Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutC11-063 Eagle Care Medical Clinic Grant Agreement alo
ALE COUNTY
GRANT RECIPIENT AGREEMENT BETWEEN
EAGLE COUNTY AND EAGLE CARE MEDICAL CLINIC
Grant Recipient: Eagle Care Medical Clinic
Grant Amount: $10,000
Grant Period: January 1, 2011 — December 31, 2011
•
Whereas, Eagle County works to promote the health, safety, and welfare of Eagle County citizens of all
ages; and
Whereas, among the services Eagle County provides in order to promote such health, safety, and welfare
are grants -in -aid to local organizations whose work assists the County in accomplishment of the goal to
create and sustain a safe, healthy, and socially diverse community; and
Whereas, Eagle Care Medical Clinic (hereinafter referred to as "Grant Recipient ") has agreed to provide
services that create and sustain a healthy and socially diverse community in Eagle County; and
Whereas, Grant Recipient acknowledges that pursuant to the terms of C.R.S. § 24- 76.5 -101, et seq., Eagle
County is prohibited from providing certain public benefits to illegal aliens over the age of eighteen and
by signing below, Grant Recipient affirms its compliance with the requirements of C.R.S. § 24- 76.5 -101,
et. seq.
Now, therefore, in consideration of the foregoing premises and the following promises, Eagle County and
Grant Recipient enter into this Agreement for payment of the grant award in the amount of Ten Thousand
Dollars ($10,000) to Grant Recipient.
A. Grant Recipient agrees that funds awarded by Eagle County may be used and expended solely for
The Women's Health Program within the agency as specified in Exhibit A Grant Application Budget
Section. All funds will be expended in the specified grant period.
B. In return for the award of the $10,000 grant, Grant Recipient agrees to submit a report discussing
how the funds were expended, deliverables as outlined in this contract, and how they tie back to creating
and sustaining a healthy and socially diverse community. The report will be due no later than June 30,
2011.
C. Payment of the Grant Amount will be made in two separate installments. The first payment in the
amount of Five Thousand Dollars ($5,000) will be paid to Grant Recipient upon the execution of this
Grant Recipient Agreement by both parties. The second payment in the amount of Five Thousand Dollars
($5,000) will be paid to Grant Recipient after Eagle County's receipt of a properly submitted report as
required by Paragraph B of this Agreement.
I f -0 (P/1)
D. Grant funds under this agreement are to be used and expended within the Grant Period. Any
funds not used or expended during the Grant Period must be returned to Eagle County.
E. If, after payment of the Grant Award, Eagle County reasonably determines that payment was
improper because the purposes for which the payment was made were misrepresented, or the terms of this
Agreement were breached, then upon written notice of such determination and request for reimbursement
from Eagle County, Grant Recipient shall forthwith return such payment to Eagle County.
F. In the event of litigation in connection with this Agreement, the prevailing party shall be entitled
to recover all reasonable costs incurred, including attorney fees, costs, staff time and other claim related
expenses.
G. Grant Recipient shall comply at all times and in all respects with all applicable federal, state and
local laws, resolutions and codes; and specifically, with the requirements of the Civil Rights Act of 1964
and Section 504, Rehabilitation Act of 1973, concerning discrimination on the basis of race, color, sex,
age, religion, political beliefs, national origin or handicap.
H. Grant Recipient shall not assign any of its rights or duties under this Grant Agreement to a third
party without the prior written consent of County. County shall terminate this Grant Agreement in the
event of any assignment without its prior written consent, in which case, any unused Grant Funds must be
returned to County.
I. Grant Recipient agrees that no agent, employee or volunteer of Grant Recipient shall be deemed
an agent, employee or volunteer of County.
J. Grant Recipient shall maintain, for a minimum of three (3) years, adequate financial and
programmatic records for reporting to County on performance of its responsibilities hereunder. Grant
Recipient shall be subject to financial audit by federal, state or county auditors or their designees. Grant
Recipient authorizes County to perform audits or to make inspections during normal business hours, upon
48 hours notice to Grant Recipient for the purpose of evaluating performance under this Grant
Agreement. Grant Recipient shall cooperate fully with authorized Health and Human Services
representatives in the observation and evaluation of the program and records. Grant Recipient shall have
the right to dispute any claims of misuse of funds and seek an amicable resolution with County.
K. This Agreement shall be governed by the laws of the State of Colorado. Jurisdiction and venue
for any suit, right or cause of action arising under, or in connection with this Agreement shall be exclusive
in Eagle County, Colorado.
L. This Grant Agreement supersedes all previous communications, negotiations, and/or agreements
between the respective parties hereto, either verbal, or written, and the same not expressly contained
herein are hereby withdrawn and annulled.
M. This Grant Agreement does not, and shall not be deemed or construed to confer upon or grant to
any third party or parties any right to claim damages or to bring any suit, action or other proceeding
against either Grant Recipient or County because of any breach hereof or because of any of the terms,
covenants, agreements and conditions contained herein.
N. Invalidity or unenforceability of any provision of this Grant Agreement shall not affect the other
provisions hereof, and this Grant Agreement shall be construed as if such invalid or unenforceable
provision was omitted.
