HomeMy WebLinkAboutAgreement public healthCONTRACT FOR SERVICES
Between
Benton-Franklin Health District
And
Kittitas County Public Health
This agreement is made and entered into between the Benton-Franklin Health District hereinafter referred to
as the "District" and the Kittitas County Public Health hereinafter referred to as "Contractor''.
Effective Dates: 7/1/18 -6/30/19
Organizational Contact Information
Benton-Franklin Health District Phone: (509) 460-4200
7102 W. Okanogan Place Fax: (509) 460-4590
Kennewick, WA 99336
Responsibility Contact Name 1 Phone Fax Email
Administrator/Signature
Authority Jason Zaccaria 509 -460-4567 509-460-4590 Jasonz®bfhd. wa. aov
Contracts Manager Bonnie Hall 509-460-4553 509-460-4590 Bonnieh®bfhd.wa.aov
Program Supervisor Carla Prock 509-460-4225 509-460-4515 Carlao®bfhd.wa.aov
Program Support Vanessa
Specialist Mccollum 509-460-4258 509-460-4590 Vanessam®bfhd. wa .aov
Accounts Payable Jared Strait 509-460-4556 509-460-4590 Jareds®bfhd. wa.aov
Kittitas County Public Health
507 N. Nanum, Suite 102 Phone: 509-962-7575
Ellensburg, WA 98926 Fax: 509-962-7518
Responsibility Contact Name Phone Email
Administrator/Signature Robin Read 509-962-7515 Robin.read(@co.kittitas.wa.us Authority
EHS Supervisor/Acting Tristen Lamb 509-962-7005 Tristeh .Lamb@cb.Klttitas.Wa.us Signature Authority
Billing/Finance Tina Rowan 509-962-7583 tina.rowan(@co .kittitas.wa .us
Program contact Nea Alfaro 509-933-8399 nea.alfaro.@.co.kittitas.wa .11s
Kittitas County LHJ Tobacco contract 2019 Page 1
PURPOSE
The purpose of this agreement is to support efforts to reduce initiation and use of tobacco and vapor products
in the Greater Columbia Accountable Community of Health (GCACH) region through a comprehensive tobacco
control program focusing on policy, systems and environmental changes.
PERIOD OF PERFORMANCE
The period of performance of this Agreement shall commence July 1, 2018 and be completed by June 30,
2019 unless terminated or suspended sooner as provided for herein.
STATEMENT OF WORK
Contractor agrees to perform the following activities throughout the duration of this agreement.
• Coordinate and implement a policy ask related to SmokeNape Free Policy in your county in one or
more of the following areas: • Clean Air Fair
• Public Parks
• Public Housing
• College Campus
• Individual policies for local business owners/food establishments
• Continue to share updates regarding cessation resources with healthcare providers and community
partners.
• Incorporate TIPS Campaign into social medial postings and outreach events.
• Coordinate with local youth and/or adults to conduct Standardized Tobacco Assessment for Retailer
Settings (STARS) in local retail shops, or share data collected on previously conducted STARS
Assessments with decision-makers and stakeholders (optional).
• Submit monthly reports using the Monthly Reporting Template (Exhibit A) to the District's Program
Contact (page 1) by the 10th of each month.
• Be subject to periodic audits by BFHD administrative staff.
District agrees to provide the following support and activities throughout the duration of this agreement:
• Provide all reporting templates and links
• Provide technical assistance as needed
• Provide STARS training materials if needed
• Provide complied STARS assessment data to Contractor and the GCACH region.
• Provide voluntary policy materials for distribution to local businesses, food establishments and multi-
unit housing property owners.
REIMBURSEMENT
The District will reimburse Contractor for allowable expenses based on monthly invoices submitted by
Contractor to the District. Invoices must itemize specific hours and charges based on the budget previously
submitted, not to exceed $4,060 for goods and services provided during the period of performance. Any
charges based on an allocation method need to have an explanation for the basis of the cost approved by the
District in advance. Submit invoices be the 20th of the following month by email, fax or mail to the District's
contact listed on page 1 of this agreement.
