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HomeMy WebLinkAbout110121ca02 Consent Agenda Juvenile Services JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST To: Board of County Commissioners From: Barbara L. Carr,Juvenile Court Administrator Agenda Date: Monday,November 1, 2021 Subject: Detention Agreement between Kitsap County and Jefferson County STATEMENT OF ISSUE: Agreement for detention at Kitsap County facility ANALYSIS: This Agreement reflects our intent to use detention beds available on an as needed basis. Rather than pay for 2 guaranteed beds each day, this contract allows us to access beds only as we need them, and for$125.00 per day. Unless we see an increase in the need for detention,we should save a significant amount of money per this new contract. It should be noted that transportation activities will all fall to Jefferson County to provide so we will be tracking transportation costs as well. ALTERNATIVES: N/A FISCAL IMPACT: An estimated amount of detention costs for services from Kitsap County are included in my 2022 budget. RECOMMENDATION: That the Board approve the agreement and sign 3 originals. A fully executed original will be returned to the BOCC office upon final execution by Kitsap County. Approved by: A • /d/2-17,2-/ Mark McCauley, In- County Administrato s Date AGREEMENT FOR PROVISION OF JUVENILE DETENTION FACILITIES BETWEEN KITSAP COUNTY AND JEFFERSON COUNTY This Agreement is for the provision of Juvenile Detention Facilities("Agreement") is entered into by and between Kitsap County ("Kitsap") and Jefferson County ("Jefferson"), both political subdivisions of Washington State. RECITALS WHEREAS, Kitsap County is authorized by law to operate the Kitsap County Juvenile Detention Facility ("Detention Facility")to confine juvenile offenders; WHEREAS,Jefferson County does not possess sufficient facilities to confine juvenile offenders; WHEREAS, Kitsap County has space available in its Detention Facility and is amenable to making such space available to confine Jefferson's juvenile offenders,pursuant to the lawful authority of Jefferson, for a rate of compensation as mutually agreed to by the parties;and WHEREAS,Kitsap County and Jefferson County have determined that it would be mutually beneficial to the parties to enter into this Agreement. AGREEMENT NOW, THEREFORE, in consideration of the foregoing recitals which are incorporated herein by this reference,the parties agree as follows: SECTION 1 DEFINITIONS 1.1. "Admitted" or"Admission"of the Juvenile by Kitsap will occur when the Detention Facility staff has advised Jefferson's Representative that the Juvenile presented to the Detention Facility for confinement has been accepted for admission by the Detention Facility, the booking process completed,and Kitsap County has taken physical control of the Juvenile. 1.2. "Additional Health Care Services"means any medical,mental health,dental or other form of health care and/or treatment provided to a Juvenile not routinely provided by Kitsap's in-house health care provider in the Detention Facility, regardless of where such services are provided including, without limitation, emergency medical services, prescriptions, laboratory tests, medical imaging services, necessary durable medical equipment, and any in-patient or out-patient treatment or referral. 1.3. "Bed-Day" means any consecutive period of time exceeding 12 hours during which a Juvenile is in the custody of the Kitsap County Juvenile Department Detention Facility,which includes booking. 1.4. "Booking" means the process in which the Juvenile's personal data is recorded, Jefferson's Representative confirms the Juvenile's identity and the lawful basis for confinement,and any other screening process routinely required by the Detention Facility prior to Admission. 1.5. "Jefferson Representative" means an authorized member of the Jefferson County Sherriff's Office or other authorized representative of Jefferson County. Page 1 of 12 1.6. "Detention Facility"means Kitsap County Juvenile Department Detention Facility. 1.7. "Detention Manager" means the Manager of the Kitsap County Juvenile Detention Facility or his/her designee. 1.8. "Gravely Disabled" means a person who, as a result of a mental disorder, is in danger of serious physical harm resulting from a failure to provide for his/her essential human needs of health or safety; or manifests severe deterioration in routine functioning evidenced by repeated and escalating loss of cognitive or volitional control over his/her actions and is not receiving such care as is essential for his/her health or safety. 