state of mississippi phil bryant, governor mississippi department … · 2017-08-01 · state of...

STATE OF MISSISSIPPI Phil Bryant, Governor

MISSISSIPPI DEPARTMENT OF CHILD PROTECTION SERVICES Dr. David A. Chandler, Commissioner

P. O. Box 346 ∙ 660 North Street ∙ Jackson, Mississippi 39205 Phone (601) 359-4368 ∙ Email: [email protected]

www.mdcps.ms.gov

Ms. Catoria Martin, Director

Personal Service Contract Review Board (PSCRB)

Mississippi State Personnel Board

210 East Capitol Street, Suite 800

Jackson, MS 39201

Dear Ms. Martin:

This letter is to provide PSCRB the information as outlined in PSCRB Rules and Regulations

Effective 7.1.16, Section 7-119 DHS or DCPS Personal Service Contracts.

CONTRACTOR: Hope Village for Children, Inc.

CONTRACT TERM: March 1, 2016 through February 28, 2018

MODIFICATION: August 15, 2017

METHOD OF PROCUREMENT: RFP

TOTAL COST OF CONTRACT: $2,942,874.70

PURPOSE OF CONTRACT: This vendor provides Comprehensive Therapeutic Care

Group Home Services to children placed in legal custody of the MS Department of Child

Protection Services.

STATEMENT OF USEFULNESS FOR ESTABLISHING AND OPERATING DCPS:

N/A

COPY OF PROPOSED CONTRACTUAL AGREEMENT: ATTACHED

If there are any questions, please contact me at (601) 359-4495.

Sincerely,

David A. Chandler

DAC:BL:jb

Attachment

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http://www.mdcps.ms.gov/

MODIFICATION #3

CONTRACT

AGREEMENT


PSCM-009-01

March 2017

1

MODIFICATION NUMBER 3

TO THE AGREEMENT BY AND BETWEEN

MISSISSIPPI DEPARTMENT OF CHILD PROTECTION SERVICES

AND

HOPE VILLAGE FOR CHILDREN, INC.

The following Amendment, effective August 15, 2017 is made a part of the contract, dated

February, 24, 2016 entered into by and between the Mississippi Department of Child Protection

Services and Hope Village for Children, Inc.

Now, therefore, in consideration of the mutual agreements to modify the original contract

between them, MDCPS and “Independent Contractor”, do hereby agree that Paragraph 5 of said

contract shall be modified to reflect the following:

5. Consideration and Method of Payment.

A. As consideration of all services and performances under this Contract,

Independent Contractor shall be paid a fee not to exceed One Million One Hundred Twenty Four

Thousand Seven Hundred Seventy Dollars and Eighty Six Cents ($1,124,770.86) for all products,

services, salaries, travel, performances, costs, and expenses of whatever kind and nature of this

Contract. Modification #1 increased by Three Hundred Ninety Thousand Eight Hundred Fifty

Three Dollars and Eighty Four Cents ($390,853.84). Modification #2 increased by Two Million

Four Hundred Twenty Seven Thousand Two Hundred Fifty Dollars and Zero Cents

($2,427,250.00). Modification #3 decreased by One Million Dollars and Zero Cents

($1,000,000.00). It is expressly understood and agreed that in no event will the total compensation

paid hereunder exceed the specified amount Two Million Nine Hundred Forty Two Thousand Eight

Hundred Seventy Four Dollars and Seventy Cents ($2,942,874.70). (Exhibit C-3)

B. The Independent Contractor will bill MDCPS for its services on a monthly

basis. Following the satisfactory completion, as determined by MDCPS, of its monthly services, the

State requires the Independent Contractor to submit invoices electronically throughout the term of

the agreement. Invoices shall be submitted to MDCPS using the processes and procedures identified

by the State. The appropriate documentation shall be submitted on the last working day of the month,

with the final invoice to be submitted within five (5) working days after the contract ending date.

PAYMODE: Payments by state agencies using the Mississippi’s Accountability System

For Government Information and Collaboration (MAGIC) shall be made and remittance information

provided electronically as directed by the State. These payments shall be deposited into the bank

account of the Independent Contractor’s choice. The State may, at its sole discretion, require the

Independent Contractor to submit invoices and supporting documentation electronically, at any time,

during the term of this Agreement. Independent Contractor understands and agrees that the State is

exempt from the payment of taxes. All payments shall be in United States currency.


PSCM-009-01

March 2017

2

All other terms, conditions, and provisions set out in the original contract other than those

modified and amended, which are not in conflict with this Modification Number 3, shall remain in

full force and effect for the duration of the contract.

IN WITNESS WHEREOF, the parties have executed this Modification Number 3, in duplicate, on

the date appearing with their respective signature below.

