HomeMy WebLinkAbout052217_ca06615 Sheridan Street
Port Townsend, WA 98368
www.JeffersonCountyPublicHealth.org
Consent Agenda
March 16, 2017
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Vicki Kirkpatrick, Director
DATE: 0 -2Z) .?o 1-4'
SUB]ECT: Agenda Item — Personal Services Agreement with Skagit Co. Public
Hospital District #304 DBA: United General District #304 of Skagit
County, WA; July 1, 2016 — June 30, 2017; $7,000.00
STATEMENT OF ISSUE:
Jefferson County Public Health requests Board approval of the Personal Services Agreement with Skagit
County Public Hospital District #304, DBA United General District #304 to implement youth tobacco and
vapor prevention activities; July 1, 2016 — June 30, 2017; $7,000.00
ANALYSIS/ STRATEGIC GOALS/PRO'S and CON'S:
The purpose of this contract agreement between JCPH and United General District #304 is to retain JCPH
to provide prevention activities to enhance community participation in youth tobacco and vapor prevention,
strengthen school and campus tobacco and vapor -free policies, implement strategies to address new state
vapor product prevention law (ESSB6328), increase the number of work -sites that have a no -smoking policy
and, increase the number of youth engaged with community leaders and policy makers. This work will
utilize School Based Health Center staff and includes collaboration with Chimacum Prevention Coalition.
This agreement, for $7,000.00, is to support youth participation, pay coordinator, cover travel expenses,
and cover indirect expenditures.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
This contract agreement is fully funded by United General District #304.
RECOMMENDATION:
JCPH management request approval of the Personal Services Agreement with United General District #304;
July 1, 2016 — June 30, 2017; $7,000.
j�
A roved as�t fo
• 6 ` Date:i_,_
Community Health Philip C. Hunsucker, Chief Civil Deputy Prosecuting Attorney Environmental Health
Developmental Disabilities Jefferson County Prosecuting Attorney's Office Water Quality
360-385-9400 360-385-9444
360-385-9401 (f) Always working for a safer and healthier community (f) 360-379-4487
United General Hospital INVOICE
Community Health Outreach Programs Invoice Number:
UNITED 2000 Hospital Drive
1,24 Sedro-Woollev, WA 98284 Invoice Date.
ENEl�i,�
o p * n 360-854-7170
FAX: 360-856-4970
QUESTIONS: Contact Tori Sanchez - tori.sanchez@unitedgeneral.org
Billing Address:
Company
Contact
Address
C
Reference - PO #
Description Amount
Grand Total:1 $0.00
Submit nvoice o: -
Public Hospital District #304 dba,UNITED GENERAL HOSPITAL
2241 Hospital Drive I Sedro Woolley WA 98284
INVOICES DUE - QUARTERLY I January 12 I April 1st I July 1st
Exhibit C
UNITED GENEFAL DISTRICT 304
Building Healthier Communities
CONTRACT AGREEMENT FOR SERVICES
THIS AGREEMENT is made and entered into by Jefferson County Public Health
and between Skagit County Public Hospital District 304, DBA United General
District #304 of Skagit County, Washington referred to as "United" and, Jefferson
County Public Health hereinafter referred to as the Contractor.
THE PURPOSE OF THIS AGREEMENT — Implement youth tobacco prevention
activities outlined in Jefferson County Public Health work plan.
THEREFORE, IT IS MUTUALLY AGREED THAT:
STATEMENT OF WORK
The contractor shall ensure the below mutual agreed upon activities are implemented:
Objective 1.1- Enhance community participation in youth tobacco and vapor prevention and control
Jefferson County Public Health will educate and train youth to conduct CANS surveys in a minimum of three local stores
that sell tobacco and vapor. Upon completion of the surveys, the youth will provide the stores with a brief report and
feedback, including recommendations on how the store can better limit youth access to tobacco products, including
vapor. Additionally, the youth will make a presentation to the Chimacum School Youth tobacco, alcohol, and drug
Prevention Coalition.
Objective 1.2- Strengthen school and campus tobacco and vapor -free policies
Jefferson County Public Health will support existing school tobacco and vapor -free policies through increased
posters/signage in the schools and increased use of school and community related social media.