1.9. "Juvenile" means a youth under the chronological age of eighteen years of age arrested on a Jefferson County warrant or by Jefferson County's law enforcement officers for violation of a law for which confinement of a juvenile is lawful. 1.10. "Partial Bed-Day"means any consecutive period of time of 12 hours or less during which a Juvenile is in the custody of the Kitsap County Juvenile Detention Facility,which includes Booking. SECTION 2 SERVICES 2.1. This Agreement is limited to the detention of juveniles for offenses which are within the jurisdiction of,and charged within,Jefferson County. 2.2. Kitsap agrees to accept Juveniles for confinement in the Detention Facility and Jefferson agrees to compensate Kitsap for such services as provided in this Agreement. 2.3. Kitsap will provide the Juveniles confined in the Detention Facility with access to the same education,medical,dental,and other services provided to other juveniles confined in the Detention Facility as required by law and Kitsap County policy and procedures. 2.4. Juvenile Compliance. All Juveniles confined in the Detention Facility shall be subject to and expected to comply with all Detention Facility rules, including those related to discipline, emergency,safety and security rules. 2.5. Juveniles Exceeding 18 Years. Upon the prior written request from Jefferson,Kitsap may continue to confine Jefferson's Juveniles in the Detention Facility beyond the age of 18 years,but in no event older than 21 years of age. 2.6. Right of Refusal. Kitsap at all times and for all purposes under this Agreement retains the absolute right in its sole discretion to reject, limit,or revoke the acceptance of any or all Juvenile(s),or any other person,for confinement in the Detention Facility at any time and for any reason whatsoever. 2.7. Non-Detention Services. Court services, probation services, or the like, shall continue to be the sole responsibility of Jefferson and are not subject to this Agreement. SECTION 3 TERM This Agreement shall commence on January 1, 2022 and terminate on December 31, 2023, unless terminated or extended. This Agreement may be extended for additional consecutive one(1)year periods at the mutual written agreement of the parties,not to exceed a total of five(5)years. Neither party has an obligation to extend this Agreement. Page 2 of 12 SECTION 4 TERMINATION This Agreement may be terminated by either party,at the mutual convenience of the party,upon sixty(60) days prior written notice to the Contract Representative of the other party. The notice shall identify the specific plan for accommodating the removal of the Juveniles affected by the termination. In the event of termination, Jefferson shall at its own expense,transport the Juveniles from the Detention Facility on or before the effective date of the termination. SECTION 5 COMPENSATION AND BILLING 5.1. Bed:Day Rate/Housing. Jefferson shall pay Kitsap a basic fee of One Hundred Twenty- Five Dollars($125.00)per bed-day for every Juvenile confined in the Detention Facility. 5.2. Partial Bed-Day Rate. Jefferson shall pay Kitsap a partial bed-day fee of$62.50 per partial bed- day for every Juvenile confined in the Detention Facility. 5.3. Method of Billing. Kitsap will invoice Jefferson monthly for amounts due Kitsap under this Agreement for services provided in the previous month. Such fees shall be due and payable by Jefferson within thirty(30)days from the billing date. Account balances overdue 30 days or more will be subject to a service charge of 1%per month(12%per annum). Should collection become necessary, Jefferson shall be responsible for the payment of all collection costs, including reasonable attorney fees,associated with the collection of late payments. 5.4. Annual Increase. The bed-day and partial bed-day rate shall be increased annually by one hundred percent(100%) of that percentage increase set forth in the All Urban Consumers Index(CPI-U) (1982-1984=100) for the Seattle-Tacoma-Bellevue area as is specified by the Bureau of Labor Statistics, United States Department of Labor for the prior 12-month period ending in December; provided,however,the increase shall not be more than six percent(6%)of the amount for the prior year. 5.5. Other Costs. Jefferson shall promptly pay all other costs, including those for Additional Health Care Services to Kitsap or third parties as provided herein. SECTION 6 PRESENTATION AND ADMISSION 6.1. Prior Verification. Prior to presenting a Juvenile for confinement, the Jefferson Representative shall contact the Detention Facility and obtain verification from the Detention Manager that the Detention Facility may Admit the Juvenile for confinement and ensure the order authorizing confinement contains a provision authorizing the Detention Manager to provide emergency medical treatment to the Juvenile. Prior verification does not guarantee Admission by the Detention Facility. 