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HomeMy WebLinkAboutCONSENT Jumping Mouse Chimacum School 615 Sheridan Street Port Townsend, WA 98368 �eehson www.JeffersonCountyPublicHealth.org Consent Agenda Public Healt JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners Josh D. Peters, County Administrator FROM: Apple Martine, Public Health Director, Interim Behavioral Health Coordinator DATE: / I tiqh-`:; SUBJECT: Agenda item — Professional Services Agreement, Jumping Mouse Children's Center, re Chimacum School District; July 1, 2025— June 30, 2026; $36,064.55 STATEMENT OF ISSUE: Jefferson County Public Health (JCPH) requests Board approval of a Professional Services Agreement (PSA) with the Jumping Mouse Children's Center; an awardee of 1/10th of 1% Sales Tax (Hargrove Funds) for the state fiscal year 2025-2026 as determined by the Behavioral Health Advisory Committee (BHAC) in September 2024. Recognizing the lack of access and resources in the rural location of South Jefferson County, Jumping Mouse has a satellite agency located in the Chimacum School to provide long-term therapy to young children in the Chimacum School District; July 1, 2025 —June 30, 2026; $36,064.55. ANALYSIS/STRATEGIC GOALS/PROS and CONS: This PSA between JCPH and Jumping Mouse Children's Center for clinical and care management services for up to 14 children weekly who attend school at the Chimacum School District, along with consultations, education and support with teachers and staff. This service will include long-term therapy to children affected by and/or with risk factors for mental illness or substance abuse at home and/or in the community. Jumping Mouse will also provide support and education to the children's parents/caregivers through monthly meetings and on-call support. FISCAL IMPACT/COST BENEFIT ANALYSIS: This is County sales tax revenue, which is deposited into the 131 Fund (1/10 of 1% Fund). The BoCC allocates it, with input from the Behavioral Health Advisory Committee. The agreement states that funding is subject to availability and, if the County sales tax revenue decreases, the Vendor will be contacted and the contract may be renegotiated. This Professional Services Agreement resulted from an RFP process; services and funding have been recommended to the BoCC by the Behavioral Health Advisory Committee. Community Health Environmental Public Health Developmental Disabilities 360-385-9444 360=385-9400 (f) 360-379-4487 360=385=9401 (f) Always working for a safer and healthier community AD-25-071 RECOMMENDATION: JCPH management requests approval of the PSA with Jumping Mouse Children's Center for the Chimacum School District. Please note that this contract is delayed due to multiple leadership departures at Jumping Mouse earlier this year and with establishing a new Admin/Finance team, Jumping Mouse was able to complete the delayed contracting process recently and will begin billing upon approval, with the contract backdated to its intended start date of July 1, 2025; 1/10th of 1% funds are intended as funding of last resort for award recipients. REVIEWED BY: 1(..e)-60 ( /I Josh D. Peters, County Administrator Date Community Health Environmental Public Health Developmental Disabilities 360-385-9444 360-385-9400 (f) 360-379-4487 360-385-9401 (f) Always working for a safer and healthier community CONTRACT REVIEW FORM Clear Form (INSTRUCTIONS ARE ON THE NEXT PAGE) CONTRACT WITH: Jumping Mouse Children's Center Contract No: AD-25-071 Contract For: Chimacum School District Mental Health Svcs Term: July 1, 2025 -June 30, 2026 COUNTY DEPARTMENT: Public Health Contact Person: Apple Martine Contact Phone: x 443 Contact email: amartine@co.jefferson.wa.us AMOUNT: $36,064.55 PROCESS: _ Exempt from Bid Process Revenue: _ Cooperative Purchase Expenditure: $36,064.55 _ Competitive Sealed Bid Matching Funds Required: Small Works Roster Sources(s)of Matching Funds Vendor List Bid Fund# RFP or RFQ Munis Org/Obj 13156400 Other: APPROVAL STEPS: STEP 1: DEPARTMENT CERTIFIES COMPLI ITH . 80 CHAPTER 42.23 RCW. CERTIFIED: El N/A:f Nov. 13,2025 Signature Date STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE COUNTY (CONTRACTOR) HAS NOT B DEBA D Y ANY FEDERAL, STATE, OR LOCAL AGENCY, CERTIFIED: N/A: ❑ Nov. 13,2025 Signa r Date STEP 3: RISK MANAGEMENT REVIEW(will be added electronically through Laserfiche): Electronically approved by Risk Management on 11/14/2025. STEP 4: PROSECUTING ATTORNEY REVIEW(will be added electronically through Laserfiche): Electronically approved as to form by PAO on 11/13/2025. Standard PSA language. STEP 5: DEPARTMENT MAKES REVISIONS & RESUBMITS TO RISK MANAGEMENT AND PROSECUTING ATTORNEY(IF REQUIRED). STEP 6: CONTRACTOR SIGNS STEP 7: SUBMIT TO BOCC FOR APPROVAL 1 PROFESSIONAL SERVICES AGREEMENT Between Jefferson County And Jumping Mouse Children's Center/Chimacum School District Mental Health Services THIS PROFESSIONAL SERVICES AGREEMENT("this Agreement") is entered into between the County of Jefferson, a municipal corporation("the County"), and Jumping Mouse Children's Center, ("the Contractor"), in consideration of the mutual benefits,terms, and conditions specified below. 1. Project Designation. The Contractor is retained by the County to perform the following Project: to provide mental health services for young children in the Chimacum School District(along with support for their parents/caregivers),who have suffered trauma, including loss, abuse, neglect, and exposure to violence, mental illness, and substance abuse, in Jefferson County, Washington. 2. Scope of Services. Contractor agrees to perform the services identified on Exhibit"A"attached hereto including the provision of all labor. 3. Time for Performance. This Agreement shall commence on July 1,2025 and continue through June 30, 2026. Work performed consistent with this Agreement during its term,but prior to the adoption of this Agreement, is hereby ratified. The Contractor shall perform all services pursuant to this Agreement as outlined in Exhibit"A". Time is of the essence in the performance of this Agreement. 