HomeMy WebLinkAbout092611_ca05
Consent Agenda
~ON-c'
iS~~ JEFFERSON COUNTY PU~LlC HEALTH
,~~....;" 615 Sheridan Street. Port Townsend. Washington. 98368
~ltD<o.. www.JeffersoncountypubOchealth.org
July 29, 2011
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO:
Board of County Commissioners
Philip Morley, County Administrator
FROM:
DATE:
Jean Baldwin, Director
~&nb..ey ~&) dell I
SUBJECT: Agenda Item - Professional Services Agreement - Port Townsend
School DIstrict, Birth - 3 years; July 1, 2011 - June 30, 2012; $10,351
srATE~~ OF ISSUE:
Jefferson County Public Health, Developmental Disabilities Division, Is requesting Board approval of the
Professional Services Agreement - Port Townsend School DIstrict, Birth - 3 years; July 1, 201i -
June 30, 2012; $10,351
ANAL YSIS/STRATEGlCrGOALS/PRO'S and CON'S:
This agreement with Port Townsend School DIstrict provides assessment, Intervention, education, and
specialized therapy for Infants and pre-school children who are suspected of having a developmental delay
or disability. Port Townsend School DIstrict will provide services for eligible children upon request by JCPH,
with compenSation on a fee for service basis. Individualized Family Service Plans (IFSP's) will be developed
by the district, In collaboration with the family and other providers, to meet the developmental.needs of
each eligible Infant or toddler while meeting the needs of the family related to enhandng the Infant or
toddler's development Each IFSP contains parent planned priorities and outcomes for each child. Each
contains goals and objectives as well as evaluative and documentary tools for Intervention service and
funding sources.
FISCAL IMPACT ICOST ~E~EFIT ANALYSIS:
Funding for these services Is provided through our contract with DSHS Division of Developmental
Disabilities (ODD). The agreement Is a subcontract through DSHS ODD as part of the Child development
program. The budget reflects revenue and expense for this vendor.
COMMUNIlY HEALTH
DEVELOPMENTAL DISABILITIES
MAIN: (360) 385-9400
FAX: (360) 385-9401
PUBLIC HEALTH
AlWAYS WORKING FOR A SAfER AND
HWTHIER COMMUNITY
E~RONMENTALHEALTH
WATER QUALllY
MAIN: (360) 385-9444
FAX: (360) 379-4487
Consent Agenda
RECOMMENDATION:
JCPH management request approval of the ProfessIonal Services Agreement - Port Townsend School
DIstrict, Birth - 3 years; July 1, 2011 - June 30, 2012; $10,351
<b/c/ir
tor
Date
(Routed to all Public Health Managers)
.
.
SUBCONTRACT FOR PROFESSIONAL SERVICES
Agreement Between
JEFFERSON COUNTY PUBLIC HEALTH
and
PORT TOWNSEND SCHOOL DISTRICT
This agreement is made and entered into between Jefferson County Public Health (COUNTY) and Port
Townsend School District (SUBCONTRACTOR) for provision of educational and therapeutic services
for Jefferson County children age birth to three years and their families. The term of this agreemeut is
July 1,2011 through June 30, 2012. Either party upon 60 days written notice may terminate this contract.
Termination of this Contract shall not constitute a breach.
It is Agreed Between Both Parties as Named
Herein as Follows:
A. PROFESSIONAL SERVICES
Upon written request by COUNTY Developmental Disabilities Coordinator or a COUNTY authorized
Family Resource Coordinator (FRC), professional services to be provided by SUBCONTRACTOR shall
include:
I) Multi-disciplinary Evaluation and Assessment of children age birth to 2 years 8 months of age
that are suspected of having developmental delay or disability. The evaluation tools and
procedures selected will conform to WAC 275-27-026 requirements.
2) Individualized Family Service Plans (IFSP) developed in collaboration with the family and other
providers. SUBCONTRACTOR and the family will write the IFSP jointly on approved forms.
3) Evaluation and documentation of funding sources available for intervention services, both
educational and thempeutic services will be specified in the IFSP. Potential funding sources to be
evaluated include private insurance, military health benefits, Medicaid / healthy options, OSPI,
and other public or private sources.
4) IFSP will contain parent planning priorities/outcomes and child outcomes.
5) Specialized Services (developmental, corrective, and other services) to assist infants and toddlers
to achieve developmental goals as specified in the IFSP include occupational thempy, physical
thempy, speech-language thempy, and specialized instruction/education will be provided to the
maximum extent appropriate in natural environments, including the home and community
settings in which children without disabilities participate.
