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Olympic Educational Service District #114 School Based Mental Health Amend. 1 - 070626
Contract Amendment#1 between Olympic Educational Service District #114 And Jefferson County Public Health WHEREAS, Olympic Educational Service District#114(the"Contractor")and Jefferson County(the "County") entered into an agreement on July 1, 2025 for Professional Services to be provided in connection with the provision of providing mental health services in the School Districts of Port Townsend, Chimacum, Quilcene and Brinnon; and WHEREAS,the parties desire to amend the terms of that agreement; IT IS AGREED BETWEEN BOTH PARTIES AS NAMED HEREIN AS FOLLOWS: 1. Contract term will extend through December 31,2026. 2. Contractor's contract will be increased by$77,150.00 in funding, for a total of $231,450.41. 3. Any work completed in compliance with the Professional Services Agreement between July 1, 2026, and the time this Amendment is fully executed is hereby ratified. 4. All other terms and conditions of the agreement will remain the same. APPROVED AND ADOPTED this (9 day of It) , 2026. \,) JEFFERSON COUNTY WASHINGTON OLYMPIC ESD#114 Board of County Commissioners Q Jefferson County, Washington By: :Aaron ,Jun 23 .:2 _27 T 13,31 Signature By:. Aaron Leavell ro rton,Chair Name: Title: Superintendent Approved as to form only: 06/23/2026 Date: 06-16-2026 Initials: Jerem B.L ther, Date Civil Deputy Prosecuting Attorney Michelle Dower: AR: - Mona Johnson: t' d_,h,_ Sandy Gessner:Il- i Jason Rhoads: .s ,o.,, AD-25-038-A I Tina Schulz: 74 IntWASHINGTON SCHOOLS Evidence of Coverage — RISK MANAGEMENT POOL General Certificate This Evidence of Coverage is issued as a matter of information only and confers no rights upon the evidence holder.This evidence does not amend, extend, or alter the coverage afforded by the coverage agreement below and is subject to all the terms, exclusions and conditions of such coverage agreement. As a statutorily authorized and self-funded public entity interlocal cooperative among school and educational service districts, there is no insurance policy involved. Because WSRMP is not an insurance company, we cannot grant "additional insured" status (WAC 200-100-02005 and 02007). This is to certify that the coverage listed below has been issued to the named Covered Member for the period indicated. Coverage Afforded By: Covered Member: Washington Schools Risk Management Pool Olympic ESD 114 PO Box 88700 105 National Ave N Tukwila,WA 98138-2700 Bremerton,Washington 98312 Member It 18114 Coverage Agreement it COV 2025-2026 Coverage Period: September 1,2025 through August 31,2026 Effective Date of Evidence of Coverage: September 1, 2025 Expiration Date of Evidence of Coverage: August 31, 2026 Limits Available General Liability Per Occurrence: $1,000,000 Limits Available General Liability Aggregate: $2,000,000 Limits Available Property: $1,000,000 Limits Available Auto Liability: $1,000,000 Description of Operations/Locations/Vehicle: Activities under the direct supervision of personnel as respects to the coverage period September 1, 2025 through August 31, 2026. Evidence of Coverage Holder: Issue Date:September 1, 2025 To Whom It May Concern Au ized Sig' re Cancellation:Should the above described coverage agreement be cancelled before the expiration date,WSRMP will send 30 days written notice to the evidence of coverage holder named above. ©2025 Washington Schools Risk Management Pool EaD WASHINGTON SCHOOLS ling RISK MANAGEMENT POOL September 1, 2025 Re: Inability to Grant Additional Insured Status To Whom It May Concern, Public entities in the State of Washington are authorized by RCW 48.62 to individually or jointly self- insure, purchase insurance coverage, and obtain risk management, claims and administrative services. Washington Schools Risk Management Pool (WSRMP) is a self-funded, public entity inter-local cooperative among school and educational service districts formed under that statute. Under RCW 48.62.061,the state risk manager(not insurance commissioner) shall adopt rules governing the management and operation of both individual and joint local government self-insurance programs covering property or liability risks.The rules are contained in the Washington Administrative Code (WAC) 200-100 and summarized as follows: 1. Only members may participate in the self-insured retention layer, and only members may participate in the joint purchase of insurance or reinsurance (WAC 200-100-02005). 2. Nonmembers shall not participate in any coverages of the joint self-insurance program including the self-insured retention layer and the excess insurance or reinsurance layer(WAC 200-100- 02007). 