HomeMy WebLinkAboutPSA Ellensburg Family Medicine -Compass DirectCOUNTY JAIL
This Agreement, effective as of the date signed below, is made by and between Kittitas
County (hereinafter "the County") and Ellensburg Family Medicin; Ogn CompassDirect
("Contractor"). The County and Contractor agree as follows:
That the existing Agreement, previously entered between the parties on Februa ry Zth,
2023, shall be modified as allowed by section 12 (twelve) of that agreement. The
purpose of this Modification is to allow CompassDirect Healthcare to purchase any
needed medical supplies, or equipment as needed, in which CompassDirect Healihcare
will be reimbursed in full by Kittitas County.
This modification will allow purchase of the following, but not limited to
1. Vaccines
2. CPAP supplies
3. INR Testing supplies
4. Medical Equipment
l. Sutures, Gloves, Adhesives, Towels, ETC
5. Medical Supplies
L Distilled Water, Petroleum Jelly, ETC.
6. Medical Sterilization Supplies
All terms, conditions, attachments, documents, and exhibits, including the term of the
agreements as described in the original agreement are incorporated herein by this
reference as fully as if set forth herein.
r!lEp, .M.o+ltrcffiory
Page 1
WITNESS WHEREOF
2023
Ellensburg Family Medicine
100 W 3'd Ave.
E sburg WA 98926
(Date L5
, the parties have executed this Agreement this J&^V of
APPROVED:
BOARD OF COUNry COMMISSIONERS
TAS COU , Ellensburg WA 98926
h, Executive Director ht, Chai
hairman
ABSENT
Laura Osiadacz, Corfmissioner
County of Kittitas, Sheriffs Office
Clay
as to Form
filerk of the Board- Julie Kjorsvik Deputy P
tr Deputy Clerk of the Board- Mandy Buchholz
+
D.R.M l, wsBA # 22877
ing Attorney
gvx
THIRD MODIFICATION OF THE EXISTING PROFESSIONAL SERVICES AGREEMENT WITH ELLENSBURG
FAMILY MEDICINE DBA COMPASS DIRECT FOR THE KITTITAS COUNTY JAIL
Page2
Cor
7
ir
This Agreement is made by and between Kittitas c_ounly (hereinafter,,lhe county,,)and Ellensburg Farnily Medicine (hereinafter "contractory.'ii.tJ cornty and contractoragree as follows:
General conditions; Exhibit A (scope of work); Exhibit B (compensation);Exhibit C (proof of lnsurance). - .'" -
::iffiilHflij t* attached hereto and incorporaled herein by this reference as fury as ir
The term of this Agreement shall commence on the date this agreement is signed.Any party may terminat" il5 Agreement 6I q,.r,,.n thirty i3o);;ys, notice in writing eitherpersonally delivered or majlgd to-stage-pre-pa]o ui
""ni,frei tir"ir,'return receipt requested,to the party's last known address tor iire'purposes of givinj no.G under this paragraph.
contractor acknowledgeq ?nl by signing this Agreement agrees that thelndemnification provisions set-forth in iaiJgrapi, i tnorp"ni.nt coltocror), 9 (Taxes),15 (Defense and rndemnity Agreement),*2i.(pad;vclpvriint rnfringement) and 24
fflffij}tlttil"j,"n,t""f,'t andrurr/ pail or this ng'""r6iano rravE oeeni mutiarrv
Professlonal Servlces Aoraement (Form rcu. @1241?g1g)Page I ol 21
" L*!:
wrNEss WHEREoF, the parties have executed this Agreement this I u*y
Ellensburg Famlly Mediclne COUNTY OF
cou ERS
(.--
(Oate
natory
Print Name Signa
Gontractor Address:
Ellensburg Family Medlcine
2156 Payne Rd
Ellensburg. WA 98926
Contractor Contact:
Zach Deffinbaugh
COUNTY OF KITTITAS
SHERIFF'S OFFICE
nt,
M
g Denuty Cterk of the Board- Mandy
Buchhotz
. ATTEST:
of Julie Kjorsvik
APPROVEOAS TO FORM:
? ; r"i,lr:
R.
Depuly Prosecuting Attorney
Gounty's Address:
Krttitas County
205 West 5rh Avenue. Sutte l0g
Ellensburg, WA 98962
Project Cont€ct:
Sleve Panattoni, Superintendent
509-962-7527
I
Professronat Services Aoreement (Form rcv 0gt241l1glPage 2 ol21
GENEML CONDITIONS
1. $cpqe.of Conkactg/s $ervices:
contractor agrees to provloe to ttre Gounty services and any materials set forth in the projectnarratlve identified in.Exhibit 'A" during the Agreeme"t p*i.ii"rrro material, labor, or facilitieswill be furnished by the county, unres-s otheivise pio"io"o t"rin tr," ngr"u*"nt.
2. Performance of Wot:
Contractorshallperform work in accordance wilh, and shaltcomplywith, altof the provisionsof this Agreemenr. Ar work shar comprv *itn Jprir[ii[ ilo]rl'lna ordinances.
3. Schedule of performance:
unless directed otherwise by the lounty, Contractor shallperform the work in accordancewith any schedules made a iart of this Agreement,
4. Definitions:
4,1 -Additionar lnsureds" means rhe county, its successors and assigns, andthe respective directors, officers, erproy"*s, alents and representatives ofthe County and its successors anO assigns.
-, -e-
4'2 "supporto means the following' conir"ctoi's directors, officers, employees,agents and representatives; and sub_Contractors-of ;y 6; til.-r.il?"tir"directors, offic3rs, emproyees, agents ano repiesentatives of these sub_contractors of any tier; ind.any-otrrer per.;;, entig acting under thedirection or control of, or on uenar or, cl"itJ"to-r' o, .ny contractor,s sub-contractors of any tier in connection with or, inciJent to the performance of theWork or this Agreement.4'3 The "work" rneans all of the duties listed in Exhibit A and the performance ofallother obllgations, under this Agreem"ni o/Co]iiractor or its support.t:PaymenltotheContract@erthlsAgreementshallbeassetforlh
in Exhibit "B"' where Exhibit "B" requires iayments by the cointy, payment shall be basedupon billings, supporte! unless otnerwise'pi6rid"d;t;ibI;Rl by documentation of un*sof work actualry performed and amounts?amed, irddft';ii"
"ppropriate,
the actuarnumberof days worked each month, total nimberbt noro iirlnJmontrr, and the totaldoilarpayment requested. Unless.soecifically stated in ixniuii-;,d;'o, .pproved in wr*ino inadvance by the Kittitas county Boaro of commissioners, n*boJnty will not relmburse-the
fflrt:ffiilror
anv costs or expenses incurreo by the bontr.itorin pu*orman6'oiini,
\Mrere requrred, the county sha.ll, upon receipt of appropriate documentation, compensalethe contractor, no more often ilrin'monnry,'rnrou6ri-n! a;d voucher system, for thecontractor's service pursuant to the fee ,ctrboue set forth in Exhibit,,B,.
Professional Services Agreemenl (Ftrm rev. Ogl24t2A1g)
Page 3 ol 2l
6. Assiqnment and Subqontrflcting:
No portion of this Agreement maY be assigned or subconlracted to any other individual, firmor entity without the express and prior wrirten approval of the county.
7. lndependent.Conlractor:
The contractor's services shallbe furnished by the contractoras an independent contractorand nothing herein contained shall be construed to creale a relationshlp of employer-ernployee or master'servant, but all payments made hereunJei ana ail sJrvices peiormeoshall be made and performed pursuant to this ngree;eni by the contractor as anindependent Contractor.
The contractor acknowfedges that the entire compensation for this Agreement is specifiedin Exhibit "B" and the Contractor is not entitled t6 any cornty'neneits incruoin!,f,ui nothmited to. vacation pay, horiday pay, sick reave pay,'mlaicai oentar, or other insurancebenefits, or any other rights or piiviteges afforded t,, ffttii.;C;unry emptoyees,
Contractor will defend, indemniff and hold hannless the county, its Additionat lnsureds,officers, agenrs or emproyeeg from any. ross or *ip"n.". in"iroing but ;J ririt"j osetllements, judgments, sejo$, attomefs' fees or .olitr i*rri"d by reason of claims ordemands because of breach of the proviiions of this p.rrgr;ph -
8. No 9uarantee of Emolovment:
The performance of all or part or tnis Agreement by the contraclor shall not operate to vestany ernployment rights whatsoever and shall.notbe deemed to!uarantee any employmentof lhe contractor or any employee of the contractor or
"ny
*t-dontractor or any employeeof any sub-contractor by the county at the present tirne or in the future.
9. laxes:
The contractor understands and acknowledges that the county will not withhotd Federat orstate income taxes' Tfr:.t" required by staG or Federal r"w, ttre contractor aulhorizes thecounty to make withholding for any tbxes other than inoomeL*", (i.e. ueoica'-i. nrrcompensation received by lhe contractor will be reported to the-internal Revenue SeMceat the end of the calendar year in accordance with ihe .ppii"roL tns regutationr. lt irin"responsibility of the contractor to make the.necessary esiimated tax pay:ment. tnrorghortthe year, if anv, and the contractor is solely liabte for
"nv
Gi onrigirdn .riiing'r;il'it "contractor's performance of this Agreement. The contractoi irereoy agrees to indemniffthe county against any demand to pty taxes arising from the Contracto/s failure to paytaxes on compensation earned pursuant to this Agrejment.
