HomeMy WebLinkAbout071618_ca03615 Sheridan et
Port Townsend, WA 98368
•tXPu*1icHealth,
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Vicki Kirkpatrick, Director
DATE: -q I iVIW4
Consent Agenda
June 14, 2018
SUBJECT: Agenda Item — Amendment No. 1 to Agency Agreement — Division of
Behavioral Health and Recovery (HCA), July 1, 2018 — June 30, 2019;
Additional $40,441 for a total $220,000
STATEMENT OF I SUE:
Jefferson County Public Health is requesting Board approval of Amendment No. 1 to the Agency Agreement
with the Division of Behavioral Health and Recovery (DBHR) for prevention services, July 1, 2018 — June 30,
2019; Additional $40,441 for a total $220,000
ANALYST Ti iATEgi1 GOAL PR S and COWS:
This is an amendment. to the ongoing contract with DBHR that provides Federal and State funding through
Substance Abuse Block Grant (SABG) CFDA 93.959, Partnership for Success CFDA 93.243 to coordinate and
implement prevention programs designed to prevent or delay the misuse and abuse of alcohol, marijuana,
tobacco, and other drugs among youth up to age 18 and adults ages 18-25. This amendment adds $40,441
to carry out the prevention services and modifies special terms and conditions in Sections 3, 6, 9, 24, and
Exhibit B.
FI AL IMPACT C0 'T BENEFIT ANALYSIS:
Source of funds for this amendment is the Substance Abuse Block Grant, CFDA#93.959.
RECOMMENDATION:
JCPH management request approval of Amendment No. 1 to the Agency Agreement with the Division of
Behavioral Health and Recovery (DBHR) for prevention services, July 1, 2018 — June 30, 2019; Additional
$40,441 for a total $220,000
REVIEWED BY:
Philip Morley, County Administrator Date
940
360-385-9401
Im
.«
Water Quality
360-385-9444
360-379-4487
Washington $tateHCA CONTRACT NUMBER:
Health CarekCONTRACT AMENDMENT 1763-94255
li�t prevention Services Amendment No. 01
This Contract Amendment Is between the Stateg
of Washington Health Care
Program Contract Number
Authority (HCA) and the Contractor identified below. Click here to enter text.
Contractor Contract Number
CONTRACTOR NAME CONTRACTOR doing business as (DBA)
Jefferson County
CONTRACTOR ADDRESS WASHINGTON UNIFORM BUSINESS ACD INDEX NUMBER
615 Sheridan St IDENTIFIER (UBI) 1223
Port Townsend, WA 98368- 161-001-169
CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESS
Denise Banker 360 385-9400 3601 385-9401 dbanker co.'efferson.wa.us
HCA PROGRAM AREA HCA CONTRACT CODE
Division of Behavioral Health and Recover 1644CS-63
HCA CONTACT NAME AND TITLE HCA CONTACT ADDRESS
Martha Williams 4500 10th Ave SE
Projects Coordinator
Lacey, WA 98503
HCA CONTACT TELEPHONE HCA CONTACT FAX HCA CONTACT E-MAIL ADDRESS
(360)725-3260 (360)725-2280 williml2 dshs.wa., ov
IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT?CFDA NUMBERS
Yes 93.959
AMENDMENT START DATE CONTRACT END DATE
07/01/2018 06/30/2019
PRIOR MAXIMUM CONTRACT AMOUNT AMOUNT OF INCREASE OR DECREASE TOTAL MAXIMUM CONTRACT AMOUNT
$179,559.00 $40,441.00 $220,000.00
REASON FOR AMENDMENT;
CHANGE OR CORRECT OTHER: SEE PAGE TWO
ATTACHMENTS. When the box below is marked with an X, the following Exhibits are attached and are incorporated into
this Contract Amendment by reference;
Additional Exhibits ' specify),:
This Contract Amendment, including all Exhibits and other documents incorporated by reference, contains all of the terms
and conditions agreed upon by the parties as changes to the original Contract. No other understandings or
representations, oral or otherwise, regarding the subject matter of this Contract Amendment shall be deemed to exist or
bind the parties. All other terms and conditions of the original Contract remain in full force and effect. The parties signing
below warrant that they have read and understand this Contract Amendment, and have authority to enter into this Contract
Amendment.