3. "Member" is defined by WAC 200-100-020. (17) "Member" means (a)A local government entity that: (i) Is a signatory to a joint insurance program's interlocal agreement; (ii)Agrees to future assessments or reassessments as part of the program's joint self-insurance program; and (iii) Is a past or present participant in the excess or self-insured retention portion of the pool's insurance program subject to regulation under chapter 48.62 RCW. The state risk manager and the Washington Administrative Code prohibits WSRMP from granting additional insured status to nonmembers. Other public entities such as cities,counties,towns, municipal courts,and state colleges and universities are also bound by state statutes and are prohibited from granting additional insured status. Best Regards, Deborah Callahan,SCLA Executive Director PO Box 88700 • Tukwila,WA 98138-2700 • Phone:206.394.9737 • Fax:206.394.9712 615 Sheridan Street Port Townsend, WA 98368 del ete,son www.JeffersonCountyPublicHealth.org Consent Agenda Public Healt JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners Josh Peters, County Administrator FROM: Apple Martine, Public Health Director, Interim BH County Coordinator DATE: J V�r, (,, -o (' SUBJECT: Agenda Item — Amendment 1 to Professional Services Agreement, Olympic Educational Service District #114 (OESD); July 1, 2025— December 31, 2026; additional $77,150 STATEMENT OF ISSUE: Jefferson County Public Health (JCPH), as the fund manager of the Behavioral Health, 1/10th of 1% Sales Tax Fund, is requesting Board approval of an amendment to the Professional Services Agreement with the OESD; July 1, 2025— December 31, 2026; granting additional funding of $77,150.00 for a total of $231,450.41. ANALYSIS/STRATEGIC GOALS/PROS and CONS: This agreement is between JCPH and the OESD for behavioral health counseling to children and youth who are affected by mental health issues; enrolled in the school districts of Port Townsend, Chimacum, Quilcene and Brinnon in Jefferson County, Washington. Certain current 1/10th of 1% vendors who are on the SFY cycle ending June 30th need to be extended, 7/1/26-12/31/26, in order to complete the year and then, going forward, be considered with all other 1/10th of 1% vendors who are on the calendar year cycle. 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. The 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 A D-25-038-A 1 RECOMMENDATION: JCPH requests approval of the amendment to the Professional Services Agreement with the OESD; July 1, 2025— December 31, 2026; additional $77,150.00 for the period 7/1/26-12/31/26 and a total of $231,450.41. REVIEWED BY: Co 3o �,6 Josh PO ers, County Administrator Date Community Health Environmental Public Health Developmental Disabilities 360-385-9444 360-385-9400 If) 360-379-4487 Always working for a safer and healthier community CONTRACT REVIEW FORM Clear Form (INSTRUCTIONS ARE ON THE NEXT PAGE) CONTRACT WITH: Olympic Educational Service District#114 Contract No: AD-25-038-A1 Contract For: School-Based Mental Health Counseling,Amend 1 Term: July 1, 2025-December 31, 2026 COUNTY DEPARTMENT: Public Health Contact Person: Apple Martine Contact Phone: #443 Contact email: amartine@co.jefferson.wa.us AMOUNT: $77,150 additional for total of$231,540.41 PROCESS: Exempt from Bid Process Revenue: Cooperative Purchase Expenditure: $77,150 _ Competitive Sealed Bid Matching Funds Required: Small Works Roster Sources(s)of Matching Funds Vendor List Bid Fund# 131 ✓ RFP or RFQ Munis Org/Obj 13156400 Other: APPROVAL STEPS: STEP 1: DEPARTMENT CERTIFIES COMPLIANCE WITH.ICC 3,55080 AND CHAPTER 42.23 RCW. CERTIFIED: — I N/A: _ �� June 12,2026 Glenn Gilbert Date STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE COUNTY (CONTRACTOR) HAS NOT BEEN DEBARR BY ANY FEDERAL, STATE, OR LOCAL AGENCY. l / ��� CERTIFIED: fl N/A: f C � . ��� June 12,2026 Glenn Gilbert Date STEP 3: RISK MANAGEMENT REVIEW(will be added electronically through Laserfiche): Electronically approved by Risk Management on 6/17/2026. STEP 4: PROSECUTING ATTORNEY REVIEW(will be added electronically through Laserfiche): Electronically approved as to form by PAO on 6/16/2026. DPA Luther reviewed and approved on 06-16-2026. 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 Olympic Educational Service District#114 THIS PROFESSIONAL SERVICES AGREEMENT("this Agreement") is entered into between the County of Jefferson, a municipal corporation("the County"), and the Olympic Educational Service District#114, ("the Contractor"), in consideration of the mutual benefits,terms, and conditions specified below. 1. Project Designation. The Consultant is retained by the County to perform the following Project: to provide mental health services in the School Districts of Port Townsend, Chimacum, Quilcene and Brinnon; 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 $154,300.41; 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. Professional Services Agreement/OESD#114-2025-2026 Page 1 of 18 AD-25-038 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. 