested by Department of:
Yeas Hunt Nays
Levine � [n Favor Communit Services
-Maddox ` '
McMahon 0� �Y
__ Against
Showalter
Tedesco
Wf �AN 6 1981 Form Ap ove y C' tt ney
Ado by Coun . Date �
ertiEied .sed by C cil Secr ytary BY '
1' � �
61p�rov by Mavor: Dat AN 9 �95� App e y Mayor for Sup ' to Council
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BY � - - B
PUe�tSt�o !,4►J 1 7 19 81 `
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CXOrdo ,. . , � . .- . .�, . .. ,� .�
NAME AND ADDRESS OF AGENCY
COMPANIES AFFORDING COVERAGES
T� N:Qrt.I� ��Y� I�TG.
25t� DiOI�t� Cf�l'fil"s1 l�es�te COMPANY A ST• PAUL Cv�MPAw�aw,
IETTER
�sysat�, �. 5539�
� � COMPANY � . . � .. - .. �.
LET7ER
NAME AND ADDRESS OF INSURED �
COMPANY � .
LETTER
F�1Q�+Y TR�, INE• COMPANY D
1� 0�� a4�� . LETTER
�7
I�tr• P�oi� �ia• �510� COMPANV C
LETTER `
This is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time. Notwithstanding any requirement,term or condition
of any contract or other document with respect to which this certificate may be issued or may pertain,the insurence afforded by the policies described herei�is subject to all the
terms,exclusions and conditions of such policies.
COMPANV POLICV Limits of Liability in Thousan s )
LETTER TYPEOFINSURANCE POLtCY NUMBER EXPIRATION DATE EACH AGGREGATE �
OCCURRENCE
GENERAL LIABILITY
1 ' ����� �/� •_� BODILVINJURV $ E
�COMPREHENSIVE FORM %�
❑PREMISES-OPERATIONS PROPERTY DAMAGE f $
�EXPLOSION AND COLLAPSE .
HAZARD
❑UNDERGROUND HAZARD
�PRODUCTS/COMPLETED
OPERATIONS HAZARD BODILY INJURY AND
❑CONTRACTUAL INSURANCE PROPERTYOAMAGE E � $
� BROAD FORM PROPERTY COMBINED
� DAMAGE
❑ INDEPENDENT CONTRACTORS
❑ PERSONAL INJURY
PERSONAL INJURV $
AUTOMOBILE LIAB�LITY BODILV INJURV E
(EACH PERSON)
❑ COMPREHENSIVE FORM BODILY INJURY t
❑ OWNED � (EACH ACCIDENT)
❑(�HIRED � PROPERTY DAMAGE y
• L�ION-OWNEO ���T3J7 � �/�� PROP RITY DAMAGD $ �
COMBINED
EXCESS LIABILITY
BODIIV INJURY AND .
❑ UMBRELLA FORM E E
PROPERTY DAMAGE
� ❑ OTHERTHANUMBRELLA COMBINED
FORM
WORKERS'COMPENSATION STATUTORV
, EMPLOYERSaLIABILITY 7������ ������ E �����
(EP.0 H ACCIDENT)
OTHER ,
;3�,� �tal� �liia
♦ �rrc�f. I�isl�ili'�r 563Jg�339 ������ #3��� ��6ate
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES
�I'PX �F �4'. PAIIL � R�Y ����Pl�' uiS � A�3 �ITIO�L Dt L9 HBBP�
SOI� �rT.IB�T� 0B" N�A IDi'3jJREt�
Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing com-
pany will endeavor to mail �_ days written notice to the below named certificate holder, but failure to
mail such notice shall impose no obligation or liability of any kind upon the company.
NAMEANDADDRESSOFCERTIFICATEHOLDER: �v7/ -
Cj.ty Ot �tr• Pa� DATE iSSUED: �
Divieic� of Fe�mlic H�slth
555 �edar Ore.
�t• Pa�� wii• 5��0� � AU ORIZED REPRESENTATI �
ACORD 25(1•79)
r . �
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� AGREEMENT
AN AGREEMENT, mode and entered into this day of
December, 1980 among the City of Saint Paul, a municipal corporation of the
Stote of Minnesota, hereinafter referred to as the "City", acting through its �
Division of Public Healfih; the County of Ramsey, a political subdivision of the
State of Minnesota, hereinafter referred to as the "County", acting through its
Depertment of Public Hea{th; and �amily Tree, Inc. ,
� located at _ 1599 Selbv Avenue . �, Saint Paul, Minnesob,
hereinafter called "Granfiee"; �
WITNESSETH:
In consideration of the services of the Grantee functioning as a neighborhood
health center in caring for the medical-health needs of the citizens of the City
and County, the parties hereto mutually agree as follows: '
1. The City and County will each give to fihe Grantee such sum of money
as reflected on the attached Exhibit A and in the manner set for#h herein. �
2. The sum of money granted by the City and County is for the Grar�tee's
use during 1981 . No odditional or future funding or assurances thereof will be
� provided or honored unless set forfih in an amendment to this Agreement or o
separote agreement approved as the free act of the City and County.
3o The County shall pay to the Cifiy its contribution as reflected on Ex-
" ,
hibit A in equa) installments before January 1, April l, July 1, and October 1,
1981 .
4. The City shall pay to the Grantee its and fihe County's contribution in
installments as follows:
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(a) .25°!0 of the total contribution of both the City and County on or
before January 1, 1981 .
(6) 25°l0 of the total contribution of both .the City and County on or
before Apri I 1, 1981 .
(c) 25% of the total cont�ibution of both the City and County on or
before July l, 1981 .