In-kind services are not reimbursable expenses under this agreement.
Kittitas County LHJ Tobacco contract 2019 Page 2
FUNDING SOURCE
The funding for this contract comes from WA State Department of Health Youth Tobacco Vapor Products.
(Bars Revenue Code 334.04.93).
Funding for this contract must adhere to the following restrictions:
• Funds may only be used for evidence-based tobacco control interventions, strategies, and activities.
• Funds are generally not allowed to purchase furniture or equipment.
• Funds may not be used to provide direct cessation services or other direct services other than those
through the evidence-based quite line services.
• Funds may not be used to purchase nicotine replacement therapy or other products used for cessation .
• Funds may not be used to purchase K-12 school curricula .
BILLING INSTRUCTIONS
The Benton-Franklin Health District receives it's funding for this contract through a Department of Health
(DOH) grant. Because the District must adhere to specific requirements in order to access these funds, the
following billing and invoice requirements must be met by the Contractor in order to be reimbursed for services
performed under this contract:
• Payment must be based on reimbursement for allowable costs only.
• Itemized invoices must be received within 20 days of the close of the month in which services were
provided.
• Invoices must include expenditure object/category information for each program (i.e. salaries, benefits,
travel, equipment, goods and services, etc.). A summary sheet of expenditures by category must be
included along with a copy of a system-generated report (e.g. trial balance, expenditure report , general
ledger report) from your accounting system supporting the summary. Expenditure categories to be
included are :
o Salaries
o Benefits
o Equipment
o Supplies
o Travel
o Administrative/Indirect/Overhead
o Other
• Supporting documentation to be made available to the District upon request.
• Invoices can be sent electronically as a PDF attachment to an email (preferred method) to the Accounts
Payable contact listed on page one, or the original invoice with appropriate supporting documentation
can be mailed. If you choose to provide electronic copies of invoices, please retain the original signed
invoice in your files.
CONTRACTOR NOT AN EMPLOYEE OF THE DISTRICT
Contractor and its employees or agents performing under this contract are not employees or agents of the
District.
Kittitas County LHJ Tobacco contract 2019 Page 3
INDEMNIFICATION/ HOLD HARMLESS
Contractor shall indemnify and hold the District , its officers, officials, employees, and volunteers harmless from
any and all claims, injuries, damages, losses, or suits including attorney fees, arising from the acts, errors or
omissions of the Contractor in the performance of this Agreement, except for injuries and damages caused by
the sole negligence of the District.
INSURANCE
Contractor shall procure and maintain for the duration of this contract insurance against claims for injuries to
persons or damage to property that may arise from or in connection with the performance of the work
hereunder by the Contractor, its agents, representatives, or employees.
Workers' Compensation Coverage -Contractor shall procure and maintain coverage as required by the
Industrial Insurance laws of the State of Washington.
RIGHTS IN DATA
Data, which is delivered under this contract, are the District's property and shall be transferred fully to the
District with all rights to the license to publish , translate , reproduce, modify, deliver, dispose of, and to
authorize others to do so.
STATUTORY AND REGULATORY COMPLIANCE
Contractor shall comply with all applicable federal, state , and local laws , ordinances, rules, regulations,
guidelines and standards applicable to any service provided pursuant to this Agreement. Contractor agrees to
comply with the provisions of the Americans with Disabilities Act (ADA).
NONDISCRIMINATION
Contractor shall not discriminate against anyone in providing services under this Agreement on the grounds of
race, color, sex, religion, national origin, creed, marital status, age, Vietnam era or disabled veterans' status, or
the present of any sensory, mental or physical disability.