- - -
The County will pay sales and use. taxes imposed on goods or services acquired hereunderas required by law' The Contractor must pay all othir taxes inciuding, ni,t nor ri*iteJio,Business and occupation Tax, taxes based bn ne contr.tor;* gross or net income, or
Profession_al Services Agreemenl (Form rev. Og/24l201g)
Page 4 ol 21
F:lr""r:ilr,srtvlo which the counrv does not hord tiile. The counrv is exempt from
10. Bequlations and Requirement:
This Agreement shall,be subiec to all laws., rules and regulations of the united States ofAmerica, and state oi.w".hqgjon, and polltrcat sunoivisions oJtnu state of washington,and to any other provisions set forth herein or in the
"ttr"r,uo "inibiir.
-* -' r ruc': r'rs;t'
11. Riohtlg Rgview:
This contract is subject to review by any Federalor state auditor. The county or its designeeshall have the right to review an-d rnbnitor the ftnancial anJ service components of thisprogram by whatever means are deemed expedientby tne counil. sucn review rrvl..r,with or without nolice,
"and may include, but is not liniiteJ t",
"""'*it- inspection by countyagents or employees, inspection of all record" o, otr"irateriars rnich the county deemspertinent to the Agreement and its performance, and
"ny "no "rr
communications with orevaluation by service recipients und.er this Agreement. ri" Coniractor shall preserve andmaintain all financial records and records reilint 6 the p;;;*.n.. of work under thisAgreement for 6 years after contract termination,-ano strairm.k" ft'"r available for suchreview, within Kittitas County, State of Wasnington, upo;;A;i-
12. Modificatiens:
12.1 Erther party may request changes in,rhe Agreement. Any and ail agreedmodifications shail be in writing,l6neo o]/
"ain oiite parties.
12'2 The Coun$ may, atany time, by written notice lhereof to contractor ("changeNotice") makes. changes in tlre work within i't," g"n.r"r scope of thisAgreement, incrudrng. but not rimited. to: ial
'.nrng",
in, revisions to,substitutions for, additions lo or deletions ;i'"ny frVo*; 6l .nrrg"* 'i"
schedule; and (c) acceleration, deceleraiion ois*y'"nrion of performance ofany Work.
12'3 lf any change in the work causes an inrease or decrease on contractor,scost of ol ihq. time required for, perfor*"n."-oiihe work,
""-"quit"-ur,adjustment in t1,9. compensation tc Contractor and in the schedule for theperformance of the work shall be made to t"ii"ct such an increase ordecrease.
12'4 Notwithstan-ding any dispute or delay in arriving at a mutualy acceptabteequitable adjustment, contractor straliproceeJin'"cc'oroanc" *iin
"rr
C[.ng"Notices. contractor must, wirhrn trirty'1s9i!rr; ;il;; receipt of any changeNotice that does not set forth any accipiaoie j,iiuJrent, submit to uie couriva written statement setting forrtrany afuustrn-ni ctaimeo.
Profossional Seruices Agreement (Forn rev. 09124t201g1Page5of2l
12'5 lf any change results in a decrease in the Work performed, Contractor shallbe entitled to compensation associated with changing the Work, Cucn asrevising, des(gn already completed, revising catcutailon-s alreaOv p'erformeO
and revising documents
1 3. Terminqlion for Defqult:
lf the Contractor defaults by failing to perform any of the obligations of the Agreement orbecomes insolvent or is declared bankrupl or commits any act-of bankruptcy or insolvencyor makes an assignment for the benefit of creditors, the County may, by'deiositing writtennotice to the contractor.in the U.s" mail, postage prepald, terrninatgrhe ngrb;;nj, and atthe Countys oplion, obtain performance or lne work elsewhere, lf the Agreement isterminated for default, the contractor shall not be entitreJ io receive any turtnEi payrirentsunder the Agreement until all work called for has been ruly perrormed. Any e*tia io=t o,.damage to the County resulting from such default(s) shallbe rieJucteo rrom a'ny,onuy or"or coming due to the contractor. The Contractor ihalt uearany extra expenses incuned bythe.county in completing the work, and all damage srsiaineJ, or which may be sustainedby the County by reason of such default.
lf a notice of termination for default has been issued and it is later determined for any reasonthat the contractor was not in default, the rights ano ouligaiions of the partiei snait o" tn"sarne as if the notice of termination had beei issued prrsi.,.ni to the Termination for public
Convenience paragraph hereof.
14. Termination fgr Public Convenignce:
The County may terminate the Agneement in whote or in part whenever the countydetermines, in its sole discretion thalsuch termination is in the best interests of the County,Whenever lhe Agreement is terminated in accordance with this paragraph, the Contractorshall be-entitled to payment for actual work performeo at uniicontract-prrces roi co*pLteoitems of work. ln the event of such terminaiion,
"n
equiiauie ao]ustment shal be made inlhe compensation payable to Contraclor.
An equitable adjuslrnent in the..contract price for partially completed iterns of work will bemade' but such adjustment shall not include provision for toss of anticipateu pronion a"Lt"oor uncornpleted work' Termination of this Agreement by the county'at anytime ourinf tneterm, whether for default or convenience, shall not constitute a-Ur6acfr oi .ontru"t'ui tn"County.
1 5. Defense & lndqfnnifu .Aqreement:
The Contractor agrees to and shall defend, inde_mnif,7 and hold harmtess the County, itsAdditional lnsureds, appointed and elective.gmcers, ajents ano emptoyees,-rrom'anoagainst all loss or expense, including but not limited to j,i'gments, setuements, attorney,sfees and costs by reason of any ana il clalms anc uemairos-upon tn. county. its Additionallnsureds, its elected or appoirtted officials, agents, or emproyles ror aamajes oecauii orpersonal or bodily injury, including death at any time resultini theretrom, =,i*t"in"J o11
"nv
frofes-srb1gf Services Agreement (Form rev. Ogf24t2O1Bl
Page 6 of21
person or persons and on account of damage to proper$ including loss of use thereolwhether such injury to persons or damage -to propert1l i6 ;; to the negrigence of thecontractor, its sub-contractors, its erected-omqis, em;i"y;;;r their agenrs, except onrysuch injury or damage as shall have been 9c9as_r9ryd uy tlie soi negtigence of the county,its Additionar rnsureds, appointed or erected "ff"irri,-ig;;;,;.. emproyees. rt is furtherprovided that no liability shall attach to the County ov'relron oientering intothis contracl,except as expressly provided herein.
16. ln4.uskial lnsurance Wai:rer:
lMth respect to the performance of.this Agreement and as to claims against the county, itsAdditional lnsureds, gffice1s, agents and-employees, tlle Conir"tor' expressly waives itsimmunity under Title 51 of lhe Revised code'of washingtJn, iaie tndustiial tnsurance Act,for injuries to its employees and agrees that ihe obtigatiinl to-inoemnify, defend and hotdharmless provided in this agreement extend to anv"Jirr uiougnt ov ciion uen"liJr'unvemployee of the contractor- This waiver is mutuiily nrd;;La by the parties to thisAgreement.
17. Verlue and Choice of LqW.
ln the,event that any litigation should arise concerning the construction or interpretation ofany of the terms of this Agreement, the venue of su-ch aclion of litigation shall be in thesuperior court of the state of w.ashington in and.for tne county or xitritr.. This Agreementshall be governed by the law of the Stlte of Wasningion . --"'' -
18. Withhglding.pavment:
ln the event lhe contractor has Failed to perform any obligation to be performed by thecontractor under this Agreement wlthin the iime set fort'h in tn"ii ngreemeni, then the c|untymay, upon written notice, withhold alI monies due and piv"Ee to coniractoi, *iinortpenalty, untilsuch failure to perform is cured orottrerwGe "ijioi."t c.
19. F-uture Non-Allocation,of Funds:
lf sufficienl funds are not appropriated or allocated for payment under this Agreement forany future fiscal period,.the county will not be obtigahf,td*it" p"vrents for services oramounts incurred after the end of the current fiscll period. l,to penart1l or expense shallaccrue to the County in the event this provision applies.
20. C-ontJ..to,. C*r itrgntr, W",:r" ntip.
"nd
R"or.r.nt"tion g
The Contractor represents s:20j The contractor is duly incorporated, uaiidty e*i.t,ng and in good standingunderthe laws of the State of Washington and haiallrEqui-isite-corpor;t"power and authority to enter into and to perform its obtigaiions ,,noEii[i*Agreement.20'2 The contraclor has the authority to execute this Agreement, to make therepresentations and warrantles set forth in it and t6 perform'the - --
Profes_sional Services Agreement (Form rev. 0gt24l2}1g|
PageT ol21
20.3
20.4
20.5
20.6
obligations of the contractor under this Agreement in accordance with itsterms.
