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HomeMy WebLinkAbout021715_ca04> 615 Sheridan Street Port Townsend, WA 98368 Ale-1 n kw www.JeffersonCountyPublicHealth,org PulbliC HeaA 'Consent Agenda 3anuary 12, 2015 JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS TO: Board of County Commissioners Philip Morley, County Administrator FROM: lean Baldwin, Director Anna McEnery, Developmental Disabilities Coordinator DATE: SUBJECT: Agenda Item – Professional Services – Safe Harbor Recovery Center – Amendment #4; January 1, 2014 – April 30, 2015; $11,838.00; not to exceed $158,338-00 STATEMENT OF ISSUE: Jefferson County Public Health, as the fund manager of the Mental Health and Substance Abuse sales tax treatment funds, is requesting Board approval of the Professional Services Agreement Amendment #4 Safe Harbor Recovery Center Amendment #4 Therapeutic Court case management services; January 1, 2014 – April 30, 2015; $11,838.00 ANALYSIS STRATEGIC GOALS PRO'S and COWS: This Amendment extends the time period under which Jefferson County Public Health contracts with Safe Harbor Recovery Center to provide therapeutic court case management services as itemized in Amendment #4's Exhibits A-1-3 Statement of Work. The term of the agreement is extended to April 30, 2015. The amendment adds an additional $11,838.00 to the previous amount to specifically provide management services and incentives directly related to positive progress in program. The contract is not to exceed $158,338,00, which is Amendment Ts cap increased by $11,838.00 FISCAL IMPACT (COST BENEFIT ANALYSIS: This is sales tax revenue raised by the county in the 1/10 of 1% Fund and is allocated by the BOCC with advice from Mental Health and Substance Abuse Sales Tax Advisory Committee. The original contract provides for revenue fluctuations. RECOMME—ND—ATION.: JCPH management request approval of the Professional Services Agreement – Safe Harbor Recovery Center for Therapeutic Courts; January 1, 2014 – April 30, 2015; $11,838-00 REV E E BY" lion Ad - istrator -7rl To�'� eve merdcik t)isaUrlifies lzr) 'i85-9110() c)112-5111-f — 360-385-9401 (1) Always working for o safe4 rand healfthler community Environmental ldecHh Water QuoMy 360-385-9444 iti 160-379-4487 CONTRACT AMENDMENT #4 By and Between Safe Harbor Recovery Center And Jefferson County Therapeutic Courts 2015 WHEREAS, the Safe Harbor Recovery Center (Contractor) and Jefferson County (County) entered into an agreement on January 1, 2014 for Professional Services in connection with the provision of alcohol and substance abuse treatment services to individuals impacted by mental health/substance abuse issues in Jefferson County, Washington. WHEREAS, the parties desire to amend the terms of that agreement. IT IS AGREED BETWEEN BOTH PARTIES AS NAMED HEREIN AS FOLLOWS: 1, The term of the above referenced agreement ends April 30, 2015. 2. Safe Harbor Recovery Center will continue to provide therapeutic court case management services, as stated in Attachment A, Exhibit A-1, A-2, A-3, Statement of Work, in order to increase the Court's ability to quickly address the therapeutic needs of its participants. 3. This amendment adds $11,838 int."unding, to be used specifically for case management services and incentives directly related to the positive progress of program participants, 4. This contract shall not exceed $158,338 without express written amendment signed by both parties, 5. All other terms and conditions of the agreement will remain the same. Dated this day of_—�, 2015. By- . Cliairnian I Jefferson Board of County corninissioners By: (Contractor —1 Safe Harbor Recovery C(, ,nter, Amendment tt 4 ATTACHMENT A Exhibit A-1 Statement of Work Jefferson Mental Health Court Case Manager Summary: Oversee the development, implementation and coordination of the Jefferson Mental Health Court Program, including the following duties: Serve as a liaison among the Jefferson Mental Health Court (JMHC) Judge(s), Jefferson County Prosecutor, City of Port Townsend Prosecutor, Public Defenders, Jefferson County Adult Probation, Jefferson County Sheriff, Port'rownsend Police, Olycap, Chemical Dependency Treatment provider, Mental Health treatment provider. Arrange, conduct and participate in team meetings ensuring that key members are present and that their input is recorded, considered and that group conclusions are recorded and implemented. Coordinate communication network among the above team members so that all are informed and knowledgeable of the program's progress. Ensure that concerns are quickly aired and resolution sought so that the program remains focused. Develop and maintain records, which outlines objectives, strategies and tasks; monitor progress and report regularly to team members at least 24 hours prior to staffing. In conjunction with the District Court Administrator and the District Court Judge, update procedures manuals, forms and other materials as needed. appropriate feedback from the judge. Adjust and enhance the implemented program based on app I In conjunction