6.2. Presentation. When presenting a Juvenile to the Kitsap for confinement, the Jefferson County Representative shall remain at the Detention Facility with the Juvenile and comply with all requirements of this Section and all Detention Facility procedures and rules until the Juvenile has been admitted. 6.3. Prohibitions. A. Any Juvenile who is unconscious, under the influence of alcohol and/or drugs(as determined by Kitsap County),or Gravely Disabled may not be Admitted into the Detention Facility. Page 3 of 12 B. Any Juvenile with significant injuries, or who reports that he/she is currently experiencing significant medical or mental health issues, may be Admitted in the Detention Facility only when the Juvenile has been medically cleared for confined Detention by a medical doctor,nurse practitioner,or other equivalent medical personnel,and approved by Kitsap County. 6.4. Certification. Jefferson is at all times solely responsible for determining that all Juveniles presented by the Jefferson Representative to Kitsap for confinement are lawfully detained and confined,and certifies the same by the act of presenting the Juvenile for confinement to the Detention Facility. Jefferson shall defend, indemnify, and hold Kitsap harmless as provided herein for any claim or action resulting from the detention of a Juvenile wrongfully presented by Jefferson, or its representative,to Kitsap for confinement. 6.5. Intake Assessment. When presentinga Juvenile to the Detention Facilityfor confinement, the Jefferson Representative shall provide the Detention Facility staff with the following: A. Duration/Conditions — provide copies of all records in the possession pertaining to the Juvenile's confinement, which includes without limitation, all relevant court orders which identify the duration and other terms of confinement. B. Emergency Medical Treatment—ensure the order of confinement contains authorization for Director of Kitsap County Juvenile Detention Facility to provide the Juvenile emergency medical treatment. C. Intake Assessment — provide all information requested on the Detention Facility Intake Assessment attached hereto as Exhibit A. D. Parental Consent (Medical Treatment) — provide a signed copy of the Parental Consent for Medical Treatment and a copy of any medical insurance coverage information for the Juvenile in the event the Juvenile requires medical treatment while in the Detention Facility.See Exhibit B-Parental Consent for Medical Treatment. Jefferson is and remains responsible for obtaining all consents and providing medical insurance coverage information. E. Medical/Mental Health Status — provide a copy of the Juvenile's medical records in the Jefferson's possession and advise the Detention Facility staff of all information known about a Juvenile's medical and mental health status (current and historical), including the Juvenile's psycho-sexual history. F. Drugs/Alcohol — inform the Detention Facility staff of all information known about the Juvenile's alcohol and drug usage(current and historical). G. ADA Accommodations — inform the Detention Facility staff of any known accommodation needs of the Juvenile consistent with the requirements of the Americans with Disabilities Act. H. Information—provide all relevant information available regarding the Juvenile and such other information/documentation routinely required by the Detention Facility. 6.6. Admission. The Jefferson Representative transporting the Juvenile to the Detention Facility shall remain at the Detention Facility with the Juvenile until advised by the Detention Facility staff that the preliminary portion of the booking procedure has been completed and the Juvenile has been admitted into the Detention Facility. Page 4 of 12 6.7, Personal Property. Upon Admission of the Juvenile for confinement, Kitsap agrees to accept and store the Juvenile's personal belongings in an amount not to exceed a day pack or equivalent in volume. Any personal belongings exceeding this amount will require approval from County. Any personal property not removed from the Detention Facility by the Juvenile upon the Juvenile's release from the Detention Facility will be deemed to be abandoned and automatically become the property of the Kitsap without the requirement of further court action. 