HomeMy WebLinkAboutOlympic Educational Service District 114 (OESD 114) - 062716INTERGOVERNMENTAL AGREEMENT
BETWEEN
OLYMPIC EDUCATIONAL SERVICE DISTRICT 114
SCHOOL NURSE CORPS PROGRAM
(hereinafter referred to as OESD 114)
105 National Avenue North
Bremerton, WA 98312
AND
Jefferson County Health & Human Services
(hereinafter referred to as Contractor)
615 Sheridan Port Townsend, WA 98368
2015-14`c�hool Year y
This agreement is entered into by the School Nurse Corps Program as
administered by the Olympic Educational Service District (OESD 114) and
Jefferson County Health & Human Services for the purpose of providing nursing
services appropriate to the needs of identified Jefferson County public
schools.
Jefferson County Health & Human Services agrees to provide registered nurse
services to include the following:
1. Identify returning students with health plans and prepare plans for the
SY 2016/17.
2. Prepare training materials for school staff for following school year.
3. Make parent and student contacts as necessary to complete health plans.
4. Have school staff/ school nurse exchange of information about
effectiveness of previous plans and change as necessary to improve
student access to education.
5. Review medication at school and send out Medication at School forms as
necessary.
6. Consult about immunization status as appropriate.
7. Any other activity that school nurse believes is appropriate to
accomplish pre SY 2016/17 school attendance for children with health
needs.
8. Maintain proper liability insurance coverage on all its nursing personnel
performing the above -enumerated duties.
Intergovernmental Agreement
Jefferson County Health Dept. 2015-16
Page 2
The Olympic Educational Service District 114 agrees to provide the following:
1. Provide a Nursing Program Specialist who will support, consult, and
train nursing staff assigned to perform above duties.
2. Chimacum School District
Pay Contractor thirtynine dollars and eithyfive cents ($39.85) per
hour for nursing services described above for twenty-two (22)nursing
services hours per week for 2 weeks beginning June 20, 2016andending June 30,
2016, not to exceed $1,754.
3. Port Townsend School District
Pay Contractor thirty dollars and ninetytwo cents ($30.92) per hour
for nursing services described above for twentyfour(24)hours weekly
for 2 weeks June 20, 2016andending June 30, 2016, not to exceed $l, 484.
/
Final billing shall be done prior to Jules 30, 201
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 June 20, 2016 through
June 30, 2016 school year.
OESD agrees to comply with all provisions of the Americans with Disabilities
Act and all regulations interpreting or enforcing such act.
T
Intergovernmental Agreement
Jefferson County Health Dept. 2015-16
Page 3
Each party to this agreement shall be solely responsible for any damage or
injury to persons or property resulting from its own negligence or the
negligence of its employees, 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 acts 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.
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 4
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.
Signed this day
of
i
Cont ��tor's Signature
i
f
OESD TISF nNT,'
PPROVALS:
OLYMPIC
EDUCATIONAL SERVICE DISTRICT 114
�i
Signed this day
of , 2016
G PROGRAM_SPECIALIST
7PA NT*HEAD
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DIVISION HEAD
PURCHASE ORDER NUMBER
DA
DATE
D E
Intergovernmental Agreement
Jefferson County Health Dept. 2015-16
Page 4
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.
Signed this C�- day
of <(.
. U/vt-Q , 2016
Contractor's Signature
a o C,(,--
OESD USE ONLY
APPROVALS:
OLYMPIC
EDUCATIONAL SERVICE DISTRICT 114
Signed this day
of 2016
OESD 114, Superintendent
NURSING PROGRAM SPECIALIST
rvn� nr��m vnuzn nulli 5 In
1.11'11 r�
615 Sheridan Street
Port Townsend, WA 98368
�evcson www.JeffersonCountyPublicHealth.org
Consentgenda
Public He� June 6,A 2016
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: % p C____� A7"01
SUBJECT: Agenda Item – Olympic Educational Service District 114 (OESD 114)
Planning Time for 2016-17 School Year; June 20, 2016—June 30,
2016; $3,238.00
STATEMENT OF ISSUE:
Jefferson County Public Health (JCPH) requests Board approval of the OESD 114 Planning Time for 2016-17
School Year; June 20, 2016 — June 30, 2016; $3,238.00
ANALYSIS/ STRATEGIC GOALS/PRO'S and CON'S:
OESD 114 contracts JCPH to provide professional nursing overview, preparation, parent/student contact,
exchange of information, review of medication, consult, and address any other aspects of school nursing
program pertinent to closing out this and preparing for the 2016-17 school year.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
This contract provides $3,238.00 for consultation services regarding closing -out school year 2015-2016. For
services rendered to the Chimacum School District at $39.85 per hour, $1,754.00 has been awarded for 22
hours per week of nursing services hours for the two-week duration of the contract. For services rendered
to the Port Townsend School District at $30.92 per hour, $1,484.00 has been awarded for 24 hours per
week of nursing services hours for the two-week duration of the contract. The source of funding is through
the Department of Health and Human Services.
RECOMMENDATION:
JCPH management request approval of OESD 114 of the OESD 114 Planning Time for 2016-17 School Year;
June 20, 2016 — June 30, 2016; $3,238.00
Community Health Environmental Health
Developmental Disabilities Water Quality
360-385-9400 360-385-9444
360-385-9401 (f) Always working for a safer and healthier community (f) 360-379-4487
Public Hea
CONTRACT WITH: nF.on 114
) 1(0-l\0
615 Sheridan Street
Port Townsend, WA 98368
www.JeffersonCountyPublicHealth.org
CONTRACT REVIEW FORM
CONTRACT FOR: School Nurse Planninq Time
JUN 0 6 2016
N -16-3D
TERM: June 20, 2016 - June 30. 2016
COUNTY DEPARTMENT: Jefferson County Public Health
For More Information Contact: Julia Danskin
Contact Phone #: X420
RETURN TO: Denise Banker RETURN BY: ASAP
AMOUNT:
Revenue: $3,2.38.00_
Expenditure:
Matching Funds Required:
Source(s) of Matching Funds:
Step 1
� APPROVED FORM
Comments:
PROCESS:
❑ Exempt from Bid Process
❑ Consultant Selection Process
❑ Cooperative Purchase
❑ Competitive Sealed Bid
❑ Small Work Roster
❑ Vendor List Bid
❑ RFP or RFQ
❑x Other: JCPH to be
reimbursed for in -school
planning time.
REVIEW BY RISKMG -
Review by: ,✓��
Date Reviews .
❑ Returned for revision (See Comments)
Step 2: REVIEW BY PROI7TZE
Review by: Date Reviewed:
APPROVED AS TO FORM evision (See Comments)
Comment
(This form to stay with contract throughout the contract review process)
nECFEyEQ
Community Health JUN 16 2016
Environmental Health
Developmental Disabilities JEFFEi:RW,�I*r(60W TY
360-385-9400 PROSECU-i 8661 36604 1k!"; EY
360-385-9401 (f) Always working for a safer and healthier community (f) 360-379-4487