4. Payment. The Contractor shall be paid by the County for completed work and for services rendered under this Agreement as follows: a. Payment for the work provided by Contractor shall be made on an hourly basis at the rate as defined in Exhibit`B", attached hereto,provided that the total amount of payment to the Contractor shall not exceed$36,064.55; without express written modification of the Agreement signed by the County. The Contractor shall adhere to the budget amounts pursuant to this Agreement as outlined in Exhibit`B". b. Invoices must be submitted by the 10th of the month for the previous month's expenses. Such invoices will be checked by the County,and upon approval thereof,payment will be made to the Contractor in the amount approved. Failure to submit timely invoices and reports pursuant to Exhibit"A"of the Agreement may result in a denial of reimbursement. Invoices not submitted within 60 days may be denied. c. Final payment of any balance due the Contractor, of the total contract price earned, will be made promptly upon its ascertainment and verification by the County after the completion of the work and submittal of reports under this Agreement and its acceptance by the County. d. Contractor shall provide invoices and necessary backup documentation for all services including timesheets and statements(specifying the services provided). Any indirect charges require the submittal of an indirect cost methodology and rate using 2 C.F.R. Part 255 and 2 C.F.R. Part 230. e. The Contractor's records and accounts pertaining to this Agreement are to be kept available for inspection by representatives of the County and state for a period of six(6) years after final payments. Copies shall be made available upon request. Professional Services Agreement,Jumping Mouse Children's Center/CSD-2025-2026 Page 1 of 17 AD-25-071 f. The County reserves first right to use as match,the Chemical Dependency or Mental Health Treatment Sales and Use Tax, (now known as the 1/10t of 1%Behavioral Health Sales Tax) and the services funded by them for purposes of qualifying for additional funding and grants. The County may allow the Contractor to use the 1/10t of 1% Behavioral Health Sales Tax funds as match, at the County's sole discretion. Should the County decline to use the 1/10th of 1%Behavioral Health Sales Tax funds as match for additional funding and/or grants,then the County may authorize the Contractor to use such funds for match(see ATTACHMENT A). g. Where Contractor proposes to use 1/10t of 1%Behavioral Health Sales Tax funds for match, Contractor shall be solely responsible for compliance with all state and federal laws and regulations, including, but not limited to DSHS, CMS and MCSR funding rules, applicable to the use of 1/10t of 1%Behavioral Health Sales Tax funds as match. Contractor shall document they have met this responsibility by submitting to the County Administrator, in writing,their match formula, allocation plan and any other documentation required of them pursuant to ATTACHMENT A, attached hereto and incorporated in this Agreement. h. The County may withhold authorization to utilize the 1/10t of 1%Behavioral Health Sales Tax funds as match. Contractor's failure to provide adequate documentation does not relieve the Contractor of their responsibility to comply with all state and federal laws and regulations related to match. i. The County reserves first right to use as match the 1/10t of 1%Behavioral Health Sales Tax fund to the County Administrator, in writing,their match formula, allocation plan and any other documentation required of them pursuant to ATTACHMENT A, attached hereto and incorporated in this Agreement. 5. Ownership and Use of Documents. All non-confidential or de-identified documents,drawings, specifications, and other materials produced by the Contractor in connection with the services rendered under this Agreement shall be the property of the County whether the project for which they are made is executed or not. The Contractor shall be permitted to retain copies, including reproducible copies, of drawings and specifications for information, reference and use in connection with Contractor's endeavors. Contractor shall not be held liable for reuse of documents or modifications thereof, including electronic data, by County or its representatives for any purpose other than the intent of this Agreement. 6. Compliance with laws. Contractor shall, in performing the services contemplated by this Agreement, faithfully observe and comply with all federal, state, and local laws, ordinances and regulations, applicable to the services to be rendered under this Agreement. 7. Audit. An audit will be submitted to the County upon request. Upon request, Contractor will submit the most recent financial audit within 30 days. a. Upon request the County shall have the option of performing an onsite review of all records, statements, and documentation. b. If the County finds indications of potential non-compliance during the monitoring process, the County shall notify Contractor within ten(10) days. County and Contractor shall meet to discuss areas of contention in an attempt to resolve issues. c. Audit will provide statements consistent with the guidelines of Reporting for Other Non- Profit Organizations AICPA SOP 78-10, and is performed in accordance with generally Professional Services Agreement,Jumping Mouse Children's Center/CSD-2025-2026 Page 2 of 17 accepted auditing standards and with Federal Standards for Audit of Governmental Organizations, Programs,Activities and Functions, and meeting all requirements of 2 C.F.R. Part 200, as applicable. 8. Indemnification. The Contractor shall defend, indemnify and hold the County, its officers, officials, employees, agents and volunteers (and their marital communities)harmless from any claims, injuries, damages, losses or suits, including attorney's fees, arising out of or resulting from the acts, errors or omissions of the Contractor in performance of this Agreement, except for injuries and damages caused by the sole negligence of the County. Should a court of competent jurisdiction determine this Agreement is subject to RCW 4.24.115 if liability for damages occurs arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Contractor and the County, its officers, officials, employees, agents and volunteers (and their marital communities)the Contractor's liability, including the duty and cost to defend, shall be only for the Contractor's negligence. It is further specifically understood that the indemnification provided constitutes the Contractor's waiver of immunity under Industrial Insurance, Title 51 RCW, solely for the purposes of this indemnification. This waiver has been mutually negotiated by the parties. This section shall survive the expiration or termination of this Agreement. 