HomeMy WebLinkAboutDivision of Public Health #15785 9/28/2007
Jim Doyle
Governor
DIVISION OF PUBLIC HEALTH
1 WEST WILSON STREET
POBOX 2659
MADISON WI 53701-2659
State of Wisconsin
608-266-1251
FAX: 608-267-2832
TIY: 888-701-1253
dhfs.wisconsin.gov .
Kevin R. Hayden
Secretary
Department of Health and Family Services
September 28, 2007
To:
Paul Spiegel, Oshkosh Health Department
Billee Bayou, DPH Administrator's Office, Preparedness Unit ~
From:
Subject:
2008 Pandemic Influenza Contract #15785
Enclosed is your agency's fully executed contract for year 2008 Division of Public Health
(DPH), Pandemic Influenza Contract Agreement #15785.
Wisconsin.gov
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DNISION OF PUBLIC HEALTH
PANDEMIC INFLUENZA CONTRACT AGREEMENT
DPH CONTRACT #15785
Contract Preamble
This Contract Agreement is entered into for the period September 1,2007 through July 31,2008, by and between
the State of Wisconsin represented by its Division of Public Health of the Department of Health and Family
Services, whose principal business address is One West Wilson Street, PO Box 2659, Madison WI 53701-2659,
hereinafter referred to as Contractor, and Oshkosh Health Department, whose principal business address is 215
Church Street, Oshkosh WI 54902-1130, hereinafter referred to as Contractee.
The Contractee address above is the address to which payments shall be mailed. If any legal notices required to be
sent to the Contractee in the execution of this Contract Agreement should be sent to an address different from the
Contractee address noted above, that address should be provided below:
Whereas, the Contractor wishes to purchase services from the Contractee as it is authorized to do by Wisconsin law;
and Whereas, the Contractee is engaged in furnishing the desired services; Now, therefore, the Contractor and the
Contractee agree as follows:
I. SERVICES TO BE PROVIDED.
The Contractee agrees to provide services consistent with the purposes and conditions of the objectives that it
has agreed to attain within the contract period. A detailed description of the objectives to be attained and the
documentation associated with that attainment is part of this Contract Agreement as listed in Exhibits I and II,
which are attached to this Agreement. The Contractee also agrees to provide to the Contractor documentation
(as agreed to in negotiations with the Contractor) of the attainment ofthose objectives no later than 30 days
after the end of the contract period or as specified in Exhibit II.
II. CONTRACT ADMINISTRATION
The Contractor's Contract Administrator is Susan Nelson of the Division of Public Health, whose principal
business address is 200 N Jefferson St Suite 511, Green Bay WI 54301-5123. The telephone number of the
Contractor's Contract Administrator is (920)448-5222. In the event its Contract Administrator is unable to
administer this Contract Agreement, the Contractor will contact the Contractee and designate a new Contract
Administrator.
The Contractee's Contract Administrator is Paul Spiegel, whose principal business address is 215 Church
Street, Oshkosh WI 54902-1130. The telephone number of the Contractee's Contract Administrator is
(920)236-5031. In the event its Contract Administrator is unable to administer this Contract Agreement, the
Contractee will contact the Contractor and designate a new Contract Administrator.
III. PAYMENT LIMIT
The Contractor agrees to pay the Contractee in accordance with the terms and conditions of this Contract
Agreement, an amount not to exceed $21,442.00. This amount is contingent upon receipt of sufficient funds
by the Contractor.
The Contractor will not make payments in excess of the Contract Agreement amounts, with the exception of
performance-based incentive funds pursuant to Section XXI.
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IV. PAYMENT PROCESS
1. Payments will be made on a monthly basis. The CoI1ractee will receive one-eleventh (1/ I I) of the
total contract amount each month unless Contractee has failed to maintain quality criteria or
proposed progress towards. achievement of Contract Agreement objectives as determined by the
Contractor. In these situations, the Contractor can make reductions in the monthly payment pursuant
to Section XVI.
2. All payments shall be released by the Department on the last business day before the fifth day of the
month for municipalities, or the last business day of each month for non-municipalities, with the
exception that the payment that would normally be released on the last working day of June shall be
released instead on the first working day of July. Checks will be mailed to the Contractee's principal
business address unless the Contractee requests, in writing, subject to approval, that the Department
mail the checks to a different address.
V. PROGRAM REPORTING
1. . The Contracteeshall comply with the program reporting requirements of the Contractor as specified
during the negotiation process and as stated in Exhbits I and II of this Contract Agreement. The
required reports shall be forwarded to the Contractor's Contract Administrator according to the
schedule as specified in Exhibits I and II.
2. Failure to submit the reports specified in the reporting instruc1ions may result in the Contractor
rendering sanctions pursuant to Section XVI of this contract.
VI. STATE AND FEDERAL RULES AND REGULA TlONS
1. The Contractee agrees to meet State and Federal laws, rules and regulations, and program policies
applicable to this Contract Agreement. .
2. The Contractee agrees to comply with Public Law 103-227, also known as the Pro-Children Act of
1994, which prohibits tobacco smoke in any portion of a facility owned or leased or contracted for
by an entity which receives Federal funds, either directly or through the State, for the purpose of
providing services to children under the age of 18.
3. Affirmative Action Plan/Civil Rights Compliance
Affirmative Action Plans
A. An Affirmative Action Plan is a written document that details an affimative action
program. Key parts of an affirmative action plan are: (1) a policy statement pledging
nondiscrimination and affirmative action employment, (2) internal and external
dissemination of the policy, (3) assignment of a key employee as the equal q,portunity
officer, (4) a workforce analysis that identifies job classifications where there is an under
representation of women, minorities, and persons with disabilities, (5) goals must be
directed to achieving a balanced workforce; specific and measuralie, having an
implementation target date between six months and two years, and having a plan of action
or description of procedures to implement the goals, (6) revision of employment practices
to ensure that they do not have discriminatory effects, and (7)establishment of internal
monitoring and reporting systems to regularly measure progress.
