HomeMy WebLinkAboutPSA between First United Methodist and Kittitas County Public HealthKittitas County /'Oki
Review Form
Grants & Contract Agreement
Today's Date Agenda Date
03/10/2016
Fund/Department
116 -Public Health
Contract/Grant Information
Contract /Grant Agency: MOU between First United Methodist Church and Kittitas County Public Health
Department.
Period Begin Date: 01/01/2015 Period End Date: 12/31/2017
L -
Total Grant/Contract Amount: N/A
Grant/Contract Number:
Contract/Grant Summary:
This MOU is between First United Methodist Church and Kittitas County Public Health Department to
establish an agreement of use of space for conducting harm reduction education, testing, counseling,
and supply distribution.
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:
Signature of Prosecutor's Office Date
Signature of Auditor's Office Date
Signature of Board of Health member Date
Financial Information
Total Amount $
State Funds $
Federal Funds $
Percentage County Funds
Matching Funds $
CFDA#
In -Kind $
Explain
Grant/Contract Review Page 1
Is Equipment being purchased? Who owns equipment?
New Personnel being hired? Contact HR hiring — reporting requirements
Future impacts or liability to Kittitas County:
Budget Information
Budget Amendment Needed?
New Division Created?
Revenue Code
Pass Through Information
Yes ❑ attach budget form No ❑x Why not
Agency to Pass Through
Amount to Pass Through $
Sub -Contract Approved Date:
Prosecutor Review
Has the Prosecutor reviewed this agreement? Yes ❑ No ❑
County Departments Impacted
Auditor Facilities Maintenance
Information Services Human Resource
Prosecutor Treasurer
Submitted _
Signature:
Department:
Assignment of Tracking Information
Auditor's Office
Human Resource
Prosecutor's Office
Who Signed the grant application
Reviewer Date
Grant/Contract Review Page 2
0
04Kittitas County
�, Public Health
Departmen.
To Protect and Promote the Health and the Environment of the People of Kittitas County
Memorandum of Understandin;
This Memorandum of Understanding is between First United Methodist Church, located at 210
N Ruby St, Ellensburg, WA 98926, hereinafter referred to as "Methodist Church,"
And
Kittitas County Public Health Department, located at 507 N Nanum St, Suite 102, Ellensburg,
WA 98926, hereinafter referred to as "KCPHD."
PURPOSE OF THIS MEMORANDUM OF UNDERSTANDING is to establish an agreement
of use of space for conducting harm reduction education, testing and counseling, and supply
distribution.
SCOPE OF SERVICES CONDUCTED include: harm reduction education, HIV and Hepatitis C
testing and counseling, clean syringe exchange and safe disposal of used needles, wound care
education, drug treatment referrals, opiate overdose prevention education, kits for opiate
overdose reversal, and other disease prevention measures, including condom distribution and
Hepatitis A and Hepatitis B vaccination referrals.
THE TERM OF THIS UNDERSTANDING begins on January 1, 2015 and ends upon 30 days
written notice by either party or on December 31, 2017.
RESPONSIBILITIES OF METHODIST CHURCH include the following:
1. Provide one key to KCPHD designated staff person for entrance to the designated space.
2. Ensure the designated space is reserved exclusively for KCPHD use. We plan to offer
services each Thursday from 12:30 to 3:00 pm.
3. Allow KCPHD to use Methodist Church furnishings that are currently housed in the
designated space.
4. Allow KCPHD to bring or install additional furnishings and equipment, such as brochure
rack, room partitions, fan, air conditioner, and other needed items, which will remain the
property of KCPHD.
5. Allow KCPHD to install land-based telephone service in the designated space, at no cost
to Methodist Church, if KCPHD finds this to be necessary.
6. Allow KCPHD staff access to building amenities, including restrooms, heat, and running
water.
RESPONSIBILITIES OF KCPHD include the following:
1. Ensure all utilities are turned off and building is secured before leaving.
2. Ensure cleanliness after using space and proper disposal of garbage.
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507 N. Nanum Street, St. 102 • Ellensburg, WA 98926
T: 5og.962.7515 - F: Sog.962.7581
www.co.kittitas.wa.us/health/
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Kittitas County
Public Health
Department
To Protect and Promote the Health and the Environment of the People of Kittitas County
3. Follow KCPHD disinfection procedures for surface areas which have come into contact
with any potential biomedical waste, and KCPHD procedures for proper disposal of any
biomedical waste, according to law.
4. Request permission from Methodist Church board members to change or expand hours, if
applicable.
5. Respect church property, grounds and members of the congregation.
INDEPENDENT CAPACITY: The employees or agents of each party who are engaged in the
performance of this Understanding shall continue to be employees or agents of that party, and
shall not be considered for any purpose to be employees or agents of the other party.
INDEMNIFICATION: Each party agrees to be responsible and assume liability for its own
wrongful and/or negligent acts or omissions or those of its officials, officers, agents, or
employees to the fullest extent required by law, and further agrees to save, indemnify, defend,
and hold the other party harmless from any such liability. It is further provided that no liability
shall attach to the County by reason of entering into this agreement except as expressly provided
herein.
BOTH Methodist Church and KCPHD agree to provide all necessary documentation in the
defense of a legal action brought against one or both parties to the Memorandum of
Understanding.
BOTH Methodist Church and KCPHD shall comply with all applicable laws of local, state, and
federal governments.
BOTH Methodist Church and KCPHD shall not discriminate against any client, patient, or use of
service because of race, color, sex, religion, national origin, creed, marital status, age, Vietnam
era or disabled veteran status, or the presence of any sensory, mental, or physical handicap.
THIS MEMORANDUM OF UNDERSTANDING is hereby acknowledged:
Methodist Church
Kittitas County Public Health Department
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Date
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507 N. Nanum Street, St. io2 • Ellensburg, WA 98926
T: 509.962.75'5 • F: 5og.962.758i
www.co,kittitas.wa.us/health/