PSA between Kittitas County Public Health and Comm Health of Central WA

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LHJ staff assigned to perfonn activities under tasks I, 2, and 3 must be trained and approved by ODW prior to perfonning work. See special instructions under Task 4, below. Special Billing Requirements The LHJ sball submit quarterly invoices within 30 days following the end of the quarter in which work was completed, noting on the invoice the quarter and year being billed for. Payment cannot exceed a maximum accumulative fee of $5,600 for Task 1, and $4,000 for Task 2, Task 3 and Task 4 combined during the contracting period, to be paid at the rates specified in the Payment Method/Amount section above. When invoici ne. fo r sanitarv surve\l5.. bill hafflo BARS Revenue Cod e 340 '6.64 and hairEo BARS Revenue Code 346.26.65. When invoicing for Task 4, submit receipts and the signed pre-authorization form for non-employee travel to the ODW Program Contact below and a signed A 19-1 A Invoice Voucher to the DOH Consolidated Contracts Office, billing to BARS Revenue Code 346.26.66 under Technical Assistance (TA). Special Instructions Task 1 Trained LHJ staff will evaluate the water system for physical and operational deficiencies and prepare a Final Sanitary Survey Report which has been accepted by ODW. Detailed guidance is provided in the Field Guidejor Sanitary Surveys, Special Purpose Investigations and Technical Assistance (Field Guide). The sanitary survey will include an evaluation of the following eight elements: source; treatment; distribution system; finished water storage; pumps, pump facilities and controls; monitoring, reporting and data verification; system management and operation; and certified operator compliance. If a system is more complex than anticipated or other significant issues arise, the LHJ may request ODW assistance. • No more than 4 surveys of non-commWlity systems with three or fewer connections to be completed between January 1, 2015 and December 3 I, 2015. • No more than 5 surveys of non-community systems with four or more connections and all community systems to be completed between January 1,2015 and December 31,2015. The process for assignment of surveys to the LHJ, notification of the water system, and ODW follow-up with unresponsive water systems; and other roles and responsibilities of the LHJ are described in the Field Guide. Task 2 Trained LHJ staffwiII perfonn Special Purpose Investigations (SPIs) as assigned by ODW. SPls are inspections to detennine the cause of positive colifonn samples or the cause of other emergency conditions. SPIs may also include sanitary surveys of newly discovered Group A water systems. Additional detail about conducting SPJs is described in the Field Guide. The ODW Regional Office must authorize in advance any SPI conducted by LHJ staff. Task 3 Trained LHJ staffwill conduct Technical assistance as assigned by ODW. Technical Assistance includes assisting water system personnel in completing work that has been required, requested, or advised by the ODW to meet applicable drinking water regulations, and verifying that work that has been required, requested, or advised by the ODW to meet applicable drinking water regulations have been addressed. Examples of technical assistance activities are described in the Field Guide. The ODW Regional Office must authorize in advance any technical assistance provided by the LHJ to a water system. Task 4 LHJ staff assigned to perfonn activities under tasks 1,2, and 3 must be trained and approved by ODW prior to perfonning work. LHJ staffperfonning the activities WIder tasks 1, 2 and 3 must have completed, with a passing score, the ODW Online Sanitary Survey Training and the ODW Sanitary Survey Field Training. LHJ staffperfonning activities WIder tasks 1,2, and 3 must attend the Annual ODW Sanitary Survey Workshop, and are expected to attend the Regional ODW LHJ Drinking Water Meetings. Ifrequired trainings, workshops or meetings are not available or not scheduled, or if the LHJ staff person is unable to attend these activities prior to conducting assigned tasks, the LHJ staff person may, with ODW approval, substitute other training activities to be determined by ODW. Such substitute activities may include one-on-one training with ODW staff, co-surveys with ODW staff, or other activities as arranged and pre-approved by ODW. LHJ staff may not perfonn the activities under tasks 1,2, and 3 without completing the training that has been arranged and approved by ODW. Exhibit A, Statements of Work Page 12 of 19 Contract Number C171 14