B. An Affirmative Action Plan is required from a Contractee who receives a contract from the
Contractor in the amount of $25,000 or more and who has a workforce oftwmty~five (25)
or more employees as of the award date, unless the Contractee is exempt by criteria listed in
the Wisconsin Office of Contract Compliance, Department of Administration's Instruction
for Vendors Affirmative Action Requirements (DOA-302IP (R06/96) s. 16765, Wis.
Stats.), page 2. Universities, other states, and local governments, except those of the State
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of Wisconsin who receive state or federal contracts over $25,000, must submit Affirmative
Action Plans in the same manner as other Contractees.
C. In addition, for agreements of twenty-five thousand ($25,000) or more, regardless of
workforce size, the Contractee shall conduct, keep on file, and update amlually, a separate
and additional accessibility self-evaluation of all programs and facilities, including
employment practices for compliance with ADA regulations, unless an updated self
evaluation under Section 504 of the Rehabilitation Act of 1973 exists which meets the ADA
requirements. Contractees are to contact the Affirmative Action/Civil RiWts Compliance
Office, Department of Health and Family Services, One West Wilson Street, Room 561, PO
Box 7850, Madison WI 53707-7850, for technical assistance on Equal Opportunity.
Civil Rights Compliance
A. For agreements for the provision of services to clients, the Contractee must comply with
Civil Rights requirements. Contractees with an annual workforce of less than twentyfive
(25) employees, regardless of contract amount, and Contractees with contracts of less than
$25,000 are !lot required to submit a Civil Rights Compliance Action Plan, however, they
must submit a Civil Rights Compliance Letter of Assurance. Contractees with an annual
workforce of twenty-five (25) employees or more and contract agreements of $25,000 or
more shall submit a written Civil Rights Compliance Plan which covers a three-year period
within fifteen (I 5) working days of the award date of the agreement or contract.
B. The Contractee assures that it has submitted to the Contractor's Affirmative Action /Civil
Rights Compliance Office a current copy of its three-year Civil Rights Compliance Action
Plan for meeting Equal Opportunity Requirements under Title VI and VII of the Civil
Rights Act of 1964, Section 503 and 504 of the Rehabilitation Act of 1973, Title VI and
XVI of the Public Health Service Act, the Age Discrimination in Employment Act of 1967,
the Age Discrimination Act of 1975, the Omnibus Reconciliation Act of 1981, the
American with Disabilities Act (ADA) of 1990, and the Wisconsin Fair Employment Act. If
the Plan was reviewed and approved during the previous year, a plan update must be
submitted for this Contract Agreement period.
I) No otherwise qualified person shall be excluded from participation in, be denied
the benefits of, or otherwise be subjected to discrimination in any manner on the
basis of race, color, national origin, sexual orientation, religion, sex, disability or
age. This policy covers eligibility for and access to service delivery, and treatment
in all programs and activities. All employees of the Contracee are expected to
support goals and programmatic activities relating to nondiscrimination in service
delivery.
2) No otherwise qualified person shall be excluded from employment, be denied the
benefits of employment or otherwise be subjected to discriminaton in employment
in any manner or team of employment on the basis of age, race, religion, sexual
orientation, color, sex, national origin or ancestry, disability (as defined in Section
504 and the American with Disability Act of 1990), or association witha person
with a disability, arrest or conviction record, marital status, political affiliation, or
military participation, unfair honesty testing and genetic testing, and use or nOll
use oflawful products outside of working hours. All employees of the Contactee
are expected to support goals and rogrammatic activities relating to non-
discrimination in employment.
3) The Contractee shall post the Equal Opportunity Policy, the name of the Equal
Opportunity Coordinator and the Limited English Proficiency Coordimtor, and the
discrimination complaint process in conspicuous places available to applicants and
clients of services, and applicants for employment and employees. The complaint
process will be according to the Contractor's standards and the Contractee shaD
post the complaint process notice translated into the major primary languages of
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the limited English Proficient (LEP) participants in their service area., The notice
will announce the availability of free oral interpretation of services if needed. The
Contractee shall not request interpretation services from family members, friends
and minors.
4) The Contractee agrees to comply with the Contractor's guidelines in the State of
Wisconsin Department of Workforce Development and Department of Health and
Family Services, Affirmative Action, Equal Opportunity, Limited English
Proficiency and Civil Rights Compliance Plan for Profit and Non-Profit Entities
DWSD-14045 (R. 11/2003)) or subsequent revisions.
5) Requirements herein stated apply to any subcontracts or gmnts. The Contractee
has primary responsibility to take constructive steps, as per the State of Wisconsin
Department of Workforce Development and Department of Health and Family
Services, Affirmative Action, Equal Opportunity, Limited English Proficiencyand
Civil Rights Compliance Plan for Profit and Non-Profit Entities DWSD-14045 (R.
11/2003), to ensure the compliance of its subcontractors. However, where the
Contractor has a direct contract with another Contractee's subcontractor, the
Contractee need not obtain a Subcontractor or Subgrantee Civil Rights
Compliance Plan or monitor that subcontractor.
6) The Contractor will monitor the Civil Rights Compliance of the Contractee. The
Contractor will conduct reviews to ensure that the Contractee is ensuring
compliance by its subcontractors or grantees according to guidelines in the State of
Wisconsin Department of Workforce Development and Department of Health and
Family Services, Affirmative Action, Equal Opportunity and Limited English
Proficiency, Civil Rights Compliance Plan for Profit and Non-Profit Entities,
DWSD- 14045 (R. 11/2003). The Contractee agrees to comply with Civil Rights
monitoring reviews, including the examination of records and relevant files
maintained by Contractee, as well as interviews with staff, clients, and applicants
for services, subcontractors, providers, and referral agencies. The reviews will be
conducted according to Department procedures. The Contractor will also conduct
reviews to address immediate concerns of complainants.