9. Insurance. Prior to commencing work,the Contractor shall obtain at its own cost and expense the following insurance coverage specified below and shall keep such coverage in force during the terms of the Agreement. a. Commercial Automobile Liability Insurance is waived based on Jumping Mouse's representation and warranty that it never transport's clients. b. Commercial General Liability Insurance in an amount not less than a single limit of one million dollars ($1,000,000)per occurrence and an aggregate of not less than two (2)times the occurrence amount($2,000,000.00 minimum)for bodily injury, including death and property damage,unless a greater amount is specified in the contract specifications. The insurance coverage shall contain no limitations on the scope of the protection provided and include the following minimum coverage: i. Broad Form Property Damage,with no employee exclusion; ii. Personal Injury Liability, including extended bodily injury; iii. Broad Form Contractual/Commercial Liability—including coverage for products and completed operations; iv. Premises—Operations Liability (M&C); v. Independent Contractors and subcontractors; vi. Blanket Contractual Liability. c. Professional Liability Insurance. The Contractor shall maintain professional liability insurance against legal liability arising out of activity related to the performance of this Agreement, on a form acceptable to Jefferson County Risk Management in the amounts of not less than$1,000,000 Each Claim and $2,000,000 Aggregate. The professional liability insurance policy should be on an"occurrence"form. If the professional liability policy is "claims made,"then an extended reporting periods coverage(tail coverage) shall be purchased for three (3)years after the end of this Agreement, at the Contractor's sole expense. The Contractor agrees the Contractor's insurance obligation to provide Professional Services Agreement,Jumping Mouse Children's Center/CSD-2025-2026 Page 3 of 17 professional liability insurance shall survive the completion or termination of this Agreement for a minimum period of three (3)years. d. The County shall be named as an"additional named insured"under all insurance policies required by this Agreement, except Professional Liability Insurance when not allowed by the insurer. e. Such insurance coverage shall be evidenced by one of the following methods: (a) Certificate of Insurance; or, (b) Self-insurance through an irrevocable Letter of Credit from a qualified financial institution. f. The Contractor shall furnish the County with properly executed certificates of insurance that, at a minimum, shall include: (a)The limits of overage; (b)The project name to which it applies; (c) The certificate holder as Jefferson County, Washington and its elected officials, officers, and employees with the address of Jefferson County Public Health 615 Sheridan Street, Port Townsend, WA 98368, and, (d)A statement that the insurance policy shall not be canceled or allowed to expire except on thirty (30)days prior written notice to the County. If the proof of insurance or certificate indicating the County is an"additional insured"to a policy obtained by the Contractor refers to an endorsement(by number or name)but does not provide the full text of that endorsement, then it shall be the obligation of the Contractor to obtain the full text of that endorsement and forward that full text to the County. Certificates of coverage as required by this section shall be delivered to the County within fifteen(15) days of execution of this Agreement. g. Failure of the Contractor to take out or maintain any required insurance shall not relieve the Contractor from any liability under the Agreement,nor shall the insurance requirements be construed to conflict with or otherwise limit the obligations concerning indemnification of the County. h. The Contractor's insurers shall have no right of recovery or subrogation against the County (including its employees and other agents and agencies), it being the intention of the parties that the insurance policies,with the exception of Professional Liability Insurance, so affected shall protect both parties and be primary coverage for all losses covered by the above described insurance. i. Insurance companies issuing the policy or policies shall have no recourse against the County (including its employees and other agents and agencies)for payment of any premiums or for assessments under any form of policy. j. All deductibles in the above described insurance policies shall be assumed by and be at the sole risk of the Contractor. k. Any deductibles or self-insured retention shall be declared to and approved by the County prior to the approval of this Agreement by the County. At the option of the County,the insurer shall reduce or eliminate deductibles or self-insured retention, or the Contractor shall procure a bond guaranteeing payment of losses and related investigations, claim administration and defense expenses. 