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AMENDMENT #1
TO
MEMORANDUM OF AGREEMENT
Between
Quilcene School District
And
Jefferson County Public Health
Dated: July 1, 2019 — December 31, 2019
The Purpose of this Amendment is to extend the Memorandum of Agreement (MOA) to July 31, 2020 for
ongoing work to establish and open a School Based Health Center (SBHC) within the Quilcene School District.
The MOA is hereby amended as follows:
Section 1. TERM OF AGREEMENT
This agreement begins July 1, 2019 and runs through July 31, 2020. Any work performed prior
to full execution of this Agreement is hereby ratified.
Both parties have the right to terminate this agreement at any time by giving ten (10) days
written notice.
This agreement may be amended by mutual written consent of both parties.
All others terms and conditions of the MOA remain in effect and the MOA and this Amendment represents the
sum total of the mutual agreement by and between the Quilcene School District and Jefferson County Public
Health.
Dated this / day of Lye*t�er, 2019
Quilcene School District
71
Frank Redmon, Superintendent Date
Approved as to Form:
Philip Hunsucker Date
Chief Civil Deputy Prosecuting Attorney
Jefferson County Board Of Commissioners
Attest:
111dx6l, C
Carolyn allaway, Deputy OFrk of the Board
Kate Dean, r /
Date
�,�`'
Davidullivan, tuber
Date
l//Yh
Greg Blrton, Member
Date
Attest:
111dx6l, C
Carolyn allaway, Deputy OFrk of the Board
MEMORANDUM OF AGREEMENT
Between
Qulicene School District
And
Jefferson County Public Health
This Memorandum of Agreement (MOA) between the Quilcene School District (District) and Jefferson County Public
Health (JCPH) is entered into for the purpose of determining the feasibility of and planning and preparation for
establishing a School Based Health Center in the District.
WHEREAS, the District has expressed interest in establishing a School Based Health Center (SBHC) within its school; and
WHEREAS, JCPH has professional staff, expertise, and currently manages SBHCs in two other school districts in Jefferson
County; and
WHEREAS, it is important for the Quilcene community to learn about school based health centers and have
opportunities to ask questions and give input; and
WHEREAS, establishing a SBHC takes planning and preparation in addition to community outreach;
NOW THEREFORE, the parties agree to the following terms and provisions for community outreach, planning and
preparation for the establishment of a school-based health center in the Quilcene School District:
1. TERM OF AGREEMENT
This agreement begins July 1, 2019 and runs through December 31, 2019. Any work performed prior to full
execution of this Agreement is hereby ratified.
Both parties have the right to terminate this agreement at any time by giving ten (10) days written notice.
This Agreement may be amended by mutual written consent of both parties.
2. SERVICES AND SCOPE
JCPH will conduct community meetings in Quilcene to provide opportunities for residents to learn about school
based health centers and the health benefits associated with them. Community meetings will be in sufficient
numbers to assure optimal opportunity for community engagement. Community meetings will also be open to
residents of Brinnon.
JCPH will attend meeting(s) of the Quilcene School Board as recommended by the Quilcene School District
Superintendent and/or Quilcene School District Principal.
Concurrent with the community outreach meetings, JCPH will plan for the establishment of a SBHC including
ensuring adequate staffing, working with the District to determine day(s) and times the SBHC will be open for
students, determining the level of health care services to be provided, expanding the SBHC Advisory Committee
to include representatives from Quilcene, and any other preparatory activities necessary to establish a SBHC.
1'age 113
Upon final approval by the Quilcene School Board for establishing a SBHC, JCPH will formally put the SBHC in
place along with plans, mutually agreed to by JCPH and the District, for officially opening the SBHC.
3. PAYMENT
JCPH shall bill the Quilcene School District monthly for actual expenses. Invoices will include details of work
performed in support of incurred expenses.
Total compensation for the Outreach, Planning and Preparations (including any supplies deemed to be
necessary to carry out the Services and Scope of this MOA) shall not exceed $20,000.
Both parties agree that if total funding available is less than $20,000, JCPH work deliverables will be adjusted
accordingly so as not to exceed the funding available.
Correspondence and Invoices will be sent to:
Frank Redmon
Superintendent
Quilcene School District
294715 US Highway 101
Quilcene, WA 98376
4. ALL WRITINGS CONTAINED HEREIN
Correspondence and Payment will be sent to:
Vicki Kirkpatrick
Public Health Director
Jefferson County Public Health
615 Sheridan Street
Port Townsend, WA 98368
This Memorandum of Agreement contains all the terms and conditions agreed upon by the parties. No other
understanding, oral or otherwise, regarding the subject matter of this agreement shall be deemed to exist or to
bind any of the parties hereto.
