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Olympic Educational Service District 114 (OESD 114) - 012516
INTERGOVERNMENTAL AGREEMENT BETWEEN OLYMPIC EDUCATIONAL SERVICE DISTRICT 114 SCHOOL NURSE CORPS PROGRAM (hereinafter referred to as OESF) 114) 105 National Avenue North Bremerton, WA 98312 AND Jefferson County Public Health (hereinafter referred to as Contractor) 615 Sheridan Port Townsend, WA 98368 2015-16 School Year —if ` , --, aaa - This agreement is entered into by the School Nurse Corps Program, OESD 114 and Jefferson County Public Health for the purpose of providing health services appropriate to the needs of identified Jefferson County public schools. The Olympic Educational Service District 114 agrees to: 1. Reimburse Jefferson County Public Health for mileage expenses incurred for providing health services to the Chimacum. and Port Townsend School Districts in accordance with the applicable IRS standard mileage rates, net to exceed $1,200. Billing shall be done monthly with a final bill submitted prior to July 30, 2016. Either party upon 30 days advance written notice to the other party may terminate this agreement in whole, or in part. The period of performance for this agreement shall be September 8,._20-5 through June 17, 2016 school year. OESD agrees to comply with all provisions of the Americans with Disabilities Act and all regulations interpreting or enforcing such act. Each party to this agreement shall he solely responsible for any damage or injury Lo persons or property resulting from its own negligence or the negligence of its enployees, agents or officers, and the cost or expense of defending, including attorney's fees any claim, action, suit or other legal proceeding arising or caused by the allegedly negligent acts and omissions of its employees, agents or officers. The parties acknowledge this paragraph required each of them to hold the other party harmless and indemnify them for the negligent acus and omissions of its employees, agents, or officers. Neither party assumes responsibility to the other party for consequences of acts or omissions of any persons, companies or corporations not party to this agreement. 4 Intergovernmental Agreement Jefferson County Health Dept. 2015-16 Page 2 TERMINATION This Contract may be terminated by the OESD 114 Superintendent at any time, with or without reason, upon written notification thereof to the Contractor. This notice shall specify the date of termination and shall be conclusively deemed to have been delivered to and received by the Contractor as of midnight of the second day following the date of its posting in the United States mail— addressed as first noted herein ---in the absence of proof of actual delivery to and receipt by the Contractor by mail or other means at an earlier date and/or time. In the event of termination by the OESD 114, the Contractor shall be entitled to an equitable pro ration of the total compensation provided herein for uncompensated services, which have been performed as of the date of termination 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 OLYMPIC EDUCATIONAL SERVICE DISTRICT 114 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. Signed this day of Jklu'ai'Lli 2016 Contractor's SignaLure — Approved W K ' 11b wr'S ICC Je eraon Co. Pro David Alvarez, Chief Civil DPA Signed this day of 2016 OESD USE ONLY APPROVALS: DATE 'eJ5 /fl/ DATE 01; 615 Sheridan Street Port Townsend, WA 98368 www..JeffersonCountyPublicHealth.org Public Hea=t 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: // 2 /� 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. Vf p FA �• F Community Health Developmental Disabilities 360-385-9400 360-385-9401 (f) Date Always working for a safer and healthier community Environmental Health Water Quality 360-385-9444 (f) 360-379-4487 liffiri, • 0 615 Sheridan Street/� Port Townsend, WA 98368 www.JeffersonCountyPublicHealth.org CONTRACT REVIEW FORM V FU#"191ECOUNTY CONTRACT WITH: OESD 114�� CONTRACT FOR: School Nurse Mileage TERM: Sept. 8, 2015 - June 17, 2016 COUNTY DEPARTMENT For More Information Contact Contact Phone #: Jefferson County Public Health Julia Danskin X420 RETURN TO: Denise Banker RETURN BY: ASAP AMOUNT: Revenue: $1,200.00 Expenditure: Matching Funds Required: Source(s) of Matching Funds: 1 J P ED FORM Comments: REVIEW BY RISK Review by: Date Reviewed: PROCESS: ❑ Exempt from Bid Process ❑ Consultant Selection Process ❑ Cooperative Purchase ❑ Competitive Sealed Bid ❑ Small Work Roster ❑ Vendor List Bid ❑ RFP or RFQ © Other: JCPH to be reimbursed for mileage Z for revision (See Comments) Stbp 2: REVIEW BY PROSECUTING ATT ,7E G A EY Review by: - (.. f t�h4�a� Date Reviewed: APPROVED AS TO FORM Ll Retur ed f r revision (See Comments) CoAmen (This form to stay with contract throughout the contract review process) Community Health Developmental Disabilities 360-385-9400 360-385-9401 (f) Always working for a safer and healthier community Environmental Health Water Quality 360-385-9444 (f) 360-379-4487