Agenda 03/23/2010 Item #16D 7
EXECUTIVE SUMMARY
Agenda Item No. 1607
March 23, 2010
Page 1 of 9
Recommendation to accept a revised list of equipment to be purchased with the Health Care and
Other Facilities Special Congressional Initiative grant from the United States Department of
Health and Human Services accepted by the Board of County Commissioners on September 29,
2009, Agenda Item 16D6.
OBJECTIVE: To accept a revised list of equipment to be purchased with the Health Care and Other
Facilities Special Congressional Initiative grant from the United States Department of Health and Human
Services accepted by the Board of County Commissioners on September 29, 2009, Agenda Item 16D6.
CONSIDERATIONS: On February 12,2008, the Board of County Commissioners approved the Health
Care Access for the Uninsured as one of nine (9) projects recommended for Collier County's Fiscal year
2009 Federal Legislative Agenda.
This appropriation was approved as part of the Omnibus Appropriations Bill for Fiscal Year 2009 (PL
I I 1-8), signed into law on March 22, 2009. The Housing and Human Services Department received an
official Notice of Grant Award for this program with an effective date of September 1,2009 and end date
of August 31, 2010. On September 29, 2009, the grant was accepted by the Board of County
Commissioners as Agenda Item l6D6.
Previously, several minor changes were made in the equipment list based on the grantor's requirements
for capitalization. Additionally, since there is a significant time difference from the date of the
application and the award, one of the beneficiaries of the grant dollars has identified the need for different
equipment to better serve their senior population. The agency was able to receive grant monies for some
of the original equipment and also needed to perform more laboratory tests in house.
This is an "equipment only" grant with the sole stipulation that the equipment is capitalized under the
County's standard policy. The grantor agency has been notified of the change. According to the grant
award, "the grantee may change individual items without HRSA prior approval as long as they are within
the approved project scope. This only applies to projects with equipment purchase."
Housing and Human Services staff, as the administrators of this grant, is recommending that the BCC
approve the change in equipment to be purchased to better serve the health care needs of the indigent
population of Collier County. The following table contains the revised list of equipment to be purchased.
Original Revised
Quantity Quantity
Original Items'
Unit Cost
Original
Costs
Revised
Costs
Captltalized
Per County
POlicy
N/A'
Yes
Yes
tains.lN1 Scanners
$
$
$
$
$
$ $
TOTAL $ 136,475 $ 136,475
!Vi\l!!!,\ll$JfI grey ere no. Jonger part oJ !I:!!!,p~ctl>ut 'Y"fl'iofigil1l'11y caP!!atill?:tl(jp!!L~gU[lty P9ticy; i:ii;;1;":,'i"
Agenda Item No. 1607
March 23, 2010
Page 2 of 9
FISCAL IMPACT: No general funds are associated with this project. The total cost of the award and
the expenditures wilJ not change as items deleted have been replaced with additional items.
GROWTH MANAGEMENT IMPACT: There is no growth management impact associated with this
Executive Summary.
LEGAL CONSIDERATIONS: This item has been reviewed and approved by the County Attorney's
Office and is legally sufficient for Board action. - CMG
STAFF RECOMMENDATION: To accept the revised list of equipment to be purchased with the
Health Care and Other Facilities Special Congressional Initiative grant from the United States
Department of Health and Human Services accepted by the Board of County Commissioners on
September 29,2009, Agenda Item l6D6.
PREPARED BY: Marcy Krumbine, Director, Housing and Human Services
Item Number:
Item Summary:
Meeting Date:
Agenda Item No. 1607
March 23, 2010
Page 3 of 9
COLLIER COUNTY
BOARD OF COUNTY COMMISSIONERS
16D7
Recommendation to accept a revised list of equipment to be purchased with the Health Care
and Other Facilities Special Congressional Initiative earmark from the United States
Department of Health and Human Services accepted by the Board of County Commissioners
on September 29. 2009, Agenda Item 16D6.
3/23/2010 9:00:00 AM
Date
Prepared By
Marcy Krumblne
Public Services Division
Director - Housing & Human Services
Human Services
3/8/201011:27:50 AM
Date
Approved By
Marcy Krumbine
Public Services Division
Director - Housing & Human Services
Human Services
3/8/2010 11 :30 AM
Date
Approved By
Colleen Greene
County Attorney
Assistant County Attorney
County Attorney
3/9/2010 12:46 PM
Date
Approved By
Marlene J. Foard
Administrative Services
Division
Grant Development & Mgmt Coordinator
Administrative Services Division
3/9/2010 1 :36 PM
Dale
Approved By
Kathy Carpenter
Public Services
Executive Secretary
Public Services Admin.