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 1/10th 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 1/10th 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 1/10th 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 1/10th 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 1/10th 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 1/10th 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. Professional Services Agreement/OESD#114-2025-2026 Page 2 of 18 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 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 providing bodily injury and property damage liability coverage for all owned and non-owned vehicles assigned to or used in the performance of the work for a combined single limit of not less than$500,000 each occurrence with the County named as an additional insured in connection with the Contractor's performance of this Agreement. This insurance shall indicate on the certificate of insurance the following coverage: (a) Owned automobiles; (b) Hired automobiles; and, (3)Non-owned automobiles. Professional Services Agreement/OESD#114-2025-2026 Page 3 of 18 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 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. Professional Services Agreement/OESD#114-2025-2026 Page 4 of 18 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 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. Professional Services Agreement/OESD#114-2025-2026 Page 5 of 18 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. 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 Professional Services Agreement/OESD#114-2025-2026 Page 6 of 18 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 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 Professional Services Agreement/OESD#114-2025-2026 Page 7 of 18 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 ATT: Apple Martine- Interim BH County Coordinator 615 Sheridan Street Port Townsend, WA 98368 Notices to Contractor shall be sent to the following address: Olympic Educational Service District#114 ATT: Lisa Calderwood 105 National Ave North Bremerton, WA 98312 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, 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. Professional Services Agreement/OESD#114-2025-2026 Page 8 of 18 23. Limits of Any 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. 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 Professional Services Agreement/OESD#114-2025-2026 Page 9 of 18 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. DATED this 1 day of �^ 20 (SIGNATURES FOLLOW ON THE NEXT PAGE) Professional Services AgreemenbOESD#114-2025-2026 Page 10 of 18 ocusign Envelope ID:F91 B5D78-F7EC-421 B-AAOC-97547BA52CDE SIGNATURE PAGE JEFFERSON COUNTY B RD OF COMMISSIONERS -(_,A1 4;I <----- e' i Chair , e r OLYMPIC ESD #114 "sad by: CHeat e udley-Nollette, Member Pr. Qarew ikavt,U, 0a0ee482 OFO4fo Dr. Aaron Leavell, Superintendent 6/27/2025 Date Inttierlim Initial Ds OS k F59 Jr ��000enerrrnrq xdi Michelle Sandy Jason Tina r ;'�,0 ". 2's Dower Gessner Rhoads Schulz i `3':• �c a '4�'1'A SH\14-es r Attest: `'"'ru,r,,,,,,,,to ea , Cgc;d a`� 7,/ //Z - Carolyn Gallaway. Date Clerk of the Board zi„Approved as to f rm only: / for 07/10/2025 Philip C. Hunsucker Date Chief Civil Deputy Prosecuting Attorney Professional Services Agreement/OESD#114-2025-2026 Page 11 of 18 EXHIBIT A Scope of Work OESD #114 School-based Mental Health Services July 1, 2025—June 30, 2026 RESPONSIBILITIES: The County, as administrator of the 1/10t of 1% Sales and Use Tax Funds, and the Olympic Educational Service District#114 agree that the Olympic Educational Service District#114 will provide services to individuals as described in this Contract, including EXHIBIT A: Scope of Work; EXHIBIT B: Budget Sheet/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 Olympic Educational Service District#114, (OESD) as a contracted Vendor agrees to: 1. Provide four(4) school districts with mental health, intervention and treatment services in the schools; for children or youth grades K-12 who identify with Behavioral Health issues. OESD #114 hours will be distributed per the following: a. One day a week at Brinnon SD during the 2025-2026 school year. b. One day a week at Quilcene SD during the 2025-2026 school year. c. One and a half days a week at Chimacum SD during the 2025-2026 school year. d. Two and a half days a week at Port Townsend SD during the 2025-2026 school year. 2. 85% of that time is spent seeing students in clinical services and 15% is spent on charting, travel or meetings. 3. Staff each site with licensed therapists, licensed therapist associates, licensed independent clinical social workers or licensed independent clinical social worker associates who consistently work at the same site, except for personal leave. Exceptions will be granted with the written approval of OESD #114. 