6) Progmm management.
B. OBLIGATIONS
SUBCONTRACTOR shall fulfill the following obligations:
I) SUBCONTRACTOR shall comply with all state and federal requirements regarding the
confidentiality of client records. Client information is not disclosable to the public. Information
acquired pursuant to RCW 71A.14.070 requires a signed Release ofInformation or a signed Oath
of Confidentiality Form.
PTSD Contract 2011-2012
Page 1
2) SUBCONTRACTOR shall require, pursuant to RCW 43.43.830-845, any prospective employee,
who will or may have unsupervised access to a person with a developmental disability, in the course
of his or her employment, or involvement with the business or organization, to have a Washington
State Patrol Criminal (W.S.P.) Background Check.
3) SUBCONTRACTOR is required pursuant to RCW 74.15, that if any prospective employee, who
has not resided in Washington State during the last three years, and who will or may have
unsupervised access to a person with a developmental disability, in the course of his or her
employment, or involvement with the business or organization, must have a F.B.I. Fingerprint
Check. This fingerprint check must occur before employment begins working.
4) SUBCONTRACTOR is required, with respect to existing employees, to repeat the W.S.P.
Criminal Background Check every three years. W.S. P. Criminal Background Check and the
F.B.I. Fingerprint Check must go through the Background Check Central Unit Office within
DSHS in Olympia.
5) SUBCONTRACTOR shall comply with all state and federal requirements under RCW 74.34,
Abuse of Vuinerable Adults, RCW 26.44, Abuse of Children, the WACs: 275-27 Division of
Developmental Disabilities Services Rules; 296-24 General Safety & Health, 296-62 General
Occupational Health Standards; the DDD Policies: 3.01 Client Service Plans, 5.01 Criminal
History Background Checks and Safeguarding Personal Information, 5.02 Necessary
Supplemental Accommodation (NSA), 5.03 Client Complaints, 5.05 Limited English Proficiency
(LEP) Clients, 5.06 Client Rights, 5.13 Protections From Abuse, 5.14 Positive Behavior Support,
5.15 Use of Restrictive Procedures, 6.13 Employment/Day Program Provider Qualifications, 9.07
Human Immunodeficiency Virus (IDV) and Acquired Immune Deficiency Syndrome (AIDS),
12.01 Incident Management.
6) SUBCONTRACTOR shall have written policies regarding sexnal harassment, non-
discrimination, policies which define and guarantee human/civil rights, agency medication
policy/procedure policies regarding abuse of participants, respectful staff-to-participant
interactions policies, (i.e.: including a person's right to be treated with dignity and respect and
free of abuse), grievance policy, a policy that advises participants of grievance procedures, (Le.:
that the grievance policy is explained to participants and others in accordance with Necessary
Supplemental Accommodation (NSA), DDD Policy 5.02), the grievance policy must include a
mediation process that encourages the use of advocates, DDD Case Resource Managers & others
who are unaffected by the outcome, the policy prohibits retaliation for using the grievance
process, (non retaliation statement needs to be included in the grievance policy). That participants
and others, in accordance with NSA Policy 5.02, have been informed of their rights, what
services and benefits may be expected from the program, the program's expectations of them, and
if necessary, the participant's family, guardian or advocate is also informed. Has proof of client's
and/or family's review of all policies, provider expectations, receipt of information about services
and benefits to be provided by the program; because all client files include copies of signed
policies regarding confidentiality, participant rights, grievance rights/procedures and abuse and
respectful staff-to-participant interactions policies. The policies will be redone with eveI)' client
once a year. Has involved participants in policy development.
PTSD CODtratl201I-2012
Page 2
,
7) Has assurance that potential conflict of interest real or apparent, will not arise. Such a conflict
will arise when: The employee, officer or agent, any member of immediate family, Guardian f
decision maker, or an organization which employs; or is about to employ, any of the above, has
fmancial or other interest in the client( s).
8) If SUBCONTRACTOR is found to have a substantiated finding of abuse, neglect, abandonment
or financial exploitation they shaH comply with the foHowing CPS guidelines:
. Upon receiving documentation of a substantiated finding of abuse, neglect, exploitation or
abandonment from CPS, the Regional DDD office will send a copy of the CPSsubstantiation
report to the COUNTY within one working day.