This Agreement has been varidry executed by an authorized
representative of the contractor and constitutes a valid and legallybinding and enforceable obligation of Contractor.
The contractor has or will obtain prior to the crmmencement date suchlicenses, permits and other authorizations from federal, Jtit. ,no om",governmental authorities, as are necessary for the performance of itsobligations under this Agreement.
The contractor is not in violation of any applicable law, ordinance orregulation the consequence of which willbr may mateiially affectcontractor's ability to. perform its obligations unde, ftiis ngreement. Tnecontractor is not subject to any ordeior judgrnent or
"nvtourt. iribunat orgovernmental agency which materiafly and idversely af?ects itsoperations or assets in the $tate of washington, or iis ability tJperformits obligations under this Agreement.
None of the representations or warranties in this Agreement, and none ofthe documents, stalements, certificates or schedules furnished or to befurnished by contractor pursuant hereto or in connection *itn inlperformance of the obligations conremprated under this Ag;;ement,
contains or will contain any untrue statement of a materiaitact or omits orwill omit to state a rnaterial fact necessary to make the statements or factcontained therein not misleading.
2 1 . P:ate,nUCopvrioht lnfrir.roeru:nt;
contractor will defend and indemnifu the county from any claimed action, cause or demandbrought against the county; to the edent such iction is baseo on ttre clairn that informationsupplied by the Contra.ctor infringes any patent or copyrlght- rhe contra;t* ;iil;;i'i[or"costs.and damages attributable to any such claims iha-t are finally award"J r6.ii,ri tr.,"county in any action. .$uch d.efense 1io payments are conditioneoLpon inJf"[ffi;;21.1 Contractor shall be notified promptly in writing oy County of any notice oisucnclam.
21'2 Contractor shallhave the right, hereunder, at its option and expense, to obtainfor the 9oy$y the right to conltnue using the iniormation, in the event suchclaim of infringement is rnade, provided no reduction in perfopnan.. oilor.results to the County.
22. Disoutes;
22.1 General
Differences between the Contractor and the County, arising under and byvirtue of the Agreement Documents shall be brought to the-attention oit1"County at the earliest possible time ln order lhat suitr matteis *"v1"'t.ttr"oor other-approqiialg action promptly taken. Except for such oqections a. Lr"made of reoord in the manner hereinafter specified and within the timellmits
Profesjional Servrces Agreemenl {Fonn reu, Og?4l201gl
Page 8 of 21
stated,.the records, orders, instructions, and decisions of the Kittitas CountyCommissioners shall be final and conclusive
222 Nelleq of PotgntiatCtaimg
The contractor shalt not ue entitled to additional compensation whichotherwise lav be payable, or to extension of time for (1)
"n11 ""loir"ilure toact by the coun$, or (2) thetrappening of any event or occurrence. unlesslhe conkactor has given the County a ilritten dotice of potential Cii,,.' *itt inten (10) days of the commencement of the act, fairure, ;;r;;i giri"g'rise tolhe claim, and before final payment by the iounty. The written Notice ofPotential claim shall set forth t-he reasons ror wtrictr the Contractor believesadditional compensation or extension of time is due, the nature of the costinvolved, and.insofaras possible, the amount of the potential claim. contractorshall keep full and complele daily records of the wort performeJ,lauoiano
maierial used, and allcosts and aoditionattime ctaimed'to d;Jdiii;at,
22.3. Delqited Claim
The Contractor shall not be entitled to claim any such additionatcompensation, or extension of time, unress within thirg (30t dat;; thecompletion of the portion of the work from which the ctaim arose, "iJ uuror*final payment by.the County, the Conlractor rras fiven tne Couniy
"
c.trir.owritten statement of each element of cost or othJr compensation requestedand of all elements of additional lime required, and.copies of any supportingdocuments evidencing the amount or extension of time ctaimed 6 i;-i;;.
23. Qwnership of ttems pr.oduced:
All writrngs, programs, data, pub*c records or other materials prepared by the contractorandlor its consultants orsub-contractors, in connection witn periormance of this Agreementshall be the sole and absolute property of the County.
' -'' r -' r-I
24. Confidentiatitv:
The contraclor, its employees, sub-contractors, and their employees shall maintain theconfidentiality of all lnformation provided by the countv or ac{uired by the contractor inperformance of this Agreernent' except upon the prior written coRent of tne xittit", c-ountvProsecuting Attorney or an order entireci by a court after having acquired jurisdiction overthe county' conkactor shall immediate"ly give to ttre couity notice of any judicialproceedings seeking disclosure of such inrorilation. Contr"itor'inafi indemnify'ariJlioroharmless the.county, its Additional lnsureds, officia!s, agents Liemployees from all loss orexpense' including, but not limited to settlements, judgirents, setoifs,'attorn#,lu*rlnocosts resulting from contractor's breach of this prdvisloli. -
To the ?le.n!that any information obtained oy ine Contiactor is required to be shared withor provided to others by the terms of the statement oiine work, this provision is notbreached by such acts,
Professional Services Agreement (Fom rev 09t24l1}1gl
Page I ol 2l
25. Notice:
Except as set forth elsewhere in the Agreement, f9r a[ purposes under this Agreement,except service of process, notice shall be given by the cintiactor to the oepartrient headof the deparlment for whom services- are rendered, and to the Kittitas countycommissioners, 205 wStfAve, suite 108, Ellensburg, wA'gggi6. Noticeto the contractorfor all purposes under this Agreement shall be gi-ven to tnuloor"r" reflected on thesignature page. Notice may be given by detivery or 6y oepbsiiiil ; the U.s. nrair, nisiciass,postage prepaid.
26. Severabilitv:
lf any term or condition of this Agreement..or the application thereof to any person(s) orcircumstances is held invalid, sulh invalidity shail'riot a*ect-oiher terms,
"bno,tioiJ o,.applications which can be given effect withoui ttre invalid term, conoirion or ippiicrti*.- rothis end, the terms and conditions of this Agreement are declared severable.
27. Miscellaneous:
27'1 The County's^.failure or delay to. insist upon strict performance of any of theprovisions of this Agreement or to exercise any rig'hts or remedies under thisAgreement shall not be construed as a waiver or 6unquisnrunt io
"n11
**runtof its right lo assert or rely upon any such provisions, rights or' re.eoiu's in inrtor any other instance; rather the same shall be and remain in full force andeffect.
27'2 This Agreement embodies the entire Agreement between the County andcontractol and supersedes any ano al-.prior agreements, regarding theWork' No change, amendment or modification 6r any provisil,ns oi t'niuAgreement shall be valid unless set forth in a written inslrument tign"a b,, in"party to be bound thereby.
27 '3 The rights and remedies of the County set forth in any provision of thisAgreement are ln addilion to and.do noi in any way timitLri/ otei iidrrts orrernedies afforded to the County by any otner provisions oi ihi* ngr"Er"nt,
!V anV of Contracto/s Support or Uy law.27.4 The headings of sections ind paragraphs of this Agreement are forconvenience of reference only and are not intendef to restrict, affect or beof any weight in the interpretation or construcrion oi tne provisions ot suchsections or paragraphs"
27.5 This Agreement willbe aulomatically renewed yearly for a period of oneadditionar.year.unress either par.ty gives 120 caiendar days advancednotice of its indication not to renew. The rate of compensation shallincrease by the $arne amount as the Consumer price lndex lCitl or five(5) percent annually, which is ever is less. The rate of compens"iion ,nrfrnot be decreased by any decrease in the Cpl.
Professional Services Agreernent (Form rev. Ogn4l2Afi,t
Page 10 ol21
waiver of any breach or condition of this Agreement shall not be deemed a waiver of anyprior or subsequent breach' No terms or cinditions.of this Agreement shall be held to bewaived' modified ordeleted except uy an insirument, in writing, signed by the parties hereto.
28. Waiver:
29. 9urvival:
The provisions
31, and 32 sha
any reason
of paragraphs 7, g, 11,.15,14,15, 16, 17,1g,.1g,?0,21,22,23,24,2g, 30,llsurvive, notwithstanding the termin"tion oiinuJno-itv oi tfd ffi;rent for
30. NonCiscrimination;
30.1 The County is an equalopportunity emptoyer.
30.2 Non*discrimination in Emplovment
ln the performance orltris TGement, the contractor wiil notdiscriminate against any emproyee or appricant for emproyment on thegrounds or race, creed, coror, natior;i ;rigi;:-;ex, sexuarorientation,maritalstatus,..age or the presence of any sensory, mental orphysical handicap; provided that. the ptrrri6i6"' rgainst discriminationin emproyment because of handic"p 'rnulr not' appry if the particurardisability p.revents the proper perfoimance or- ine'particular workerinvorved. The contractoi shail ensure that appricant.