7) The Contractee agrees to cooperate with the Contractor in developing,
implementing and monitoring corrective action plans that result from complaint
investigations or monitoring efforts.
C. The Contractee agrees that it will: (I) hire staff with special1ranslation or sign language
skills and/or provide staff with special translation or sign language skills training, or find
qualified persons who are available within a reasonable period of time and who can
communicate with limited or non-English speaking or speech or hearing-impaired clients at
no cost to the client; (2) provide aids, assistive devices and other reasonable
accommodations to the client during the application process, in the receipt of services, and
in the processing of complaints or appeals; (3) train staff in human relations techniques,
sensitivity to persons with disabilities and sensitivity to cultural characteristics; (4) make
programs and facilities accessible, as appropriate, through outstations, authorized
representatives, adjusted work hours, ramps, doorways, elevators, or ground floor rooms,
and Braille, large print or taped information for the visually or cognitively impaired; (5)
post and/or make available informational materials in languages and formats appropriate to
the needs of the client population.
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VII. SUBCONTRACTS
1. The Contractee may subcontract all or part of this Contract Agreementas agreed to during contract
negotiation. The Contractor reserves the right of approval for any subcontracts and the Contractee
shall report information relating to subcontracts to the Contractor. A change in a subcontractor or a
change from direct service provision to a subcontract may only be executed with the prior written
approval of the Contractor. In addition, Contractor approval may be rtX]uired regarding the terms
and conditions ofthe subcontracts, and the subcontractors selected. Approval of the subcontractors
will be withheld if the Contractor reasonably believes that the intended subcontractor will not be a
responsible provider in terms of services provided, objectives to be attained, or required quality
criteria.
2. The Contractee retains responsibility for fulfillment of all terms and conditions of this Contract
Agreement when it enters into sub-contractual agreements and will be subject to enforcement of all
the terms and conditions of this Agreement. .
3. Recoupment of Contractor payments to the Contractee fer failure to comply with either the
attainment of contract objectives or the maintenance of quality criteria by either the Contracee or its
subcontractor(s) will be made from the Contractee.
VIII. GENERAL PROVISIONS
1. Any payments of monies to the Contractee by the Contractor for services provided under this
Contract Agreement shall be deposited in a bank with Federal Deposit Insurance COIporation
(hereinafter FDIC) insurance coverage. Any balance exceeding FDIC coverage must be collaterally
secured.
2. The Contractee shall conduct all procurement transactions in a manner that provides maximum open
and free competition.
3. The Contractee shall not engage the services of any person or persons concurrently employed by the
State of Wisconsin, including any Department, commission or board thereof, to provide services
relating to this Contract Agreement without the written consent of the employer ofsuch person or
persons and of the Contractor.
4. This Contract Agreement is voidable if the Contractee is a state public official, a member of a state
public official's immediate family, or an organization in which the official or immediate family
member owns or controls at least 10% of the outstanding equity, voting rights, or outstanding
indebtedness and failed to make the written disclosure required under sec. 19,45 Wis. Stats. This
disclosure is required to be made to the State of Wisconsin Ethics Board, 44 East Washington
Avenue, Suite 601, Madison W1 53703-2800, [Telephone (608) 266-8123].
5. If the Contractee or any subcontractor is a corporation other than a Wisconsin corporation, it must
demonstrate prior to providing services under this Contract Agreanent that it possesses a certificate
of authority from the Wisconsin Secretary of State, and must have, and continuously maintain, a
registered agent, and otherwise conform to all requirements of Chapters 180 and 181, Wisconsin
Statutes; relating to foreign corporations.
6. The Contractee agrees that funds provided under this Contract Agreement shall be used to
supplement or expand the Contractee's current public health service efforts, not to replace or allow
for the release of available local (Contractee) funds for alternative uses. Ifthe Contractor determines
that local funds supporting public health services or funds under this Agreement have been released
for alternative uses (supplanting), the Contractee may be subject to a proportionate reduction in
funding under this Agreement in the current or subsequent contract year.
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IX. ACCOUNTING REOUIREMENTS
1. For Contract Agreements of twenty-five thousand dollars ($25,000) or more, the Contractee shall
maintain a uniform double entry, full accrual accounting sY1em and a financial management
information system in accordance with Generally Accepted Accounting Principles. (See DHFS'
Accounting Principles and Allowable Cost Policy Manual, available upon request from the Contract
Administrator or from the Program Evaluation and Audit Section, Office of Strategic Financ~
Department of Health and Family Services, One West Wilson Street, PO Box 7850, Madison WI
53707-7850.)
2. For Contract Agreements of less than twenty-five thousand dollars ($25,000), the Contractee shall at
least maintain a simplified double entry bookkeeping system as defined in the Department's
Accounting Principles and Allowable Cost Policy Manual.
3. The Contractee's accounting system shall allow for accounting of total funds included in this
Contract Agreement, and document that contract funds were not diverted outside of such set of
programs. Diversion outside of the set of programs included in this Agreement will be subject to
recoupment.
4. As an innovation involving Federal funds, the Department i; in the process of securing Federal
agreement to the accounting reforms in this contract. Until such time as the Contractee receives fmal
written notice from the Contractor that the Federal government has waived program specific cost
based reporting requirements for all programs in this Contract Agreement, the Contractee shall
maintain sufficient information within their accounting records to provide costbased information by
program. The Contractee shall provide this information to the Contractor electronically, via the
Web-based Grants and Contracts (GAC) application, upon request for statewide reconciliation;
however, the Contractor will not request this information unless necessary to support the claiming of
Federal funds.