MISSISSIPPI DEPARTMENT OF CHILD HOPE VILLAGE FOR CHILDREN

PROTECTION SERVICES

By: ________________________________

By: ________________________________

Authorized Signature Authorized Signature

Printed Name: Dr. David A. Chandler

Printed Name: Tina Aycock

Title: Commissioner

Title: Executive Director

Date: ______________________________

Date: _______________________________


EXHIBIT C-3

BUDGET


Exhibit C-3, Budge Narrative

BUDGET FOR HOPE VILLAGE FOR CHILDREN, INC.

March 1, 2017 – February 28, 2018

Budget Narrative

The budget is based on the child’s placement type, at a per diem rate, per therapeutic child per

day. All other children placed with the therapeutic child will receive a per diem rate of $45.79

per day.

Therapeutic resource/group homes will only receive the therapeutic rate for those children

with a therapeutic designation; all others will receive a per diem rate of $45.79 per day.

Therefore, if a sibling does not have a therapeutic designation and is placed in the therapeutic

home with a sister/brother who has a therapeutic designation in order to place the siblings in

the same home, the therapeutic resource/group home will receive the therapeutic rate for only

one of the children in the sibling group. If a child is placed with a foster teen parent, the

therapeutic rate will only be received for the parent, unless the child has a therapeutic

designation. (MDCPS Policy Section D/Resource Board Payment Schedule, pages 137-138)

The facility shall have the flexibility to transfer funds for the payment type for therapeutic and

sibling placements based on the needs of the agency at any given time during the contract period, as

long as it does not exceed the total amount budgeted for the contract.

The total amount of this Contract will not exceed Two Million Nine Hundred Forty Two

Thousand Eight Hundred Seventy Four Dollars and Seventy Cents ($2,942,874.70).


E-Verify


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FEDERAL

DEBARMENT

VERIFICATION


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CERTIFICATE

OF

INSURANCE


07/17/2017

The Insurance Center

of Meridian, LLC

P. O. Box 1351

Meridian MS 39302-1351

(601) 693-4405

Arch Insurance Company

Stonetrust Insurance CompanyHope Village for Children, Inc.

P.O. Box 26

Meridian MS 39302-

Hope Village for Children

Fran Aycock

[email protected]

(601) 693-0545

X

X

01-LX-066416200-1A 03/01/2017 03/01/2018 1,000,000

100,000

5,000

1,000,000

3,000,000

3,000,000

X

X

X X

01-CA-069968310-0A 03/01/2017 03/01/2018 1,000,000

WCV0086515-04B 05/17/2017 05/17/2018 X

1,000,000

1,000,000

1,000,000

Commercial Crime - Employee Theft 01-LX-066416200-1A 03/01/2017 03/01/2018 $1,000,000 $500 Ded.

HOPE VILLAGE FOR CHILDREN, INC. IS COVERED FOR EMPLOYEE USE OF BOTH COMPANY OWNED VEHICLES AND VEHICLES OWNED BY THE EMPLOYEES WHILE BEING USED IN THE COURSE OF BUSINESS FOR THE LIMITS SHOWN ABOVE.

AI 049930

Jackson MS -

MS Department of Child Protection

ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED?

INSR ADDL SUBRLTR INSR WVD

DATE (MM/DD/YYYY)

PRODUCER CONTACTNAME:

FAXPHONE(A/C, No):(A/C, No, Ext):

E-MAILADDRESS:

INSURER A :

INSURED INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

POLICY NUMBERPOLICY EFF POLICY EXP

TYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)

GENERAL LIABILITY

AUTOMOBILE LIABILITY

UMBRELLA LIAB

EXCESS LIAB

WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)

AUTHORIZED REPRESENTATIVE

EACH OCCURRENCE $DAMAGE TO RENTED

COMMERCIAL GENERAL LIABILITY $PREMISES (Ea occurrence)

CLAIMS-MADE OCCUR MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GENERAL AGGREGATE $

GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $

$PRO-POLICY LOCJECT

COMBINED SINGLE LIMIT$(Ea accident)

BODILY INJURY (Per person) $ANY AUTO

ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS AUTOS

HIRED AUTOSNON-OWNED PROPERTY DAMAGE $AUTOS (Per accident)

$

OCCUR EACH OCCURRENCE $

CLAIMS-MADE AGGREGATE $

DED RETENTION $ $

WC STATU- OTH-TORY LIMITS ER

E.L. EACH ACCIDENT $

E.L. DISEASE - EA EMPLOYEE $If yes, describe under

E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below

INSURER(S) AFFORDING COVERAGE NAIC #

Y / N

N / A

(Mandatory in NH)

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject tothe terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to thecertificate holder in lieu of such endorsement(s).

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

CERTIFICATE HOLDER CANCELLATION

© 1988-2010 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORDACORD 25 (2010/05)

CERTIFICATE OF LIABILITY INSURANCE

W9

FORM


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ORIGINAL

CONTRACT

AGREEMENT


state of mississippi phil bryant, governor mississippi department … · 2017-08-01 · state of...

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