2
O. Grant recipient agrees to the following:
(a) Mandatory Reporting. Grant Recipient shall notify Health and Human Services
( "HHS ") immediately of all reports of suspected child abuse or neglect involving Grant
Recipient, including, but not limited to, employees, volunteers and clients. HHS partners
are considered to be mandatory reporters for suspected child abuse and neglect and are to
make those reports directly to HHS Children and Family Services - (970) 328 -8840.
P. Grant Recipient certifies that it has read the Agreement, understands each and every term and the
requirements set forth herein, and agrees to comply with the same.
Funds will not be disbursed without a signed Grant Recipient Agreement. Please complete this
page and return to the Eagle County Department of Health and Human Services.
An dre , , ahlf alteete a°
Name Signature
•
Y. Se ,,, /I/e1''J/7 JT r vices
/.57I/
Title Date
Ivy ''b d ©o
Mailing Address
V/, Co PL s7
City, State, Zip
COUNTY OF EAGLE, STATE OF
COLORADO
By and through the County Manager
By:
'eith P. Montag, County M' ager
3
EXHIBIT
X. F
Part IV: Your Budget
Total Amount Requested: $ 10,000
Percentage of Total Organizational Budget 2009 -10: .491 % 2010 -11: .454
Percentage of Total Project Budget 2010 -11: 2.77
Attach copies of your expenditure and revenue budgets for 2010 (if applicable) and 2011.
If you have several programs with independent funding sources, please explain.
Attached is the overall 2009 -10 budget for Eagle Care Medical Clinic (which is a division of VVMC Diversified Services) as well as
a preliminary 2010 -11 budget. Please note the 2010 -11 budget is not yet finalized; it is in the final stages of preparation in
advance of the new fiscal year that begins November 1, 2010.
Below is the anticipated project budget. It should be noted ECMC /VVMC writes off nearly 50 percent of the costs associated
with this program.
Percent
Type of Service Funding Source Budget Amount of Total
Women's Wellness Health Services (ages 40 +)
(July 1, 2010 June 30, 2011) Women's Wellness Connection $ 40,000 11.1
Breast Health Services (any age) Aspen Affiliate
(April 1, 2010 -March 31, 2011) Susan G. Komen Foundation $ 54,286 15.1
Pathology Local and regional grants plus
(August 1, 2010 -July 31, 2011) • unrestricted funding $ 35,000 9.7
Women's Health Services User Fees $ 103 /visit **
(not covered by other grants)* Estimated for 575 patients $ 59,225 16.4
Breast Health Services VVMC and Komen partners
(not covered by Komen grant) (Pathology Associates, $ 171,582 46.7
Mountain Surgical Associates)
TOTAL $ 360,093 100
* Patients are asked to pay what they can, but it is not a requirement of service at Eagle Care Medical Clinic.
** Average Cost /Patient, less the amount for pathology)
A. Long -term sources /strategies for sustaining the effort past the 2010 grant year:
Eagle Care Medical Clinic seeks grant funding at national, state, regional and local levels. We match our mission and funding
needs with those of granting organizations interested in supporting health care for the medically indigent, with a general
focus on core services often neglected by low- income individuals. We also adjust our requests based on current needs
within our organization. As an example, we received a significantly reduced amount from United Way in its 2009 -10 and
2010 -11 grant cycles compared to 2008 -09 and previous years due to the sizeable drop in donations to United Way.
Accordingly, we have shifted our requests to two of our funding partners to try to offset that loss to our Women's Health
Program. We also are aware that funding priorities can and do change for granting organizations, and we, in turn, must
adapt accordingly.
Eagle Care Medical Clinic
2011 Eagle County Community Service Grant Application
Page 6 of 7
B. Other community partnerships and local /regional funding sources your organization utilizes:
Eagle Care Medical Clinic
Grant Income
ECMC Fiscal Year is November 1 through October 31
2009 -10 2010 -11
Granting Organization Grant Purpose Amount Amount
Cordillera Motorcycle Foundation Women's Health 5,000 2,500
Slifer Smith & Frampton Real Estate Women's Health 1,000 Pending
Susan G. Komen for the Cure Breast Health 61,942 54,286
United Way of Eagle River Valley Women's Health 5,000 6,000
State of Colorado
Women's Wellness Connection Women's Health 47,916 40,000
Eagle County — Community Service Women's Health 0 Pending
Subtotal Women's Health 120,858 102,786
State of Colorado — Primary Care Fund Unrestricted 142,971 38,972
Eagle County — Bright Start Community Service Pediatric Oral Health 11,050 N/A
American Association of Pediatrics (AAP) Pediatric Oral Health 0 1,000
Vail Valley Cares Medication Assistance 13,000 13,000
Private Donors and Foundations Restricted 16, 992 TBD
TOTAL 304,691 155,758
C. What other government funding (either from Eagle County or other counties /towns) are you receiving for this project?
None specific to this program. The only other source of government funding is that received via the State of Colorado.
D. How many times has Community Service Grant funding been awarded to your organization and how many times for this
specific project?
2008 - $10,000 for Transportation Services
2009 - $10,000 for Transportation Services
2009 - $11,050 Bright Start Community Service Grant for Pediatric Oral Health
Total - $31,050
All funding decisions made by the Board of County Commissioners are considered to be final.
Eagle Care Medical Clinic
2011 Eagle County Community Service Grant Application
Page 7 of 7