"r" emproyed, andthat employees are trealed during emplovmili'"iinout discriminationbecause of their race, creed, corJr, nairori;i;;b;,';"x, sexuar orientationmaritar status, age or the presence of any ."ni"ort,, ,*ntar or physicarhandicap. such action shail incrude, uut noite-riiliLo to emproyment,upg rading, demotion or transfers, recruitment o r reciu itrnert ft-u!fi]ft ,layoff or termination, rates of pay or other forms of compensarion, andprograms for training including apprenticesnlps. itre contractor shall takesuch action with respect to thii ndrr".'n"ni;;d;" required to ensurefullcompliance with local, state aia rea*rili"* ilror,niting discrirninationin employment.
30.3 @ervicesThe contractor will not Gri-minate against any recipient of any servicesor benefirs provided for in this ngree;;ion-'iil.'jLrnds of race,creed, color, nationalorigln, sex, sexuatorienfationlmaritatririu., ig" o,the presence of any senJory, mental or physicat hanorcap.
30.4 rf any assignment and/or subcontracting has been authorized by thecounty, said assignmenr or subcontract shail incrude appropriatesafeguards against discrimination. The contracior snalt take such action
frofes.sjolf Services Agreemenl (Form reu. egtZAEAlB)Page 1 'l of 21
as may be required to ensure full compliance with the provisions in theimmediately preceding paragraphs neiein.
- - " '"
31. Prevqilinq Waqe:
contractor. shall pay the prevailing rate of wages to all workers, laborers, or mechanicsemptoyed.in the performance of any part of ttie worl i; ;;;il;.ce with Rcw 39.12and the rules and regulalions.of the Department of r-ruoianJinoustries. The scheduteof prevailing wages rates for the localiti or locatities ornewoir is determined by thelndustrial statistician of the Departmeni of Labor ano rnousiii!*. lt i, the contractor,sresponsibility to verity.ilre
-apptlcable prevaiting *ig" i"16. ji'iJ-unoerstood that thecontractor is responsibre. for obtaining and co;1pbir;g;il'r;qiiieo gou"rnmenr formsand submitting same to lhe proper au-thorities,
Disputes regarding prevailing wage rates shall be referred for arbitration to the Directorof the Department of Labor Jnd ln-dustri"r. tne aro;tritiJn olririon shalt be finat and
:Si!1ilt and binding on aH parries invorved in m" oiipuiJ al-prouioed for by RCw
32. Debarlneqt Certification:
The Contractor certifies itrat it:
32.1 rs not presenfly debarred, suspended, proposed for debarment decraredineligible or voluntarily exdud6d rrom cbvdieolrarisactions by any Federaldepartment or agency.32'2 Has not.within a tnre6-year period preceding the execution of this contractwith Kittitas county, been convicted of or rra-o a civiriudgment renderedagainst them for commission of fraud or
" "iirinaibir",ire in .onn"itionwith obraining, attempting to obrain, or perrorminl'a puuic or privateagreement or transaction, viotation of Federal or-strie antitius siaiit.. o,commission of embezzrement, theft, rorgery, uiioerv, farsification ordestruction of records, making fa.rse staiemdntr, tai evasion, receivingstolen nrope{.y,.m9kinO fatseilajms, o, onri,u.fion of justice.32-3 rs not presenUy indicted for orotherwi;";;-;;iry or civiily charged by agovernmentarentity (Federar, state, or rocar) with commisiion oi;;y ;ithe offenses.e n ume rated in paragraph 32.2'of this iection.32.4 Has not within, a rhree-year ierioi pl"""Ji"g r#'iriceoing the executionof this contract with Kittitas County had one-or more public transactions(Federar, state. or rocar) terminated tor cause oiJeraut.
Professional Services Agreement (Form rev. BglZ4lilOIEl
Page 12 ol 21
EX HIBIT rrAr,
SCOPE OF WORK
ln addition to providing all material and labor, the contractor shall perform the following
Frovide on-site medicalcare to the inmate population within the Krttitas coung Jail {KcJ)that appropriatelv approximates the care "ffereJd;ii;;;; in-tn" ncat community up tofive (5) days per week, not to exceed twenty teO) nouis,
-' - " '
Provide fully qualified professional healthcare staff to deliver healthcare services underthis contract.
Provide on-cat service from a euarified Hearthcare professionar (oHcp) _ i.e. thePhysician's Assistant / Nurse Practitioner to tne racirity on r-ziLour" per day, seven daysper week, 368 days per year basis.
s9l up meetings between the contractor and the Kittitas county Jail to discuss alt inmateswith ongoins serious hearthcare issues. c;; ;i;gr;i;;;.,* wlr be given speciarattention in the transition to avoid interruptions i" lpp.pii.l"-#"
Develop a written, individualized treatment plan for inmates requiring ctose rnedical care orsupervision (e'g' those inmates with chronic or convalescent care, suicidal tendencies ora history of seizures, etc.) The.treatment plan will include diiu.$on. to healthcare and other
ff;to:T"'in
care and supervision of thepatient, aJwelrm
"ni't"quireu prraimacoffiicar
Perform an inventory, w*h the KCJ stan, .gl.3u existing equipment and suppriesimmediately upon takeover of contractresponsibilities.
Review current and prior medical problems; screen for mental illness, dental issues,sexuatty transmitted disease, tubercurosis,'drug *t "l;;;r ||,;j;*,,-oin".conditions found in the general public as well ai those roiu-pr"u"tent in co'ectionalhealthcare.
strictly adhere to Nursing and care protocols appropriate to correctional facilities andinmate populalions.
obtain' at contractols own expense, all licenses and/or certifications necessary to rendermedical and health seruices wiihin the Kittitas.counry "raii Conil-ctorwillensure that all itsemployees rendering services possess all licenses
"nc/oi ".rtm..iio* ,i,r.Jrl.ry t"render medical services within the jail.
Professional Services Agreement (Form rev. 09f24l2}l gl
Page 13 of21
lntake screening daily and official medical intake on appropriate inrnates after l2hours,perform TB testing .and urine drug tox screening 'tkci 6 provide urine cups) inaccordance with intake protocol' H"p n or other rau"oriiow testing can be facilitated asneeded.
Review initial medical and mental health..scre-enings conducted in the Booking/lntakearea by health trained KCJ staff, including naentil nealftr-ouestionnaire (includingsuicidalassessment) and the Headn Historyscreening. Appropriate aclion wi1 be takento verify prescription medications, consult ritn tn" inria'tJ'Jp-rivate healthcare providerand address immediate problems of newly admitteJ ffi;tL to the KCJ. contractorstaff will be available on a 24t7 on call basis for reui"w oi."*unings in the event thatan inmate presents with a medical problem, to oetermine if the inmate should beaccepted into KCJ or referred to another appropriate healtncare service provider.
The initialscreening willinclude, but is not timited to:
' Medical history. of current and prior illness and health problems includingmentar hearth, dentar, communicabre and chronic oiseases;' Drug/alcohor use; incruding rypes, methods, amounts, trequency, date/time oflast use, and history of proOteins ielated t",t"pp"g"-;'. Current medications;
' Body deformities including scars, marks and tattoos, and assessment of theabitity to Rerfqrlm.activities of dairy riving
"no =t"G "r ambutation;o condition of skin including traumi markings, bruises,lesions, jaundice, rashes,infestations, discharge, nbedre marks or 6ther inoiciilons of drug abuse;r Behavior, incrudingstate of consciousness, .n u n i" r status, appearance,conduct, tremors, and sweating,. History of suicidal ideation, tendency or attempts;
,?:ffox:ilrtffIlff'll;1i,"*ff..red, conrractor wi, make recommendations that may
, Referral to an emergency healthcare facility;
' Placement in the general inmaJe population and referral to lhe normally scheduledhealthcare services at the jail tacifity;. Placement in isolation;r Pracement in observation area (awaiting psychiatric evaruation);
Professional Services Agreemeni (Form rev. e%4t?O1g)
Page 14 of21
Perform a ppD on each inmate when .medicary appropriate, unress medicarycontraindicated. The TB test wiil ne iead ur"n ippl#ri"iely trained eHcp andrecorded in lhe inmate's medicalrecoro. envin,n"G-fiit-n'p'J.itiuu skin-test reactionsor w*h a hisrory of positive reactionioi -li ;$;"*#,1'*,,, be given a chesr x-ray wirhin g6-hours of skin test reaoinJ or identificaifin .i]'i!t"ry or ofsymptoms.
;eeJro|.t
TB testing for each stafr member working in the Kittitas county Jail once a
ftlHlili,H#i;,iiff '"1i{;f if :ilffiil:r:ffi ,,?;iriHfr il:n jrT;tn:,,t}:
' Review of the screening/intake forrns by medicat and mentar hearth staff;r Recordlng of vital.signs, neight, weight, etc.;. Comptete medical history
",iO
pnyrii"t examination,. MentalHealth screeningl. Dentalscreening,. Vision and Hearing screening;. Blsod sampling for screening anC urine sampling as needed,r lnitiation of therapeutic measurea *fl"n appropriate;. Other tests and examination" u"inji.Lt"a;' Proper signatures, co-signarures, o"ie" and times.
lTl[#:lH3l#:H::ar examinarions of femab inmates wir incrude the forowins
' lnquiry about menstrual cycle and menstrual bleeding including abnorrnalities,:iff : H""::;"Jj:ff :T[?? e'"*"n ;; ;i; ; ri, D,' r'e a st m aise s
"
ni' iip p r *
irl/Jffi#1r'r,",1ff1:h:fi,:,f appraisar examinarion wir be reviewed by the
Perform an annual examination for all inmates remaining at the Kittitas county JaillT#"J.;;ffi;l"fitfrioo' inis lxJmin"tion wirr occur.iJcrose as possibre t6 tne
Perform a physicalexamination on each"inmate,working in the kitchen before he/shecan begin work for food seruice or in aii'inmriJtir--t""'po"iiron.