with the District Court Administrator and the District Court Judge, develop budget and budget reports for the County and any other funding agencies. Respond with the District Court Judge or other team mernber to public inquiries concerning the JMHC- safe Harbor Recovery center, Awendrnenk U 4 Exhibit A-2 Statement of Work Jefferson County Family Therapeutic Court Case Manager Summary: Oversee the development, implementation and coordination of the Jefferson Family Therapeutic Court Program, including the following duties: 0 Serve as a liaison among the Jefferson Family Therapeutic Court (JF'I'C) Judge(s), Washington State Attorneys General, Superior Court Clerk and deputy clerks, Public Defenders, Juvenile and Family Services, CASA/GAL Program, Department of Social and Health Services Division of Children and Family Services, Chemical Dependency Treatment provider, Mental Health treatment provider. • Support the development, implementation and continual coordination of the partnership, • Arrange, conduct and participate in team meetings ensuring that key members are present and that their input is recorded, considered and that group conclusions are recorded and implemented, • Coordinate communication network among the above team members so that all are informed and knowledgeable of the Program's progress. • Ensure that concerns are quickly aired and resolution sought so that the program remains focused. • Develop and maintain an action plan, which outlines objectives, strategies and tasks; monitor progress and report regularly to designated agencies. i • In conjunction with the Superior Court Administrator and the Juvenile Court Administrator, update, procedures manuals, forms and other materials as needed. • Adjust and enhance the implemented program based on appropriate feedback from the judge. • in conjunction with the Superior Court Administrator and the Juvenile Court Administrator, develop budget and budget reports for the County and any other funding agencies. 0 Respond with the Superior Court Judge or other team member to public inquiries concerning the JFTC- Safe Harbor Recovery Center, Amendment H 4 ATTACHMENTA Exhibit A-3 Statement of Work Jefferson County Drug Court Case Manager Surnmary: Oversee the development, implementation and coordination of the Jefferson Family Therapeutic Court Program, including the following duties: • Serve as a liaison among the Jefferson County Superior Court Judge(s), Jefferson County Prosecutor, Superior Court Clerk and deputy clerks, Public Defenders, Chemical Dependency Treatment provider, Mental Health treatment provider, 01yCap. • Support the development, implementation and continual coordination of the partnership, • Arrange, conduct and participate in team meetings ensuring that key members are present and that their input is recorded, considered and that group conclusions are recorded and implemented. • Coordinate communication network among the above team members so that all are informed and knowledgeable of the program's progress. • Ensure that concerns are quickly aired and resolution sought so that the program remains focused. • Develop, and maintain an action plan, which outlines objectives, strategies and tasks; monitor progress and report regularly to designated agencies. • In conjunction with the Superior Court Administrator and the Juvenile Court Administrator, update procedures manuals, forms and other materials as needed. • Adjust and enhance the implemented program based on appropriate feedback from the judge. • In conjunction with the Superior Court Administrator and the Juvenile Court Administrator, develop budget and budget reports for the County and any other funding agencies. • Respond with the Superior Court Judge or other team member to public inquiries concerning the JDC. Safe Harbor Recovery Center, AmendMent tt 4 CONTRACT AMENDMENT #3 By and Between Safe Harbor Recovery Center And Jefferson County Family Therapeutic Court 2014 wHEREAS, the Safe Harbor Recovery Center (Contractor) and Jefferson County (County) entered into an agreement on January 1, 2014 for Professional Services in connection with the provision of alcohol and substance abuse treatment services to individuals impacted by mental health/substance abuse issues in Jefferson County, Washington. WHEREAS, the parties desire to amend the terms of that agreement. IT IS AGREED BETWEEN BOTH PARTIES AS NAMED HEREIN AS FOLLOWS: 1. The term of the above referenced agreement ends December 31, 2014. 2. Safe Harbor recovery very Center is working with Family Therapeutic Court to provide case rt management services,, as provided in Attachment A, Statement of Work, increasing the court's ability to quickly address the therapeutic needs of its participants. 3. This amendment adds $16,000 in funding, $14,400 of which is to be used specifically for case management services and $1,600 is to be used for services and / or incentives directly related to the treatment progress of program participants. 4. This contract shall not exceed $146,500 without express written amendment signed by both parties. 