6.8. Notice. Kitsap will use reasonable efforts to advise Jefferson if a Juvenile is being detained by another law enforcement agency on a warrant issued by the Jefferson. SECTION 7 LEGAL REPRESENTATION-JUVENILE Jefferson shall be responsible for responding to requests for legal assistance or legal representation made by the Juvenile confined in the Detention Facility. Kitsap will notify Jefferson of any requests for legal assistance or legal representation made by a Juvenile to a Kitsap detention officer. SECTION 8 TRANSFER AND RELEASE 8.1. Release. The Juvenile may be released from confinement from the Detention Facility as provided below: A. Request by Jefferson. The Juvenile may be released to the Jefferson Representative upon written direction or verified verbal direction from the Jefferson Representative. B. Court Order/Bail. The Juvenile may be released by valid court order or posting of bail. C. Treatment. The Juvenile may be released due to medical, mental health, dental treatment or any other health care services not available within the Detention Facility. D. Emergency/Catastrophe. The Juvenile may be released in the event of any emergency or catastrophic condition occurring that poses a reasonably imminent danger to the safety of the Juvenile or Kitsap personnel. The decision to release or remove persons from the Detention Facility will be at the sole discretion of Kitsap. In such cases, Kitsap will provide Jefferson reasonable notice of the removal and shall exercise reasonable care for the safekeeping and custody of the Juvenile(s)so removed. 8.2. Resumption of Custody. Jefferson shall be deemed to have resumed custody of the Juvenile upon Kitsap's presentation of the Juvenile to Jefferson, or upon a Jefferson Representative taking physical control of the Juvenile. SECTION 9 TRANSPORTATION AND SECURITY 9.1. Transportation. Unless otherwise agreed, Jefferson shall be responsible for all transportation of Juveniles, which includes the delivery and pickup of the Juveniles for all purposes under this Agreement. 9.2. Release. A Jefferson Representative shall be promptly available to pick up the Juvenile when released from the Detention Facility, regardless of the basis of the release. Promptly available means immediately available, and in no event longer than four(4)hours after Jefferson receives notice from Kitsap of the Juvenile's release. Notice for this purpose may be a written or oral notice Page 5of12 from the Detention Facility to Jefferson. 9.3. Reimbursement - Transportation/Security. In the event that Kitsap provides the transportation, regardless of the reason, Jefferson shall be required to reimburse Kitsap for all costs of transportation and associated security incurred by Kitsap to secure emergent medical evaluations, emergency treatment and to support the reasonable necessary operational needs of the Detention Facility. The cost for transportation and custodial security time performed by Kitsap staff shall be the Internal ev n Revenue ue Service mileage rate in effect at the time of the service performed and the g current cost to provide a detention officer(currently$40.14 per officer per hour). SECTION 10 HEATH CARE 10.1. Services Provided. Upon Kitsap's Admission of the Juvenile, Kitsap will provide the Juvenile at no additional charge the routine medical services that are readily available to other detainees from Kitsap's in-house third-party health care provider for which the health care provider does not render a separate billing for providing such service to a detainee. Services for which a separate billing is provided are considered Additional Health Care Services. 10.2. Reimbursement. Jefferson shall reimburse Kitsap for its proportion of all Additional Health Care Services and associated costs and expenses in providing such services to a Juvenile. Reimbursement shall be paid directly to Kitsap or third parties,as directed by Kitsap. 10.3. Hospitalization: In the event a Juvenile is hospitalized, Kitsap will advise Jefferson. Jefferson's Representative will advise Kitsap if Jefferson will be providing the security or requests Kitsap to do so. If Jefferson is to provide the custodial security,the Juvenile shall be released to the custody of Jefferson. If Kitsap agrees to provide the custodial security for the Juvenile,Jefferson shall be responsible for reimbursing Kitsap for all costs associated with the transportation and custodial security,as provided in Section 9. 