Provide proceduralgui'dance, initialdirection and periodic inspection and evaluationof the administratioi of meal"aiion l"iiuitt", performed by non-medicar personner
Professional Services Aoreement (Form rev, Ogl}4t1fllil,)Page 15 of2l
within KCJ.
Provide designated members of the KcJ staff with training for administeringmedications, including recognition of response lo drug reactions and unanlicipatedside effects' contracior will-be on premiies at the kCl Jn a periooic schedule andwill be avairabre by terephone if ciriumstances require such response.
conduct sick callclinic on a regular basis for inmates desiring or needing medicalattention' clinic will be conducGd as directed bt ih; oo.to, that is hired and inaccordance with State of Washington standards.
All inmates requesting care will receMe a response on the next scheduled eHCp visit.
ifficjilT}id-levelprovider (PA/NP) sick cattwiit be conducted weekty on a resutarty
Respond immediately to healthcare emergencies that occur in the KCJ when requestedby KCJ staff' A Physician/PA/NP will be on-call to the rC.t on a twenty-four (24) hour,seven (7) day a week basis to aid in the determination of *n.tn", or not an inmaterequires lransfer to the nearest hospital facility.
coordinate with a local hospital for routine outpatienvinpatient services to meet thehealthcare requirements of inmates at the_KCJ th;i;;;iL!'provioeo wimin me racititybut will not be financially responsible for the cost of such care.Contractorwill wo* closelywith the KcJ staff to keep off-premises inmate neartncare vfsits at as low a level aspossible' ln every case possible contractor will utitize i;6ho;. consuttations, in-houseevaluations, and other available methods to identify
"no
?oJi.rs health issues beforethey become critical. ln criticalcare situations, the c<intractor, when on-site, willtriage thepatient whenever possible before activating e1erggncf medical transport. ln the eventthat an inmate must be hospitalized, coniiactor ilrirr r,irro*lh-e course of the admittedinmate, communicate with the attending physician;.til;;;;nd return the inmate tothe KCJ as soon as practical
Make referral arrangements with other medical specialists for treatment of those inmateswith medical problems. that extend beyond tne scopJ oi ie*ic"s provided onsite,including special laboratory tests, x_rays and other "n"iii.11.,"-*i."".
Develop and implement a program for the care of chronic-care inmates. The chronic careprovided will entail the development of an individuar treaimeni'plan by the responsiblephysician speciffins instructions on diet, meoication, il;l;;;;rtic testing. chronic careinmates will be provided a rwiew by a physicirn ririir"rrv'Iirimr.* (3) months and atgreater frequency when medically inOiiatLC.
Professional Seruices Agreement (Form rev. 09124t201g)
Page 16 of21
Review all medica! records of inmates prior lo their scheduled hansfer hom KCJ forexpiration of sentence.,an4 if necessary, will.refer to tne-appropriate community medicalfacility at no cost to.the county. A rneoicat record revdol wirr also be conducted forinmates who are released for'reasons other than explration of sentence. Recordsreviewed in all instances described above witt be starpei *iin tne fo[owing information.
Date; ReferrarMade; By and ro whom; signature of Reviewer.
All records wiil be reviewed no later than g6 hours after date/$me rereased,
Develop a procedure.Jor obtalning and sending per$nent medical information to andfrom emergency facilities and oirtsioe speclatty consuttints'and for inmates that aretransferred to other detentlon facilities. These p.J"our". *irr compry with all applicableFederal and state privacy laws with respecl to sending .no r*."ipt of medical information,
Ensure that accurate, comprehensive, legible up-to-date medicar information ismaintained on each inmate under its care, All mLdicat records will be consideredconfidential' Procedures will be instltuted for the r"."ipt rn-o titing of all reporls anddocumentation from outside consultations, emergency room visits, and inpatienthospitalizations. The contractorwill maintain current"meJi."tie"oros on all KCJ inmatesand necessary medical records will accornpany the inmates to all medical consultation,appointments and sick calls. copies of medicat recoros or J srinr"rv of medlcal recordswill be forwarded with the inmate when kansferred to .notr,"r facility. contractor willrelease medical records only as required by KCJ proceoures'ano altapplicable Federal,State and Local law(s)' .Coniractor witt si!n.ano adhere to the provisions of the BusinessAssociate Agreement attached hereto a,id in"orpor"t"d ;i;;6rence as a component ofcompliance with confidentiality standards,
comply with the KCJ. health services policies, procedures, and medical protocolsapproved by the Jail Superlntendent. As ,uqriir"O,- Conir"ctor will facilitate the
fev.gloqme1t and implemeniation of new ano reviieJpi,ri.bq'procedures, and medicatprotocols' As requested, conlractor willalso assist in the deveiopmenl and refinement ofcurrent policies comply with and complete requireJ Clrsb*"rrity nw-renes; ir"in;ng.
Meet with Jail superintendent or his designee to discuss healthcare on a monthly basis.
submit statistical reportsto KcJ by the 1Sth of each month- This reportwill include monthand year'to-date figures. for the fol'lowing ar:a?; intare icieennls, pr,ysicats, emergencyroom visits, hospitarizations, inmates rJleased prior to fnysi."l] grv, ppo, RFR, voRLtests administered and posilive status of same.
Professional Services Agreemenl (Fonn rev. 0912412010)Page17 of21
Establish a formulary for the pharmaceuticals used to treat the most common conditions
Provide the county with contractor's standard Medicar policies and procedures Manual.Any needed changes to this t"nrul ;itr ;" incorpoiaieJ;i th" starr of this Agreement.The Medical Policies and ProcedurJs ntanual wilr be reviewei plrioaically in cooperationwith the Jair superintendent, ano any neeoeo changes incorporated into themanuar.
contractor will not provide acute & chronjc psychiatric care including medication
[:l:fl""r"nt unress the psychiatric medication'is'used ]Lr?'non-psychiatric medicar
Professional $ervices Agreemenl (Form rev. 0gR4E01g)Page 18 ofZl
EXHIBIT ''B:
COMPENSATION
As full compensation for satisfactory..performance of the wo& described in Exhibit ,,A,,,including but not rimited to onsite meiiiat cgre up t9 fiye (s) days per week, not to exceed20 hours per week, and on-call medical service on a 24 rroiri peioay, seven days per weet<,365 days per year basis-]lr9-c-o.unty shall pay contraJol-c-ompensation not to exceed$100,000.00 annually or $8,333.34 per montn
The above described compensation does nol include the following costs, to be determinedby agreement of the County and Contracior:
. X-rsy services not to exceed Medhaid rates.r lf labs are drawn by contraclor and are not acute in nature, fees will be assessedby using contractor's reference Laboratory tr-audorpici-nent patient fee schedulenot to exceed Medicaid rates.
' other supplies not provided by the County wilt be providect at cost plus 15olo.. Visits made at Contractor,s faillities_
lnvoices from contractor for services rendered under this Agreement shall be sent to prefollowing:
By Mail:
Or e-mail:
Kittitas County Sheriffs Oftice
Attn: Accounts payable
307 W. Umptanum Rd.
Ellensburg, WA 98926
_shfi scal@co" kiilitas.wa. us
Professional Services Aoresmenl (Form rev. egti24f2l1g)Pase tg ofzt
EXHIBIT,'c,,
PROOF OF INSURANCE
The contractor shall secure and mainrain in effect at ail lirnes during pcrformance of thework such insurance as will protect contractor, its support .nu rn" Additional lnsuredsfrom att craims, rosses, harm, costs, riJoriti"t, J",i;G;ij'"*p.n."s arising out ofpersonal injury (including de.ath) or property oamge ihlima'/iesurt from performance of$;ffi- or this Asreement, wnether'suc'n perrJimari"i, iJfv cont"riJioir.,/Jiit*
All fnsurance shallbe issued by companies admitted to do business in the state ofwashington and have a rating brn-,'CrJsi vlr oi oeiter inin" rort recentty pubtishededition of Best's Reports unleis otherwise approved by the county. lf an insurer is notadmitted' all insuranc?Jgiite-s and procedure. r* ilriinsjli.-ln.ur"n.e poticies mustcomply with Chapter48.1S RCWand ZA4.1SWAC.
