Loading...
HomeMy WebLinkAboutMOU between CWU and KCPHDToday's Date 07/03/2017 Fund/Department 116 -Public Health Kittitas County Review Form Grants & Contract Agreement Agenda Date ` Lfi�_n�s.�u ryr r a 4 51610 Contract/Grant Information Contract /Grant Agency: MOU between Central Washington University and Kittitas County Public Health Period Begin Date: 06/30/2017 Total Grant/Contract Amount: None Grant/Contract Number: Period End Date: 06/30/2020 Contract/Grant Summary: The MOU between the State of Washington, Center for Leadership and Community Engagement of Central Washington University and Kittitas County Public Health Department is created to allow CWU the ability to provide registered service participants of the Center for Leadership & Community Engagement program to serve at the Kittitas County Public Health Department. Recommendation for Board of Health and Board of Health Review on Department Head Signature: Administrator Date: Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: APPROVED AS TO FORM: / Sign of Pro'secutor's O a Date Signa a ofauditor's Office Date Signature of Board of Health member Date Financial Information Total Amount $ Percentage County Funds State Funds $ Federal Funds $ Matching Funds $ CFDA# Grant/Contract Review Page 1 In -Kind $ Is Equipment being purchased? Who owns equipment? New Personnel being hired? Contact HR hiring — reportin Future impacts or liability to Kittitas County: Budget Information Budget Amendment Needed? New Division Created? fRevenue Code I Pass Through Information Yes ❑ attach budget form uirements No ❑ Why not Agency to Pass Through Auditor Amount to Pass Through $ Sub -Contract Approved Date: Prosecutor Review Has the Prosecutor reviewed this agreement? Yes El No County Departments Impacted Submitted Signature: Department: Assignment of Tracking Intormation Auditor's Office Human Resource Prosecutor's Office Who Signed the grant application Reviewer Date Grant/Contract Review Page 2 Auditor Facilities Maintenance Information Services Human Resource Prosecutor Treasurer Submitted Signature: Department: Assignment of Tracking Intormation Auditor's Office Human Resource Prosecutor's Office Who Signed the grant application Reviewer Date Grant/Contract Review Page 2 Central Washington University LEARN, D0, LIVE. 1179 — 2i 3 Center for Leadership & +fir Community Engagement Memorandum of Understanding This Memorandum of Understanding (MOU) made and entered into this 6/30/2017 at Ellensburg, County of Kittitas, State of Washington, by and between the State of Washington, Center for Leadership and Community Engagement (CLCE) of Central Washington University, hereafter referred to as CWU, and Kittitas County Public Health Department hereafter referred to as the Sponsor. CWU agrees to provide CLCE registered service participants with the opportunity to serve in the Sponsor's organization. Opportunities may be contingent upon resources available from the Sponsor. Through this agreement, both parties agree that these CWU service participants will become service providers of Sponsor and not of CWU. It is agreed that CWU service participants may be asked to perform a variety of service support for sponsor. This Agreement is effective beginning 6/30/2017 and will continue thereafter from year to year. This agreement will be reviewed no later than three years from its effective date, or earlier at the request of either party. In consideration of these services, notification and placement of service participants at the above named organization, the Sponsor agrees to the following responsibilities: 1. Register all CWU service participants as volunteers of Sponsor organization. 2. Purchase and keep in force a general liability policy with minimum coverage of 1,000,000.00 per occurrence. 3. When applicable and required by law, obtain written authorization from each CWU service participant registered with Sponsor and secure valid criminal history background information pursuant to the Child/Adult Abuse Information Act and RCW 43.43.830 through 43.43.845. 4. Provide Sponsor's orientation requirements for CWU service participants. All CWU service participants must satisfactorily complete orientation before commencing their duties. 5. Ensure that all registered CWU service participants have a safe working environment and that the CWU service participants are not exposed to any extreme hazards. 6. Demonstrate a level of professionalism consistent with CWU. 7. Provide supervision of all CWU service participants to include, but not limited to, the following: a Inform service participants of duties, which may vary from project to project and will be based on the current needs of the Sponsor and available funding. Duties are not limited to, but typically include: ■ Working in the Health Promotion, Community Health, Environmental Health, or Assessment divisions • Assisting with any activities within the department ■ Interaction with department staff and the general public • Attending staff and program meetings • Shadowing in the field ■ Assisting with front desk duties ■ Attending trainings and local events • Assisting with the collection and analysis of data • Promoting and supporting current activities of the department ■ Building and maintaining relationships with community partners • Conducting outreach for public health programs • Designing written materials Be a contact person between CWU service participants and CWU CLCE. Provide CWU service participants with the necessary instruction, feedback and learning opportunities. CWU shall not be held responsible if CWU service providers do not attend or perform as to the Sponsor's requirements. CWU requests that Sponsor provide CWU service providers with Labor & Industries Volunteer coverage under the Sponsors' account. If Sponsor does not provide such coverage to CWU service participants, it is the Sponsors' responsibility to notify all CWU service participants and CWU CLCE that such coverage will not be provided prior to the service experience. Each party to this MOU shall be responsible for its own acts or omissions and for those of its directors or trustees, officers, employees, agents, and volunteers. Neither party shall be responsible to the other party for the acts or omissions of persons or entities not a party to this Agreement. The performance of all or part of this MOU shall not operate to vest any employment rights whatsoever and shall not be deemed to guarantee any employment of the CWU service participant at the present time or in the future. This MOU has been executed by and on behalf of the parties hereto the day and year first above written. Sponsor's Phone and Email Contact Information Sponsor's Print Name Sponsor's Authorized Signature DATE Ila ,j- Jenna Hyatt DATE ti Interim Associate Dean Student Living V