Objective 1.4 Implement strategies to address new state vapor product prevention law (E5S06328) through:
- Policy development
- Policymaker outreach and education
- Community education and awareness
- Retailer education
In addition to the CANS project is several stores, Jefferson County Public Health will provide retailers selling tobacco
and/or vaping products with checkout signage intended to make age ID checks easier. The signage will be accompanied
by information regarding Jefferson County tobacco and vapor usage (higher than the state's average), educating them to
the fact that life-long addiction is much stronger for anyone that initiates use of tobacco products before age 18-19, and
to let them know that they are part of the solution to preventing underage youth from accessing tobacco and vaping
products
4.2- Increase the number of worksites that have a no -smoking policy
Increase the number of worksites in Jefferson County that adopt strong and effective no -smoking and no-vaping policies
through a strong emphasis on the policy benefits. Provide employers with tools and information about implementation
of their policy and information for employees about effective tobacco use and vaping cessation programs.
Objective 4.3 Increase the number of youth engaged with community leaders and poiiey makers
Engage at least one student to serve on the School Based Health Clinic Advisory Board.
Page 1 of 4
pUNITED GENERAL DISTRICT 304
q Building Healthier Communities
PEROID OF PERFORMANCE
The period of performance of this Agreement shall commence July 1, 2016
through June 30, 2017.
PAYMENT
The cost of accomplishing the work herein will not exceed $7,000 and must
accordance with the Statement of Work and submitted budget (Exhibit A). This
contract amount is based on actual reimbursements. Compensation for services
provided shall be issued upon receiving a quarterly report (Exhibit B) and an
invoice voucher (Exhibit C) with proper detailed back-up documentation. Food
and equipment purchases are not allowable expenses.
BILLING PROCEDURES
Payment to the Contractor for approved and completed work will be made by
warrant by United within 14 days of receipt of the invoice. Upon expiration of the
contract, any claim for payment not already made shall be submitted with 5 days
after the expiration date.
AGREEMENT ALTERATIONS AND AMENDMENTS
This agreement may be amended by mutual agreement of the parties. Such
agreements shall not be binding unless they are in writing and signed by
personnel authorized to bind each of the parties.
CONTRACT MANAGEMENT
The contract manager for each of the parties shall be responsible for and shall be
the contact person for all communications and billings regarding the performance
of this agreement.
The Contract Manager for United is:
Carol Hawk
United General District #304
2241 Hospital Drive
Sedro Woolley WA 98283
360-854-7170
The Contract Manager for the Contractor is:
Vicki Kirkpatrick
360-385-9408
VKirkpatrick@co. jefferson.wa. us
615 Sheridan Street
Port Townsend, WA 98368
OWNERSHIP OF WORK PRODUCTS
All data, materials, intellectual properties, discoveries, deliverables, memoranda
and other documents developed under this Agreement, whether finished or not,
shall become property of United, shall be forwarded to United at its request and
may be used by United as it sees fit.
Page 2 of 4
"C; UNITED GENERAL DISTRICT 304
Building Healthier Communities
GOVERNANCE AND DISPUTES
This Agreement shall be construed under the laws of the State of Washington
and applicable federal laws. Venue and jurisdiction over any dispute involving
this Agreement shall be exclusively in the Superior Court in Skagit County,
Washington. In the event either party, with respect to this Agreement,
commences legal proceedings, the prevailing party shall be entitled to recover all
costs and expenses incurred in connection with such action, including
reasonable attorneys' fees.
HOLD HARMLESS
The Contractor shall defend, protect and hold harmless United General District
#304, or any employees thereof, from and against all claims, suits or actions
arising for any intentional or negligent act or omission of the contractor, while
performing under the terms of this contract.
PRIVACY
Personal information collected, used, or acquired in connection with this contract
shall be used solely for the purposes of this contract. Contractor agrees not to
release, divulge, publish, transfer, sell or otherwise make known to unauthorized
persons personal information without the express written consent of the agency
or as provided by law. Contractor agrees to implement physical, electronic,
managerial safeguards to prevent unauthorized access to personal information.