The Conlractor shall provide proof of insurance for:
tr
Coverage limits not lesslfran---r $5,000,000 per occurrence. $1,000,000 personal and advertising injury, each offense. Certificate Holder_ Kittitas County
' The certificate mus! name the county as additionalinsured
' sixtv (60) days written notice to the counv;i;;r;ration of he insurancepolicy
tr (if ANy use of vehicle in performance)Automobire t-iab.itity foi own{rG.owneo, hired,
"noleareo vehicres (Mcs goendorsement and a cA 9946 endorsemant ri"t iii'niiiuilipottutants, are to heIransported). Coverage limits not less than:. $1,000,000 combined single limit' Thirtv (30) days written notice to the county of canceltation of the insurancepolicy.
E Professional Liabitity (Medicat Matpractice)The Contractor .providing profeisional seruices shall provide evidence ofProfessional Liability lnsurince covering proressionai"rTor. and omissions" suchpolrgy Alst-provide the foilowing minimum |imits:. $1,000,000 per claim. $2,000,000annualaggregate
P rofessional Sefl ices Ao resmen I (Form r at . @p.4filA 1 g)Page2lol2l
lf insurance is on a craims-made form, its retroactrve date, and that of ailsubsequent renewars, shafi be no l"iei than the en;lie date of thisAgreement
I
X VVorkqrs'-CompgnsatioE in amounls required bv lawconlractor shall furnish thE-Cnntv i C"ttii."t. oi inrrr.n.e to inctude the poticyEndorsements/Exclusions as evidenle that policies pruiirJ insurance required by thisAgreement are in full force and effect. Coniractoi trlr"n1l *Ziu"s all rights of recourse,including any right to which another may be suorogat6o,'against Kittitas county forpersonat injury, incruding dearh, and property oamag-e, c;rEil;t'i;il;;";.Toll.,u"required above shall be primary lnsurance and sfatt oe non.contributing with anyother insurance maintaineO by Kittitas County_
The contractor shall qssu^me full responsibitity for ail loss or damage from any causewhatsoever to any tools, contractor's'emploveL.*n"oi"orJ_ macrrinery, equipment, or
nffil::i:res owned or rented by the contiacror, or tne coitractor's agents, suppriers
The contractor shall.have.sole responsibility for ensuring the insurance coverage andlimits required are obtained by subcontractors.
NOTE: No contract shalr form untir and unress a copy of the certifrcate oflnsurance with Endorsements/Exclusions, properry compreted and in the amountrequired, is attached hereto.
Failure of the contractor tP lulry comply with the above insurance requirements duringthe term of the Agreement shait ne clrisloereo a materiai ureaJn otcontract and caui*for immediate termination of the Agreement at the C;nt;s lls-cretion. Allarnativety, thecounty may procure and maintainJat the contructoil.i'n" *i"r", rnsurance to theextent deemed proper up to the amount "f-tprordo..g1r.re*el The county mayoffset the cost of such insurance againstlayment due to the cintractor under thjs l
Agreement,
Professional Services Agreement (Form rev, Ogl2{f'7201gi}Page2| of21
It.
B uslrurss Assocl..\n Anorxptl rvl
EXHItsr'f "D" ro tHt: cr:xrRer,T To wHrcu r.r. rs r\TrAr,Hr--l)
'l-ltis Addc'ndtttu is iltcotlorirl€d into thc contrilct to rvhich rhis docurrrcnt is attached bcln.*c-rrKittitas Counly \\'asltingron orr behalf of the oll]ce or Delurlnrent thereof (."coverc,(l llrrrirf..)ancl thc othcr p;rrty or parties tltereto ("Busincss Assoe irtc";. Ttre singulirr"shall inclrr<lc tt:c pluralaud tlrc- plural tlr* sinsular as requirecl by thc corrte.rt.
The Business As^sociflle uckrtotr{t'clges artd a*qrees thlt Protectccl llealth Infirr.nrrtiorr (pl ll } irr anyfonnat. includin-c elcctronic Plll (ePl.tl). carr be usetl. slraled. creilted. rr.taincd or tralrsterrr..rl
ottl.v x ithin tlte patatneters of this docruilc'nt tnd the Deparhnent of Ilcalth arld I lunrnrr Srn,ircsPrivucy Regulltions, C'odc of Fedcrirl Rcgularions. (.,CFR.,). Tirle 45, Secriorr* l(i0 rntl l6_1. oras requircd by larr,.
cFR Titlc 45' Scctions l(r0 ancl 164
"ncl
lny applicablc \vaslrington stahrtr)ry la*, (..RClv..l.r
Adlrrini.sLrnti\.r'Code 1..lVAC,') provision (Fectcral crrd Stare statutorv or regulltory stuntlardslpplicnble to this addcndrrrn are collectively relened to a.s ..llrv,,) lre by rvay ol.re.l.crerrc,... irnirrtegral part oltlris Adtlcnclunr as if inctrrporoted in ftrll. Btminess Associirtc is chrrgetl u.irlr tlreknou'lcdgc'of antl agrees to abide by the tenrrs and coudiliorrs ol'larv. To lhc cxtcnt rhlt irrryapplicablc Plor ision of RCW or \['AC proviclcs for or mandatcs any srlndud cli fl'crirrg ti.ornthose of Federnl la$', the -stitntlitttl ltore restlictive ol'chsclort,r* sh,,il corrtrol subjcct to li,rL,r*lpreenrptiott; this applies throttghout this r\cldc'ndunr rl'ithout regud to nn1.. lirr.r6cr erplicit
refererrce ro RCIV or WAC provisions.
This 'Adderrdunt is cfFccti\'c tlpotl siguing of this attachnrent or llrc contr:rcr to r'hir-h rt isaturched, rvhichevr,.r is pr.ior in tirnc.
PUqfosE
The Covct'r:d Entity rrccds to ntirke nvailatrle ancllor disclose to the Business Associale cer.rnirrPl-ll tbr nratlagenlt'nl. administraliotr, and legal resporrsibilitie.s cturing the nonnal course ofbusittess betu'een tlreparties as referenccct in the contract olollrcrngreenrenl torr,hich tlrisdocum'"nl is uttached and incorporated by rcf.Lrence. Tlris docunrent is interrdecl lo dcfinc andincorporate but nsl linrit thc obligations of the Business Ass'ciutc' rvith rcgarrl to its use anclptotecrion of tlrar PHl.
Thc Business Associate rrerr.by il-srces to do the foilorving:
r\' Use and Disclo.surq: Use and/or disclose PHI only as pc'nnirted or requircd by rhis
Addendunt' Healrh Lrsttritnce Por"tabiliry nnd Accountabiliry Act (HlpAA), *nd theHealtlr hfomralion Technology for Econonric nnd Clinical Health Acr (Divisi6n A, TitlcXlll of the Anterican Recovery and Reinvestnrent Act of 2009, pub. Larv I I l-5, 2009HR l) (*HlTEcH"). The Btsittess Associatr: shall use and disclose plll only if such useor disclosure, respectivcly' is in complinnce with cash applicable requlrclrclt of 45 CtliR
ss 164'50-1{c) or ottrer law' The Business Associate is directly responsible ftx ftlll
B. A..{. Anltchmcnr pirge I uf 5
c()nlpli:lllcc $'ith tlre ;rrivacy ;rrovisions of luw rhnt npply trr llre llusi.ess r\rsocintc r. rlr*sanlr. c\tenr as tlre Covcred f;ntity.
B' Sec.urity: lnlPlenlr'rti aclminislrntir,c. physical. ancl techrrical saltgu:rrds tlrar rcasrrnatrl!,and appropriately protr-'ct llre confidentialiry. inregriry, antl ar,ailabiliry of the pl-ll rhat rtcreates' rer"'eivcs. tttitittt;rins' tll tmrrsrrrits rrn bchalf of the Covercd Enrity:rs requircd bylir$ ' Thc Bu'siness Associlre is tlirectly responsiblc tbr corrrplirnce s,ith rhe ser.uritvprovision* of FIIPAA rrucl l-llrEcl'l to the sonre e.\renr as rhe corcr-4;;;;;r;-- "".'
c" ltnproper Disclosttres: Repon all urrauthurizr-'cl or otherrvisc irrrprop..r disclosurc-s of pl{ I,or sccurity incidcnt, tr) thr. Coverc.d Enrity rvithin trvo (2) doys of the Business
Associi.rte 's knorvlcdge of such evr.-nf.