4. Provide the names of licensed therapists, licensed therapist associates, licensed independent clinical social workers or licensed independent clinical social worker associates working in each school to School Districts and JCPH. 5. Notify JCPH and the School Districts of any Counselor changes in writing, (before they occur). 6. Notify each School District of any extended leave of absence for Counselors in writing, (before they occur). Professional Services AgreementlOESD#114-2025-2026 Page 12 of 18 7. Notify the School District and the SBHC, if a Counselor is out sick and unable to make an appointment. 8. Provide background checks for all OESD #114 employees or subcontractors working with children or youth, who provide services under this contract. School districts have different requirements and all require out of state FBI background checks for employees new to Washington State. (Please verify requirements with the School District offices.) 9. Upon request,provide copies of background checks& Counselor resumes to JCPH. 10. Maintain a secure and confidential records system guaranteeing HIPAA for Behavioral Health and treatment services. 11. Assure that Counselors work with identified youth and their families throughout the school year to provide individual counseling on a variety of issues and concerns. Including, but not limited to; anger management, depression, stress, conflict resolution,relationship issues, feelings of suicide, counseling for grief or loss, sexual and physical abuse, eating disorders,domestic violence, mental illness, adjustment disorders, crisis events and substance use. 12. Assure that Counselors provide education, support, and consultation for the teachers and staff in each School District. 13. Assure that Counselors assist teachers and staff in each School District to identify and develop strategies to assist students with Behavioral Health issues. 14. Assure that a Project Supervisor is available to meet with the School Superintendents and Principals at the Quilcene and Brinnon School Districts, as needed. 15. Assure that Counselors work collaboratively with local mental health and substance abuse treatment agencies for identified clients. 16. Assure that Counselors provide crisis interventions and emergency response services within the subcontracted licensed provider's scope of practice. 17. Assure that Counselors work with children or youth to provide support services and referrals to Behavioral Health or other treatment programs. Assist with the application and eligibility paperwork necessary to receive outside services. 18. Assure that Counselors provide on-going supportive counseling as needed, to all youth. Services are not dependent on Medicaid eligibility. 19. Assure that Counselors contact parents or guardians of children or youth by following HIPAA laws and Washington State laws concerning age of consent. Professional Services Agreement/OESD#114-2025-2026 Page 13 of 18 20. Assure that Counselors work with social services or other agencies as needed for dually served children or youth with Behavioral Health and/or chemical dependency issues. 21. Assure that a Clinical Supervisor is available to provide clinical and supervisory oversight, for the therapists providing services in this program, as required or needed. 22. Assure that a OESD Project Manager or a Counselor is available to attend Clinician meetings and quarterly SBHC Advisory meetings in Port Townsend, Chimacum and Quilcene School Districts. 23. Assure that Counselors collaborate in regular consults with the SBHC team of health and school professionals. 24. Assure that Counselor's offer each student an opportunity for session feedback by providing a Hope Scale at the first session and again by at the last session and a Satisfaction Questionnaire at the last session too. 25. Assure that Counselor's provide a new"new client sheet" for every new client to services at each School. 26. Assure that each Counselor fills out a"visit details sheet"to collect information about the reasons for the visit, referrals, and satisfaction with services, at every session. 27. Assure that each Counselor provides program data from the new client and visit detail sheets, the number, types of Behavioral Health issues, intervention and treatment services provided, and will electronically upload it to the SBHC data base system facilitated by Kitsap Public Health District. 28. Assure that an Epidemiologist of Jefferson County Public Health has continued access to the SBHC data base system. 29. Quarterly electronic reports, created by Jefferson County Public Health's Epidemiologist, will be based on data provided by Counselors and will be completed by the Epidemiologist in a form as specified by Jefferson County Public Health, as outlined in the Quarterly Evaluation Reporting Template. 