TERMINATION
Either party may terminate the Agreement upon 30 days prior written notification
to the other party. If this Agreement is terminated, the parties shall be liable only
for performance rendered or costs incurred in accordance with the terms of this
Agreement prior to the effective date of the termination.
TERMINATION FOR CAUSE
If for any cause, either party does not fulfill in a timely and proper manner its
obligations under this agreement or if either party violates any of these terms and
conditions, the aggrieved party will give the other party written notice of such
failure or violation. The responsible party will be given the opportunity to correct
the violation. If failure of violation is not corrected, this Agreement may be
terminated immediately.
ENTIRE AGREEMENT
This agreement and attachment contain all the terms and condition agreed upon
by the parties. No other understandings, oral, otherwise not contained herein
shall be binding upon either party.
Page 3 of 4
United General District #304
Ted Brockmann I CEO/CFO
uate
Carol Hawk I Director
Date
CONTRACTOR
Signature
Print Name
Title
Date
UNITED GENE -RAL DISTRICT 304
Building Healthier Communities
Approveq as to form:
D k
rC-
Philip C. Hunsucker
Chief Civil Deputy Prosecutor
Jefferson County Prosecutor's Office
Page 4 of 4
2016-2017 Youth Tobacco Prevention Work Plan & Budget
July 1, 2016- June 30, 2017
Project Contact Person: Vicki Kirkpatrick
Phone Number: 1360-385-9400
Email Address:
Mailing Address:
vkirkpatrick@co, jefferson.wa. u
s
615 Sheridan St
Port Townsend, WA 98368
Fiscal Agency: I Jefferson County Public Health
Fiscal Contact Person: I Veronica Shaw
Phone Number: 1360-385-9409
Email Address: I vshaw@co.iefferson.wa.us
Mailing Address: 615 Sheridan St
Port Townsend, WA 98368
Name(s) of Coalition(s): Chimacum Prevention Coalition
School Based Health Clinic
Advisory Board
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2016-2017 Youth Tobacco Prevention Work Plan & Budget
July 1, 2016 - June 30, 2017
Youth Tobacco Prevention Program I Budget Worksheet
Personnel / Honorarium / Stipend Amount
Stipend and training for students for CANS project $300
Health department personnel $4,950
Total Personnel Cost
Brief Narrative - How do the funds in this category support the activities in your work plan:
Estimated 130 hours of Community Health Educators and 5 hours Admin time to complete the
work plan as outlined.
Travel Amount
$100
Total Travel Cost
Brief Narrative - How do the funds in this category support the activities in your work plan:
This supports travel to retailer locations and to schools for coordination and completion of
activities outlined in the work plan.
Supplies and Materials Amount
Signage (No Smoking/No Vaping) $1,500
Postage _ $150
Total Supplies and Materials Cost
Brief Narrative - How do the fund in this category support the activities in your work plan: This
supports the retailer education and public notification elements outlined in the work plan.
Other Amount
Total Other _
Brief Narrative - How do the fund in this category support the activities in your work plan:
- - -- - - Project Total $7,000
Me
>t
Philip Morley
Vicki Kirkpatrick i
To:
From:
cc:
Date:
Re:
Philip,
5/10/2017
Agreement with Skagit Co. Public Hospital District #304
You asked if the contract could be modified to show that both the Hospital District and Jefferson
County would own anything created to complete the deliverables for this contract.
Typically, the organization paying for the services retains ownership of whatever is created.
That does not prohibit the contractor from also utilizing it as well, it just prohibits us from
copyrighting or restricting use of the documents. Since these are taxpayer funds, anything
created is in the public domain anyway.
For this particular contract, deliverables included signs, the content of which is already in the
public domain. The rest of the deliverables included Chimacum students from the Prevention
Club reviewing product placement, etc. in selected neighborhood stores, writing a report for
each store recommending ways to reduce youth access to tobacco products in the stores, and
suggestions on advertisement placement. The students will also present their work to the
Chimacum Prevention Coalition and the Board of Health.
Given that our deliverables involve what I referenced above, I don't believe it is necessary to
revise this contract. The contract ends on June 30tH
I am requesting that it go forward to the Commissioners' consent agenda for approval.
Thank you.