CONTRACTOR SIGNATURE PRINTED NAME AND TITLE DATE SIGNED
DSHS SIGNATURE PRINTED NAME AND TITLE DATE SIGNED
HCA Contracts
proved s of nn:
_ Date:
Philip C. Hunsucker, Chief Civil Deputy Prosecuting Attorney
Jefferson County Prosecuting Attorney's Office
HCA Contract Services Page 1
7024PF HCA Custom Contract Amendment (5-2-2018)
This Contract between the State of Washington Health Care Authority (HCA) and the Contractor is hereby
amended as follows:
Federal Award Identification for Subrecipients (reference 2 CFR 200.331)
Substance Abuse Block Grant
i
(')
Subreci lent name which must match the name .m..mm
p' (
efferson County
Jefferson
associated with its unique entity identifier);
(ii)
Subrecipient's unique entity identifier; (DUNS)
184826790
(iii)
Federal Award Identification Number (FAIN);
....... ....... .m...
SM010056
_1-11"".______._......-
(iv)
Federal Award Date (see §200.39 Federal award
04/17/2015
date);
(v)
Subaward Period of Performance Start and End
7/1/17 to 6/30/19
Date;
_ ((vi)
bli ated by this action;
Amount of Federal Funds Obligated
$37,206
(vii)
"
Total Amount of Federal Funds Obligated to the
$97,402
subrecipient;
(mount
xiii )
othe Federal Award;
Total Af
FY14 $3 7,271,989
FY15 $37,296,186
FY 16 $38,042,110 .m__._
(ix)
Federal award project description, as required to be
Substance Abuse Prevention and Treatment Block
responsive to the Federal Funding Accountability
Grant
and Transparency Act (FFATA); .m.....h....... . .
�������
(x)
Name of Federal awarding age..
agency, pass-through
SAMHSA,
entity, and contact information for awarding official,
Washington State DSHS,
Chris Imhoff, Director
PO Box 45330
Olympia, WA 98504-5330
Imhofc@dshs.wa.gov
(A)
CFDA Number and Name; the pass-through entity
93.959
must identify the dollar amount made available
under each Federal award and the CFDA number at
time of disbursement;
�....
( xii)
Identification of whether the award is R&D and
.......
®Yes ❑ No
xiii
( "')
rd (including if
Indirect cost rate for the Federal award
5%
the de minimis rate is charged per §200.414 Indirect
(F&A) costs).
HCA Contract Services Page 2
7024PF HCA Custom Contract Amendment (5-2-2018)
HCA Contract Services Page 3
7024PF HCA Custom Contract Amendment (5-2-2018)
Federal Award Identification for Subrecipients
(reference 2 CFR 200.331) - Strategic Prevention
Framework Partnerships
for Success
i
(')
Subreci lent name which must match th
p' ( e name
Jefferson County
associated with its unique entity identifier); �
(n")
Subreci ient's unique entity identifier; (DUNS)
184826790
(iii)
Federal Award Identification Number (FAIN);
�
SP020155
(iv)
Federal Award Date (see §200.39 Federal award
06/12/2015
(
date);
Subaward Period of Performance Start and nd End
7/1/17 — 6/30/19
Date;
(vi)
Amount of Federal Funds Obligated by this action
$0
(vii)
vii
Total Amount of Federal Funds Obligated to the
9
$67,401
subrecipient;
viii
(viii)
Total Amount of the Federal Awa o
( 9/29/16)
$2 207,505 FY16 09/30/15 - 0
� � w...p s
(ix)
Federal award pPartnerships
ro scription, as required to be
project description,
Strategic Prevention Framework Partneersrs hips for
responsive to the Federal Funding Accountability
Success (PFS)
and Transparency .Act (FFATA);
(x)
Name of Federal awarding agency, pass-through
SAMHS A,
entity, and contact information for awarding official,
Washington State DSHS,
Chris Imhoff, Director
PO Box 45330
Olympia, WA 98504-5330
IMHOFC@dshs.wa.gov
(xi)
CFDA Number and Name; the pass-through entity
93.243
must identify the dollar amount made available
under each Federal award and the CFDA number at
time of disbursement;
�� �
xii)
Identification of whether the award is R&D, and
El Yes ® No
�(xui)
( "'
(' g '
Indirect cost rate for the Federal award (including if
d..
e minimis (10%)
the de minimis rate is charged per §200.414 Indirect
(F&A) costs).
