HomeMy WebLinkAboutMOU Walter Strom KCPHKittitas County
Review Form
Grants & Contract Agreement fr33151
Today's Date Agenda Date LR )1 Ill(?
05/17/2016
Fund/Department
116-Public Health
Contract/Grant Information
Contract /Grant Agency: MOU between Kittitas County and Walter Strom Middle School
Period Begin Date: June 1, 2016 I I Period End Date: December 31,2019
Total Grant/Contract Amount: None
Grant/Contract Number:
Contract/Grant Summary:
Memorandum of Understanding is established for utilization by Kittitas County Public Health of the
premises of Walter Strom Middle School (Community Point of Distribution) in Kittitas County for the
distribution of medical countermeasure materials during an emergency, disaster, or matters of general
concern to the public.
Recommendation for Board of Health and Board of Health Review on
Department Head Signatu~ ,Administrator Date: (£ '( {r to
Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment:
APPROVED AS TO FORM : aJ
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? Yes 0 attach budget form No D Why not
New Division Created?
Revenue Code
Pass Through Information
Agency to Pass Through
Amount to Pass Through $
Sub-Contract Approved Date:
Prosecutor Review
I Has the Prosecutor reviewed this agreement? IvesDNoD
County Departments Impacted
Auditor Facilities Maintenance
Information Services Human Resource
Prosecutor Treasurer
Submitted
I Signature:
Department:
I Date:
Assignment of Tracking Information
Auditor's Office
Human Resource
Prosecutor's Office
Who Signed the grant application
I Reviewer I Date
Grant/Contract Review Page 2
• Kittitas County
~_~ Department
To Protect and Promote the Health and the Environment of the People of Kittitas County
Memorandum of Understanding
This memorandum of Understanding is between Kittitas County Public Health Department
located at 507 N Nanum St., Suite #102 Ellensburg, WA 98926, hereinafter referred to as
"KCPHD"
And
Walter Strom Middle School (Cle Elum Roslyn School District -CERSD) located at 2694 SR
903. Cle Elum. WA 98922. hereinafter referred to as the "Community Point of Distribution."
THE PURPOSE OF THIS MEMORANDUM OF UNDERSTANDING is to establish an agreement
for utilization by KCPHD of the premises of Community Point of Distribution in Kittitas
County for the distribution of medical countermeasure materials as described herein.
SCOPE OF SERVICES: Community Point of Distribution will act as a point of distribution
(POD) for Kittitas County public health emergencies, disasters, or matters of general
concern to the public.
RESONSIBILITIES OF KCPHD include the following:
1. Provide medical countermeasures materials, including but not limited to:
a. Certain pharmaceuticals, vaccines, and/or medical supplies.
2. Provide trained and credentialed staff and volunteers.
3. Coordinate with the Kittitas County Sheriffs Office for any needed security.
4. Ensure cleanliness after using Community Point of Distribution's premises,
proper disposal of garbage and that area is secured prior to completion of use of
Community Point of Distribution's premises as a point of distribution.
5. Provide for Administrator or designee under incident command system to serve
as a designated administrator for KCPHD performance under this memorandum of
understanding.
RESPONSIBILITIES OF COMMUNITY POINT OF DISTRIBUTION include the
following:
507 N. Nanum Street, St. 102 . Ellensburg, WA 98926
RECEIVED
JUN 29 2016
T: 5°9.96 2.75 15 . F: 5°9.962 .75 81 ~B~Y~:=====iJ=~::J
www .co .ki tt itas .wa .us/hea lth/ -
• Kittitas County
~_~ Department
To Protect and Promote the Health and the Environment of the People of Kittitas County
1. Ensure identified premises (parking areas) are available, at no charge, to KCPHD,
for distribution of medical countermeasure materials.
2. Maintain confidentiality of any KCPHD information.
TERM OF AGREEMENT: The term of this Memorandum of Understanding shall commence
on June 1. 2016 and continue until December 31. 2019. unless terminated earlier.
TERMINATION: Either party may terminate this Memorandum of Understanding by giving
thirty (30) days notice in writing either personally delivered or mailed postage-prepaid by
certified mail, return receipt requested, to the party's address as indicated above.
INDEMNIFICATION: Both parties agree 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.
VENUE OF CHOICE OF LAW: In the event that any litigation should arise concerning the
construction or interpretation of any of the terms of this Memorandum of Understanding,
the venue of such action of litigation shall be in the Superior Court of the State of
Washington in and for the County of Kittitas. This Agreement shall be governed by the law
of the State of Washington.
BOTH KCPHD and COMMUNITY POINT OF DISTRIBUTION 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 KCPHD and COMMUNITY POINT OF DISTRIBUTION shall comply with all applicable
local, state, and federal laws.
BOTH KCPHD and COMMUNITY POINT OF DISTRIBUTION 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:
507 N. Nanum Street, St. 102 . Ellensburg, WA 98926
T: 5°9.962.7515 . F: 5°9 .962.7581
www.co.kittitas .wa.us/healt h/
• Kittitas County
Department
To Protect and Promote the Healt h and the Environment of the People of Kittitas County
Kittitas County Public Health Department
Date
507 N. Nanum Street, St. 102 . Ellensburg, WA 98926
T: 5°9.962.7515 . F: 5°9 .962 .7581
ww w .co.kittitas.wa.us/health/