1. Insurance companies issuing the Contractor's insurance policy or policies shall have no recourse against the County (including its employees and other agents and agencies)for payment of any premiums or for assessments under any form of insurance policy. m. Any judgments for which the County may be liable, in excess of insured amounts required by this Agreement, or any portion thereof,may be withheld from payment due, or to Professional Services Agreement,Jumping Mouse Children's Center/CSD-2025-2026 Page 4 of 17 become due,to the Contractor until the Contractor shall furnish additional security covering such judgment as may be determined by the County. n. Any coverage for third party liability claims provided to the County by a"Risk Pool" created pursuant to Ch. 48.62 RCW shall be non-contributory with respect to any policy of insurance the Contractor must provide in order to comply with this Agreement. o. The County may, upon the Contractor's failure to comply with all provisions of this Agreement relating to insurance, withhold payment or compensation that would otherwise be due to the Contractor. p. The Contractor's liability insurance provisions shall be primary and noncontributory with respect to any insurance or self-insurance programs covering the County, its elected and appointed officers, officials, employees, and agents. q. Any failure to comply with reporting provisions of the insurance policies shall not affect coverage provided to the County, its officers, officials, employees, or agents. r. The Contractor's insurance shall apply separately to each insured against whom claim is made or suit is brought, except with respect to the limits of the insurer's liability. s. The Contractor shall include all subcontractors as insured under its insurance policies or shall furnish separate certificates and endorsements for each subcontractor. All insurance provisions for subcontractors shall be subject to all the requirements stated herein. t. The insurance limits mandated for any insurance coverage required by this Agreement are not intended to be an indication of exposure nor are they limitations on indemnification. u. The Contractor shall maintain all required insurance policies in force from the time services commence until services are completed. Certificates, insurance policies, and endorsements expiring before completion of services shall be promptly replaced. All the insurance policies required by this Agreement shall provide that thirty (30) days prior to cancellation, suspension, reduction or material change in the policy, notice of same shall be given to the Jefferson County Public Health Contracts Manager by registered mail, return receipt requested. v. The Contractor shall place insurance with insurers licensed to do business in the State of Washington and having A.M. Best Company ratings of no less than A-,with the exception that excess and umbrella coverage used to meet the requirements for limits of liability or gaps in coverage need not be placed with insurers or re-insurers licensed in the State of Washington. w. The County reserves the right to request additional insurance on an individual basis for extra hazardous contracts and specific service agreements. 10. Worker's Compensation(Industrial Insurance). a. If and only if the Contractor employs any person(s) in the status of employee or employees separate from or in addition to any equity owners, sole proprietor, partners, owners or shareholders of the Contractor, the Contractor shall maintain workers' compensation insurance at its own expense, as required by Title 51 RCW, for the term of this Agreement and shall provide evidence of coverage to Jefferson County Public Health, upon request. b. Worker's compensation insurance covering all employees with limits meeting all applicable state and federal laws. This coverage shall include Employer's Liability with limits meeting all applicable state and federal laws. Professional Services Agreement,Jumping Mouse Children's Center/CSD-2025-2026 Page 5 of 17 c. This coverage shall extend to any subcontractor that does not have their own worker's compensation and employer's liability insurance. d. The Contractor expressly waives by mutual negotiation all immunity and limitations on liability,with respect to the County, under any industrial insurance act,disability benefit act, or other employee benefit act of any jurisdiction which would otherwise be applicable in the case of such claim. e. If the County incurs any costs to enforce the provisions of this subsection, all cost and fees shall be recoverable from the Contractor. 11. Independent Contractor. The Contractor and the County agree that the Contractor is an independent contractor with respect to the services provided pursuant to this Agreement. The Contractor specifically has the right to direct and control Contractor's own activities, and the activities of its subcontractors, employees, agents, and representatives, in providing the agreed services in accordance with the specifications set out in this Agreement. Nothing in this Agreement shall be considered to create the relationship of employer and employee between the parties. Neither Contractor nor any employee of Contractor shall be entitled to any benefits accorded County employees by virtue of the services provided under this Agreement, including, but not limited to: retirement, vacation pay; holiday pay; sick leave pay; medical, dental, or other insurance benefits; fringe benefits; or any other rights or privileges afforded to Jefferson County employees. The County shall not be responsible for withholding or otherwise deducting federal income tax or social security or for contributing to the state industrial insurance program, otherwise assuming the duties of an employer with respect to Contractor, or any employee of Contractor. 12. Subcontracting Requirements. a. The Contractor is responsible for meeting all terms and conditions of this Agreement including standards of service, quality of materials and workmanship, costs, and schedules. Failure of a subcontractor to perform is no defense to a breach of this Agreement. The Contractor assumes responsibility for and all liability for the actions and quality of services performed by any subcontractor. b. Every subcontractor must agree in writing to follow every term of this Agreement. The Contractor must provide every subcontractor's written agreement to follow every term of this Agreement before the subcontractor can perform any services under this Agreement. The Public Health Director or their designee must approve any proposed subcontractors in writing. c. Any dispute arising between the Contractor and any subcontractors or between subcontractors must be resolved without involvement of any kind on the part of the County and without detrimental impact on the Contractor's performance required by this Agreement. 