10.4. Emergency/Non-emergent Care(outside)Facility-Notification. Kitsap will use reasonable efforts to notify Jefferson within four (4) business hours of transport (Monday- Friday, 9am- 5pm) of emergent care for a Juvenile outside the Detention Facility. For non-emergent care outside of the facility,Kitsap will use reasonable efforts to notify Jefferson before noon on the next business day after the transport occurs. Lack of notice will not relieve Jefferson of its reimbursement obligations to Kitsap County. 10.5. No Waiver of Right to Seek Reimbursement. Nothing in this Agreement shall be construed to waive the rights of either party to seek reimbursement for costs from the Department of Social and Health Services, or from the Juvenile, his or her parent/guardian, or any other responsible third- party. SECTION 11 INSURANCE AND INDEMNIFICATION 11.1. Insurance. Kitsap and Jefferson shall maintain,throughout the term of this Agreement, insurance adequate to protect both parties against claims that may arise as a result of the performance of this Agreement. Such insurance shall be placed with responsible insurers, self-insured, or carried through participation in an insurance pool at levels of coverage adequate to protect Kitsap and Jefferson against loss, and as ordinarily carried by municipalities engaged in similar operations. Upon request of the other party,Kitsap and Jefferson shall provide evidence of liability coverage. 11.2. Indemnification. Jefferson agrees to defend, indemnify and hold harmless Kitsap, its appointed Page 6 of 12 and elected officials, employees and agents from and against all liability, loss, cost, damage and expense whatsoever, including costs and attorney's fees in defense thereof because of actions, claims or lawsuits alleging damages sustained by any person or property including death at any time resulting thereof,arising from or alleged to have arisen from:i)Jefferson's performance under this Agreement or as a consequence of any wrongful or negligent acts or omission of Jefferson,its appointed and elected officials,employees and agents;ii)the wrongful detention of a Juvenile as a result of Jefferson's actions or failure to act;and/or iii)failure or refusal to timely release a Juvenile as a result of Jefferson's actions or failure to act. 11.3. To the extent the claim, damages, losses and expenses are cause by intentional acts of or by the concurrent negligence of Kitsap County, its officers, agents, or employees, Jefferson's indemnification obligation hereunder shall be limited to Jefferson's proportionate share of liability as agreed to by the parties to this Agreement or determined by a court of competent jurisdiction. 11.4. Kitsap agrees to defend,indemnify and hold harmless Jefferson,its appointed and elected officials, employees and agents from and against all liability,loss,cost,damage and expense including costs and attorney's fees in defense thereof because of actions, claims or lawsuits alleging damages sustained by any person or property including death at any time resulting thereof,arising from,or alleged to have arisen from: i)Kitsap's performance under this Agreement or as a consequence of any wrongful or negligent acts or omission of Kitsap County, its appointed and elected officials, employees and agents; ii)wrongful detention of a Juvenile as a result of Kitsap's actions or failure to act;and/or iii)KitsapCounty's failu re or refusal to timely release a Juvenile. 11.5. To the extent the claim, damages, losses and expenses are caused by intentional acts of or by the concurrent negligence of Jefferson, its officers, agents, or employees, Kitsap's indemnification obligation hereunder shall be limited to Kitsap County's proportionate share of liability as agreed to by the parties to this Agreement or determined by a court of competent jurisdiction. 11.6. Solely for the purposes of this indemnification provision,Jefferson expressly waives any immunity derived from Title 51 (Industrial Insurance) of the Revised Code of Washington or Jefferson's equivalent thereof,and acknowledges that this waiver was mutually agreed upon by the parties. 