5. All other terms and conditions of the agreement will remain the same. B 2014 Dated this a o f y: Chairman john ustin, Lpffer-on Board of County Commissioners By: . ............ (Contractor) pproved as o form only f* (1 130/ G' prosecut pPA jefferso co' Dvid Alvarez$ ef il Safe Harbor Recovery Center, Amendment 4 3 ATTACHMENT A Jefferson County Family Therapeutic Court Case Manager STATEMENT T OF WORK summary: Oversee the development, implementation and coordination of the Jefferson Family Therapeutic Court Program, including the following duties: 0 Serve as a liaison among the Jefferson Family Therapeutic Court (JFTC) Judge(s), Washington State Attorneys General, Superior Court Clerk and deputy clerks, Public Defenders, Juvenile and Family services, CASA/GAL Program, Department of Social and Health Services Division of Children and Family Services, Chemical Dependency Treatment provider, Mental Health treatment provider. • Support the development, implementation and continual coordination of the partnership. • Arrange, conduct and participate in team meetings ensuring that key members are present and that their input is recorded, considered and that group conclusions are recorded and implemented. Coordinate communic ation network among the above team members so that all are informed and • knowledgeable of the program's progress. • Ensure that concerns are quickly aired and resolution sought so that the program remains focused. Develop and maintain an action plan, which outlines objectives, strategies and tasks; monitor • progress and report regularly to designated agencies. • In conjunction with the Superior Court Administrator and the Juvenile Court Administrator, update procedures manuals, forms and other materials as needed. • Adjust and enhance the implemented program based on appropriate feedback from the judge. • In conjunction with the Superior Court Administrator and the Juvenile Court Administrator, develop budget and budget reports for the County and any other funding agencies. • Respond with the Superior Court Judge or other team member to public inquiries concerning the J FTC. safe Harbor Recovery Center, Amendment 44 3 CONTRACT AMENDMENT 42 By and Between Safe Harbor Recovery Center And Jefferson County For Expanded Mental Health (MH) & Chemical Dependency (CD) Treatment 2014 NVHEREAS, the Safe Harbor Recovery Center (Contractor) and Jefferson County (County) entered into an agreement on January' 1, 2014 for Professional Services in connection with the provision of alcohol and substance abuse treatment services to individuals impacted by mental health/substance abuse issues in Jefferson County, Washington, WHEREAS, the parties desire to amend the terms of that agreement. IT IS AGREED BETWEEN BOTH PARTIES AS NAMED HEREIN AS FOLLOWS: The term of the above referenced agreement ends December 31, 2014. 2. Safe flarbor Recovery Center is working with Jefferson Mental Health Court to provide case management services, as provided in Attachment A, Statement of Work, increasing the court's ability to quickly address the therapeutic needs of its participants. 3, This amendment adds $16,000 in funding, $14,400 of which is to be used specifically for case management services and $1,600 is to be used for services and / or incentives directly related to of program participants. the treatment Progress 4. This contract shall not exceed $130,500 without express written amendment signed by both parties. 5. All other terms and conditions of the agreement will remain the same. 4 1 �14 Dated this 'Yday of2kne 1 20 -h— By John stir'C liairniar i Jeffers jjBc)aid of County Coininissioners By: -- - - ------ /(Colltractoi-) Safe [jalbor fie fovery C,,,t(.r, ,,ro(,n0riem ATTACHMENT A Jefferson Mental Health Court Case Manager STATEMENT OF WORK summary: Oversee the development, implementation and coordination of the Jefferson Mental Health Court Program, including the following duties: 0 Serve as a liaison among the Jefferson Mental Health Court (JMHC) Judge(s), Washington State Attorneys General, Superior Court Clerk and deputy clerks, Public Defenders, Juvenile and Family Services, CASA/GAL Program, Department of Social and Health Services Division of Children and Family Services/ Chemical Dependency Treatment provider, Mental Health treatment provider. • Support the development, implementation and continual coordination of the JMHC partnership. • Arrange, conduct and participate in team meetings ensuring that key members are present and that their input is recorded, considered and that group conclusions are recorded and implemented. Coordinate commun ication network among the above team members so that all are informed and knowledgeable of the program's progress. Ensure that concerns are quickly aired and resolution sought so that the program remains focused. Develop and maintain an action plan, which outlines objectives, strategies and tasks; monitor progress and report regularly to designated agencies. In conjunction with the Superior Court Administrator and