13. Covenant Against Contingent Fees. The Contractor warrants that he has not employed or retained any company or person, other than a bona fide employee working solely for the Contractor,to solicit or secure this Agreement, and that he has not paid or agreed to pay any company or person, other than a bona fide employee working solely for the Contractor, any fee, commission, percentage, brokerage fee, gifts, or any other consideration contingent upon or resulting from the award or making of this Agreement. For breach or violation of this warranty,the County shall have the right to annul this Agreement without liability or, in its discretion to deduct from the Professional Services Agreement,Jumping Mouse Children's Center/CSD-2025-2026 Page 6 of 17 contract price or consideration, or otherwise recover,the full amount of such fee, commission, percentage,brokerage fee, gift, or contingent fee. 14. Discrimination Prohibited. The Contractor, with regard to the work performed by it under this Agreement,will not discriminate on the grounds of race,color, national origin,religion,creed, age, gender, sexual orientation, material status, sex,or the presence of any physical or sensory handicap in the selection and retention of employees or procurement of materials or supplies. 15.No Assignment. The Contractor shall not sublet or assign any of the services covered by this Agreement without the express written consent of the County. Assignment does not include printing or other customary reimbursable expenses that may be provided in an agreement. 16.Non-Waiver. Waiver by the County of any provision of this Agreement or any time limitation provided for in this Agreement shall not constitute a waiver of any other provision. 17. Termination. a. The County reserves the right to terminate this Agreement at any time by giving ten (10) days written notice to the Contractor. b. In the event of the death of a member, partner, or officer of the Contractor, or any of its supervisory personnel assigned to the project,the surviving members of the Contractor hereby agree to complete the work under the terms of this Agreement, if requested to do so by the County. This section shall not be a bar to renegotiations of this Agreement between surviving members of the Contractor and the County, if the County so chooses. c. The County reserves the right to terminate this contract in whole or in part, with 10 days' notice, in the event that expected or actual funding from any funding source is withdrawn, reduced, or limited in any way after the effective date of this agreement. In the event of termination under this clause,the County shall be liable for only payment for services rendered prior to the effective date of termination. 18.Notices. All notices or other communications which any party desires or is required to give shall be given in writing and shall be deemed to have been given if hand-delivered, sent by facsimile, email,or mailed by depositing in the United States mail,prepaid to the party at the address listed below or such other address as a party may designate in writing from time to time. Notices to the County shall be sent to the following address: Jefferson County Public Health Department Attn: Apple Martine—JCPH Director, Interim Behavioral Health Coordinator 615 Sheridan Street Port Townsend, WA 98368 Notices to Contractor shall be sent to the following address: Jumping Mouse- Children's Center Attn: Mel Rose—Executive Director Selena Sena-Hopkins—Clinic Director 1809 Sheridan Street Port Townsend, WA 98368 19. Integrated Agreement. This Agreement together with attachments or addenda represents the entire and integrated Agreement between the County and the Contractor and supersedes all prior negotiations,representations, or agreements written or oral. No representation or promise not expressly contained in this Agreement has been made. This Agreement supersedes all prior or simultaneous representations, discussions,negotiations, and agreements, whether written or oral, Professional Services Agreement,Jumping Mouse Children's Center/CSD-2025-2026 Page 7 of 17 by the County within the scope of this Agreement. The Contractor ratifies and adopts all statements,representations, warranties, covenants, and agreements contained in its proposal, and the supporting material submitted by the Contractor, accepts this Agreement and agrees to all of the terms and conditions of this Agreement. 20. Modification of this Agreement. This Agreement may be amended only by written instrument signed by both County and Contractor. 21. Disputes. The Parties agree to use their best efforts to prevent and resolve disputes before they escalate into claims or legal actions. Any disputed issue not resolved pursuant to the terms of this Agreement shall be submitted in writing within 10 days to the County Risk Manager, whose decision in the matter shall be final, but shall be subject to judicial review. If either party deem it necessary to institute legal action or proceeding to enforce any right or obligation under this Agreement, each party in such action shall bear the cost of its own attorney's fees and court costs. Any legal action shall be initiated in the Superior Court of the State of Washington for Jefferson County. The parties agree that all questions shall be resolved by application of Washington law and that the parties have the right of appeal from such decisions of the Superior Court in accordance with the laws of the State of Washington. The Contractor hereby consents to the personal jurisdiction of the Superior Court of the State of Washington for Jefferson County. 22. Section Headings. The headings of the sections of this Agreement are for convenience of reference only and are not intended to restrict, affect, or be of any weight in the interpretation or construction of the provisions of the sections or this Agreement. 23. Limits of Anv Waiver of Default. No consent by either party to, or waiver of, a breach by either party, whether express or implied, shall constitute a consent to,waiver of, or excuse of any other, different, or subsequent breach by either party. 