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HomeMy WebLinkAboutNACCHO (CWDR) 11.5.2020-06.30.2022 (2)Today's Date 11/16/2021 Fund/Department 116 -Public Health Kittitas County Review Form Ki ! [I7'.ti5 1'!M Grants & Contract Agreement PA Camas Request #: Agenda Date: Contract/Grant Information Contract /Grant Agency: National Association of County and City Health Officials (NACCHO) Period Begin Date: 11/05/2020 Period End Date: 06/30/2022 Total Grant/Contract Amount: NTE $82,997.42 total contract amount Grant/Contract Number: Contract/Grant Summary: • This contract is a passthrough with Central Washington Disability Resources (CWDR) through National Association of County and City Health Officials (NACCHO) to perform emergency preparedness planning activities for individuals with disabilities. o Amendment adds $32,351.97 to contracted amount for a total of $82,997.42, and extends the end date of the contract to 06/30/2022. Recommendation for Board of Health Review on Department Head Signature: , Director 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 Verification the Contracting Agency is not Suspended/Disbarred: ® Agency is not suspended/disbarred ❑ Not Checked (reason) Grant/Contract Review Page 1 Financial Information Total Amount NTE $82,997.42 State Funds $ Federal Funds NTE $82,997.42 Percentage County Funds Matching Funds $ CFDA# 93.421 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: Information Budget Amendment Needed? Yes [:]attach budget form New Division Created? Revenue Code 116.611.81.333.93.421 (Assessment) No ❑ Why not Pass Through Information Agency to Pass Through Central Washington Disability Resources Amount to Pass Through $82,997.42 NTE Expense Code: 116.611.81.5.4122 Sub -Contract Approved Date: Prosecutor Review IHas the Prosecutor reviewed this agreement? Yes NoLl County Departments Impacted BOCC Approval Needed? Fies ❑ Staff Member Presenting: Reviewer Date Grant/Contract Review Page 2 Auditor Facilities Maintenance Information Services Human Resource Prosecutor Treasurer BOCC Approval Needed? Fies ❑ Staff Member Presenting: Reviewer Date Grant/Contract Review Page 2 Modification I to Contract #2021-012106 Modification of Agreement This Modification of Agreement ("Modification") is entered into, effective as of the date of the later signature indicated below, by and between the National Association of County and City Health Officials (hereinafter referred to as "NACCHO"), with its principal place of business at 1201 (I) Eye Street NW 4th Fl., Washington, DC 20005, and the following Contractor, hereinafter referred to as "Contractor:" Kittitas County 91-6001349 Contractor Federal Tax ID Number 507 N Nanum St. Suite 102 Address Ellensburg, WA 98926 (509) 962-7515 City, State and Zip Phone WHEREAS, the parties entered into Contract # 2021-012106 on the 27th of February, 2021 ("Agreement") and, WHEREAS, the general purposes of the Agreement are unchanged; and WHEREAS, both parties wish to make modifications to the Agreement, as described below; THEREFORE, for the mutual consideration described in the Agreement, the parties agree to the modifications below through the signatures of the person(s) who have the authority to bind the parties to the changes in the Modification: 1. Term of Agreement: Article I, Section 2 of the Agreement is modified and shall continue in effect until June 30th, 2022, unless earlier terminated in accordance with the terms herein. NACCHO and Contractor agree that the term of the Agreement may be extended to complete the project to June 30th, 2022, provided that NACCHO receives an extension of the programmatic activities of the related CDC GRANT # 6 NU380T000306-02-10, CFDA # 93.421 and subject to CDC's acceptance and approval for NACCHO to continue work with contractor, applicable guidance and federal rules and regulations. NACCHO has been approved through "Expanded Authority" to temporarily continue the program while waiting for the extension approval. Both parties agree, NACCHO will not be obligated to continue the program or to make any payments for work without CDC's extension approval to continue the program. Expiration of the term or termination of this Agreement shall not extinguish any rights or obligations of the parties that have accrued prior thereto. The term of this Agreement may be extended by mutual agreement of the parties. 