. Upon receiving documentation of a substantiated finding of abuse, the COUNTY will send a
letter to the SUBCONTRACTOR within one working day.
1. The contracted provider is required to:
a. Document the steps the agency has taken to protect the vulnerable
person(s) immediately; and
b. Submit a corrective action plan, if needed, to the COUNTY within 10
working days.
2. The COUNTY wiH respond to the steps taken and the sufficiency of the proposed corrective
action plan within 10 working days. If the corrective action is not accepted the plan will be
returned to the provider for correction and an amended plan will be required within 5 working
days.
3. Once accepted, the COUNTY wiH send the corrective action plan to DDD for fmal approval.
DDD Regional staff will respond as to plan sufficiency and whether any additional
information is needed within 10 working days. The Region will send a copy to Central
Office.
9) SUBCONTRACTOR is required to maintain the foHowing minimum organizational capacity in
order to meet the performance standards set forth in this agreement Failure or inability of
SUBCONTRACTOR to meet any or all of these minimum capacity requirements, as determined
solely by COUNTY, may be cause for termination of this agreement as provided herein.
(a) Oualified Staff: Adequate, qualified staffwith certification, skiHs and experience in evaluation,
teaching, therapeutic services and support of infants and toddlers with developmental
disabilities. SUBCONTRACTOR will provide COUNTY with information regarding staff
qualifications upon request
(b) Performance Plan: SUBCONTRACTOR has a written performance plan which describes its
mission, program objectives, expected outcomes, how and when objectives will be
accomplished; and that the plan is evaluated at least biennially and revised based on actual
performance.
(c) Participants: SUBCONTRACTOR has a commitment to support integration of infants and
toddlers with developmental disabilities with others who do not have a disability and has
involved family members of infants and toddlers with developmental disabilities in policy
development.
PTSD Contract 2011-2012
Page 3
(d) Partnerships: SUBCONTRACTOR has a history of working cooperatively with community-
based organizations including other Agencies, Infant and Toddler Early Intervention
Program, (ITEIP), the Lead Agency for ITEIP, the County DD Program, the Division of
Developmental Disabilities and other School Districts.
(e) Financial and Program Manal7ement: Systems and personnel to: maintain accounting records
that accurately reflect all program revenues and expenditures; prepare monthly statements of
activity (ADSA Reports); maintain appropriate Client service records and progress reports; and
track key program performance indicators.
10) All services for infants and toddlers with developmental disabilities must be provided with
attention to their health and safetY. SUBCONTRACTOR shall comply with all applicable federal,
state and local fire, health and safety regulations. Staffing ratios and patterns are adequate to
maintain quality and safety.
I I) SUBCONTRACTOR shall report any injury or accident, which requires more than simple first aid,
and any extraordinary incident that requires intervention, first to the DSHSIDDD Case Manager for
the individual involved and then to the County Coordinator. This includes serious physical or
emotional harm or potential harm.
I. The initial report may be done through documented telephone calls to the County
Coordinator.
2. SUBCONTRACTOR shall submit a written follow-up report within 10 days to the County
Coordinator. The report to the County Coordinator may be submitted by email, facsimile
(FAX) to (360) 385-940 I or by mail to Jefferson County Public Health, 6 I 5 Sheridan Street
Port Townsend, WA 98368.
3. Serious and emergent incidents shall be handled in accordance with DSHSIDDD Policy
12.01 Incident Management.
12) Within 30 days of the effective date of this agreement and at least semi-annually thereafter,
SUBCONTRACTOR will provide financial reports to COUNTY, including all revenues and
expenses generated by SUBCONTRACTOR, in sufficient detail to demonstrate the uses of funds
provided under this agreement.
13) Make available for inspection, review or audit by COUNTY DD Coordinator at all reasonable
times: all work sites; all client records; records on productivity and client wages; and all documents,
reports and other data applicable to this agreement. The COUNTY shall monitor services delivered
and conduct at least one on-site visit with SUBCONTRACTOR during the biennuim to assure
compliance with the DDD State Work Order.
14) For five years following the end date of this agreement, SUBCONTRACTOR will maintain client
records and books, records, documents, reports and other evidence of accounting procedures and
practices which sufficiently and properly reflect all direct and indirect expenditures of funds
'provided under this agreement. Client records shall minimally include statement of client goals,
documentation of training provided, training hours, routine progress notes and biannual summary
progress toward meeting client goals.