24.No Oral Waiver. No term or provision of this Agreement will be considered waived by either party, and no breach excused by either party,unless such waiver or consent is in writing signed on behalf of the party against whom the waiver is asserted. Failure of a party to declare any breach or default immediately upon the occurrence thereof, or delay in taking any action in connection with, shall not waive such breach or default. 25. Severability. Provided it does not result in a material change in the terms of this Agreement, if any provision of this Agreement or the application of this Agreement to any person or circumstance shall be invalid, illegal, or unenforceable to any extent,the remainder of this Agreement and the application this Agreement shall not be affected and shall be enforceable to the fullest extent permitted by law. 26. Binding on Successors, Heirs and Assigns. This Agreement shall be binding upon and inure to the benefit of the parties' successors in interest,heirs, and assigns. 27.No Assignment. The Contractor shall not sell, assign, or transfer any of rights obtained by this Agreement without the express written consent of the County. 28.No Third-party Beneficiaries. The parties do not intend, and nothing in this Agreement shall be construed to mean,that any provision in this Agreement is for the benefit of any person or entity who is not a party. 29. Signature in Counterparts. The parties agree that separate copies of this Agreement may be signed by each of the parties and this Agreement shall have the same force and effect as if all the parties had signed the original. Professional Services Agreement,Jumping Mouse Children's Center/CSD-2025-2026 Page 8 of 17 30. Facsimile and Electronic Signatures. The parties agree that facsimile and electronic signatures shall have the same force and effect as original signatures. 31. Arms-Length Negotiations. The parties agree that this Agreement has been negotiated at arms- length, with the assistance and advice of competent, independent legal counsel. 32. Public Records Act. Notwithstanding the provisions of this Agreement to the contrary,to the extent any record, including any electronic, audio, paper or other media, is required to be kept or indexed as a public record in accordance with the Washington Public Records Act, Chapter 42.56 RCW, as may hereafter be amended,the Contractor agrees to maintain all records constituting public records and to produce or assist the County in producing such records, within the time frames and parameters set forth in state law. The Contractor further agrees that upon receipt of any written public record request, Contractor shall, within two business days, notify the County by providing a copy of the request per the notice provisions of this Agreement. 33. Confidentiality, With respect to all information relating to County that is confidential and clearly so designated, as required by the Health Insurance Portability and Accountability Act(HIPAA) and any other applicable privacy laws,the Contractor agrees to keep such information confidential. The Contractor shall not disclose,transfer, or sell any such information to any party, except as provided by law or, in the case of personal information, with the prior written consent of the person to whom the personal information pertains. The Contractor shall maintain the confidentiality of all personal information and other information gained by reason of this Agreement, and shall return or certify the destruction of such information if requested in writing by Jefferson County. This Agreement, once executed,will be a"public record" subject to production to a third party if same is requested pursuant to• the Washington Public Records Act, Chapter 42.56 RCW, as may hereafter be amended. 34. Criminal History/Background Check. Each of the Contractor's employees, the employees of any of the Contractor's approved subcontractor, or volunteers used by the Contractor shall submit to a Washington State Patrol fingerprint identity and criminal history check before they are authorized to perform services for the Project. The County agrees to bear all reasonable costs incurred in the performance of this fingerprint identity and criminal history check. Contractors who may or will have regular access or limited access to any juveniles shall also: a. Require that each of the Contractor's employees, the employees of any of the Contractor's approved subcontractor, or volunteers used by the Contractor undergo not less often than once every three (3)years another Jefferson County approved criminal history and background check; b. Ensure all employees, subcontractors, or volunteers are knowledgeable about the requirements of RCW 13.40.570 and of the new crimes included in RCW 9A.44, Sexual Offense; c. Sign the Contractor Requirements for Responding to Situation of Sexual Misconduct Form, and shall submit to Jefferson County with signed Agreement. APPROVED AND ADOPTED this day of , 2025. (SIGNATURES FOLLOW ON THE NEXT PAGE) Professional Services Agreement,Jumping Mouse Children's Center/CSD-2025-2026 Page 9 of 17 SIGNATURE PAGE JEFFERSON COUNTY WASHINGTON JUMPING MOUSE CHILDREN'S CENTER Board of County Commissioners Jefferson County, Washington By: By: - Heidi Eisenhour, Chair Signature By: Name: 'PO- i--(0-171,08qv,Ja Greg Brotherton, Commissioner Title: icattatih `L: (>- By: Date: l lZ- Heather Dudley-Nollette, Commissioner SEAL: ATTEST: Carolyn Gallaway, Clerk of the Board Approved as to form only: ,( for 11/13/2025 P flip C. Hunsucker, Date Chief Civil Deputy Prosecuting Attorney Professional Services Agreement,Jumping Mouse Children's Center/CSD-2025-2026 Page t0 of 17 Exhibit A Scope of Work Jumping Mouse Children's Center/Chimacum School District-Mental Health Services RESPONSIBILITIES: The County, as administrator of the 1/10th of 1% Sales and Use Tax Funds, and Jumping Mouse Children's Center agree that Jumping Mouse Children's Center will provide services to individuals as described in this Contract, including EXHIBIT A: Scope of Work, EXHIBIT B: Fee Schedule; and EXHIBIT C; Logic Model and Performance Measures; and further agrees to comply with the stipulations contained in ATTACHMENT A attached hereto and incorporated herein. The Jumping Mouse Children's Center Services agency as a contracted provider, agrees to: 1. Clinical and care management services for up to 14 children weekly using the Jumping Mouse model of play therapy at the Chimacum School District. 