D' No(ice o,l'Brcmh: lvithin lwo {l} btsittess cluys ol'thr:'tlisco'ery sf r hrurrclr irs clcfinetJ irt
'l'5 Cl-R s\ t64'"102 notilv thc' Coverecl Enritl'of an-v brelch olunsr,cured pl-ll. Notillcario:rshnlt b}' tlrc nro.st rapid means reasonablv possihle, such as tclcphonic rrotice nradcdiree'tly lo illl llppl'oprittte pcrson rvithin the col'ered entity arrd not irrcludirrg a voicc nrailor sinrihr nreri.silgr'. \\'ri.r-'rr rrtrtirication sh'tl roilorr. rvftrrin trrar trr.o (2) periocl Lry firx urdbc conlintteclbl'dilect colll:rcl rvith thc irrlerrtlecl recipie'rrt, anil irrcludc the ielenrilir:.tiu'of clch individunl whose. urrsecurecl pHl hn.s beerr. or is rcasorrably bclievecl by theRttsiness As'socielte to ltavc'hecn, ilr'cessecl, acquircd, ol disclosccl clrrr.ing suclr brerclr: abrief descriptiott of rvhat ltappenccl. inclucling thu- dale of the brcaclr anrltbe date ol-rhc<lisco|ery of the br*rclt. if ktrrrwn: n clescriptiorr ol- the types of unser.urcd pH I {lrll wereitrvolved in the breaclt {strch as rvhcthcr frrll nsrrc, socialsecurity rrurrrber,6are ol.birt5,holnr-' address' accounl numbr"r, clilgrrosis, disability code, or otlrer types ol'informntiou
tvel'e involved): any steps inclividuals should take to prorecr thenuelves fi.onr porenriat
Itarnr resulting front thc brcach: n blief clescriprion oirvlat the Busin"-ss Asso.iare isdoing to invesligate the brcach, to mitigate harnr to individuals, ancl to protecl against arryfitrther breaches; lhe contact procecltrres of lhe Brrsiness Associrte for indivicturls to askqtrcslions ur lcarn ad<Jitional inlbrnral^ion. rvhich shall include a toll tlr"e ,ru,.,.,br.. *n *..ntail adcJre'ss' web site, or posral adclress; and any other infonlation reqrrired to beprovidcd ro the individuar by the covered Enrity purruanr to 45 cFR s\164.40.r, a.sanrendr'd. A trrcach shall be treatecl as discoverccl in accor.clance rvith lhe tenrrs of 45 CFR
$ 164'410' The inforntation shnll be uptlatecl promprly and providecl to the corcrecl E'tiryas rcquested by lhe Cover.ed Entity.
E' Mitigution: Mitigate, lo the extent pructicirble, any harmful effect that is knorvn toBusiness Associate of a use or disclosurc of PFII by Business Associarc irr violation of thcrequircmenrs of this Addendunr or the larv.
F-' Ag-ejr-t--:: Ensurc that any agent, incruding ail of its emproyees, representatives. ancrsubcontr:rctors, to rt'ltom it providcs PHI received fiom, or.created or receivetl byBusiness Associatc on behalf of covered Entity agrees to thr'snme restrictions and
B. A. A. Ahaclrment page I of 5
1il.
collditions lhat apply thtnugh this Attdenclunr to Business Assrrci;.rrc rritlr r",specr rr-r suclr
inlonuntion.
G. Rislrt of Assest:
I' Frorrt tittle to tinle llpon reaso,'rablc advanrc nr-rtice. or r.lpor a reastrrrable
de .erttlinntion by Covercd Enrity that Busincss Associale lras puterrriallt,or ilctuall_v
brenched this Addcndunt, tnake internal practices. boolts, anclrccords relatin-u ttr tle
use and disclosttr"' of PHI recL-iled fi'onr, or creatcrJ or rcceir:ed by Busincss Arru",n,.
olr belralf of Col'cred Entity al'ailalrl.'to lhe Coverr;'clEntity. or al the rcquest of'rlrr,
Cuverecl Entiry to the Sectetary of l)epartnr*nt of l-lealth aud I Iuuxur Sc-rvices. tbr tlre
prrrpose uf dc'ferrttining conrplirnce rvith IIIPAA. HffECH. and/or rhis AdtI,.ndrurr.
2 ' Fronr tintc to Littre uFon rcasonalrle adr,ance notice, or 1po1 a remonable
dctel'ntination by Covclcd Entity thnt Business Associcte has polerrriall-v or acrrrirtly
breached thi.s Addendurl'r. tu pennit Covered Enrity to rcsporrcl to a requcst l)v nn
Individtrul lbr att ltccottntirrg oldisctosur".s ol PHI in accor.clnnce rvith ;t_i CFR
h\ l6'1.52S' or lo pcnt)i1 Cur',"rcr1 Erttit,r to responcl to a rcr'pr(.st by an lnclir it6irl lor
acr"-css to PHI in nccorrhnce rvith 4j CFR s\ 164.524.
I I' D0$unr,--fltatjon ot'Disclosures: Docurrrent such tJisclosures of Pl-ll rncl inlornrirtion
related to such disclosures as rvould be requirecl for Covcrccl Entity to respond to ir
rsqucst by an lndividual for an accountiug of disclosures of Pl ll i1 accordance rvirh {-5
CFR $ 161.53S. Shoultl an itrdivictual nrnke a rcqucsl to Covercd Entity For iln ar.counting
of di.sclosurcx of his or lrer lll'll pursuanl to 4-i ('FR $ 164.528. Business Associnte agrees
to rlronrprly providc an accoillring. as speciriect under 42 u.s"c, g 179-r5(c) ( I ) and i5
CFR $ 164.5?8. of disclosttres of PFll that havc been rnade by the Busirress Associale.
auting on behalf of the Covered Enrity. The accounting shatl be provideclby tht- Busirrr..ss
Associate lo the Covered Entity or to the individual, as directerl by the Coverecl Entity.
l. Antendnren$: N'lake atly anreudtnenl$ to Plll tlrat the Covered Entity dir-ects or agrcL.s ro
pttl'stliull to 45 C'FR $ 164.526 al lhe request of Coveted Enriry.. rvirhin fivu' 151 buii,rcss
days of u'rilten request by Covered Entily.
J. Other: To the e-\lent the Business Associale is to carrr out on(' or mor.. of the c.vr,rr.,d
entities obligutiuns undel Subpart E ot45 C'FR 164, cornply nith the requirenrelts of
Sttbpart E thut apply to lhe covered entity in the perfornrance of such obligations.
PERt\;lITT.ED usEs AND DtscLqsuREs By BUstNEqs ASSoctATE
A. Except as othcrrvise limited in this Ad<lendunr or by law, Busincss Associate nray rffic
Protectcd Health Intbnnation fol the proper managr3rrent and adn:inistration of the
Bu'siness Associate or to cany orrt the legal lesponsibilities of thc Business Associatc_
The Business Associilte shall lirnir its use and disclosurc. of, and rcquests for, pl-ll to t6e
mininrum necessary as determined irr accordancc with 42 u.s,c. s\ l7935tb)( I ),
B- A, A Anuchnrcnt Page 3 of5
B. Ercepl as rrtlrcrrr.isc lrnritctl ilt this Acftlcrrcl[rnr or hy hs. Busirrc-ss A.ssociirte tllitv p.sePlll to pruvitrc Dlrn A_ugr,egarion sen,icc.s r. cor.ercd F.nriry a.,-;,".,ir;; ;;.ij'i,i- s164.504.(c)(2X iXB),
I\'. 'l'E PI AND .r\T N
Y
A' "Iggr;: This Addendur'shitll lrccome eftircti'c orr the Eftbcrir.e Dftte and shrllcrxrrinur- rrreft'ect urrtilall obligatinrts t:f lhe pa'tics ltn*c becn llrer, rrnlcss tcmlinate(lus proviclcdhcrcin or by' nruttral agreenrenl of the par.ries
B' Tcrntilation for Cau.se: upon covered llntity's krrowL:.crge of a nl.rtcrifll breac6 hyBtrsiness Associrte, covered Entity nray provitle an opportunirl. lbr llusirress AssocinteIt) ctlre llre trrelch or end the violation and terrninltc ttris Acldentltrnr if Bu.silressAssocinte cloes not cure tlte hreaclt or end rhr- violation rtithin tir,e (5) business day,s ol.rce't'ipt r'rf rvrittctt lroticc by thr' covcrtcl Entirr-. or imnrcdiatcly h--rrnirratc thi.s A4<lcrrdunrif Btrsirrcss Associatc has breaclred a mflterialterur of trris AtJtlendum and cure is rrotpossiblc,
c' f)lhc'Tcrr'it)ation: This Atltlertdunt nriry be tcrruinared by c'overctl Errtity r'ithorrt cuusettpon thirty (30) dlys Prior n ritlett notit'e to the other prrrti.. u,hich noticr. shall specify. rhr,date ol'tenninntiorr.
D' Illfect o.l'Terrninntion: F.'tcept as provided irr palagrlph B. of rhis secriorr, upor.rIt-nnitlillion of this r\ddettdut', lor any re$son, Business Associirte shall rctur.rr or destroyall Pl{l rt'cc'ived fi'ottt covered Entity, or created ot rcceivecl by Bnsincss Associate orrbehalf of covered Entity. This provision shallapply ro pHr thnt is irr the possessiorr olsttbcontroctors oragcttls of Btrsiness Associatr'. Brrsiness Associare strall'rr-rain nu..opi**of lhc' Pl I I' Destruction tnusl be by nrerns lhar meet or e.rceecl lhe stnntlarcls o[ la*,.
ln the evettt that Btrsincss Associate dcternrines that returning or dr.stroying the pHI isnul ll'asible' Bttsiness Associate shall exrcn<J the proteclion, ul'tlri, Arldenclurn lo strclrPIJI and linrit frrrtherdisclosures ol'such PHI to those purposes (hai urake renlr ordeslruction infcasible, lor so lung ns Busincss Associare mainluins such pHI. BusincsAssociale ntust provide rvritten notice of thc conditious lhut nnkc. retunr or deslructiontrot feasi[rle: if co'ered Entity does nol concur in that assessnenr. flusiness Associarc,shall re'tum or drstroy rhe pHr rviilrin five (5) busine'ss clays.