CULTURALLY AND LINGUISTICALLY APP ROPRIAT E
All project materials must be culturally and linguistically appropriate . For questions or assistance related to
culturally and linguistically appropriate material, contact the District's Program Supervisor listed on the first
page of this agreement.
CHANGES OR MODIFICATIONS
The District may, at any time, by written notification to Contractor, make changes within the general scope of
the services to be performed under this Agreement. Both parties shall execute a contract amendment
reflecting such change and an equitable adjustment of cost, period of performance or both will be made if
required by the changes.
CONTRACT SUSPENSION
• For Investigation: In the event Contractor or any of its partners, employees, officers is investigated by
a local, county, state or federal agency for a matter which the District feels may adversely affect the
delivery of services under this contract, the District may, without advance notice, suspend the delivery
of services or disallow the person(s) involved in the allegation from providing services pending final
resolution of the investigation.
• For Suspension of Funding and work: Because the District receives both state and federal funds
occasionally the District's funding source may enact a contract suspension due to sequestration, loss
Kittitas County LHJ Tobacco contract 2019 Page 4
of budget appropriation, or other causes. When this occurs, the District may exercise its right to
suspend this contract until the District's funding has resumed and approval to continue work has been
received. At that time, the District will notify the Contractor that they may resume work. All notice to
suspend or reinstate work will be in writing. Any expenses incurred during the suspension of this
contract may not be reimbursed later unless it is specifically approved at the time the contract is
reinstated.
TERMINATION OF AGREEMENT
• For Convenience: This contract may be terminated by either party for convenience with two weeks
written notice. If this contract is so terminated, the parties are only liable for performance rendered or
costs incurred in accordance with this contract prior to the effective date of termination .
• By Mutual Agreement: This contract may be terminated at any time by mutual agreement of both
parties.
• For Non-Allocation of Funds: The District's ability to make payments is contingent on the availability
of its various funding sources. In the event funding from state, federal, or other funding sources is
withdrawn, reduced , limited or suspended during the course of this contract, the District at its sole
discretion may elect to terminate this agreement in whole or in part or to renegotiate this contract
subject to new funding limitations or conditions.
RECOVERY OF FUNDS
The right of the contractor to retain funds received from the District is contingent upon satisfactory performance
of this contract and completion of work, and subject to an on-site audit of books and records if requested. If
the District is required to repay funds to the Department of Health for disallowed or unsupported expenses
performed by the contractor, the contractor will promptly repay the District the full amount.
ALL WRITING CONTAINED HEREIN
This contract contains all the terms and conditions agreed upon by the parties. No other understandings, oral
or otherwise, regarding the subject matter of this contract shall be deemed to exist or to bind either of the
parties.
BENTON-FRANKLIN HEAL TH DISTRICT
J as Zaccaria -Administrator
7102 W . Okanogan Place
Kennewick, WA 99336
Date: __ ID-=-{ q-=---l~l ~----
Kittitas County LHJ Tobacco contract 2019
KITTITAS COUNTY PUBLIC HEALTH
mb -Acting Administrator/EH Supervisor
507 N. anum, Suite 102
Ellensburg, WA 98926
Tax ID# __ 9_/~--fo_0~0~{~3_'-/_q __ _
Statewide Payee# SJJJVOOJ O'f ris-07
Date: -~/0-,..-~ ....... Jra ____ _
Page 5
Today's Date
08/31/2018
Fund/Department
116-Public Health
Kittitas County
Review Form
Grants & Contract Agreement
Agenda Date \'l)
Contract/Grant Information
Contract /Grant Agency: Agreement between Benton-Franklin Health District and Kittitas County Public
Health
Period Begin Date: July 1, 2018 I I Period End Date: June 30, 2019
Total Grant/Contract Amount: Not to exceed $4,060.00
Grant/Contract Number:
Contract/Grant Summary:
The agreement between Benton-Franklin Health District and Kittitas County Public Health is established
to support the efforts to reduce initiation and use of tobacco and vapor products in the Greater
Columbia Accountable Community of Health through activities listed in the Statement of Work.