2. Provide support and education to the parents/caregivers of the children covered in this contract through monthly meetings and on-call support. 3. Work with social services or other agencies as needed for dually served families with mental health or chemical dependency issues. 4. Provide care coordination with other involved agencies, and referrals to supportive services such as housing,transportation and vocational services and track client involvement in recommended services, including 12-step or comparable support. 5. Maintain a secure records system guaranteeing the confidentiality of PHI pursuant to HIPPA. 6. Bill other revenues whenever they exist. 7. Provide individual therapy,using promising and/or evidence-based models of treatment. Applicant will identify the number of clients seen,how often each week and the number of hours per week and per month for treatment enrollment. 8. Make referrals for mental health medication and monitoring, as needed. 9. Prepare progress reports, if needed(e.g., for care coordination purposes). 10. Provide staff including two master's level Licensed Mental Health Counselor or Licensed Mental Health Counselor Associates, one Clinical Supervisor and support staff to include billing and administration. 11. Ensure all employees or subcontractors of the Contractor undertaking the performance of mental health/substance abuse services under this agreement are professionally licensed or certified by the State. 12. Complete background checks;to be redone for every employee every 3 years. The names of licensed therapists will be given to the County. 13. Provide opportunities for regular clinical supervision and consultation for Jumping Mouse therapists staff who are working at the Chimacum site. Provide supervision for all therapists Professional Services Agreement,Jumping Mouse Children's Center/CSD-2025-2026 Page 11 of 17 consisting of a minimum of one hour per week in individual supervision, and one hour per week in peer group consultation, or all clinical staff consultation and meeting. 14. Provide for clerical,billing, and general office support. 15. Provide agency oversight regarding record keeping, data collection, legal and ethical issues and standards of care are up to date and meet State of Washington standards. 16. Collect and prepare data for internal and external evaluation purposes,provide a monthly invoice to JCPH and a quarterly data report. Provide quarterly data on client utilization,referrals, outcomes, and any other required reporting, on a standard template provided by JCPH. 17. Provide data including: • Number of intakes, individual sessions, psychiatric visits, and adult education visits provided. • Age, sex, and ACE's. • Referrals to other agencies. • Completion and program success data. 18. A quarterly report of services and will be recorded on a form created or approved by the Public Health contracted Epidemiologist. 19. Quarterly electronic reports will be sent to the Public Health contracted Epidemiologist in a form as specified by Jefferson County Public Health, as outlined in the Quarterly Evaluation Reporting Template. 20. Attend and report to the Behavioral Health Advisory Committee once during the duration of this contract period, at regularly scheduled meetings, with progress evaluation reports. 21. A copy of each electronic report will be sent to the JCPH Contract Representative. 22. Upon request,additional reports of activities and services provided to the JCPH Contract Representative. Professional Services Agreement,Jumping Mouse Children's Center/CSD-2025-2026 Page 12 of 17 EXHIBIT B Fee Schedule/Budget Sheet Jumping Mouse Children's Center/Chimacum School District -Mental Health Services July 1, 2025 —June 30, 2026 PLEASE SEE ATTACHMENT Budget Notes 1. Therapists listed are licensed and combined will provide therapy for up to 14 children per week. Some children may be seen twice a week to meet their treatment needs, and this may influence the total number of children seen per week. 2. Clinical Supervision accounts for hours spent in individual supervision, peer consult supervision, and whole clinic consultation and supervision. 3. Admin represents the portion of staff time for financial and data management related to this contract. 4. Other funding sources represents other estimated earned income. All categories will be billed as a monthly portion of total estimate. Professional Services Agreement,Jumping Mouse Children's Center/CSD-2025-2026 Page 13 of 17 EXHIBIT B: CHIMACUM BUDGET SHEET July 1, 2025-June 30, 2026 Jefferson County 1/10th of 1% Sales Tax Request For Proposals Personnel Cost Requested from Other SALES TAX Funding TOTAL Source BUDGET FTE & Salaries for each Employee $ $ E- 1-Therapist-(4 hrs/wk) $2,102.23 6,307.21 $8,409.44 J- 1 Therapist-(2 hrs/wk) $2,219.36 2,219.36 $4,438.72 S-1 Therapist-(2 hrs/wk) $1,761.19 4,014.97 $5,776.16 L-5 Therapist- (16 hrs/wk) $14,000.00 17,865.60 $31,865.60 T-4 Therapist- (12 hrs/wk) $12,000.00 15,069.12 $27,069.12 SUPERVISION -(6 hrs/wk) $3,981.77 8,810.23 $12,792.00 Salary Totals: 36,064.55 $90,351.04 Benefits for Each Employee Year$ E- 1-Therapist-(2 hrs/wk) 0 0.00 $6,120.00 J - 1 Therapist-(2 hrs/wk) 0 0.00 $0.00 S- 1 Therapist-(2 hrs/wk) 0 0.00 $0.00 L-5 Therapist- (16 hrs/wk) 0 0.00 $0.00 T-4 Therapist-(12 hrs/wk) 0 0.00 $0.00 Clinical Supervision- (L+T+ E 6 hrs/wk) 0 0.00 $0.00 OPERATING COSTS 10% Supplies/Materials 0.00 Travel 0.00 Admin 0.00 $0.00 Adman 0.00 $0.00 OTHER COSTS (If Other Please Describe) $0.00 $0.00 TOTAL COST $36,064.55 Professional Services Agreement,Jumping Mouse Children's Center/CSD-2025-2026 Page 14 of 17 Exhibit C Logic Model Jumping Mouse Children's Center/ Chimacum School District -Mental Health Services July 1, 2025 —June 30, 2026 Name of Program or Service: Jumping Mouse Children's Center—Mental health services for Chimacum School District so that... Outcome ix Substance abuse and mental Illness output can be reduced 90%of children served and/or prevented ...so that... will successfully in children exposed • participate In therapy at to ACES. their own pace, demonstrating: Current and future 1)Increased emotional generations —so lit— regulation,confidence, experience less IP 1) Provide mental and self-esteem trauma and bad health therapy for 2)reduction of improved health and children ages 3.1.2 in developmental delays well-being. 