15) Make available for inspection, review or audit by County DD Coordinator at all reasonable times:
all client records; and all documents, reports and other data applicable to this agreement.
PTSD Contract 2011-2012
Page 4
16) SUBCONTRACTOR agrees to assign to COUNTY its Medicaid Billing Rights for services to
clients eligible under Title XIX programs. Written documentation shan be available to COUNTY
on request. If SUBCONTRACTOR contracts directly with DSHS to provide covered services
under Title XIX, COUNTY agrees that funding intended for those clients shall be excluded from
this agreement.
17) If the Developmental Disabilities Program Coordinator finds indications of potential non-
compliance during the contract monitoring process or learns that the SUBCONTRACTOR is out
of compliance with any of the terms or conditions of this contract, the following process will be
pursued:
(a) Informal Notification: Informal process wherein the County Coordinator alerts the
SUBCONTRACTOR in writing of the potential non-compliance and an agreeable solution is
reached within five (5) days.
(b) Official Notification: If the informal notification does not result in resolution, the official
notification of possible non-compliance to establish a date, within five (5) working days of
notification, when representatives of the County and the SUBCONTRACTOR shall meet to
discuss areas of contention and attempt to resolve the issues.
(c) Written Summary: Within five (5) working days of such official notification the County will
provide the SUBCONTRACTOR a written summary of the areas of non-compliance by
certified mail. Notice shan be sent to the address identified in the Agreement.
(d) Discussion: Within twenty (20) days of the date of the written summary, a discussion
between County and SUBCONTRACTOR shall be conducted to resolve areas of non-
compliance or potential non-compliance.
(e) Should the above procedures fail to resolve the compliance issue, the parties will obtain the
services of the Peninaula Dispute Resolution Center, or another agreed upon resource, and
shan share equally in any retainer fees or other costs of services. If no agreement is reached,
the mediator's decision in the matter will be binding on all parties, excent that in no event
will the County honor a financial determination that is greater than the funds allowed the
scope of this Agreement.
C. REIMBURSEMENTS
For said services rendered under this agreement, COUNTY shall reimburse SUBCONTRACTOR
on a unit rate basis, as follows:
I) Earlv Intervention Services SUBCONTRACTOR will be paid per HOURLY Unit assigned Service
Responsibility of regular Program Service provided to eligible clients on a fee-for-service basis
according to Attachment 1. Fee Schedule. Reimbursement to SUBCONTRACTOR by
COUNTY will be the net amount of the applicable fee per Attachment I, less any amounts
receivedfrom other funding sources for the service provided.
PTSD Contract 2011-2012
Page 5
2) All referrals or requests for services under this agreement will be in writing using a County
Service Authorization form, (CSA) agreed to and signed by the parties.
3) SUBCONTRACTOR will bill COUNTY on a monthly basis, on or before the 5th day of the month,
for units of service provided under this agreement during the preceding month.
SUBCONTRACTOR will submit a Monthly DDD Services Report (ADSA) form for its billings.
At no time shall the invoices for reimbursement be submitted more than 60 calendar days following
the last day of the month for which the services were provided.
4) COUNTY may, at its option, withhold reimbursement for any month for which required reports
have not been received or are not accurate and/or complete.
5) COUNTY may withhold reimbursement for any service for which documentation that shows the
COUNTY as the second payer of last resort has not been provided. The IFSP must clearly
document funding source per service for each service reimbursement requested.
SUBCONTRACTOR will provide documentation of County service reimbursements along with
all other funding sources pursued by SUBCONTRACTOR at the end of the service period
lannually or during site monitoring. Documentation will identify the funding source(s), client
name, service provided, date of service, amount(s) paid and amount(s) denied.
6) Total reimbursements for the fiscal year of201 1-2012 to SUBCONTRACTOR by COUNTY under
this contract shall not exceed $10,351.00 in completion of these services without express written
amendment signed by both parties to this Agreement. This total reimbursement includes any
amendment within the fiscaI year of 20 11-20 I 2.
D. MISCELLANEOUS
I) Pursuant to WAC 275, DSHS Division of Developmental Disabilities (ODD) shall detennine
individual eligibility of persons for services delivered under this agreement. DDD shall notify
COUNTY of persons authorized for services reimbursed under this agreement. Only persons
referred to COUNTY by DDD shall be eligible for services reimbursed under this agreement. The
SUBCONTRACTOR shall not sublet or assign any of the services covered by this
AGREEMENT withont the express written consent of the COUNTY. Assignment does not
include printing or other customary reimbursable expenses that may be provided in an
AGREEMENT.