11.7. Obligations/Notice of+Claim. Kitsap will provide Jefferson notice of the assertion of liability by a third party that may give rise to a Claim by Kitsap against Jefferson based on the indemnity contained herein. Jefferson shall promptly advise Kitsap in writing,which shall in no event exceed 14 calendar days from the notice date, whether Jefferson accepts or denies tender of the claim. Jefferson shall reimburse Kitsap for all fees and costs of defense whether incurred before or after the notice of claim. Jefferson shall keep Kitsap timely and fully informed through all stages of the defense and promptly respond to and comply with County's requests for information. Kitsap at all times reserves the right,but not the obligation,to participate in the defense and such participation shall not constitute a waiver of Jefferson's indemnity and defense obligations under the Contract. SECTION 12 GOVERNING LAW Governing Law/Venue. The Agreement,and the Juvenile(s)confined under this Agreement,shall be made under,construed in accordance with,and governed by the laws of the State of Washington,without regard to conflicts of law or choice of law provisions. Any action arising out of, related to or in connection with this Agreement shall be instituted and maintained only in a court of competent jurisdiction in Kitsap County, Washington or as provided by RCW 36.01.050. Page 7 of 12 SECTION 13 CONTRACT REPRESENTATIVES Unless otherwise provided herein, any required notice will be in writing and deemed given and received either on the date personally served to the other party's Contract Representative or on the third day after the date of the postmark of deposit by registered or certified first-class U.S.mail,postage prepaid and properly addressed to the Contract Representative as follows: County: Michael S.Merringer, Director Kitsap County Juvenile Department Kitsap County Juvenile Service Center 1338 SW Old Clifton Road Port Orchard,WA 98367 Jefferson: Barbara L.Carr,Director Jefferson County Juvenile and Family Court Services 1820 Jefferson Street PO Box 1220 Port Townsend, WA 98368-0920 SECITON 14 NON-DISCRIMINATION The parties in the performance of this Agreement shall not discriminate against any person on the basis of race, color, creed, religion, national origin, age, sex, marital status, sexual orientation, veteran status, disability, or other circumstance prohibited by federal, state, or local law,and shall comply with Title VI of the Civil Rights Act of 1964,P.L. 88 354 and Americans with Disabilities Act of 1990. SECTION 15 INDEPENDENT CONTRACTOR For all purposes, each party will act in its individual capacity and not as an agent,employee,partner,joint venture, or associate of the other. An employee, agent, or subcontractor of one party shall not be deemed or construed to be the employee,agent or subcontractor of the other for any purpose whatsoever including responsibility for any federal or state tax,industrial insurance or social security liability. SECTION 16 ACCESS AND RECORDS 16.1. Access;-Mention Facility, Jefferson shall have the right to inspect,at mutually agreeable times, the Detention Facility in order to confirm Kitsap maintains standards acceptable to Jefferson and that its detainees are treated appropriately. Kitsap agrees to manage, maintain and operate its Detention Facility consistent with applicable federal,state and local Iaws. 16.2. Access to Juveniles. Jefferson law enforcement shall have the right to interview Juveniles at any reasonable time within the Detention Facility and the option to use the Detention Facility interview rooms. 16.3. Records. Kitsap agrees to maintain a system of record keeping relative to the booking and confinement of each Juvenile consistent with the record keeping by Kitsap for all other detainees. Kitsap will keep records of all medical,mental health or dental services it provides to a Juvenile as required by law. Kitsap agrees to share all information,including insurance information,regarding a Juvenile with Jefferson as authorized by law. Page 8 of 12 SECTION 17 GENERAL PROVISIONS 17.1. Force Majeure. Neither party shall be in default by reason of any failure in performance of this Agreement if such failure arises out of causes beyond their reasonable control and without the fault or negligence of said party including acts of God,terrorism and other acts of public enemy, war, epidemics or quarantine restrictions. 17.2. No Waiver. No waiver of any right under this Agreement shall be effective unless made in writing by an authorized representative of the party to be bound thereby. Failure to insist upon full performance on any occasion shall not constitute consent to or waiver of any continuation of nonperformance or any later nonperformance; nor does payment of a billing or continued performance,after notice of a deficiency in performance,constitutes acquiescence thereto. 17.3. Priority. The Detention Facility policies and rules shall apply for all purposes,unless they conflict with the terms and conditions of this Agreement. In the event of conflict, this Agreement will control. 