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Home My WebLink AboutBFHD Contract-Kittitas Tobacco Prevention Amend 1 2019Kittitas County Review Form Grants & Contract Agreement Today's Date 03/12/2019 Fund/Department 116 -Public Health Contract/Grant Information Agenda Date Contract /Grant Agency: Benton Franklin and KCPHD Period Begin Date: 03/01/2019 Period End Date: 06/30/2019 Total Grant/Contract Amount: Adds and additional $1500.00 for a new contract total of $5560.00 Grant/Contract Number: Contract/Grant Summary: The purpose of the agreement is to provide additional funding in the amount of $1500.00 to expand and enhance the original scope of work by purchasing signage to support smoke-free and vape-free policies in Kittitas County. Recommendation for Board of Health and Board of Health Review on Department Head Signature: Administrator Date: Kittitas County Prosecutor, Auditor, and Board i APPROVED AS TO FORM: Signat re, f Psecutor',,�POffice Date Signaturq.� Au itor's Office Date Signature of Board of Health member Date Financial Information Total Amount $ 1,500 State Funds $ 1,500 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 Needej Yes ❑ attach budget form No ❑ why not New Division Created? Revenue Code 116.612.44.334.04.93 Information Services Human Resource Pass Through Information Agency to Pass Through Amount to Pass Througl Sub -Contract Approved Date: Prosecutor Review Has the Prosecutor reviewed this agreement? Yes ❑ No ❑ ❑ County Departments Impacted Submitted Signature: Department: Assignment of Tracking Intormation Auditor's Office I Human Resource Prosecutor's Office Who Signed the grant application Reviewer I 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 I Human Resource Prosecutor's Office Who Signed the grant application Reviewer I Date Grant/Contract Review Page 2 j1kj TM Prevent • Promote , Proteo CONTRACT FOR SERVICES Between Benton -Franklin Health District And Kittitas County Public Health Amendment #1 This agreement is made and entered into between the Benton -Franklin Health District herein after referred to as the "District" and the Kittitas County Public Health hereinafter referred to as "Consultant". Effective Dates: 3/1/19 — 6/30/19 Organizational Contact Information Benton -Franklin Health District 7102 W. Okanogan Place Kennewick, WA 99336 Phone: (509) 460-4200 .Fax: (509) 460-4590 Contact Name Phone _Res onsibilit _Contact Name _Phone _Fax _Email Billing/Finance Administrator/Signature Authority _Jason Zaccaria _509-460-4567 .509-460-4590 I _Jasonz bfhd.wa. ov -Contracts/Billing/Payments _Bonnie Hall .509460-4553 -509-460-4590 -Bonn ieht@_bfhd.wa.gov .Program Supervisor .Carla Prock _509-460-4225 _509-460-4515 _Carla bfhd.wa. ov -Program Support Contact .Vanessa McCollum .509-460-4258 .509-460-4590 _Vanessam bfhd.wa. ov Invoice Submission _Jared Strait _509-460-4556 _509-460-4590 1 _Jareds bfhd.wa. ov Kittitas County Public Health 507 N. Nanum, Suite 102 Phone: 509-962-7515 Ellensburg, WA 98926 Fax: 509-962-7518 Responsibility Contact Name Phone Email Mmi viS-�rai�,r/Acting Signature Authority Tristen Lamb 509-962-700" Tristen.LambCc�co.kittitas.wa.us Billing/Finance Tina Rowan 509-962-7583 Tina.rowangh@co.kittitas.wa.us Program Contact Nea Alfaro 509-933-8399 Nea.alfaro(cbro.kittitas.wa.us BFHD Kittitas Tobacco Prevention Amend 12019 Page 1 PURPOSF The purpose of this amendment is to provide additional funding of $1500.00 to expand and enhance the original scope of work by purchasing signage to support smoke-free and vape-free policies in Kittitas County. PERIOD OF PERFORMANCE The period of performance of this amendment shall commence March 1, 2019 and be completed by June 30, 2019 unless terminated or suspended sooner as provided for herein. STATEMENT OF WORK Contractor agrees to continue to perform the activities listed in the original agreement and to purchase