1) Masters-level last Jefferson County and concerning intern therapists 2) Provide support behaviors and education for our 3)increased trusting 2) Licensed, children's parents and relationships with certified caregivers significant people in supervisors their lives,and 3) Provide support 4)gained coping skills in 3) Administrative and education for dealing with difficult support staff educators situations,so that trauma can be resolved and 4) facility and play prevented. materiels that provide trust and safety in the 30%of parents served therapy relationship will develop: 1)safer and more secure 5) Longterm, parental care that sustainable promotes healthy funding development and prevents additional Network of community trauma supporting children and 2)positive relationships families with their child 3)increased understanding and NOTE:Outcoose(s) application of effective should be closely parenting skills,and linked to oat or mote 4)improved confidence, of the pnonn' g seH-esteem,and ability areas.(Sas Page:. to access support for SKnon IT') their family when needed. Professional Services Agreement,Jumping Mouse Children's Center/CSD-2025-2026 Page 15 of 17 ATTACHMENT A JEFFERSON COUNTY 1/10th of 1% BEHAVIORAL HEALTH SALES TAX FUNDING- MATCH POLICY Definitions: Match: is a requirement for the grantee to provide contributions of a specified amount or percentage to match funds provided by another grantor. Matching can be in the form of cash or in-kind contributions. Regulations: The specific requirements for matching funds are unique to each federal or state program. The A-102 Common Rule provides criteria for acceptable costs and contributions in regard to match. Jefferson County Policy: In 2005,the Washington State Legislature created an option for counties to raise the local sales tax by 0.1 percent, (the 1/10th of 1%sales tax initiative)to augment state funding for behavioral health treatment. Jefferson County collects and distributes the 1/10t of 1%Behavioral Health Sales Tax fund. Services purchased by the County are allocated through a formal Request for Proposal (RFP)process, review and contracting; staffed by Jefferson County Public Health,overseen by Jefferson County Behavioral Health Advisory Committee and adopted by the Board of County Commissioners, (BoCC). BoCC does not assume any fiscal responsibility/liability for any of the Contractors they contract for services with. Jefferson County reserves the first right to use as match the 1/10t of 1%Behavioral Health Sales Tax funds and the services funded by them for purposes of qualifying for additional funding and grants. County may make available to the Contractor the 1/10t of 1%Behavioral Health Sales Tax funds for the Contractor to propose as match to state, federal or other entities, at the County's sole discretion. Contractor shall not use the 1/10t of 1%Behavioral Health Sales Tax funds for match without prior authorization by the Jefferson County Administrator and County fiscal team. To request authorization of availability of the funds for match, Contractor must apply to the County Administrator in writing, and include their match formula and allocation plan and may include other documentation to support their request. The County Administrator will authorize or deny the availability of match funds in writing within 30 days of the application. If the County informs the Contractor of the availability of the 1/10t of 1%Behavioral Health Sales Tax funds for match, then the Contractor shall be solely responsible for compliance with all state and federal laws and regulations, including,but not limited to DSHS, CMS and BIRR funding rules, applicable to the use of 1/10t of 1%Behavioral Health Sales Tax funds as match. Following state, federal and local guidelines for match is the responsibility of the Contractor. For example, if a Contractor provides Title XIX Medicaid services(the Policy 19.50.02 or 42CFR 430.30)they are required by those rules to actually bill Medicaid for the services at the same time. If no Medicaid billing exists,the match would not comply with state and federal guidelines for match. Concurrent with its request for authorization of the availability of match, Contractor shall document it has met its responsibility to follow state, federal and local guidelines for match by submitting in writing to the County Administrator their match formula, allocation plan,and other documentation made mandatory pursuant to this Agreement and this Attachment A. At a minimum,the Contractor shall also provide the following to the County Administrator: Professional Services Agreement,Jumping Mouse Children's Center/CSD-2025-2026 Page 16 of 17 1. DSHS requires contractors to complete and submit a"Local Match Certification" form (DSHS 06-155) or a form that has equivalent data elements prior to any agreement for DSHS services. Submit a copy of this application and form when requesting match availability from the County and at each monthly billing. 2. Submit the current administrative policy within WA State regulating your services and the use of local match. 3. Submit to the County your last financial audit showing your use of match, County funds and tracking systems. 4. Submit to the County the terms of the agreement showing the MH/SA allocation is an allowable source of match. 5. Provide documentation that your financial reporting system tracks matching funds at a level that meets the level of documentation required by federal or state statutes. The County may reject permission for Contractor to utilize the 1/10t of 1%Behavioral Health Sales Tax funding as match. Professional Services Agreement,Jumping Mouse Children's Center/CSD-2025-2026 Page 17 of 17