3/9/20104:14 PM
Date
Approved By
Marla Ramsey
Public Services Division
Administrator - Public Services
Public Services Division
3/11/20108:39 AM
Dale
Approved By
OMS Coordinator
County Manager's Office
Office of Management & Budget
3/11/20109:29 AM
Date
Approved By
Sherry Pryor
Office of Management &
Budget
ManagemenU Budget Analyst, Senior
Office of Management & Budget
3/11/20104:28 PM
Approved By
Date
Jeff Klatzkow
County Attorney
Agenda Item No. 1607
March 23, 2010
Page 4 of 9
3112/20102:39 PM
Mark Isackson
Date
Approved By
Office of Management &
Budget
ManagemenUBudget Analyst, Senior
Office of Management & Budget
3/13/201012:01 PM
2. PROGRAM CFDA: 93.887
1. DATE ISSUED:
08/19/2009
3. SUPERCEDES AWARD NOTICE dated:
except lhal anyllddiUons or restrietions previously Imposer:l remain In eflecl unless s peclflC8llyrelldndBd.
4a. AWARD NO.: 4b. GRANT NO.: 5. FORMER GRANT NO.:
1 C76HF15996-01-00 C76HF15996
6. PROJECT PERIOD:
FROM: 09/01/2009 THROUGH: 08/31/2010
7. BUDGET PERIOD:
FROM: 09/01/2009 THROUGH: 08/31/2010
8. TITLE OF PROJECT (OR PROGRAM): Health Care and Other Facilities
9. GRANTEE NAME AND ADDRESS: 10. DIRECTOR: (PROGRAM DIRECTOR/PRINCIPAL INVESTIGATOR)
Collier County Marcy Krumbine
3301 Tamiami Trail E Collier County
Naples, FL 34112-3969 3301 Tamiami Trail E.
Naples, FL 341 12-4961
12. AWARD COMPUTATION FOR FINANCIAL ASSISTANCE
a. Authorized Financial Assistance This Period $ 141,570.00
b. Less Unobligated Balance from Prior Budget Periods
i. Additional Authority
iLOffset
c, Unawarded Balance of Current Year's Funds
d. Less Cumulative Prior Award(s) This Budget
Period
11. APPROVED BUDGET: (Excludes DireetAssistance)
[Xl Grant Funds Only
[] Total project costs including grant funds and all other financial
participation
a. Salaries and Wages:
b. Fringe Benefits:
c. T atal Personnel Costs:
d. Consultant Costs:
e. Equipment:
f. Supplies:
g. Travel:
h. Construction/Alteration and Renovation:
i. Other:
j. Consortium/Contractual Costs:
k. Trainee Related Expenses:
I. Trainee Stipends:
m. Trainee Tuition and Fees:
n. Trainee Travel:
o. TOTAL DIRECT COSTS:
p. INOIRECT COSTS: (Rate: % of S&WITAOC)
q. TOTAL APPROVED BUDGET:
i. Less Non-Federal Resources:
ii. Federal Share:
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 136,475.00
$ 0.00
$ 0.00
$ 0.00
$ 5.095.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$141,570.00
$ 0.00
$141.570.00
$ 0.00
$ 141.570.00
P ge1
DEPARTMENT OF HEALTH AND HUMAN :MIilIllbESl, 2010
HEALTH RESOURCES AND SERVICES ADMINIST~ili of 9
_RSA
NOTICE OF GRANT AWARD
AUTHORIZATION (Le9Islation/Regulation)
The Consolidated Appropriations Aet of 2008, P.L.1 10-161
P.L111-8
$ 0.00
$ 0.00
$ 0.00
$ 0.00
e. AMOUNT OF FINANCIAL ASSISTANCE THIS
ACTION
$ 141,570.00
13. RECOMMENDED FUTURE SUPPORT: (Subjeet to the availability of
funds and satisfactory progress of project)
iiiWitil~~r
.:Qt"'~!ge!lT:I!' :
Not Applicable
14. APPROVED DIRECT ASSISTANCE BUDGET: (in lieu of cash)
a. Amount of Direct Assistance
b. Less Unawarded Balance of Current Year's
Funds
c. Less Cumulative Prior Awards(s) This Budget
Period
d. AMOUNT OF DIRECT ASSISTANCE THIS
ACTION
$ 0.00
$ 0.00
$ 0.00
$ 0.00
15. PROGRAM INCOME SUBJECT TO 45 CFR Part 74.24 OR 45 CFR 92.25 SHALL BE USED IN ACCORD WITH ONE OF THE FOLLOWING
ALTERNATIVES:
A=Addition B=Deductlon C=Cost Sharing or Matching D=Other [A]
Estimated Program Income: $ 0.00
16. THIS AWARD IS BASED ON AN APPLICATION SUBMITTED TO. AND AS APPROVED BY HRSA, IS ON THE ABOVE TITLED PROJECT
AND IS SUBJECT TO THE TERMS AND CONDITIONS INCORPORATED EITHER DIRECTLY OR BY REFERENCE IN THE FOLLOWING:
a. The granl program legisla~on dIed abovt!. b. The grant program regulalion c1ltld abolo'll. c. This award notice Indllding terme and cond~lons, II eny. noted below under REMARKS. d. 45 eFR Part 74 or 45 eFR Part 92 as epplicable. In the