5. If program specific cost information is requested under paragraph 4 above the Contractee shall
provide the information within ninety (90) days after the end of the contract period. The Contractor
will make the request in writing at least 30 days prior to the specified due date for alch information;
will limit the breakdown ofthe information to what is required by the Contractor's funding sources
and; will only request the information as of the end of the contract period for the full contract period.
6. The Contractee shall reconcile costs and match to expenses recorded in the Contractee's accounting
or simplified bookkeeping system on an ongoing and periodic basis. The Contractee agrees that
reconciliation will be completed at least quarterly, will be documented, and supplied to the
Contractor upon request. The Contractee shall retain the reconciliation documentation in accordance
with the record retention requirement specified in Section XIV.
7. Monthly submittals of expenditure reports onthe use of funds within this Contract Agreemenlare
not required for contract payment purposes.
8. Nothing in this Section precludes the Contractee from keeping such information as needed for its
internal managemerit purposes.
9. Expenditures of funds from this Contract Agreement must meet the DepartmentS allowable cost
definitions as defined in the Department'sAccounting Principles and Allowable Cost Policy
Manual.
X. CHANGES IN ACCOUNTING PERIOD
1. The Contractee's accounting records are maintained on a fiscal year basis, beginning on the date
indicated in the CARS Payment Information section of this contract. During the contract period, the
accounting period may only be changed with prior written approval from the Contractor. The
Contractor may approve a change in accounting period only-if the Contracteehas a substantial,
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verifiable business reason for changing the accounting period and agrees to submit a closeout audit,
as defined in section (XII; 8), within 90 days after the first day of the new accounting period.
2. Proof of Internal Revenue Service approval shall be considered verification that the Contractee has a
substantial business reason for changing its accounting period.
3. A change in accounting period shall not relieve the Contractee of reporting or audit requirements of
this Contract Agreement. An audit meeting the requirements of this Agreement shall be submitted
within 90 days after the first day of the start of the new accounting period for the short accounting
period and within 180 days of the close of the new accounting period for the new {Eriod. For
purposes of determining audit requirements, expenses and revenues incurred during the short
accounting period shall be annualized.
XI. PROPERTY MANAGEMENT REQUIREMENTS
I. Property insurance coverage will be provided by the Contractee for fire and e}tended coverage of
any equipment funded under this Contract Agreement which the Contractor retains ownership of,
and which is in the care, custody and control of the Contractee.
2. The Contractor shall have all ownership rights in any hardware funded under his Contract
Agreement or supplied by the Contractor and in any software or modifications thereof and associated
documentation designed, developed or installed as a result of this Agreement. The Contractee is
responsible for keeping all of Contractor's property secure from theft, damage or other loss.
3. The Contractee agrees that if any materials are developed under this Contract Agreement, the
Contractor shall have a royalty-free, non-exclusive, and irrevocable right to reproduce, publish or
otherwise use, and to authorize others to use, such materials. Any discovery or invention arising out
of, or developed in the course of work aided by this Agreement, shall be promptly and fully reported
to the Contractor.
XII. AUDIT REQUIREMENTS
1. Requirement to Have an Audit: Unless waived by the Contractor, the Contractee shall submit an
annual audit to the Contractor if the total amount of annual funding provided by the Contractor (from
any and all of its Divisions taken collectively) through this and other contracts is $25,000 or more.
In determining the amount of annual funding provided by the Contractor, the Contractee shall
consider both: (a) funds provided through direct contracts with the Contractor; and (b) funds from
the Contractor passed through another agency wlich has one or more contracts with the Contractee.
2. Audit Requirements: The audit shall be performed in accordance with auditing standards generally
accepted in the United States of America, s.46.036, Wis. Stats., Government Auditing Standards,
and other provisions in this Contract Agreement. In addition, the Contractee is responsible for
ensuring that the audit complies with other standards that may be applicable depending on the type
of Contractee and the nature and amount of financial assistance receved from all sources:
. Federal OMB Circular A-B3 "Audits of States, Local Governments and Nonprofit
Organizations," which applies only to Contractees that expend $500,000 fromall federal
funding sources (this grant and other grants, direct or indirect, from this Contractor or another)
during a Contractee's fiscal year.
~ The State Single Audit Guidelines (SSAG), which are applicable to local govemmentshaving A-
133 audits; and/or
. The Provider Agency Audit Guide (PAAG). All Contractees that do not meet the requirements
of the SSAG shall have audits in conformance with the PAAG.
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3. Reporting Package: The Contractee shall submit to the Contractor a reporting package which
includes the following: .
A. financial statements and other audit schedules and reports required for the type of audit
applicable to the Contractee.
B. The Management Letter (or similar document conveying auditor's comments issued as a
result of ):he audit) or written assurance that a Management Letter was not issued with the
audit report.
C. Management responses/corrective action plan for each audit issue identified in the audit.
D. If program specific cost-based information is needed, the Contractor may require it as part
of the reporting package.
4. Submitting the Reporting Package: The Contractee shill submit the required reporting package to
the Contractor either: (a) within nine months of the end of the Contractee's fiscal year if the
Contractee is a local government, or (b) within 180days of the end of the Contractee's fiscal year for
non-governmental Contractee agencies. Two copies of the audit report must be sent to the
Contractor at the following address:
Attn: Audit staff
Bureau of Intergovernmental Relations and Contract Management
Division of Enterprise Services
Wisconsin Department of Health and Family Services
P.O. Box 7850
Madison, WI 53707-7850
5. Access to Auditor's Work Papers: When contracting with an audit firm, the Contractee shall
authorize its auditor to provide access towork papers, reports, and other materials generated during
the audit to the appropriate representatives of the Department. Such access shall include the right to
obtain copies of the work papers and computer disks, or other electronic media, upon which
records/working papers are stored.
