HomeMy WebLinkAbout012516_ca04�wm 615 Sheridan Street
Port Townsend, WA 98368
www.JeffersonCountyPublicHealth.org
Public ea Consent Agenda
Jan 6, 2015
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Jean Baldwin, Director
Julia Danskin, Public Health Supervisor
DATE: 1 -2-S- / `7,
SUBJECT: Agenda Item - Olympic Educational Service District 114 (OESD 114)
School Nurse Mileage Reimbursement; September 8, 2015—June 15,
2016; $1,200.00
STATEMENT OF ISSUE:
Jefferson County Public Health (JCPH) requests Board approval of the OESD 114 School Nurse Nursing
Services and Mileage Reimbursement; September 8, 2015 — June 17, 2016; $1,200.00
ANALYSIS STRATEGIC GOALS PRO'S and CON'S:
OESD 114 contracts JCPH to provide nursing services that require travel between Port Townsend School
District and Chimacum School District for which they will provide up to $1,200.00.
FISCAL IMPACT COST BENEFIT ANALYSIS:
This contract provides $1,200.00 for nursing travel reimbursement. This is a budget neutral.
RECOMMENDATION:
JCPH management request approval of OESD 114 School Nurse Mileage Reimbursement; September 8, 2015
— June 17, 2016; $1,200.00.
REVIEWED B'V': ,af
.. /ej, ____-
f�1 1 IP Mo..
oun Admini ; for Date
Community Health
Developmental Disabilities
360-385-9400
360-385-9401 (f)
Environmental Health
Water Quality
360-385-9444
(f) 360-379-4487
2075-76 School Year
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01 N M P E C ED T 11 (AT i C )l,JAL S E RV ICE D I 9NU C P I 11
SCHOOL NURSL� (�',ORPS PROGRAIA
(horoinaffor naLmned Im as OESD 3 1)
105 Av«!nIUO 117A-Lh
Bremei ton, WA `"n81 ] 2
AND
nnd da L s VIII
PuLd k! Hea) fAli
Ili cre I I n D er reforred Lo a s Coi�' I, f T a c p oT N
6:15 fors lO'P' 91!336b
ThiN agreemew in entered Lots by the School Nurse Corps Proqram, O Ili dnd
JuMrson County FAMW MILO fox Me purpose of providing health services
approprLate to the needs of !den( Mod Jiaffersc'n County pui'Aic' :3cturrjVs
The Wympic Murat lonal yea rvLce DistoW 114 nrocs: W
1, Reimburse Jeff"arson County Publin Health foi in, Wgo oxpourses Acmxed
for providing health morvices to !he Chimacum am! PoK Tommend School
DsLr'irAs in accoll-dairicn, wii;h thn �rpplJcable 1l,1,S stand,ard rrrileagii�r
noL tn cloeed $1,200,
Bill inq shalC be done monthdy with a final bill suLeiiiii t:cnt priox to Puly 39,
201 6,
U'l I her po nt 'y npi:!!in 30 u.l n y n advance-, wr 'u Lten notice to the oLlier party may
tormInato this agroomern Nn whoho, or In 1')arL.
The poriod of petformance fov this ugreemont shall be 8,2015 Lhru
oqh
. . . . ......
June 11 2016 schocif
- - — 'y
OESD agrocs to comply Mh A iC provisions oi Lfre Anvericans wLLh Disahl) pti,Y3
AU and all requIations MorproLUnq or ontorcing such act.
Each party to Lhis agreement shall he Woly ro::qonsiMe for any Co
injury Lo porsons or properLy rOSUILIng from LK own naql igance or the
nog! igence of As ewpioynos, agQnts or officer, and the cn,L cm eypnsu of
defending, including Mornoy's fees any Waim, ac,,Lne:)n, nuf: or, other legal
proccoding ari;nig nq or caused by the allogedly negligent, acts and anon issions 'of
its employees, agents or officers. Vie parHes acknviwp edge uhis paragra-ph
regri red caM of thum ho hold the Whar party harmless and WourrO fy them for
Cho nogLigent acts and omissions of :n..,A enLiplicylees, agents, or OfFiCsrs,
Neither parLy assumos responsibi3ity Lo Lho other parLy For consequences of
acts or omissions of any persons, companies or corporations not parry to Lhis
agramnent,
1. 1-1 j, e T, ,.,larva rnin(untal- Agreement
Jefferson CounLy Hea!Lh Dept. 2015-16
Page 2
TERMINATION -ient at any time,
rMi, Contract may be terminated by thre, OESD 114
witt h. or without reason, upon written notificati.on thex eof to the Contractoxw
This not.:Lce shall specify the date of term i-nati,-dn aY)ClI � I)C` C(4'02"Ius i ve'.1y
¢Ieewed to have been delivered tc
o and reeived by ljoy Ccnv:rac?A)r as of ndaln ight.
of the se�.-,,ond day following the date of Ats postirg in the MUL" St"s ma"
addressed as first noted herein—in the ahswwc, aca �_-nal. Gee liv�,,,:i:y to
and raceipt by the Contractor by mail oy Wor meant at an eaWer daLy and/OY
time.
In t.he event of termination. by the OESU 114, the Cont.r..'actox steal] be entitled
to an equitable pro ration of the total comj.)ensat_i.on pr ovi-ded herein for
uncoMpensated services, which have been performed as (',)f the date of 1:ernvi.nation
of this agreement.
Intergovernmental Agreement
Jefferson County Health Dept. 2015-16
Page 3
IN WITNESS THEREOF, OESD 114 and Contractor have executed this Agreement
consisting of three pages.
CONTRACTOR
The undersigned certifies that
he/she is the person duly
qualified and authorized to
bind the Contractor so
identified to the foregoing
Agreement and under penalty of
perjury, certifies the Social
Security Number. or Federal
Identification Number provided
is correct.
OLYMPIC
EDUCATIONAL SERVICE DISTRICT 114
Signed this
day
Signed this
_ day
of
2016
of �...........��w.........�_..—��
2016
Contractor's Signature
OESD 119, Superinte
nd�enF
.t
OESD USE ONLY
APPROVALS:
NURSINGmmPROGRm
AM SPECIALIST DATE
DEPARTMENT H...
EAD DATE
DIVISION HEAD DATE