event there are connicting or otherwise inoonsiSient policies applicable to the grant, the above order of precedence ahall prevail. Acc8pianca of the grant terms end condibons is acknowlltdged by the grantee when funds aru drawn 0( otherwise
oblainedlromthegrentpeymentsy$tern
NOTICE OF GRANT AWARD (Continuation Sheet)
Agenda Item No. 1607
March 23, 2010
[Page2-______=___=~t~I~~u~d O~~~2~~ Page 6 at 9
!Award Number: 1 C76HF15996-01-00
I . .....-___. u________________________..._
HRSA Electronic Handbooks (EHBs) Registration Requirements
The Project Director of the grant (listed on this NGA) and the Authorizing Officiat of the grantee organization are
required to register (if not already registered) within HRSA's Electronic Handbooks (EHBs). Registration within
HRSA EHBs is required only once for each user for each organization they represent. To complete the
registration quickly and efficiently we recommend that you note the 10-digit grant number from box 4b ofthis
NGA. After you have completed the initial registration steps (I.e., created an individual account and associated it
with the correct grantee organization record), be sure to add this grant to your portfolio. This registration in
HRSA EHBs is required for submission of noncompeting continuation applications. In addition, you can also use
HRSA EHBs to perform other activities such as updating addresses, updating email addresses and submitting
certain deliverables electronically. Visit https:/Igrants.hrsa.gov/webexternat/logln.asp to use the system.
Additional help is available online and/or from the HRSA Call Center at 1-877-464-4772.
Terms and Conditions
Failure to comply with the special remarks and condition(s) may result In a draw down restriction being placed
on your Payment Management System account or denial of future funding.
Grant Specific Terms:
1. Based on total project costs, the draw down percentage for this project is 100%. Grant funds can only be drawn down
from the Payment Management System (PMS) as costs are incurred, and it is strongly recommended that the draw
down be done in the same proportion as the grant IS to total project costs.
2. Project description: funds will be used to purchase equipment
Project location: Naples, FL
The grantee agrees to:
1. Purchase the equipment specified in the approved application. The grantee may change individual items without
HRSA prior approval as long as they are within the approved project scope. This only applies to projects with
equipment purchase.
2. Construct the project, or cause it to be constructed to final completion in accordance with the approved application
and approved plans and specifications. This only applies to construction and renovation projects.
3. Submit to OFCR and OGMO for prior approval, changes that alter the cost of the project by more than 10%, use of
space. location. or functional layout from that specified in the approved application. This only applies to construction
and renovation projects.
4. Oesign the project as described in the approved application. This only applies to design projects.
5. Request prior approval from the OGMO, HRSA to use grant funds for anything other than the approved purposes.
This applies to all projects.
6. Meet in a timely fashion any conditions of award that accompany this grant award. This applies to all projects.
Program Terms:
1. On a regularly scheduled basis, HRSA grantees are required during their project period to participate in a performance
review of their HRSA funded program(s) by a review team from HRSA's Review. If your organization has been
selected for a performance review. you will be contacted at least twelve weeks before your performance review begins
in order to provide you with additional information about the scope and process for your review, and to schedule the
dates for the on-site phase. Upon completion of the performance review. grantees are expected to prepare an Action
Plan that identifies key actions to improve program performance as well as addresses any identified program
requirement issues.