2. Payment of Services: the updated payment schedule is as follows: Payment of Services: Article I: Special Provisions, Clause 3 of the Agreement is modified to amend payment by NACCHO to Contractor for services performed as follows: Original Contract Amount $50,645.45 Mod I Amount $32,351.97 Invoice paid up to 6/30/2021: $21,102.30 Total Contract Award Amount: $82,997.42 NEW available Contract Amount: $61,895.12 Updated Invoice Schedule Invoice No. Amount Due date Deliverable Invoice 1 $25,322.70 March 20, As stated in Attachment I, deliverables to (Partially 2021 Participate in project kick-off call with Paid NACCHO, CDC and selected grantees on $21,102.30) November 19th, 2020; Support or hire disability specialist who will coordinate project activities; Participate in disability specialist orientation call; Participate in monthly learning community meeting; and Complete quarterly pr9ject report. Invoice I1 $21,102.25 July 15, 2021 As stated in Attachment I, deliverables to Complete first baseline assessment; Participate in monthly learning community meeting; Complete second baseline assessment; Participate in 1 one-on-one technical assistance call with NACCHO staff/TA consultant; Develop implementation plan based on results of baseline assessment results; and Complete quarterly roiect report Invoice III $4,220.45 July 31, 2021 As stated in Attachment I, deliverables for Participate in monthly learning community meeting Year 2 invoice schedule — period of performance between August 1, 2021 to June 30, 2022 Invoice IV $16,175.99 January 20, As stated in Attachment 1, deliverables to 2022 Participate in monthly Learning Community meetings; Participate in 1 one-on-one technical assistance call with NACCHO staff/TA consultant, and Complete quarterly project report (e.g., providing updates to implementation plan progress). FA Invoice V $16,175.98 June 30, 2022 As stated in Attachment 1, deliverables to Participate in monthly Learning Community meetings (to end in March 2022); Participate in 1 one-on-one technical assistance call with NACCHO staff/TA consultant; Complete sustainability plan; Complete end of project report to articulate challenges, lessons learned, successes, and future needs and final evaluation measures; and Participate in wrap-up meeting with project artners to share lessons learned. 3. Scope of Work. The Scope of Work attached hereto as Attachment I to the Modification is incorporated into the Agreement and made a part thereof. 4. All other terms and conditions of the Agreement remain unchanged. IN WITNESS WHEREOF, the persons signing below warrant that they are duly authorized to sign for and on behalf of, the respective parties. AGREED AND ACCEPTED AS ABOVE: NACCHO: CONTRACTOR: By: By: Name: Jerome Chester Name: Title: Chief Financial Officer Title: Date: Date: NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS MODIFICATION OF AGREEMENT— ATTACHMENT I SCOPE OF WORK With recent CDC approval, NACCHO intends to amend the current contract for the Addressing the Needs of People with Disabilities in COVID-19 project. The scope of work and timeline of the project have remained the same and the contract end date now aligns with the project end date (June 30th, 2022). This project was originally written as a two-year work plan for the awardees to have ample time to address COVID-19 as well as other emergency preparedness activities among people with disabilities. COVID-19 and Disability Deliverable Budget Kittitas County Public Health Department Expected Deadline Deliverable Cost Total Invoice Invoice Period Amount Activities Through July 31, 2021 Invoice 1: November Participate in project kick-off call with $4,220.45 $25,322.75 November 19th, 2020 NACCHO, CDC and selected grantees (Partially 2020— on November 19th, 2020. Paid February 22 -Jan -21 Support or hire disability specialist who $4,220.45 $21,102.30) 28, 2021 will coordinate pr9ject activities. Week of Participate in disability specialist $4,220.45 Invoice due January orientation call March 20, 25th, 2021 2021 Dates Participate in monthly Learning $4,220.45 TBD Communi Ity meetings Feb -21 Complete first baseline assessment $4,220.45 Feb -21 Complete quarterly project report $4,220.50 Invoice 2: Dates Participate in monthly Learning $4,220.45 $21,102.25 March 1- TBD Community meetings June 30, April 1, Complete second baseline assessment $4,220.45 2021 2021 Date TBD Participate in 1 one-on-one technical $4,220.45 Invoice due assistance call with NACCHO staff/TA July 15, consultant 2021 May 1, Develop implementation plan based on $4,220.45 2021 results of baseline assessment results June 1, Complete quarterly project report $4,220.45 2021 4 Invoice 3: Date TBD Participate in monthly Learning $4,220.45 $4,220.45 July I — Community meetings July 31, 2021 Invoice due August 15, 2021 $50,645.45 Activities August 1, 2021 through June 30, 2022 Invoice 4: Dates Participate in monthly Learning $4,044.00 $16,175.99 August I- TBD Community meetings December Dates Participate in I one-on-one technical $4,044.00 31, 2021 TBD assistance call with NACCHO stafUTA consultant Invoice due Dec-21 Complete quarterly project report (e.g., $8,087.99 January 20, providing updates to implementation 2022 plan progress) Invoice 5: January Participate in monthly Learning $2,022.00 $16,175.98 January 1, 2022- Community meetings (to end in March 2022— March 2022) June 30, 2022 2022 Dates Participate