the Juvenile Court Administrator, update procedures manuals, forms and other materials as needed. Adjust and enhance the implemented program based on appropriate feedback from the judge. In conjunction with the Superior Court Administrator and the Juvenile Court Administrator, develop budget and budget reports for the County and any other funding agencies. Respond with the superior Court Judge or other team member to public inquiries concerning the JMHC. Sje FJIibw Recov(`fY CeMer, Anl(?ndrent Pf 2 CONTRACT AMENDMENT #1 By and Between Safe Harbor Recovery Center And Jefferson County For Expanded Mental Health (MH) & Chemical Dependency (CD) Treatment 2014 WHEREAS, the safe Harbor Recovery Center (Contractor) and Jefferson County (County) entered into an agreement on January 1, 2014 for Professional Services in connection with the provision ofalcohol and substance abuse treatment services to individuals impacted by mental health/substance abuse issues in Jefferson County, Washington. WHEREAS, the parties desire to amend the terms of that agreement. IT IS AGREED BETWEEN BOTH PARTIES AS NAMED HEREIN AS FOLLOWS: 1. The term of the above referenced agreement ends December 31, 2014. 2. This amendment strikes Section 4. E. of the original agreement and is replaced by the following language: a. county reserves first right to use as match the chemical dependency mental health tax funds and the services funded by them for purposes of qualifying for additional funding and grants. County may allow Contractor to use the chemical dependency mental health tax funds as match, at the County's sole discretion. Should the County decline to use chemical dependency mental health 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) b. Where Contractor proposes to use chemical dependency mental health County tax funds for match, Contractor shall be solely responsible for compliance with all state and federal laws and regulations, including, but not limited to DKIS, CMS and DBIIR funding rules, applicable to the use of MH/CD sales tax monies as match. Contractor shall document it has met this responsibility by submitting in writing to the County Administrator their match formula, allocation plan and any other documentation required of them pursuant to Attachment A, attached hereto and incorporated in this Agreement. The County may withhold authorization to utilize the MI-I/CD sales tax monies 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, 3. Total compensation under this Agreement remains unchanged and shall not exceed $114,500.00 without express written amendment. 4. All other terms and conditions of the agreement will remain the same. J (01-2 d, aylpf 2014 Dated this—� 11 4 By: j(-,)jj1dAL1 St kl,Chainnan jerj'� � soi, Board of C01"Ity Coll' ln'ss'ollel-s f V Ap roved as to 0 pnly- 73 BY: —Ze� 1 —0 \-, — (contractor) Jefferson unty Prosec r, S Office vkr PS 11 safe Harbor Recovery Center, Amenda)ent 4 1 David Alvarez, Chief Civ D A ATTACH MENTA JEFFERSON COUNTY MH�CD TREATMENT TAX FUNDING- MATCH POLICY DeMnidoms� Match: isa/equiremoemt for the grantee to provide contributions ufaspeci�edannaumtor percentage tn match funds provided by another gramtmc Matching can bci!n 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 tu raise the local »a hes tax by Q �l percent, (the 1/1Othofl9 sales tax initiative) to augment state funding for mental hea]Lh and chemical dependency treatment- Jefferson Countycoi|ectsanddistribm1e»theMental Health/Chemical Dependency (NH/CU)ta»' Services purchased by the County are allocated through a formal Request rv|respurcnmsc dbythe[0umtVorcaUocatedthrowghaforma|Request fmrProposal (RFp) process, review and contracting; staffed hy Jefferson County Public Health, overseen byJeffersum County Mental Health Substance Abuse Fund Ad a|thSvbstanceAb«seFundA d iso n/[ommi1teeamdadoptedbytheBoardofCowntyCommissimners'(8JCC) . BDCC 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 chemical dependency mental health tax funds and the services funded bYt h em for purposes of qualifying for additiunalfunding and grants. County may make available to the Contractor the chem|ca| dependency mental health tnx funds for the Contractor to propose as match to state, federal or other entities, at the County's sole discretion. Contractor shall not use dependency mental health County tax funds for match without prior authorization by the Jefferson County Administrator and County fiscal team, To request authorization of availability uf 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 mr deny the availability nf match funds in writing within 3O days of the application. \f the County informs the Contractor of the availability of chemical dependency menta:l health County tax funds for match, then the Contractor shall be s»|e)V responsible for compliance with all state and rcuer^/ laws and not CW15and DBNR funding rules, applicable to the use nf��H/CDsales | tiuna inc|ud�nG,bu�nm , regulations, t*x monies as match, Following s a � te ' federal and local guidelines for match is the