2) The SUBCONTRACTOR'S relation to the COUNTY shall be at all times as an independent
SUBCONTRACTOR and any of all employees of the SUBCONTRACTOR or other persons
engaged in the performance of any work or service required of the SUBCONTRACTOR under
this AGREEMENT shall be considered employees of the SUBCONTRACTOR only and any
claims that may arise on behalf of or against said employees shall be the sole obligation and
responsibility of the SUBCONTRACTOR.
3) The SUBCONTRACTOR shall not sublet or assign any of the services covered by this
AGREEMENT without the express written consent of the COUNTY. Assignment does nut
include printing or other customary reimbursable expenses that may be provided in an
AGREEMENT.
PTSD Cootract20I1-2012
Page 6
4) The SUBCONTRACTOR shall obtain and keep in force during the tenus of the AGREEMENT,
or as otherwise required, the following insurance with companies or through sources approved by
the State Insurance Commissioner pursuant to RCW 48:05: .
(a) Worker's compensation and employer's liability insurance as required by the State of
Washington.
(b) Commercial Automobile Liability or Business Use 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
$1,000,000 each occurrence with the COUNTY named as an additional insured in
connection with the SUBCONTRACTOR'S performance of the contract.
(c) General Commercial Liability Insurance in an amount not less than a single limit of one
million dollars ($1,000,000.00) per occurrence and a 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;
(2) Personal Injury Liability, including extended bodily injury;
(3) Broad Form Contractual/Commercial Liability - including completed operations;
(4) Premises - Operations Liability (M&C);
(5) Independent Contractors and Subcontractors;
(6) Blanket Contractua1 Liability.
5) All employees or subcontractors of SUBCONTRACTOR who are required to be professionally
certified by the State in the performance of services under this agreement shall maintain
professional liability insurance in the amount of not less than one million dollars ($1,000,000). In
no case shall such professional liability to third parties be limited in any way.
6) It is agreed by the parties that 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 listed above shall protect both parties and be primary coverage
for any and all losses covered by the above-listed insurance policies. It is further agreed by the
parties that any and all deductibles made part of the above-listed insurance policies shall be
assumed by, paid for and at the risk of the Subcontractor.
7) It shall be the responsibility of the SUBCONTRACTOR to insure that any and all persons
engaged in the performance of any work or service required of the SUBCONTRACTOR under
this AGREEMENT, shall comply with the same insurance requirements that
SUBCONTRACTOR is required to meet.
8) Failure on the part of the SUBCONTRACTOR to maintain the insurance as required shall
constitute a material breach of contract upon which the COUNTY may, after giving five working
days notice to the SUBCONTRACTOR to correct the breach, immediately terminate the contract
or, at its discretion, procure or renew such insurance and pay any and all premiums in connection
therewith, with any sums so expended to be repaid to the COUNTY on demand, or at the sole
discretion of the COUNTY, off set against funds due the SUBCONTRACTOR from the
COUNTY.
PTSD Coolraet 2011-2012
Page 7
I-
I
I
9) All cost for insurance shall be considered incidental to and included in the unit contract prices and
no additional payment will be made.
10) Excepting the Workers Compensation insurance and any professional liability insurance secured
by the SUBCONTRACTOR, the COUNTY will be named on all certificates of insurance as an
additional insured. The SUBCONTRACTOR shall furnish the COUNTY with verification of
insurance and endorsements required by this AGREEMENT. The SUBCONTRACTOR reserves
the right to require complete, certified copies of all required insurance policies at any time.
I I) All insurance shall be obtained from an insurance company authorized to do business in the State
of Washington. The SUBCONTRACTOR shall submit a verification of insurance as outlined
herein within 14 days of the execution of this AGREEMENT to the COUNTY.
12) The COUNTY will pay no progress payments under Section C until the SUBCONTRACTOR has
fully complied with this section. This remedy is not exclusive; and the COUNTY may take such
other action as is available to them under other provisions of this AGREEMENT, or otherwise in
law.
13) Nothing in the foregoing insurance requirements shall prevent the COUNTY, at its option, from
additionally requesting that the SUBCONTRACTOR deliver to the COUNTY an executed bond
as security for the faithful performance of this contract and for payment of all obligations of the
SUBCONTRACTOR.