6. Access to Contractee Records: The Contractee shall permit appropriate representatives of the
Department and/or the Contractor to have access to the Contractee's records and financial statements
as necessary to review Contractee's compliance with the Federal and State requirementsfor the use
of the funding.
7. Failure to Comply with the Requirements of this Section: In the event that the Contractee fails to
have an appropriate audit performed or fails to provide a complete audit report to the Contractor
within the specified timefrmres, in addition to applying one or more ofthe sanctions available in
Section XVI of this contract, the Contractor may:
A. Conduct an audit or arrange for an independent audit oftheContractee and charge the cost
of completing the audit to the Contractee;
B. Charge the Contractee for all loss of Federal or State aid or for penalties assessed to the
Contractor because the Contractee did not submit a complete audit repert within the
required timeframe; and/or
C. Disallow the cost of audits that do not meet these &andards.
8. Closeout Audits:
A. A specific audit of an accounting period ofless than twelve (12) months is required when
an agreement is terminated for cause, when the Contractee ceases operations or when the
Contractee changes its accounting period (fiscal year). The purpose of the audit.is to
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closeout the short accounting period. The required closeout audit may be waived by the
Contractor upon written request from the Contractee, except when the agreement is
terminated for cause. The required closeout audit may not be waived when an agreement is
terminated for cause.
B. The Contractee shall ensure that its auditor contacts the Contractor prior to beginning the
audit. The Contractor, or its representative, shall have the opportunity to review the planned
audit program, request additional compliance or internal control testing and attend any
conference between the Contractee and the auditor. Payment of increased audit costs, as a
result of the additional testing requested by the Contractor, is the responsilility of the
Contractee.
C. The Contractor may require a closeout audit that meets the audit requirement~ specified in
XII, 2. above. In addition, the Contractor may require that the auditor annualize revenues
and expenditures for the purposes of applying CMB Circular A-I33 and determining major
Federal financial assistance programs. This information shall be disclosed in a note to th(:
schedule of Federal awards.
D. All other provisions in the Audit Requirements section apply to Closeout Audits unless in
conflict with the specific Closeout Audits requirements.
XIII. OTHER ASSURANCES
1. The Contractee shall notify the Contractor in writing, within thirty (30) days of the date payment was
due of any past due liabilities to the Federal Government, State Government or treir agents for
income tax withholding, FICA, Workers' Compensation, Unemployment Compensation,
garnishments or other employee related liabilities, Sales Tax, Income Tax of the Contractee, or other
monies owed. The written notice shall include the amount(s)owed, the reason the monies are owed,
the due date, the amount of any penalties or interest, known or estimated, the unit of government toO
which the monies are owed, the expected payment date and other related information.
2. The Contractee shall notify the Contractor, in writing, within thirty (30) days of the date payment
was due, of any past due payment in excess of five hundred dollars ($500), orwhen total past due
liabilities to anyone or more vendors exceed one thousand dollars ($1000), related to tre operation
of this Contract Agreement for which the Contractor has reimbursed or will reimburse the
Contractee. The written notice shall include the amount(s) owed, the reason the monies are owed, the
due date, the amount of any penalties or interest, kncwn or estimated, the vendor to which the
monies are owed, the expected payment date and other related information. Ifthe liability is in
dispute, the written notice shall contain a discussion of facts related to the dispute and the
information on steps being taken by the Contractee to resolve the dispute.
3. The Contractor may require written assurance at the time of entering into this Contract Agreement
that the Contractee has in force and will maintain for the course of this Agreement employee
dishonesty bonding in a reasonable amount to be determined by the Contractor.
4. J1te Contractee certifies that neither the Contractee organization nor any of its principals are
debarred, suspended, or proposed for debarment for Federal fmancial assistance (e.g., Geneml
Services Administration's List of Parties Excluded from Federal Procurement and Non-Procurement
Programs). The Contractee further certifies that potential sub-recipients, contractors, or any of their
principals are not debarred, suspended or proposed for debarment.
XIV. RECORDS
1. The Contractee shall maintain such records (in either written or electronic form) as required by State
and Federal law and as required by program policies. Records shall be retained for no less than th(~
retention period specified in law or policy. Records for periods which are under audit or subject to
dispute or litigation must be retained until the audit, dispute or litigation, and any associated appeal
periods, have ended.
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2. The Contractee will allow inspection of records and programs, insofar as is permitted by State and
Federal law, by representatives of the Contractor and its authorized agents, and Federal agencies, in
order to confirm the Contractee's compliance with the specifications of this Contract Agreement.
3. TheContractee agrees to retain and make available to the Contractor all program and fiscal records
in accordance with the retention period specified in paragraph I above. Upon the Contractor's
request, at the expiration of the Contract Agreement, the Contractee willtransfer at no cost to the
Contractor, records regarding the individual recipients who received services from the Contractee
under this Agreement. The transfer of records includes transfer of any record, regardless of media, if
that is the only method under which records were maintained.
4. The Contractee and its subcontractors shall comply with all State and Federal confidentiality laws
concerning the information in both the records it maintains and in any of the Contractor's records
that the Contractee accesses to provide the services under this Contract Agreement.
XV. AGREEMENT REVISIONS AND/OR TERMINATION
1. The Contractee agrees to re-negotiate with the Contractor this Contract Agreement or any part
thereof in such circumstances as:
· Increased or decreased volume of services as required by the Contractor;
· Changes required by State and Federal law or regulations, or court action; or,
· Increase or reduction in the monies available affecting the substance of this Agreement.