signage to support smoke-free and vape-free policies in Kittitas County. REIMBURSEMENT Additional funds of $1500.00 will be added to the contract for a total of $5,560.00. The District will reimburse consultant for actual expenses after the services have been performed, based on the submittal of monthly -itemized invoices for good and services provided during the period of performance. All other terms and conditions of the original agreement remain in full force and effect. BENTON-FRANKLIN HEALTH DISTRICT KITTITAS COUNTY PUBLIC HEALTH Jason Zaccaria - Administrator 7102 W. Okanogan Place Kennewick, WA 99336 Date: Ts',StCvl4. m► Administrator 507 N. Nanum, Suite 102 Ellensburg, WA 98926 Date: BFHD Kittitas Tobacco Prevention Amend 12019 Page 2 Kittitas County Review Form Grants & Contract Agreement Today's Date Agenda Date 08/31/2018 Fund/Department 116 -Public Health t Contract/Grant Information Contract /Grant Agency: Agreement between Benton -Franklin Health District and Kittitas County Public Health _ Period Begin Date: July 1, 2018 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 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 Signature of Board of Health member Financial Information Date Date Total Amount $4,060.00 State Funds $ 1 Federal Funds $ Percentage County Funds Matching Funds $ 1 CFDA# Grant/Contract Review Page 1 In -Kind $ Is Equipment being purchased? who owns equipment? New Personnel being hired? Contact HR hiring — rep Future impacts or liability to Kittitas County: Budget Information Budget Amendment Needed? Yes ❑ attach budget form New Division Created? Revenue Code 116.612.044.334.04.93 Pass Through Information Agency to Pass Through Amount to Pass Through $ Sub -Contract Approved Date: uirements Prosecutor Review Has the Prosecutor reviewed this agreement? Yes No ❑ �I Countv Departments Impacted Submitted Signature: Department: Assignment of Tracking Information Reviewer Date Grant/Contract Review Page 2 Auditor Facilities Maintenance Information Services Human Resource Prosecutor Treasurer Submitted Signature: Department: Assignment of Tracking Information Reviewer Date Grant/Contract Review Page 2 dw PUBLIC MDaA HU&TH rr ,Wrc e Pmt�ow - I'S�7cL CONTRACT 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 _ Con_ta_ct Name Phone _ _ Fax Administrator/Signature f Contracts Manage Program Supervis Program Support Specialist _ Accounts Pavable _ - I Email -- --- -- Jason Zaccaria 509-460-4567 509-460-4590 Bonnie Hall Carla Prock 509-460-4553 509-460-4225 509-460-4590 509-460-4515 Vanessa McCollum j 1509-460-4258 509-460-4590 Jared Strait 509-460-4556 509-460-4590 wa Kittitas County Public Health 507 N. Nanum, Suite 102 Phone: 509-962-7575 WA 98926 Fax: 509-962-7518 _Ellensburg, Responsibility _ Contact Name Phone Email Administrator/Signature Authority Robin Read 509-962-7515 Robin.read@co.ki1tltas.wa.us EHS Supervisor/Acting Signature Authority Tristen Lamb 509-962-7005 Tristen.Lamb@co.kittitas.wa.us Billing/Finance Tina Rowan 509-962-7583 tina.rowan@co.klttitas.wa.us Program contact Nea Alfaro 509-933-8399 nea.alfaro ci,co.kittitas.wa.us Kittitas County LH) 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: V Provide all reporting templates and links a Provide technical assistance as needed • Provide STARS training materials if needed Provide complied STARS assessment data to Contractor and the GCACH region. o 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 1 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 APPROPRIATE 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 HEALTH DISTRICT KITTITAS COUNTY PUBLIC HEALTH Jason Zaccaria - Administrator 7102 W. Okanogan Place Kennewick, WA 99336 Date: Tristen Lamb — Acting Administrator/EH Supervisor 507 N. Nanum, Suite 102 Ellensburg, WA 98926 Tax ID # Statewide Payee # Date. Kittitas County LHJ Tobacco contract 2019 Page 5