HCA Contract Services Page 3
7024PF HCA Custom Contract Amendment (5-2-2018)
The Contract maximum is increased by $40,441 from $179,559 to $220,000. Source of funds for this
amendment is the Substance Abuse Block Grant (SABG), CFDA#93.959. The Awards and Revenues
(A&R) is attached as Exhibit B.
2. Amend the Special Terms and Conditions Section 3. Performance Work Statement, Subsection d. by
deleting and replacing with the following:
d. Media Materials.
(1) Media materials and publications developed with DSHS funds shall be submitted to the Contract
Manager or designee for approval prior to publication (DSHS will respond within five (5) working
days). DSHS must be cited as the funding source in news releases, publications, and
advertising messages created with or about DSHS funding. The funding source shall be cited
as: Washington State Department of Social and Health Services. The DSHS logo may also be
used in place of the above citation.
(2) Exceptions: The Contractor does not need to submit the following items to Contract Manager or
designee:
(a) Newsletters and fact sheets.
(b) News coverage resulting from interviews with reporters. This includes online news
coverage.
(c) Newspaper editorials or letters to the editor.
(d) Posts on Facebook, YouTube, Tumblr, Twitter, Instagram, Snapchat and other social media
sites.
(e) When a statewide media message is developed by DSHS is localized.
(f) When the current SAMHSA-sponsored media campaign is localized. (As of October 2014,
this is the "Talk. They Hear You." campaign. Itt s:/lwww.sair�At �vlLlndr-c�riw)
3. Amend Special Terms and Conditions Section 6. Requirements, Subsection a. by deleting and
replacing with the following:
a. Background Checks. (RCW 43.43, WAC 388-877 & 388-877B).
(1) The Contactor shall ensure a criminal background check is conducted for all staff members,
case managers, outreach staff members, etc. or volunteers who have unsupervised access to
children, adolescents, vulnerable adults, and persons who have developmental disabilities.
(2) When providing services to youth, the Contractor shall ensure that requirements of WAC 388-
877-0500(1) are met.
4. Amend Special Terms and Conditions Section 9. Consideration first paragraph only by deleting and
replacing with the following:
Total consideration payable to the Contractor for satisfactory performance of the work under this
Contract is increased by $40,441, up to a maximum of $220,000 including any and all expenses, and
shall be based on the following and outlined in Exhibit B: Awards and Revenue.
HCA Contract Services Page 4
7024PF HCA Custom Contract Amendment (5-2-2018)
Amend Special Terms and Conditions to add Section 24. Notices and Section 25. Pay Equity as
follows:
24. Notices,
Whenever one party is required to give notice to the other party under this Contract, it shall be
deemed given if mailed by United States Postal Service, registered or certified mail, return receipt
requested, postage prepaid and addressed as follows:
a. In the case of notice to the Contractor, notice shall be sent to the point of contact identified on
page one (1) of this Contract;
b. In the case of notice to HCA, notice shall be sent to:
Contract Services
Legal and Administrative Services Division
Washington State Health Care Authority
P. O. Box 42702
Olympia, Washington 98504-2702
Contracts@hca.wa.gov
Said notice shall become effective on the date delivered as evidenced by the return receipt or the
date returned to sender for non-delivery other than for insufficient postage. Either party may at any
time change its address for notification purposes by mailing a notice in accordance with this
Section, stating the change and setting forth the new address, which shall be effective on the tenth
(10th) day following the effective date of such notice unless a later day is specified in the notice.
25. Pay Equity.
a. Contractor represents and warrants that, as required by Washington state law (Laws of 2017,
Chap. 1, § 147), during the term of this Contract, it agrees to equality among its workers by
ensuring similarly employed individuals are compensated as equals. For purposes of this
provision, employees are similarly employed if (i) the individuals work for Contractor, (ii) the
performance of the job requires comparable skill, effort, and responsibility, and (iii) the jobs are
performed under similar working conditions. Job titles alone are not determinative of whether
employees are similarly employed.
b. Contractor may allow differentials in compensation for its workers based in good faith on any of
the following: (i) a seniority system; (ii) a merit system; (iii) a system that measures earnings by
quantity or quality of production; (iv) bona fide job-related factor(s); or (v) a bona fide regional
difference in compensation levels.
c. Bona fide job-related factor(s)" may include, but not be limited to, education, training, or
experience, that is: (i) consistent with business necessity; (ii) not based on or derived from a
gender-based differential; and (iii) accounts for the entire differential.
d. A "bona fide regional difference in compensation level" must be (i) consistent with business
necessity; (ii) not based on or derived from a gender-based differential; and (iii) account for the
entire differential.