Failure to agree to a re-negotiated Contract Agreement under these circumstances is cause for the
Contractor to terminate this Agreement. .
2. This Contract Agreement can be terminated for any reason by a 3()'day written notice by either
party .
3. Revision of this Contract Agreement may be made by Inltual agreement The revision will be
effective only when the Contractor and Contractee attach an addendum or amendment to this
Agreement, which is signed by the authorized representatives of both parties, except in
circumstances in which increased caseload or grant award amount, where such increase in funds is
for the same purpose as originally agreed upon, the Agreement may be amended by a unilateral
amendment made by the Contractor.
4. The Contractee shall notify the Contractor whenever it is unable to prcwide the required quality or
quantity of services required. Upon such notification, the Contractor shall determine whether such
inability will require revision or termination of this Contract Agreement.
5. If the Contractor finds it necessary to terminate this Contract Agreement prior to the stated
expiration date for reason other than non-performance by the Contractee, payment by the Contractor
shall cease upon tenrtination. Termination of the contract does not nullify the recoupment of funds
by the Contractor, per the negotiated Agreement, associated with failure to attain program objectives
or the failure to maintain quality criteria.
XVI. NON-COMPLIANCE, SANCTIONS AND REMEDIAL MEASURES
I. If the Contractor determines, after notice to the Contractee and opportunity to respond, that the
Contractee:
· Is out of compliance with the program quality criteria as listed in Exhibit I, the Contractor may
withhold part or all ofthe Contractee's funding at a level deemed appropriate by the Contractor as
defined in paragraph 3 below. .
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10
. .
. Has not attained the negotiated objective(s) as listed in Exhibit II, the Contractee shall refund the
amount designated in Exhibit II under Risk Profile. Recoupments will be collected during the
subsequent contract year via an adjustment (decrease) in the CARS monthly payment. In such case
where a Contractee is subject to recoupment and no longer holds a Contract Agreement with the
Contractor, the Contractor will issue an invoice to be paid by the Contractee.
The Contractor may also, at its sole discretion, effectuate such refunds by withholding money from future
payments due the Contractee at any time during or after the contract period or.may recover such funds by
any other legal means.
2. Failure to comply with any part of this Contract Agreement may be considered cause for revision,
suspension or termination of this Agreement. Suspension includes withholding part or all of the
payments that otherwise would be paid the Contracteeunder this Agreement, temporarily having others
perform, and receive reimbursement for, the services to be provided under this Agreement and any other
measure that suspends the Contractee's participation in the Agreement if the Contractor determines it is
necessary to protect the interests of the State.
3. The Contractee shall provide written notice to the Contractor of all instances of non-compliance with the
terms of program quality criteria associated with this Contract Agreement by itself or its subcontractors.
Notice shall be given as soon as practicable but in no case later than 15 days after the Contractee became
aware, or should have been aware, of the non-compliance. Non-compliance can also be determined by
the Division of Public Health Regional Office Contract Administrater through on-site inspection or desk,
review of documentation. The written notice shall include information on reason(s) for and effect(s) of
the non-compliance. The Contractee shall provide the Contractor with a plan to correct the non-
compliance and a timetable for the implementation of that plan to correct. The plan to correct must be
approved by the Contractor. If at the end of the implementation period, the Contractee is found to still be
out of compliance, the Contractor may, at its sole discretion, take whatever action it deems recessary to
protect the interests of the State, including withholding part or all of the Contractee's funding, ifit
reasonably believes that the non-compliance will continue or will reoccur.
4. The ContraCtee shall provide within 30 days after the end oftre contract period (or by the date specified
in Exhibit II) to the Contractor via the Contract Administrator, the documentation specified in Exhibit II
relating to attainment or failure to attain the objectives agreed to in this Contract Agreement. If any
objective is not attained, the Contractor will determine, at its sole discretion, the proportion of non-
attainment and will recoup from the Contracteean amount as defined by the Risk Profile identified in
Exhibit II. Any degree of non-attainment, as judged by the sole discretion of the Contractor, shall be used
by the Contractor in determining the conditions of any continuation of this Agreement.
5. If the Contractor determines that non-compliance with other requirements (not stated in Exhibit I or
Exhibit II) in this Contract Agreement has occurred, or is occurring, it shall demand immediate
correction of continuing non-compliance and it may impose whatever sanctions or remedial measures it
deems necessary to protect the interests of the State. Such sanctims and measures may include
termination ofthe Agreement, suspension of the Agreement as defined in paragraph 2 above, imposing
additional reporting requirements and monitoring of subcontractors and any other measures it deems
appropriate and necessary.
6. If audits are not submitted when due, the Contractor may take action pursuant to Section XII of this
Contract Agreement.
7. If required program deliverables or other required information or reports, other than audits, are not
submitted when due, the Controctor may withhold all payments that otherwise would be paid the
Contractee under this Contract Agreement until such time as the reports and information are submitted.
In addition, the Contractor can hold implementation of continuation of this Agreement peming submittal
of this documentation;
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I I
XVII. DISPUTE RESOLUTION
If any dispute arises between the Contractor and Contractee under this Contract Agreement, including the
Contractor's finding of non-compliance and imposition of sanctions or remedial measure;, the following
process will be the exclusive administrative review.
1. The Contractor's and Contractee's Contract Administrators will attempt to resolve the dispute, in
coordination with the Division of Public Health Regional Office Director and appropriae program
staff within the Division.
2. If the dispute cannot be resolved by the Contract Administrators, the Contractee may ask for review
by the Administrator of the Division of Public Health.
3. Ifthe dispute is still not resolved, the Contracteemay reque;t a final review by the Secretary of the
Department of Health and Family Services. .