30. The Epidemiologist of the Jefferson County Public Health will generate a yearly report on client (students and families), utilization, referrals and outcomes. 31. Upon request, additional reports of activities and services will be provided to the JCPH Contract Representative. 32. Upon request, attend a Behavioral Health Advisory meeting once a year, to present a progress report about the mental health services provided by the 1/10t of 1% fund. Professional Services AgreementlOESD#114-2025-2026 Page 14 of 18 EXHIBIT B Budget Sheet/ Fee Schedule OESD #114 School-based Mental Health Services July 1, 2025 —June 30, 2026 PERSONNEL ('OSTS RI.Qt I Roll O 1111 R Ft \Dtvc s To r it. SALES TAX Sot to t: I3t DM: FTE& Salaries/Benefits for each Employee Brinnon $715 x 1 day x 36 days= $25,740 $25,740 Quilcene $615 x 1 day x 36 days= $22,140 $22,140 Chimacum $615 x 1.5 days x 36 days= $33,210 $33,210 Port Townsend $615 x 2.5 days x 36 days= $55,350 $55,350 SUPERVISION/CLINICAL 10 sessions x$140 an hour= $1400 OVERSIGHT- $1400 OESD Behavioral Health .20 FTE for project $25,078 $25,078 Coordinator coordination$0.00(match) Administrative Assistance Support SUB-TOTAL PERSONNEL $137,840 $162,918 OPERATING COSTS Supplies/Materials-(Please $933.10 $633.10 Describe): snacks,fidgets and calming materials,arts and crafts, basic office supplies Professional Development $1500($300 x 5) $1500 SUB-TOTAL-OPERATING $2433.10 $2433.10 COSTS SUB-TOTAL $140,273.10 $165,351.10 Admin-(no more than 10%& $14,027.31 $14,027.31 please describe what charges are to be included) TOTAL COST $154,300.41 $179,378.41 Note: In-kind contributions/match are not required, however the County is interested in the total cost to provide the service or program. Professional Services Agreement/OESD#114-2025-2026 Page 15 of 18 EXHIBIT C Logic Model OESD #114 School-based Mental Health Services July 1, 2025 —June 30, 2026 so + Outcome .so 1) ParticipatingOutput students will have improved mental Bc'avu,iilg,rith... health and �, Process I) Participating students wellbeing. will receive 1) Eligible students in individual evidence 2) The participating based counseling students'quality of public schools in services and progress life will be but Jefferson County havewill be monitored. improved access to mentalhealth in areas of self Each session, perception,family support and therapy. Perc eP 1) Eligible participants are students'progress dynamics,and students in Jefferson 2) Each Student tha t is will be documented schoolinvoh ement. County school districts referred will be utilizing the county with b(mental health a1health assessed for eligibility data base. 3) The school substance use)& and appropriate 2) Individuals that community omuunit will substance use) services. Assessmentexperience symptomp. includes behavioral require higher level decreased stucidaliy health concerns,risk of treatment will be and disruptive 2) Associate/Licensed referred to behavior_ factors and protective appropriate levels of Mental Health factors. a For l Therapists or Social4) Schooland students DBH,Safe Harbor, g Workers/Professionals 3) Data will be thered will report improved willbplacd Trauma Therapist,or confidence in their contracted/employedaccording to the another Therapist in ability to manage will be placed in school guidelines of Jefferson the community_ mental healthman and districts. County Behavioral Health Advisory Board substance abuse 3} The Mental Health challenges.3) Mental Health and the Public Health Therapist/Social Epidemiologist and Therapist with will p s/Prefessionals entered in the SBHC consent.will will provide services to- Data System_ coordinate with Jefferson School Port Townsend. nd. Districts,School Chimacum. ne, 4) Sessions generally Based Health Clinic, Brinson schools. consist of 30 to 45 minutes of evidenced DBH,JHC,Jefferson 4) When applicable, based therapy, County JaiL Port clinical su en-ision will Townsend Police. F provided as needed Safe Harbor,Dove be provided to school- until symptoms based Mental Hea hh resolve/stabilize. House,or other Therapist/Social resources a s A'orks/Professiona ls_ appropriate. Professional Services Agreement/OESD#114-2025-2026 Page 16 of 18 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/l0`h 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 1/10th 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 1/10`h 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 1/10th 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 1/10th of 1% Behavioral Health Sales Tax funds as match. Following state, federal and local guidelines for match is the responsibility of the Contractor. Professional Services Agreemenr/OESD#114-2025-2026 Page 17 of 18 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: 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 1/10th of 1% Behavioral Health Sales Tax funding as match. Professional Services Agreement/OESD#114-2025-2026 Page 18 of 18