Standard Terms:
NOTICE OF GRANT AWARD (CenUnuat;en Sheet)
Page 3 Date Issued: 08/19/2009
Award Number: 1 C76HF15996-01-00
1. All discretionary awards issued by HRSA on or after October 1, 2006, are subject to the HHS Grants Policy Statement
(HHS GPS) unless otherwise noted in the Notice of Award (NoA). Parts I through III of the HHS GPS are currently
available at hltp://ftp.hrsa.gov/grants/hhsgrantspolicystatement.pdf and it is anticipated that Part IV, HRSA
program-specific guidance will be available at the webslte in the near future. In addition, HRSA-specific contacts will
be appended to Part III of the GPS which identifies Oepartment-wide points of contact. Please note that the Terms and
Conditions explicitly noted in the award and the HHS GPS are in effect. Once available, Part IV, HRSA
program-specific guidance will take precedence over Parts I and II in situations where there are conflicting or
otherwise inconsistent policies.
2. The HHS Appropriations Act requires that when issuing statements, press releases, requests for proposals, bid
solicitations, and other documents describing projects or programs funded in whole or in part with Federal money, all
grantees receiving Federal funds, including but not limited to State and local governments, shall clearly state the
percentage of the total costs of the program or project which will be financed with Federal money, the dollar amount of
Federal funds for the project or program, and percentage and a dollar amount of the total costs of the project or
program that will be financed by nongovernmental sources.
3. Recipients and sub-recipients of Federal funds are subject to the strictures of the Medicare and Medicaid anti-kickback
statute (42 U.S.C. 1320a - 7b(b) and should be cognizant of the risk of criminal and administrative liability under this
statute, specifically under 42 U.S.C. 1320 7b(b) Illegal remunerations which states, In part. that whoever knowingty
and willfully:
(A) Solicits or receives (or offers or pays) any remuneration (including kickback, bribe, or rebate) directly or indirectly,
overtly or covertly, in cash or in kind. in return for referring (or to induce such person to refer) an individual to a person
for the furnishing or arranging for the furnishing of any item or service, OR
(B) In return for purchasing, leasing, ordering, or recommending purchasing, leasing, or ordering, or to purchase,
lease, or order, any goods, facility, services, or item
....For which payment may be made In whole or in part under subchapter XIII of this chapter or a State health care
program, shall be guitty of a felony and upon conviction thereof, shall be fined not more than $25,000 or imprisoned for
not more than five years, or both.
4. Items that require prior approval from the awarding office as indicated in 45 CFR Part 74.25 [Note: 74.25 (d) HRSA
has not waived cost-related or administrative prior approvals for recipients unless specifically stated on this Notice of
Grant Award] or 45 CFR Part 92.30 must be submilted in writing to the Grants Management Officer (GMO). Only
responses to prior approval requests signed by the GMO are considered valid. Grantees who take action on the basis
of responses from other officials do so at their own risk. Such responses will not be considered binding by or upon the
HRSA.
In addition to the prior approval requirements identified in Part 74.25, HRSA requires grantees to seek prior approval
for significant rebudgeting of project costs. Significant rebudgeting occurs when, under a grant where the Federal
share exceeds $100,000, cumulative transfers among direct cost budget categories for the current budget period
exceed 25 percent of the total approved budget (inclusive of direct and indirect costs and Federal funds and required
matching or cost sharing) for that budget period or $250,000, whichever is less. For example. under a grant in which
the Federal share for a budget period is $200,000, if the total approved budget is $300,000, cumulative changes within
that budget period exceeding $75,000 would require prior approval). For recipients subject to 45 CFR Part 92, this
requirement is in lieu of that in 45 CFR 92.30(c)(1 )(ii) which permits an agency to require prior approval for specified
cumulative transfers within a grantee's approved budget. [Note, even if a grantee's proposed rebudgeting of costs falls
below the significant rebudgeting threshold identified above, grantees are still required to request prior approval, If
some or all of the rebudgeting reflects either a change in scope. a proposed purchase of a unit of equipment
exceeding $25,000 (if not included in the approved application) or other prior approval action identified in Parts 74.25
and 92.30 unless HRSA has specifically exempted the grantee from the requirement(s).]