responsibility ufthe Contractor. a For example, if a Contractor provides Title XCX Medicaid services (the Policy I9.50.02or42CFR43[L3C) | s to actually Medicaid for services at the time U no Medicaid theyamnequ�e�by1hoverue � bHUng ex\sts, the match would not comply with state and federal guidelines for match. Concurrent with its request for authorization o/ the availability mfmatch, Contractor shall document it has met its o follow state, federal and local guidelines for match by submitting in writing the uzu*ry responsibility at hfornula' allocation plan, and other documentation made mandatory pursuant tothis Administrator their n i \ m the Contractor xhaUalso provide the fu1|o«vi»gto the County A&reementandthisAttnchnnentA� ��amnmm , Administrator: l DSHS requires contractors to complete and submit Match "Local �tch Certification" form (DSHS 06- l55)ora form that thasequ\va|emtd_atae|ementsprior 10 any agreement for DSHSservices, Submit n copy of this application and ro rmwhen requesting match availability from the County and at each rnonth|ybilling, 2. Submit the current administrative policy within WA State regulating your services and the use of local match. 3. Submit tm the County your last financial audit showing your use of match, County funds and tracking systerns. 4. Submit to the County the terms of the agreement showing the MH/CD allocation is an allowable source ofmxwtch- S �rnw��e�ncunnemLatiqnthatYourfimancio|rmportimgsystenmtracksnmatchingfundsata|ewe|that ' meets the level of documentation required by federal arstate statutes. The county may reject permission for Contra(torto utilize the MH/CD sales tax monies as match. CONTRACT AGREEMENT By and Between Jefferson County And Safe Harbor Recovery Center For Mental Health (MH) & Chemical Dependency (CD) Treatment 2014 Section I: PURPOSE: THIS AGREEMENT for Professional Services is entered into between Jefferson County herein referred to as the "County" and Safe Harbor Recovery Center (SHRC), herein referred to as the "Contractor" to provide alcohol and substance abuse treatment services to individuals impacted by Mental health /substance abuse issues in Jefferson County, Washington. Section 2: TERMS: This Agreement shall commence on January 1, 2014 and continue through December 31, 2014, unless terminated as provided herein. Section'): SCOPE OF AGREEMENT: Contractor will increase chemical dependency treatment options to Jefferson county residents as outlined in Exhibit A, herein incorporated by reference. Through the use of these funds the provider will increase the number of citizens receiving, Chemical Dependency Treatment. The goal of this funding and sales tax increase is to improve the quality of life for Jefferson County citizens by improving access to treatment and improving partnerships with Jefferson Mental I-lealth. Clients who need services of one agency will be screened and referred, if necessary, to the other agency. These funds will be used to increase treatment services to citizens seeking substance abuse treatment and those who have a co-occurring Mental Health disorder. A. Contract Representatives: Jefferson County and SHRC will each have a contract representative who will have responsibility to ad,-ninister the contract for that party. A party may change its representative upon Providing written notice to the other party. The parties' representatives are as follows: 0 . 1) 11 Contract � LKesentative Anna McFnery Jefferson County Public Health 615 Sheridan St. port Townsend, WA 98368 (360) 385-9400 Contractor's Contract Representative Teresa Wirth, Administrator Safe Harbor Recovery Center 686 Lake Street, Suite 400 Port Townsend, WA 98368 (360) 385 -3866 Section 4: COMPENSATION: The total amount payable shall not exceed 5114,500.00 in completion of this project without express written alnendrrent signed by both parties to this Agreement. The parties acknowledge that funding for this contract is contingent on the continuation of sales tax revenue in 2014. If the sales tax revenue clecreases by ten percent (10%) when applicable sales tax revenues are compared betweell the nost recently completed quarter year and the sarne quarter year revenues 'ale Hubor 1Zccovcj-y Cci,)ter-2014 w) then this contract may be renegotiated. The patties acknowledge the funding connected for 20 1 3, - to this contract is revenue of last resort and therefore Contractor will bill all other sources of revenue first. A. Contractor shall be paid for services as outlined in Exhibit B — Fee Schedule. B. Contractor shall submit monthly invoices to JCP,H, 615 Sheridan St., Port Townsend, WA 98368, Attn-. Finance Department, for payment of work actually completed to date. C. invoices must be submitted by the 2nd Monday of the month for the previous month's expenses. The County will review such invoices, and upon approval thereof, payment will be made to the Contractor in the amount approved. Failure to submit timely invoices may result in a denial of reimbursement. D. Contractor shall provide invoices and necessary backup documentation for