Notwithstanding any provision to the contrary, upon breach of warranty and Contractor's failure to
provide satisfactory evidence of compliance within thirty (30) Days of HCA's request for such
evidence, HCA may suspend or terminate this Contract.
HCA Contract Services Page 5
7024PF HCA Custom Contract Amendment (5-2-2018)
4. Amend Special Terms and Conditions by replacing Exhibit B as follows on the next page:
HCA Contract Services Page 6
7024PF HCA Custom Contract Amendment (5-2-2018)
Exhibit B
AWARD AND REVENUES
2017-2019 Biennium
CONTRACTOR NAME Jefferson County
CONTRACT NUMBER 1763-94255
COUNTY Jefferson
The above named Contractor is hereby awarded the following amounts for the purposes listed
REVENUE SOUR1110E
I 1 1-1-111 ".1-1--1 . . .... TYPEOF SERVICE
A�WokWQA_MQV,NT5
CODE: .... . . .. ............ _ ................
Total
5FY18
SFY19
-17-19
Biennium
333.99.59 SABG Prevention (7.1.17-6.30.19)
30,098
$
67,304
$ 97,402
334.04.6X GF -State- Admin (for SABG Prevention)
$ 2,617
$
5,852
$ 8,469
SFY 18 (7.1.17-6.30.18)
$ 2,617
SFY 19 (7.1.18-6.30-19)
$
5,852
334.04.6X Dedicated Marijuana Account -Fund 315 -State
$ 23,364
$
23,364
$ 46,728
SFY 18 (7.1.17-6.30.18)
$ 23,364
SFY 19 (7.1.18-6.30-19)
$
23,364
333.92.43 PFS -Total
$ 53,921
$
13,480
$ 67,401
Year 4 FFY1 6 (7.1.17-9.29.17)
$ 13,480
Year 5 FFY17 (9.30.17-9.29.18)
$ 40,441
$
13,480
333.37.88 STR-Total
$ -
$
-
$
FFY17 (8.15,17-4.30.18)
$
FFY18 (5.1.18-4.30.19)
$ -
$
Total Federal Funds
$ 84,019
$
80,784
$ 164,803
Total State Funds
$ 25,981
$
29,216
$ 55,197
. ...... - -
m- ----
-----
TOTAL ALL AWARDS -------------
$ 110,000
... . .
. ............. 111 � 0- .0. 9"
"$ .. ...... . ....... ........ 220,000
Federal CFDA:
SABG-Substance Abuse Block Grant -CFDA 93.959 Substance Abuse and Mental
Health Services Administration (SAMHSA)
SABG Prevention.,
fo n d J r % pe r i ad 1,s] 7.1.17-6.30.19
Funds may be used in SFY 18 or SFY 19; up to the Total 17-19 Biennium award, as
indicated above.
GF -State- Admin (for SABG Prevention):
EIi LWRJm jwdpdthl_ 7.1.17-6.30.18 and 7.1.18-6.30.19
Funds must be used only in the SFY in which they are awarded, as indicated above.
Dedicated Marijuana Account -Fund 315 State:
UmdLnyfL(LqodL 7.1,17 - -6.30.18 and 7.1.18-6.30.19
_ s).,.
Funds must be used only in the SFY in which they are awarded, as indicated above,
PFS -Partnerships for Success-CFDA 93.243 Substance Abuse and Mental Health Services Administration (SAMHSA)
PFS:
Year4fundin 7.1.17-9.29.17
Y e a r 5 fu 9.30.17-9.29.18
Funds must be used in the IFFY in which they are awarded, as indicated above.
Beginning 9.30.17, funds for Year 5 may be used in SFY 18 or SFY 19 , until 9.29.18.
STIR -State Targeted Response to the Oplod Crisis-CFDA 93.788 Substance Abuse and Mental Health Services Administration (SAMHSA)
STR:
FFY17 8.15.17-4.30.18
FFY18 5.1.18-4.30.19
... ...............
Funds must be used in the FFY in which they are awarded, as indicated above.
Beginning 5.1.18, funds for FFY18 may be used in SFY 18 or SFY 19, until 4.30.19.
HCA Contract Services Page 7
7024PF HCA Custom Contract Amendment (5-2-2018)
All other terms and conditions of this Contract remain in full force and effect,.
HCA Contract Services Page 8
7024PF HCA Custom Contract Amendment (5-2-2018)