5. INDEMNIFICATION
Parities to this MOA mutually agree to protect and hold harmless the other party and its elected and appointed
officials, officers and employees against all claims, losses, damages, suits and expenses except to the extent they
arise out of, or result from, the negligence or willful misconduct of the indemnitor or its elected or appointed
officials, officers, and employees in the performance of this Agreement.
6. MODIFICATION
This Agreement may be modified at any time by written agreement of all parties.
SIGNATURES ON THE FOLLOWING PAGE.
'«tf 213
IL A A 111, 1
Dated this 1Zday 2019
Quilcene School District
Frank Redmon, superintendent 'ate
Approved as td Form:
Philip Hunsucker Date
Chief Civil Deputy Prosecuting Attorney
Jefferson County Board of Commissioners
Kate Dean, Chair Date
C-M4ffII901A6If;"7 Ce
David Sullivan,pember Date
Member
Attest:
Ca I r'olyn Gjaway, Deputy Cledlof the Board
615 Sheridan Street
y Port Townsend, WA 98368
jmvwn www.JeffersonCountyPublicHealth.org
�.fx Consent Agenda
Public Hemi Request Date: October 29, 2019
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Vicki Kirkpatrick, Director, JCPH
DATE: November 4, 2019 Requested
SUBJECT: Amendment to Memorandum of Agreement between JCPH and the
Quilcene School District extending the termination date
STATEMENT OF ISSUE:
Jefferson County Public Health (JCPH) entered into a Memorandum of Agreement (MOA)
that provides funding to JCPH for the community outreach work and other work necessary to
establish a School Based Health Center (SBHC). The current MOA is scheduled to end on
December 31, 2019. It was written originally with the thought that the SBHC might open in
the Fall of the current 2019-2020 school year. The process for final school board approved
took longer than originally planned to ensure optimal opportunity for community and parent
input. Additionally, the construction of the clinic is not yet completed and all of the necessary
work by JCPH has not yet been completed.
ANALYSIS:
This request is to extend the MOA through July 31, 2020 to allow for getting the SBHC up and
operational and to cover any additional needs of the clinic discovered once the clinic has been
operational for a period of time. This is the only change to original MOA. Both the original
MOA and the Amendment are included with this request. The language change in the
Amendment is highlighted.
FISCAL IMPACT:
There is no fiscal impact associated with this Amendment.
RECOMMENDATION•
JCPH recommends approval of Amendment #I to the Memorandum of Understanding
between Jefferson County Public Health and the Quilcene School District.
REWKWED BY:
P ip Morley, C unty
Community Health
Developmental Disabilities
360-385-9400
360-385-9401 (f)
Date
Always working for a safer and healthier community
Environmental Public Health
360-385-9444
(f) 360-379-4487
'�a/` (lCtiWiyEft
Public 116alth�
CONTRACT REVIEW FORM
CONTRACT WITH: Quilcene School District
CONTRACT FOR:
(Contractor/Consultant)
School Based Health Care - MOU Al
TRACKING NO,: N-19-161
TERM: 9/112019 - 7/31/2020
COUNTY DEPARTMENT: Jefferson County Public Health
For More Informatiion Contact: Vicki
Contact Phone #: x408
RETURN TO: Jenny RETURN BY: ASAP
(Person in Department) (Date)
AMOUNT: No change
PROCESS: ❑
Exempt from Bid Process
❑
Consultant Selection Process
Revenue
❑
Cooperative Purchase
Expenditure
❑
Competitive Sealed Bid
Matching funds Required
❑
Small Works Roster
Source(s) of Matching Funds
❑
Vendor List Bid
❑
RFP or RFQ
®
Other - MOU
Step 1: REVIEW BYPrff .,A 02
�wla-
Date
OAF
APPROVED FORM ❑ Returned for revision (See Comments)
Comments
Step 2: REVIEW BY PPnROSE% UTING ATTORNEY
Review by: U"' r ! 4� Philip C. Hunsucker
Date Reviewed: 18 /1 A ff Chief Civil Deputy Prosecuting Attorney
APPROVED AS TO FORM ❑ Returned for revision (See Comments)
Comments
Step 3: (If required) DEPARTMENT MAKES REVISIONS & RESUBMITS TO RISK MANAGEMENT AND
PROSECUTING ATTORNEY
Step 4: CONTRACTOR/CONSULTANT SIGNS APPROPRIATE NUMBER OF ORIGINALS
Step 5: SUBMIT TO BOCC FOR APPROVAL
Submit original Contract(s), Agenda Request, and Contract Review form. Also, please send 2 copies of just the Contract(s)
(with the originals) to the BOCC Office. Place "Sign Here" markers on all places the BOCC needs to sign. MUST be in
BOCC Office by 4:30 p.m. TUESDAY for the following Monday's agenda.
(This form to stay with contract throughout the contract review process.)