all invoices including tirnesheets and statements. Any indirect charges require the submittal of an indirect cost methodology and rate using OMB Circular's A-87 and A -122. Contractor will not use County treatment tax funds for match without prior authorization of their match formula and allocation use approved in writing by the Jefferson County Administrator and County fiscal team. Please submit both formula and allocation plan for approval, funds can not conflict with existing DSI IS, CMS or DBHR funding rules. (See Attachment A) F. The County will make final payment of any balance due the Contractor promptly upon determining that 1) the Contractor has completed its obligations under this Agreement and ii) the County can and does accept the work performed by the Contractor. G. Contractor records, client records, documents, reports 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. An audit will be submitted to the County annually. Contractor will submit the most recent financial audit within 30 days from the beginning of this agreement. b. The audit shall be completed by the WA State Auditor's Office or a mutually agreed upon entity. upon request the County shall have the option of performing an on,. ite review of all records, statements, and documentation. C. if the County finds indications of potential nori-compliance during the monitoring process, the County shall notify Contractor within ten (10) days. County and Contractor shall Ineet to discuss areas of contention in an attempt to resolve issues. jLecovcry Certt�r-20 1 -1 d. Audit and/or recent DBHR annual fiscal review 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 OBM Circular A-133 or A-128, as applicable. Section 5: INDENINIFICAVON: The Contractor shall indemnify, defend and hold harmless the County, its officers, agents and employees, from and against any and all claims, lawsuits, demands for money damages, losses or liability, or any portion thereof, including attorney's fees and costs, arising from any injury to person or persons (including the death or injury of the Contractor or damage to personal property) if said injury or damage was caused by the negligent acts or omissions of the Contractor. Section 6: INSURANCE: The Contractor shall obtain and keep in force during the terms of this Agreement, or as otherwise required*. 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 single limit of not less than $500,000 per occurrence and an aggregate of not less than one million dollars ($1 ,©00,000) Contractor shall provide proof of insurance to the County c/o Contracts Manager at Jefferson County Public Health, 615 Sheridan St. Port Townsend, WA 98368 prior to commencing employment. B. General Liability (1) — with a minimum limit per occurrence of one million dollars ($1,00o,000) and an aggregate of not less than two million dollars ($2,000,000) for bodily injury, death and property damage unless otherwise specified in the contract Specifications. This insurance coverage shall contain no limitations on the scope of the protection provided and indicate on the certificate of insurance the following coverage, 1. 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 (contractors only); 4. Premises — Operations Liability (M&C) 5. Independent Contractors and Subcontractors; and 6. Blanket Contractual Liability. (1) Note: The County shall be named as an additional insured party under this policy. C, Professional Liability Insurance providing $2,000,000 per incident; $4,000,000 aggregate. Contractor shall name Jefferson County Public Health as additional insured. D, I'he Contractor shall participate in the Worker's Compensation and Employer's Liability Insurance Program as may be required by the State of Washington. E, it is agreed by the par-ties that insurers shall have no right of recovery or subrogation against the County (including its employees and other agents and agencies) it being Safe 11arbor Recovery Center-2014 , agreed by the parties that insurers shall have no right of recovery or subrogation E. I t i,' , against ntV (including its employees and other agents and agencies) it being the County I 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 Contractor, F. Any insurance 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 to comply with this Agreement. G. 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. H. The County may, upon the Contractor's failure to comply with all provisions of this contract relating to insurance, withhold payment or compensation that would otherwise be due to the Contractor. Section 7: CONFIDENTIALITY: Contractor, its employees, subcontractors and their employees will maintain the confidentiality of all information provided by JCPH or acquired in performance of this Agreement as required by 141PAA and other privacy This Contract, once executed by the parties, is and remains a iacy laws. Public Record subject to the provision of Ch. 42.56 RCW, the Public Records Act. Section 8: INDEPENDENCE The Contractor and the County agree that the Contractor is an independent Contractor with respect to the services provided pursuant to this agreement. Nothing in this agreement shall be considered to create the relationship of employer and employee between the parties hereto. The Contractor shall not be entitled to any benefits accorded County employees by virtue of the services provided tinder this agreement. 