XVIII. INDEMNITY
The Contractor and Contractee agree they shall be responsible for any losses or expenses (including costs,
damages, and attorney's fees) attributable to the acls or omissions of their officers, employees or agents.
XIX. SURETY BOND
The Contractor may require the Contractee to have a surety bond. The surety bond shall be in force for the:
period of the Contract Agreement and shall be a reasonable amount to be determhed by the Contractor.
XX. CONDITIONS OF THE PARTIES' OBLIGATIONS
1. This Contract Agreement is contingent upon authorization of Wisconsin and United States law, and
any material amendmeritor repeal of the same affecting relevant funding or authority of the
Contractor shall serve to revise or terminate this Agreement, except as further agreed to by the
parties hereto.
2. The Contractor and Contractee understand and agree that no clause, term or condition of this
Contract Agreement shall be construed to supersede the lawful powers or duties of either party.
3. It is understood and agreed that the entire Contract Agreement between the parties is contained
herein, except for those matters incorporated herein by reference, and that this Agreement
supersedes all oral agreements and negotiations between the parties relating to the subject matter
thereof.
XXI. SPECIAL PROVISIONS
1. If the Contractor determines that the Contractee has exceeded the agreed upon program objective(s)
to the level specified in Exhibit II, Conditions for an Incentive Payment, the Contractee may be
eligible to receive performance-based incentive funds ifsuch funds are available as determined by
the Contractor.
2. The Contractor may make these. incentive awards at its discretion based on the amount of avaihble
incentive funding and the terms of agreement with the Federal agency(s) as to the distribution of
such incentive funding. The awards will be made during the subsequent contract year via an
adjustment (increase) in the monthly CARS payment. In such ca;e where a Contractee is eligible for
an incentive payment and no longer holds a contract agreement with the Contractor, the Contractor
will make a separate payment to the Contractee. The incentive funds must be expended by the
Contractee within the subsequent contract or calendar year and can not be diverted outside of the set
of programs defmed by this Contract Agreement or used for supplanting purposes. The Contractee
shall report, in a manner specified by the Contractor, on how the Contractee expendedthese
incentive funds.
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3. To the extent allowed by law:
· All funding recouped by the Contractor from the Contractee shall be held by the Contractor
in a fund designated for use within the program area associated with the recoupment action.
. These funds may be used to award other Contractees who have exceeded their objectives in
that program, general funding of the program area to all Contractees via formula in the next
contract period, general funding of the program for all Contractees during the current
contract period, or returned to the Federal funding agency of that program.
These funds cannot be used by the Contractor for their own operational costs.
4. If at the end of the contract year, the Contractee has attained its contract objectives and is in
compliance with the quality criteria, it may retain any unspent funds from this Contract Agreement
not expended during the contract year, except for unearned prepayments (advances). However, those
funds must be expended in the current contract year or the conUact year immediately following and
their use must fall within the program boundaries established under this Agreement. These retained
funds cannot be diverted outside of the scope of this Agreement, the Local Public Health
Department's budget, or used to supplant local public health tax levy levels. These funds shall be
retained in a non-lapsing account for the sole use of the Local Public Health Department; these funds
may not lapse to the general fund. The Contractee shall report how these funds were utlized, as
specified in Section IX. .
XXII. CONTRACT RENEWAL OPTIONS
This contract can be renewed on an annual basis for up to two (2) one-year extensions with the mutual
agreement of both the Contractor and Contractee. The objectives to be attained by program will be re-
negotiated each year by the Contractor and Contractee, as well as documentation deliverables and risk
conditions.
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13
c'
, .
XXIII. TIMELY CONTRACT SIGNING
This Contract Agreement becomes null and void if the time between the earlier dated signature and the later
dated signature of the Contractee's and Contractor's Authorized Representative on this Agreement (or
addendum) exceeds sixty (60) days inclusive of the two signature dates.
7' --/~- ~7
Date
Contractor's Authorized Representati e
Sheri Johnson, Ph.D., Administrator State Health .officer
Division of Public Health, Department of Health and Family Services
C;/Z?/07
Date
CARS PAYMENT INFORMATION
The information below is used by the DepartriJ.ent's Bureau of Fiscal Services, CARS Unit to facilitate the processing and
recording of payments made under this Contract Agreement
Agency Name Oshkosh Health Department
Agency Number 472894
Agency Type 860
Contract Period September 1, 2007 through July 31, 2008
Contract Amount $21,442.00
Agency Fiscal Year January through December
Profile ID#
155193 Pandemic Planning
Amount $21,442.00
DPH Contract # 15785
CFDA #:
Bioterrorism 93.283
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Contract Agreement Addendum: Exhibit I
Program Quality Criteria
Generally high program quality criteria for the delivery of quality and cost-effective administration of
health care programs have been, and will continue to be, required in each public health program to be
operated under the terms of this contract.
This Exhibit contains only applicable quality criteria for this contract.
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I
Contract #: 15785
Contract Agreement Addendum: Exhibit I
Agency: Oshkosh Health Department
Contract Year': 2008
Program: Public Health Preparedness - Pandemic Influenza
Program Quality Criteria
I) Assessment and surveillance of public health to identify community needs and to support systematic, competent program
planning and sound policy development with activities focused at both the individual and community levels.
A) Contractees will periodically assess public health preparedness within their agency or consortium by having
their members complete Division of Public Health (DPH) identified assessments or surveys.
B) Contractees will annually conduct public health preparedness exercises and revise and update public health
preparedness plans based on completed Exercise After Action Reports.
C) Competency-based education of public health workers, clinicians, and others critical to public health
preparedness should be planned and implemented based on needs identified through assessments and/or
evaluations of performance. Contractees are required to continue to support preparedness education and
training activities needed to successfully achieve targeted outcomes and preparedness goals.