5. Payments under this award will be made available through the OHHS Payment Management System (PMS). PMS is
administered by the Olvision of Payment Management, Financial Management Services, Program Support Center,
which will forward instructions for obtaining payments. Inquiries regarding payment should be directed to: Payment
Management, OHHS, P.O. Box 6021, Rockville, MO 20852, hltp://www.dpm.psc.gov/ or Telephone Number:
1-877-614-5533.
NOTICE OF GRANT AWARD (Continuation Sheet)
,Page 4 Date Issued: 08/19/2009
,--
,Award Number: 1 C76HF15998-01-00
6. The DHHS Inspector General maintains a toll-free hotline for receiving information concerning fraud, waste, or abuse
under grants and cooperative agreements. Such reports are kept confidential and callers may decline to give their
names If they choose to remain anonymous. Contact: Office of Inspector General, Department of Health and Human
Services, Attention: HOTLINE, 330 Independence Avenue Southwest, Cohen Building, Room 5140, Washington, D. C.
20201, Email: Htips@os.dhhs.gov or Telephone: 1-800-447-8477 (1-800-HHS-TIPS).
7. Submit audits, if required, in accordance with OMB Circular A-133, to: Federal Audit Clearinghouse Bureau of the
Census 1201 East 10th Street Jefferson, IN 47132 PHONE: (310) 457-1551, (800)253-0696 toll free
http://harvester.census.gov/sac/facconta . htm
8. EO 13166, August 11, 2000, requires recipients receiving Federal financial assistance to take steps to ensure that
people with limited English proficiency can meaningfully access health and social services. A program of language
assistance should provide for effective communication between the service provider and the person with limited
English proficiency to facilitate participation in, and meaningful access to, services. The obligations of recipients are
explained on the OCR website at http://www.hhs.gov/ocr/lep/revisedlep.htmL
9. This award is subject to the requirements of Section 106 (g) of the Trafficking Victims Protection Act of 2000,as
amended (22 U.S.C. 7104). For the full text of the award term. go to http://www.hrsa.gov/grants/trafficking.htm. If you
are unable to access this link, please contact the Grants Management Specialist identified in this Notice of Grant
Award to obtain a copy of the Term.
Reporting Requirements:
1. Due Date: Annually Beginning: 01/01/2010 Ending:Budget End Date
The grantee will submit annual progress reports through the HRSA Electronic Handbooks.
For questions contact: phone - (301) 443-3665; email - hcofta@hrsa.gov
2. Due Date: Within 30 days of Budget End Date
Scan and upload the following document(s) into the HRSA Electronic Handbooks. A SF 424C budget page showing
the actual, final project costs. See page 15 of the following link: http://www.hhs.gov/forms/PHS-5161-1.pdf
3. Due Date: Within 30 days of Project End Date
Submit an itemized list of the equipment items purchased with grant funds. This list must be uploaded into the HRSA
Electronic Handbooks. Records for equipment acquired with Federal funds shall be retained for 3 years after final
disposition.
4. Due Date: Within 90 days of Budget End Date
The grantee must submit a Financial Status Report within 90 days after the budget period end date. This report should
reflect cumulative reporting within the project period and must be submitted using the Electronic Handbook (EHB).
Failure to comply with these reporting requirements will result in deferral or additional restrictions of future
funding decisions.
NGA Email Address(es):
jamesmudd@colliergov.net;donnafiala@colliergov. net;marcykrumbine@colliergov.net;mworrell@hrsa.gov
Note: NGA emailed to these address(es)
Contacts:
Program Contact: For assistance on programmatic issues, please contact HCOF Program Office at:
HRSAlHSB/DFCR
5600 Fishers Lane
Rockville, MD 20857-0001
Phone: (301 )443-3665
Email: hcofta@hrsa.gov
Division of Grants Management Operations: For assistance on grants administration issues, please contact Mary
NOTICE OF GRANT AWARD (Continuation Sheet)
Page 5 Date Issued: 08/19/2009
Award Number: 1 C76HF15996-01-00
Norrell at:
HRSAlOFAM/DGMO
5600 Fishers Lane
Rockville, MD 20857-0001
Phone: (301)443-5181
Email: mworrell@hrsa.gov
Fax: (301 )443-6686
Responses to reporting requirements, conditions, and requests for post award amendments must be mailed to the
attention of the Office of Grants Management contact indicated above. All correspondence should include the Federal
grant number (item 4 on the award document) and program title (item 8 on the award document). Failure to follow this
guidance will result in a delay in responding to your request.