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 employee, Section 9: ASSIGNMENTS AND SUBCONTRACTING The Contractor shall not sublet or assign any of the services covered by this agreement without the express written consent of the County. Section ection 1(): REPORTING The Contractor will provide ,, monthly service summary report to the County at the carne time as invoices and must be Submitted by the 2 d Monday of the month for the prCViOLIS Month's work, ,I y 1-c I contain the report of services, and the total hours worked by which staff. The InOntl port shal -1-11c monthly report shall be submitted to Jefferson County Public Health, Attn: Finance Safe J-Jaibor Recover} Cez)tei­20 13, Department, 615 Sheridan, -port Townsend, and WA 98368. The County will review such reports, and upon approval thereof, payment will be made to the Contractor in the amount approved. Failure to submit timely reports may result in a denial of reimbursement. Section 11: TERMINATION a The County reserves the right to terminate this contract in whole or in part, with 30 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 all be liable for only payment for services rendered prior to the effective date of termination. A. This agreement may also be terminated as provided below: I With -0 days notice by the Board of County Commissioners for any reason, or 2. With 30 days notice by the Board of County Commissioners for non- performance of the specific job duties in Exhibit A. 3. With 30 days notice by the Contractor by voluntary resignation. Section 12: DISPUTE RESOLUTION Any dispute or disagreement concerning the terms and obligations of this Contract shall initially be brought to the attention of the Public Health Director via a written document. The Public Health Director shall make her determination with reasonable promptness, i.e., a decision within ten business days shall be deemed to have been made with reasonable promptness. If the aggrieved party is not happy with that decision, then the Jefferson County Administrator (or as may hereafter be amended), will decide the appeal of the Director's decision. Section 13: MODIFICATION This professional services agreement may be modified at any time by written agreement of either party and may be modified if tax revenue decreases. Section 14: 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 agreem ents written or oral between the parties. This agreement may be amended only by written instrument signed by both County and Contractor. Ce iter-2014 '11.bol 1� day of Approved this BOARD OF 'CO NTY COMMISSIONERS JEFFERSON COUNTY, WASHINGTON r Jahn stirs, Chairperson Safe I- Iarbor Recavcry Center AST` " 17e 14i Cl, of the i�o r N Safe IKW'btat" 1zeCt7vel.y Cettiteti -201 41 Exhibit A Scope of Work The Safe I-larbor Recovery Center agency as a contracted provider, agrees to: Clinical and care management treatment services for additional Jefferson County citizens unable to be seen in other revenue sources. 2. All employees or subcontractors of the Contractor undertaking the performance of mental health/substance abuse services under this agreement are required to be professionally licensed or certified by the State. -3. Background checks are required for all employees; to be redone for every employee every _) n years. ' F he names of licensed therapists will be given to the County. 4. Work collaboratively with local mental health courts and substance abuse treatment agencies to identify and treat clients with co-occurring disorders. 5. provide UA for co-occurring disorder clients. 6. provide crisis interventions. 7. Run groups as appropriate, 8. Work with social services or other agencies as needed for dually served families with mental health or chernical dependency issues. 9. Maintain a secure records system guaranteeing the confidentiality of PHI pursuant to ljjPPA. 10 . Bill other sources of revenue whenever they exist, Document what percent of clients are covered by other sources of revenue. Include Mental Health Court service hours in those billed under CODIT and Drug Court. Please track separately. 12. Monthly report on client utilization, referrals, outcomes as specified by JCPII- 13, Hire Chemical Dependency Licensed professionals and maintain training and education needs for those billing on this contract. 