14) The SUBCONTRACTOR shall comply with all Federal, State, and local laws and ordinances
applicable to the work to be done under this AGREEMENT. This AGREEMENT shall be
interpreted and construed in accord with the laws of the State of Washington and venue shall be
in Jefferson COUNTY, W A.
15) The SUBCONTRACTOR, by signature to this Agreement, certifies that the SUBCONTRACTOR
is not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily
excluded from participating in this Agreement or any Agreement by any Federal department or
agency. The SUBCONTRACTOR also agrees to include the above requirement to all subcontracts
into which it enters.
16) The SUBCONTRACTOR shall indemnify and hold the COUNTY, and their officers employees,
and agents harmless from and shall process and defend at its own expense, including all costs,
attorney fees and expenses relating thereto, all claims, demands, or suits at law or equity arising in
whole or in part, directly or indirectly, from the SUBCONTRACTOR'S negligence or breach of
any of its obligations under this AGREEMENT; provided that nothing herein shall require a
SUBCONTRACTOR to indemnify the COUNTY against and hold harmless the COUNTY from
claims, demands or suits based solely upon the conduct of the COUNTY, their officers, employees
and agents, and provided further that if the claims or suits are caused by or result from the
concurrent negligence of: (a) the SUBCONTRACTOR'S agents or employees; and, (b) the
COUNTY, its officers, employees and agents, this indemnity provision with respect to (I) claims or
suits based upon such negligence, and/or (2) the costs to the COUNTY of defending such claims
and suits, etc., shall be valid and enforceable only to the extend of the SUBCONTRACTOR'S
negligence or the negligence of the SUBCONTRACTOR'S agents or employees.
17) Claims against the COUNTY shall include, but not be limited to assertions that the use and transfer
of any software, book, document, report, film, tape, or sound reproduction of material of any kind,
delivered there under, constitutes an infringemeut of any copyright, patent, trademark, trade name,
or otherwise results in an unfair trade practice or an unlawful restraint of competition.
PTSD Contract 2011-2012
Poge 8
,
(18) The SUBCONTRACTOR specifically assumes potential liability for actions brought against the
COUNTY by SUBCONTRACTOR'S employees, including all other persons engaged in the
performance of any work or service required of the SUBCONTRACTOR under this
AGREEMENT and, solely for the purpose of this indemnification and defense, the
SUBCONTRACTOR specifically waives any immunity under the state industrial insurance law,
Title 51 RCW. The SUBCONTRACTOR recognizes that this waiver was specifically entered into
pursuant to provisions ofRCW 4.24.115 and was subject of mutual negotiation.
(19) SUBCONTRACTOR shall not discriminate against any person presenting themselves for services
based on race, religion, color, sex, age or national origin.
(20) COUNTY reserves the right to terminate this contract in whole or in part, without prior written
notice, in the event that expected or actuaI funding from the Department of Social and Health
Services Division of Developmental Disabilities is withdrawn, reduced, or limited in any way after
the effective date of this agreement In the event of termination under this clause, COUNTY shall
be liable only for payment for services rendered prior to the effective date of termination.
(21) No portion of this contract may be assigned or subcontracted to any other individual, firm, or entity
without the express and prior written approval of COUNTY. If the County agrees in writing that all
or a portion of this Contract may be subcontracted to a third-party, then any contract or agreement
between the contractor and a third-party subcontractor must contain all provisions of this contract
and the subcontractor must agree to be bound by all terms and obligations found in this agreement.
ADOPTED THIS_day of
.2011.
By:
John Austin, Chairman
Jefferson County Board of Commissioners
By: V ute
~.Laes
Port Townsend School District Superintendent
By:
Attest, Deputy Clerk of the Board
APP~VED AS T FORM ONLY:
By: WJ 8 S 11
Jefferson County Deputy seeuting A omey
PTSD Contnu:12011-2012
Page 9
ATTACHMENT 1
FEE SCHEDULE
Earlv Intervention Unit of Service
1. One UNIT of EARL Y INTERVENTION Service is $143.00. One
UNIT is defined as one MONTI! direct service to one eligible client
2. One MONTI! of direct service is defined as a minimum of one (1) & a maximum of
three (3) hours of EARL Y INTERVENTION Services for one child.
3 A maximum of six (6) UNITS of EARL Y INTERVENTION Service may be billed
on a monthly basis.
Not to exceed $10,351 In completion of services for the dnration of the contract without
express written amendment. .
PTSD Coolraet20Il-2011
Page 10