MISCELLANEpUS
A' Dqfepsc and Indemnification: Business Associate shall defend, inclernni[y and holdhanttlcss col'ered Entity fi'oni and against alt clainrs, liabilities, juclg'renrs, fines,assesslDellls. penalties, atr'41dg or other c'xp€flses, of any nature wl.latsoeljer, incl.clingrvithout linlitation Bttomcys' fees, expert rvitness fees, ond costs of investigation,litigation, or disptrte resolution, relating to or arising out of any brcach of this Adden<lurnby Business Assuciare, irs enrproyees, otTrccrs, ug*,rtr, or sub-contractors. This pruvision
B. A" A. Atrachnrcnl page 4 of 5
is snpPlcttturrtll to ancl 1{) he intr'ryrctccl irnd aplrlicrl irr r nuulller consistenl tvillr, arrvindcm[iflcatit'n provinion of the agrecr]rcnr lo rvlrich tlris Acldenclunr i* ;;;;"il;.
- 't
B:Bu.sincssAssocintcslrallreitttbrrrsc
c'o'erecl Entity. witltout lilnit:rtion. tbr all costs of investigatiorr, clispurr:. rlr.solution.nolificatioll tlf individtr:rls. the rttettin. ancl thc gou.rrrm.n,, :rnd expenses incun.e cl inrcsponding trl ary audir.s o'othr,'r irrvesrigirrion reratirrg 10 0r arising 'ur rrlir brcncrr or.runsecu'ed l''rII by tlrc Busines.s As.sociare. irrcludi'g nritigorion.
C' $eqtrh{olv Refercr:cgE: A rcfbrencc- iu this Atidendunr to a sL.crion in the Dcpcrtnrcnt of
I lealth rttd l'luntnn Servicc.s Privacy Regularions. CFR. Titlc 4j, scclit:ns 160 antl l6{tneillls tlte Sr-'r-*tion as in cfl'cct ot:ls- ttnr€ncletl, and fbr s4rich conrplirrncc is r.equirc4.
D' Amendttlent: (''hnttgt's in tltr" lnrt'arc autorililticaltv irrcorpomtr.,d hr,.rcin rr,it6out rreed lbr.cxlrlicit:tnrt:ntlnteltt. 'the Partics a-qree lhis this Addcndunr ,',',oy be anrerrcL-cl fr<rnr timc ttrtinte ilothetrr-ise nc'cessiuy lbr covere<l Rntirl'to compty rvith the reqrrirenrcnts of thr.l)epitrtn:cttt ol'Hc-alth attcl Hunriln services Priva,--y Regl.,tations. cFR. Tirle 45. sections
160 nnd 164 trnd orhcr provisions of larv.
E. Nqtice.s: Whenevr.r Coveled Elrtity or Brrsiness r\ssocialc. is r.cquirect to give nglir,.e to thr,otlrcr p0rty' ttoricc shnll be in n'riting. posre<f in thr. us N,lail, irnd tleernc<J tlelivcred al.ltr.thrce (l) trusilr,,.ss duys exccpr as desrribcd in Il. D,, above.
l;' srrrrir'irl: Tlr* obligaliorrs of thc Business Assot'iate shirll sun'ir,e tlre tcl,urirraliorr ol.thisAtldcndurn.
fi. htqnr..elgtipfl: An1, anrbiguity in this Acldenclunr shail be resolv.,d irr fuvor of a nreaning
lh;tt pclntits c'overed Entity to comply rvit]r ttre Depmrmenl of Healrlr arrJrir*.,,
"""'
services Privacy Rcgulations, CFR, Tirle 45, ss-ctions 160 and 164 ancl other |:rovisionsof la$" Any provision of the unclcrlying Agrecment that is clirectly contradictory t0 oncor nlole ternrs of tlris Adderrdtrm is superseded by the terrns of rhis Aclclcrrdrrnr to the{xtenl nccessary for the parties' conrpliance rvith HIpAA.
B, A. A. Auachrnent plge f of 5
copllrY JA|L
This Agreement, effective as of lhe date signed below, is made by and between Kittitascounty (hereinafter "the county') and Elleisuurg Fartily na"o]lin. DBA compassoirect("contractor"). The county and contractot agree as folows:
I!3t-lh9 existing Agreement,.previously entered between the parties on December 7rh2021, shall be modified as aliowed byiection rac*"ru"l'.it["t agreement. The '
prrrpose of this Modilication is to allow for a nurse to be hired to nip wiin
"ou"r"lg"
atthe iaildue to lhe increase of services and increas. t[" iJi"i"rount paid to thecontraclor. .Hiring a nurse to help with coverage at the jail wilt allow the contractor loprovide additional services for the jail(see betiw foi;ai;tion;i services that would beadded). The totar cost to the contiacrbr wiil.increr;Jil;;greater than $100,000annually to no greater than 9235,000 annually, rettecting
"n "Jtirrt"d cost of theadditionat personnel and services of 9135,000. fni* ,iiiil#p".0 from the same fundScope of work:
1. Diskibute medicine to the inmates at rheir designated times2. Chart review and audit
3. Triage of any acute needs4. Records requests and reviews5' Assistance with irnplemenlation of the electronic medical records system6, Provide flTlly^ll!-dl1*: (atso done by ou,.,-stan f;, th"i;;ffd;-'i. These services can be done in tnd pn urith-no need to rranipohinmate to KVHii' lli:llg is subsrantialrv towerrhan KVH ($ee attached price
comparison|7' Provide in-facility X'ray service*.(al:9 99ry ov other staff from their office)i. conrracror wiil contract u/itii FASTEx, I tocar * ,.y **p"r,, Jri
"r/akima
ii' FASTEX can perform irnages in the jail with no reed to transportinmate to KVH
iii. L:,:[n_f--ybstantially lower rhan KVH imaging center (Seeattached price comparison)
Compensation:
1. Provide nursing servlcs,s at tfre jait an average of zE hoursArveek.a- Hours wiil be 0730-10b0;nd return tdtne;ail
"ii+oo-rooob, On callJail needs belvteen 1030 and 1400i' This should coVer two - medicalion distribution events daily andpreparation for sick cafl for the foflowing day in addition to;;;
lN wTNEss WFIEREoF lhe parhes rrave executecr rhis Agreernent thi* '_ .',1.y ori .r,".j'' !', -,2022
Ellensburg Family Medicine
100 W 3d Ave.
APPROVED:
BOARD OF COUNTY coMMtSStoNERS
KITTITAS COUNTY,Ellensburg WA 98926
Executive Dhector
(Date
ATTEST:
ABSENT
Vice-Chairman
County of Kitlitas, Sheriffs Office
Glay
4pf$uuo to Form
d
"'^t]-i-:--L t,, J l, l -'0lerk of the Bodrd
Itt,lJ tlu
rftprr or
D. R.
the Board- Julie Kjorsvik Deputy
D Deputy Clerk of the Board. Mandy Buchholz
By:
#
Attomey
This Agreement, effective as of the date signed betow is made by and between Kitgtas
gou1tY (hereinafter'ths _Countf) and Ellensburg Family Medicin6 dba Compassuirect
Healthcare ("contractor''). The county and con{ractor igree as fo[ows:
That the existing AOpemg{, p-reviously entered between the parties on December 7,2021 and modified June 31 2A22, shall be additionally modifiio as allowed by section
12 (twelve) of that agreement. The purpose of this modlficaflon ls to e*p"nO i"rvices toinclude weekend cov€rage at the Jail and increase the total amount paib to tne
Contractor. The totalamount payable to the Gontractorwillincreasi trom $295,000annually, as reflected ln the June 31,2022 modrfrcation, to no more than 9310,000 -
reflecting a cost increaseof up to $75,000. Thls increase wiil be funded Uy
"ilslnggrant awards and lts contlnuation contingent upon those awards being renlwed.
Scope of work:
1. Assume responsibility of Suboxone med pass for the jall, and weekend
coverage of 1st med pas$.
2. Triage any acute needs whlle on site providlng aforementioned weekend
services.
Allterms, conditions, aftachments, documents, and exhibits, lncludlng the term of tho
agreemenl as described jn theoriglnalAgreement are lncorponated herein bythis
reference as fully as lf setforth herein.
lN WITNESS WHEREOF, the pariles have executed thls Agreement this -fftay of
2023
APPROVED:
Ellensburg Family Medicine
100 W 3dAve.
98926 (
DNP, Owner
BOARD OF COUNTY
Kittitas
n
IONERS
I ?
(Date
Vlce-Chairman
Commissioner
Klttilas County Sheriffs Offoe
Glay
'APprcved prorm:Itlr
{
D. R. Mltchell, WSBA#
"Ef0lerk of Board- Julle (lorsvlk Depug prosecuflng
tr Deputy Clerk of the Board- Mandy Buchholz