2) Delivery of public health services to citizens by qualified health professionals in a manner that is family centered,
culturally competent, and consistent with the best practices; and delivery of public health programs for communities for
the improvement of health status.
A) Contractees must support public health response functions in the context of National Incident Management
System. In accordance with HSPD-5, NIMS provides a consistent approach for federal, state, tribal and
local governments to work effectively and efficiently together to prepare for, prevent, respond to, and
recover from domestic incidents, regardless of cause, size, or complexity. As a condition of receiving
Public Health Emergency Preparedness cooperative agreement funds, Contractees agree to adopt and
implement NIMS. In accordance with the eligibility and allowable uses ofthe cooperative agreement,
Contractees are encouraged to direct FY 2006 funding towards activities necessary to implement NIMS.
3) Record keeping for individual focused services that assures documentation and tracking of client health care needs,
response to known health care problems on a timely basis, and confidentiality of client information.
A) There are no separate sub-criterion to this Quality Criteria Category.
4) Information, education, and outreach programs intended to address known health risks in the general and certain target
populations to encourage appropriate decision making by those at risk and to affect policy and environmental changes at
the community level.
A) Contractees will regularly present to the media, public partners and other stakeholders information on their
agency or consortium and the Public Health Preparedness Program in coordination with DPH program
staff.
5) Coordination with related programs to assure that identified public health needs are addressed in a comprehensive, cost-
effective manner across programs and throughout the community.
A) Contractees will utilize the Public Health Information Network (PHIN) and the Health Alert Network
(HAN) as appropriate, to include at minimum the Health Officer/Tribal Health Director, as these systems
develop.
B) Contractees will coordinate with other preparedness programs by participating in state, regional, tribal, and
local public health preparedness meetings.
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Contract #: 15785
Contract Agreement Addendum: Exhibit I
Agency: Oshkosh Health Department
Contract Year: 2008
C) Contractees will contribute to the development of a statewide system for public health emergency response
that is coordinated, consistent and efficient.
D) Contractees will demonstrate involvement in setting statewide goals, strategic direction, and priorities for
the state public health preparedness program.
E) Contracteees will assure the ability for the general public to be able to contact the local public health
department/tribal agency 24 hours a day, 7 days a week.
6) A referral network sufficient to assure the accessibility and timely provision of services to address identified public
health care needs.
A) There are no separate sub-criterion to this Quality Criteria Category.
7) Provision of guidance to staff through program and policy manuals and other means sufficient to assure quality health
care and cost-effective program administration.
A) There are no separate sub-criterion to this Quality Criteria Category.
8) Financial management practices sufficient to assure accurate eligibility determination, appropriate use of state and
federal funds, promp( and accurate billing and payment for services provided and purchased, accurate expenditure
reporting, and, when required, pursuit of third-party insurance and Medical Assistance Program coverage of services
provided.
A) There are no separate sub-criterion to this Quality Criteria Category.
9) Data collection, analysis, and reporting to assure program outcome goals are met or to identify program management
problems that need to be addressed.
A) There are no separate sub-criterion to this Quality Criteria Category.
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f
Contract Agreement Addendum: Exhibit II
Program Objectives
(A) Contract Funds, Program/Objective Values, and Other Contract Details
(B) Objective Details
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Contract #: 15785
Contract Agreement Addendum: Exhibit I1(A)
Agency: Oshkosh Health Department
Contract Year: 2008
Contract Source of Funds
Source
Program
Amount
I Contract Amount I
$21,442
Oshkosh
Preparedness - Pandemic Influenza
$21,442
Contract Match Requirements
Program
Amount
Preparedness - Pandemic
Influenza
$0
Program Sub-Contracts
Program
Sub-Contractee
Sub-Contract Amount
Preparedness - Pandemic None Reported
Influenza
$0
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I'
Contract #: 15785
Contract Agreement Addendum: Exhibit II(A)
Agency: Oshkosh Health Department
Contract Year: 2008
Preparedness - Pandemic Influenza
Program Total Value $21,442
By July 31, 2008, City of Oshkosh Health Services Division will support pandemic influenza readiness by
completing activities defined in the guidance from the Centers for Disease Control (CDC).
$21,442
Total of Contract Objective Values
$21,442
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't'/
Contract Agreement Addendum: Exhibit II(B)
Contract #: 15785 Agency: Oshkosh Health Department
Program: Public Health Preparedness - Pandemic Objective #: 1 of 1
Influenza
Contract Year: 2008
Objective Value: $21,442
Objective: Primary Details
Objective Statement
By July 3 I, 2008, City of Oshkosh Health Services Division will support pandemic influenza readiness by completing activities
defined in the guidance from.the Centers for Disease Control (CDe).
Deliverable Due Date: 08/31/2008
Contract Deliverable (Evidence)
A final report which documents the completion ofCDC defined requirements for pandemic influenza.
Programs Providing Funds for this Objective
Public Health Preparedness - Pandemic Influenza: $21,442
Agency Funds for this Objective:
Data Source for Measurement
Agency records
Baseline for Measurement
This objective builds on prior year efforts for continued planning with local and regional partners to respond to pandemic influenza.
Context
To assure continuity of services, this contract must be negotiated before Wisconsin receives grant guidance which will require
specific activities. It is expected that there will be requirements related to exercising and target populations. Upon receiving
guidance, the Division of Public Health will work collaboratively with representatives from local agencies to define requirements
for this objective.
Input Activities
Objective: Risk Profile
100% I
Corresponding Percentage Recoupment
I I I I I I
Corresponding Potential RecoupmentAmounts
I I I I I I
[~
L~
Definition of Percent Accomplished
=::J
Conditions of Eligibility for an Incentive
I
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