Recommendation for Board of Health and Board of Health Review on
Signature of Board of Health member Date
Financial Information
Total Amount $4,060.00 State Funds$ Federal Funds$
Percentage County Funds Matching Funds$ CFDA#
Grant/Contract Review Page 1
In-Kind$
Explain
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 • attach budget form No D Why not
New Division Created?
Revenue Code 116.612.044.334.04.93
Pass Th rough Information
Agency to Pass Through
Amount to Pass Through $
Sub-Contract Approved Date:
Prosecutor Review
J Has the Prosecutor reviewed this agreement? [ Yes • No D
County De partments 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
Task 1: Eliminate
Exposure to SHS and E-
Cigarette/Vape Emissions
Task 1: Eliminate
Exposure to SHS and E-
Cigarette/Vape Emissions
Task 2: Reduce Tobacco-
Related Disparities
Task 3: Promote and
Support Tobacco
Cessation
Task 4: Prevent Initiation
among Youth and Young
Adults
Task 5: Policymaker
Outreach and Education
Task 6: Health
Communications -
Task 7: Administration
and Management
Task 7: Administration
and Management
Reporting
Activity
1.1: Local Va ping in Public
Places Policies
1.2: Outreach and TA on
Tobacco/Vape-free
Campuses and Org.
Policies
2.1: Educate about
Tobacco-Related
Disparities
3 .1: Promote & Support
Tobacco Cessation
4.1: Education about
Prevention of Youth
lnitation
5.1: Outreach about the
value of a comprehensive
program
6.1: Health
Communications
7 .1: TVPPCP Meetings &
Conference Calls
7.5: Assessment and
Evaluation
2017-2018 Tobacco and Vapor Product Prevention and Control Reporting
Funding Utilized Output
Count
County(ies) Reached in
Legislative Districts
ACH Region
---
Partners
Page 1 of 4
Task 1: Eliminate
Exposure to SHS and E-
Cigarette/Vape Emissions
Task 1: Eliminate
Exposure to SHS and E-
Activity
11.1: Local Vaping in Public
Places Policies
1.2: Outreach and TA on
Tobacco/Vape-free
Cigarette/Vape Emissions Campuses and Org.
Policies
Task 2: Reduce Tobacco-2.1: Educate about
Related Disparities
Task 3: Promote and
Support Tobacco
Cessation
Tobacco-Related
Disparities
3.1: Promote & Support
Tobacco Cessation
Task 4: Prevent Initiation 4.1: Education about
among Youth and Young
Adults
Task 5: Policymaker
Outreach and Education
ITask 6: Health
Communications
Task 7: Administration
and Management
Task 7: Administration
and Mana~ement ---
Reporting
Prevention of Youth
lnitation
5.1: Outreach about the
value of a comprehensive
program
6.1: Health
Communications
7.1: TVPPCP Meetings &
Conference Calls
17.5: Assessment and
Evaluation
2017-2018 Tobacco and Vapor Product Prevention and Control Reporting
Progress Description Date(s)
Page 2 of 4
Task 8: Planning and
Coordination
Other
Reporting
Activity
8.1: Provide TA to
schools/universities on
tobacco/vape-free campus
policies
Other/Discretionary:
Specify in Progress
Description
2017-2018 Tobacco and Vapor Product Prevention and Control Reporting
Funding Utilized
Output
Count
County(ies) Reached in
Legislative Districts
ACH Region
Partners
Page 3 of 4
Task 8: Planning and
Coordination
Other
Reporting
Activity
8.1: Provide TA to
schools/universities on
tobacco/vape-free campus
policies
Other/Discretionary:
Specify in Progress
2017-2018 Tobacco and Vapor Product Prevention and Control Reporting
Progress Description Date(s)
Description -----------------------------
Page 4 of 4