HomeMy WebLinkAboutLetter of AgreementLETTER OF AGREEMENT
Between
Kittitas County Health Network
And Kittitas County Public Health Department
For Services under the HRSA Opioid Response Planning Grant
Thank you for agreeing to provide services for the Health Resources and Services Administration (HRSA)
Opioid Response Planning Grant, administered by the Kittitas County Health Network (KCHN). This letter
summarizes the deliverables required by the Kittitas County Public Health Department (KCPHD) and to
be compensated for in the grant budget which runs from October 1, 2018 to September 30, 2019.
Definitions
The following definitions are key terms that will be used in this document and throughout the project in
question:
Project:
Sub-Contractor:
Grant:
Naloxone and Syringe Exchange Expansion
Kittitas County Public Health Department (KCPHD)
HRSA Opioid Response Planning Grant
Qualified KCPHD staff will be assigned to carry out the Services of this project. Tristen Lamb,
Administrator, Kittitas County Public Health Department, will be the primary contact for the project.
Proiect Scape of Work
KCPHD will improve access to harm reduction measures through strategic placement and expansion of
naloxone distribution and syringe exchange services.
Deliverables to be completed by September 30, 2019:
1. Provide weekly syringe exchange services in both Ellensburg and Cle Elum.
2. Provide opioid overdose response training upon request.
3. Distribute naloxone to individuals at risk of witnessing an opioid overdose.
4. Participate in the Opioid Response Work Group and associated deliverables.
5. Participate in the Community Prevention and Wellness Initiative addressing youth opioid
prevention at the Ellensburg School District.
6. Provide quarterly reports summarizing funded activities and deliverables including the following :
a. Number of opioid response trainings provided and number and type of participants
b. Number of naloxone kits distributed-first time, and refills
c. Number of syringe exchange participants referred to treatment for opioid use disorder
Schedule
The services described above in this agreement will commence on October 1, 2018, and be satisfactorily
completed on or before September 30, 2019. Total hours of work required and any costs incurred to
complete the project are the responsibility of KCPHD, and no costs will be compensated outside of those
included in the grant budget unless by prior written approval of KCHN.
Prop r ietary Rights
All materials produced as a result of this Agreement are to be public domain .
Fees and P.ayment
In consideration for satisfactory performance of these services as outlined in the Project Scope of Work,
KCHN agrees to pay KCPHD $9,500.00 in four quarterly installments of $2,375.00 between October 1,
2018 and September 30, 2019. Installments will be remitted following receipt of an invoice for services
rendered during the preceding quarter along with supporting back up documentation submitted by the
last day of the month following the end of the quarter (due dates: January 31, 2019; April 30, 2019; July
31, 2019; October 31, 2019). Please submit invoices with quarterly reports to
robin@h ea lthierki ttitas.org.
Termination
KCHN reserves the right to terminate this Agreement at any time upon ten (10) days written notice to
Kittitas County Public Health Department.
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Kittitas County
Review Form
Grants & Contract Agreement
Today's Date Agenda Date <3/JOJ/10 02/27/2019
Fund/Department ,
116-Public Health
Contract/Grant Information
Contract /Grant Agency: Letter of Agreement between Kittitas County Health Network (KCHN) and
Kittitas County Public Health (KCPHD)
Period Begin Date: 10/01/2018 I I Period End Date: 09/30/2019
Total Grant/Contract Amount: $9,500.00 (Four quarterly installments of $2,375.00)
Grant/Contract Number:
Contract/Grant Summary:
The agreement between KCHN and KCPHD establishes the scope of work to be provided by KCPHD.
KCPHD will improve access to harm reduction measures through strategic placement and expansion of
naloxone distribution and syringe exchange services. KCPHD will invoice KCHD for services rendered with
support documentation and KCHN will reimburse up to $2,375.00 quarterly for a total of $9,500.00.
Recommendation for Board of Health and Board of Health Review on
Dat e: ?J}Jlfl[ {a;
Board of Health Review and Comment:
Date
3/4 (
Date
Signature of Board of Health member Date
Financial Information
Total Amount $9,500.00 State Funds $ Federal Funds$
Percentage County Funds Matching Funds$ CFDA#
Grant/Contract Review Page 1
In-Kind$
~xplai n
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 116.612.92.336.04.25
Pass Through Information
Agency to Pass Through
Amount to Pass Through $
Sub-Contract Approved Date:
Prosecutor Review I Has the Prosecutor reviewed this agreement? I Yes • No D
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
] Reviewer I Date
Grant/Contract Review Page 2