in 1 one-on-one technical $2,022.98 TBD assistance call with NACCHO staff/TA Invoice due consultant June 30, Apr-22 Complete sustainability plan. $4,043.00 2022 May-22 Complete end of project report to $4,044.00 articulate challenges, lessons learned, successes, and future needs and final evaluation measures. Jun-22 Participate in wrap-up meeting with $4,044.00 project partners to share lessons learned. $32,351.97 TOTAL BUDGET $82,997.42 FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT Data Collection Form The Office of Management and Budget (OMB) has created a searchable, no -cost -publicly accessible website that includes the following information for each new federal award and/or first tier subawards equal to or greater than $25,000. As of October 1, 2010, recipients of federal grants and contracts must comply with subrecipient reporting requirements under the Federal Funding Accountability and Transparency Act (P.L. 109-282). NACCHO, as a recipient of federal funding, is required to collect the information below and input this information into the FFATA website (www.fsrs.gov). Please complete the information requested below and submit this form to: Ade Hutapea, LL.M., CFCM Lead Contracts Administrator National Association of County & City Health Officials 1201 (I) Eye Street NW 4th Fl., Washington, DC 20005 Direct Line: (202) 507-4272 Email: ahutapea@naccho.org www.naccho.org Please answer the following questions: 1. Is the total value of this contract (including any option periods) expected to exceed $25,000.00? © Yes O No 2. If you answered Yes to Question 1, in the previous tax year, was your gross income from all sources greater than or equal to $300,000? (If you answered No to Question 1, you do not need to complete the remainder of this information request). © Yes 0 No 3. If you answered Yes to Question 1 and 2, please provide the following information below: Name of Entity: _ Address of Entity: Congressional District of Entity Location: Unique Identifier (DUNS ft CCR/Cage Code #: Award Title Describing Purpose: Amount of Award: Applicable NAICS Code FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT Data Collection Form Funding Agency: Treasury account symbol (TAS) as reported in FPDS CFDA #: 4. If you answered Yes to Questions 1 and 2, is 80% or more of your annual gross revenues from federal contracts, subcontracts, loans, grants, subcontracts and cooperative agreements? 0 Yes ® No 5. If you answered Yes to Question 4, do you have $25,000,000 or more in annual gross revenues from Federal contracts, subcontracts, loans, grants, sub -grants, and cooperative agreements? Yes ©No 6. If you answered Yes to Questions 4 and 5, is information about the compensation of Subcontractor executives available publicly through periodic reports filed under Section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d) or Section 6104 of the Internal Revenue Code of 1986? If Yes, please provide copies of the public filings providing such information. If no, please provide the following information below: Names and total compensation of each of the five (5) most highly compensated executives for Subcontractor's preceding fiscal year. Total compensation includes salary and bonus, awards of stock, stock options and stock appreciation rights, earnings for services under non -equity incentive plans, change in pension value, above -market earnings on deferred compensation which is not tax -qualified, and other compensation, if the aggregate value of all such other compensation (e.g. severance, termination payments, value of life insurance paid on behalf of employee, perquisites or property) for the executive exceeds $10,000. For more information, please see 17 CFR 229.402(c)(2). Names and total compensation of the five highest compensated officers of the entity: NAME 1. 2. 3. 4. 5. COMPENSATION FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT Data Collection Form Certification I certify, on behalf of Subcontractor/ Consultant that the information provided in response to this Information Request is complete and accurate. I further certify that I have the authority to provide the requested information and execute this certification on behalf of Subcontractor. Last, I certify that Subcontractor has been notified and is aware that the information provided in response to this Information Request will be made public. Signature Name printed Title Date CERTIFICATION OF NON -DEBARMENT OR SUSPENSION By my signature I attest that has not been debarred or suspended pursuant to 2 CFR 200 SUBPART C (200.208) and will not subcontract with parties listed on the General Services Administration's List of Parties Excluded from Federal Procurement or Nonprocurement Programs in accordance with E.O.s 12549 and 12689 "Debarment and Suspension" and 2 CFR 180. SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE ORGANIZATION DATE SIGNED