(d) 25°Jo of the total contribution of both the City and County on or
. before October 1, 1981 . ,
5. The City, acting as the transmittal agent of the contribution of both
the City and County, as set forth in Paragraph 4, shall not be liable to pay to
the Grantee the County's contribution if not received by it from the County
pursuant to Paragraph 3.
6. The Grantee shall on April 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 shal) make such reports available to the
County upon receipt. Further, the Grantee shall preserve alI documentotion
used by it in complying with the statements and reports required by this para-
. graph and_shall be available to the City and County for its review and audit
. as des i red.
7, The Grantee shall, with approval of the City, develop and enforce
a fee schedule for patient charges. Said fee schedule shall be made available
b the City on January 15, 1981 .
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� 8. 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) Providing technical assistance to the Grantee in developing and
implementing the fee schedule referenced in Paragraph 7;
. (c) Coordincting activities common to the Division of� Public Health of
the City and/or the Public Health Department of the County and the Grontee;
(d) Rendering to the Grantee such other assistance as within the City's
resources.
9. The Grantee shall ensure that:
(a) Services provided to eligible individuals are fumished without regard
to race, color, creed, sex, age, marital status or fami ly size;
(b) Services are provided with respect for individual p�ivacy and dignity; and
(c) Services are provided without coercion and shal) not be denied on the
basis of refusa) to participate in research projech or other activities of the
Grantee, or on the basis of ability to pay.
10. The Grantee shall obtain and keep in force at its own expense during
,the term of this Agreemenfi, professional liability insurance in the amount of Three
,- • . .-
- Hundred Thousand Dollars ($300,000). A certificate evidencing such insurance as
being in force during 1981, and co-insuring the City and County, shall be fur-
nished to the City Attorney for review and approvcal before January 1, 1981 .
11 . The Grante� shall submit to the City an aperational plan of its seroices
to be provided during the term of this Agreement on or before Jonuary 15, 1981 .
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12, The Grantee shall submit to the City a total operating budget on forms
provided by the City and an operotion plan of its services to be provided during
the calendar year 1982 on or before April 30, 1981 .
13. The Grantee shall obtain o financiol and program audit for the pe�iod
of this Agreement by a certified public accountant. This audit shall certify to
compliance with the terms of this g�ant and budget developed fo� this gront period.
The Grantee shall submit o copy of the audit re�orfi to fihe City by April 1, 1982.
The City shal) rr►ake said report avai lable to the County upon receipt.
14. The Grantee shall make avai{able relevant bac{cground and quclificatian
summaries of both regularly employed and volunteer staff to the City ond County. �
15. The Grantee agrees that deviations of ten percent {10%) or more, up; `
wards or downwards, from its 19$1 agency budget, and/or additions or delet'ions
from its 1981 operationa) plan as a�proved by the City and Counfiy wi I! be trans-
mitted to the Cifiy and County in a timely fashion and in a manner to be defiermined
by the City's clinic coordinofior. Such information shatt be before the fact and
shal) include pertinent data relative to the planned additian, deletion, or any
other modificetion of progroms ond the subsequent projected budgetary impact for
the contract yeor and the following year. � � �
16. The Grantee declares - �to be the
� 'person responsible for compliance with the terms of the Agreement, and its physician,
.Tames Barker, , M.Q., as the person responsibfe far its ���
medica) services.
17. The City declares its Director of the Department of Community Services
or su.ch designee as noted in writing by him as the person respansible for campliance
with this Agreement.
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18. The County declares its Executive Director or such designee as noted in
writing by him as the person responsible for compliance with this Agreement.
19. 7he Grantee agrees that at al) times under this Agreement, it, and its
employees, agents, and volunteers 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, ond its
employees, agents, and volunteers are independent contractors as to the County,
and nat employees of the County.
21 . The term of this Agresment shall be from January 1, 1981 through
December 31, 1981 .
(N WITNESS WHEREOF, the parties have set their hands as follows:
CITY OF SAINT PAUL COUNTY OF RAMSEY
Fun ' g Code: 03 ` ,
By: ---� By:
� ayor Board Chairman
By�: . By:
Director, Depariment of Findnce Executive Director
and Management Services
Funds are avai lable
gy; � Account Number:
Direcfior, pa m t of
� Communiiy Services Amount: $
A d as to f By:
' •� � . Budgeting and Accounfiing
Assistant City ttorney
GRANTEE Insurance Approval
sy:
Risk Manager
By:
Approved as to form:
By: .
Assistont County Attomey
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. • � �1 ;,1�;;, .K .�._.4`.�
w � . . t�Pilal`ILJ.�1 tl
Family Tree, Inc.
Revenue Sources - 1981
City of Saint Paul $ 58,701.50
County of Ramsey 58,701.50
Patient Fees - Family Planning 91,164.00
Patient Fees - Prenatal 5,400..00
Patient Fees - Education 1,500.00
State Family Planning 25,810.00
Coaanunity Health Fund 19,T70.00
Miscellaneous 5,000.00
$ 265,447.00
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• ` �' '� OM OZ: Z2/1975
� ' �- Rev. : 9/8/76
� EXPLANATION OF ADMINZSTRATIVE ORDERS, s� x:;..
. RESOLt1TI0NS, AND ORDINANCES �r�G�����
,..
> � �' � ��..
Date: DECEMBER 19, 1980 �E� 2 �����
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Tp; MAYOR GEORGE LATIMER
FR: THOMAS J. KELLEY �
RE: COUNCTL RESOLUTTON APPROVTNG AGREEMENT BETWEEN CTTY, COUNTY, AND FAMILY TREE, INC. .
ACTION REQUESTED:
Approval and signatures on attached Resolution
PURPOSE AND RATIONALE FOR TBIS ACTIQNz
Support activit�es as a neighborf�ood health center. �
ATTACHMENTS:
c 1 Resolution
One copy of Agreement -
Insurance Certificate