14, Oroup or Individual therapy, or a combination of the two, of a specified duration using a. evidence based models of treatment. Applicant will identify the number of clients seen, b, how often each week, and the number of hours per week and per month for treatment c. enrollment, also identify the after care plan weekly and monthly. i I ni a e 15. Participate n 2014 discussions on MH therapeutic court, staffing for t eat ent and case managenielit, Safe I jarboi, Recovc'Y Celijuv-2014 16. Chemical dependency, mental health and/or COD assessment, treatment plan develoPI-Inerit and review, documentation of client progress (group and individual session notes), and aftercare planning and monitoring are documented and maintained for at least five years or following WA state statutes , 17, Referral for mental health medication and monitoring as needed. 18, Services are available throughout the county. 19, Preparation of progress reports if needed, eg. to court. 20. Agency oversight regarding record keeping, data collection, legal and ethical issues and standards of care are updated and meet State of Washington standards. 21. Opportunities for regular clinical supervision and psychiatric consultation are available for staff on a regular basis. 22. Collection and preparation of service data for evaluation purposes, and reporting to jCpH monthly with the invoice. Use forms supplied by JCPH for data. 23, Attend and report to the Mental Health Substance Abuse Sales Tax Advisory Committee twice during the duration of this contract period, at regularly scheduled meetings, with progress evaluation reports. KCCOVe Y 14 Exhibit B Fee Schedule Chemical Dependency Professional @ $25,00/hour Accountant @ $23,00/hour Clerical/data entry @$21.00/hour Supervision/Program Management @ $50.00/hour UA for CODITelients monthly, based on lab invoices Not to exceed $114,500.00 in completion of services for the duration of this contract without express written amendment. S�fc I larboi" RecoverY Center -2014 ATTACHMENT A JEFFERSON COUNTY MI-l/CD TREATMENT TAX FUNDING- �krQ�HP6`LICY�� On October 14, 2013 Jefferson County Board of County Commissioners (BoCC) adopted the following language in the allocation of the Mental Health Chemical Dependency treatment dollars. Agencies may not use Jefferson County mental health counlyl chemical dependency treatment tai funds for match, without prior authorization of their match formula and allocation use, approved by the Jefferson County Administrator crud fiscal team. The match may not he used without written permission. 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. Auditors Objective: To determine whether the match amount or percentage of contributions from JC is an allowable source of funding and that the vendor has an accurate accounting system to track the match. 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: e Washington State Legislature created an option for counties to raise the local sales In -2005, tike Washington of 1% sales tax initiative) to augment state funding for mental tax by 0.1 percent, (the I rson County collects and distributes the Mental che health and dependency treatment. Jeffi, Heal th/Chernical Dependency (MI.I/CD) tax. Services purchased by the County are allocated alrough a formal Request for Proposal (RFP) process, review and contracting; staffed by Jefferson County Public Health, overseen by Jefferson County Mental Health Substance Abuse Fund Advisory Co"Ifflittee and adopted by the Board of County Commissioners, (BOCC). The BoCC does not assurne any fiscal responsibility/liability for any of the vendors they contract for Ith. Services leveraged by a vendor using, N41 I/("D tax as match have no oversight or services W agency relations,111) to Jefferson County; funding cannot be used without prior authorization of the vendor's Match for"' ulaand allocation by the Jefi rson County Administrator and Fiscal teams. S, (Ife IZecovcry Ceiiier -2014 10 Following state, federal and local guidelines for match is the responsibility of the vendor. ,11 follow all administrative policies in authorizing that use. if a vendor is 3efferson. County will I D disallowed the use of funds for match according to the State of W or r the federal c Jefferson County funds will not be available as matching funds. For example, if a vendor provides Title XIX Medicaid services (the Policy 19.50.02 or 42CFR 430.30) they will not be allowed the use of match without actually billing Medicaid for the services at the same time. If no Medicaid billing exists, the match cannot be applied. The County shall verify that the local entity's financial reporting system tracks matching funds at a level to support the use of funds; that meets the level of documentation required by federal or state statutes. The verification and application process for Match use within the County will include the following steps: DSHS requires contractors to complete and submit a "Local Match Certification" form (DSI-IS 06-155) or a form that has equivalent data elements prior to any agreement for DSHS services. The County must review a copy of this application and form prior to granting match authorization of MH/CD funds for Match 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 to ascertain the MH/CD allocation is an allowable source of match. 5. The County Administrator will authorize or deny the Use of match in writing within 30 days of the application. i J�irbor Recove"Y (entcr-2014 11