17.4. Modification. No supplement,modification,or amendment of any term of this Agreement will be deemed binding or effective unless in writing and signed by both parties. 17.5. Assignment/Delegation. Neither party may assign or delegate its rights, nor its responsibilities under this Agreement to a third party, without the prior written consent of the other party. Any purported assignment or delegation in violation of the subsection is void. 17.6. Severability. The provisions of this Agreement are severable. Any term or condition of the Agreement or application thereof deemed to be illegal, invalid or unenforceable, in whole or in part, shall not affect any other term or condition of the Agreement and the parties' rights and obligations will be construed and enforced as if the Agreement did not contain the particular provision. 17.7. Third-Party Beneficiary. Nothing under this Agreement shall be construed to give any rights or benefits in the Agreement to anyone other than Kitsap and Jefferson, and all duties and responsibilities undertaken pursuant to this Agreement will be for the sole and exclusive benefit of Kitsap and Jefferson,and not for the benefit of any other party. 17.8. No Waiver. Either party's failure to insist on strict performance of any term or condition of the Agreement shall not be deemed a waiver of that term or condition even if the party accepting or acquiescing in the nonconforming performance knows of the nature of the performance and fails to object to it. 17.9. Entire Agreement. The parties acknowledge that this Agreement is the product of negotiation between the parties and represents the entire agreement of the parties with respect to its subject matter. All previous agreements and representations,whether oral or written,entered into prior to this Agreement are hereby revoked and superseded. 17.10. Provisions Required by Law. Each and every provision of law and any clause required by law to be in the Agreement shall be read and enforced as though it were included herein and if through mistake or otherwise any such provision is not inserted,or is not correctly inserted, then upon the application of either party the Agreement shall forthwith be physically amended to make such insertion or correction. Page 9 of 12 17.11. Counterparts. This Agreement may be executed by the parties in any number of separate counterparts,each of which when executed and delivered shall be deemed an original,and all such counterparts shall together constitute one original document.All signatures need not be on the same counterpart. 17.12. Survival. Those provisions of the Agreement that by their sense and purpose should survive expiration or termination of the Agreement shall so survive such as references to compensation and indemnification.Those provisions include, but are not limited to, Sections 5 (Compensation and Billing); 6 (Presentation and Admission); 9 (Transportation and Security); 10 (Health Care); 11 (Insurance and Indemnification); 12 (Governing Law); 15 (Independent Contractor) and 17 (General Provisions). 17.13. Authorization. Any authorizations, actions required,or permitted to be taken, and any document required or permitted to be executed under this Agreement will be taken or executed only by a duly authorized representative of the party. Each party warrants and represents to the other that the person signing below has been properly authorized and empowered to execute this Agreement on behalf of the Party for whom they sign. Approved and Executed this_of ,2021 Approved and Executed this_of ,2021 BOARD OF COUNTY COMMISSIONERS BOARD OF COUNTY COMMISSIONERS JEFFERSON COUNTY,WASHINGTON KITSAP COUNTY,WASHINGTON KATE DEAN,Chair ROBERT GELDER,Chair GREG BROTHERTON,Commissioner EDWARD E.WOLFE,Commissioner HEIDI EISENHOWER,Commissioner CHARLOTTE GARRIDO,Commissioner ATTEST: ATTEST: Dana Daniels,Clerk of the Board Approved as to form only: October 14, 2021 Philip C. Hunsucker Chief Civil Deputy Prosecuting Attorney Jefferson County Page 10 of 12 EXHIBIT A DETENTION FACILITY INTAKE ASSESSMENT Page 11 of 12 HEALTH SERVICES INTAKE SCRS'ENINO FORM ; ' "tine: a_. .. !E _, lie Name: Age: i Lego,a dian I:P .: 1 Address: t Oth Sex: ' Pi : Ethnicity: JC0 0; ' Wgt: Hair Eyes: E?t Inar'e va Jogs 1. Unconscious Yes Po 2, amble signs of trauma,or illness requiring emergency medical care Yes No Describe: E 8. Obvious fever,swollen glands,Jiwndlce or evidence of inflection. Yes f No s I Describe 4. Evidence of cough,coughing up blood,weight loss or night sweats. Yes No 1 Describes 5. Poor Hein ccawdltion,rash,vermin or needle marks. Yes No Describe: , 8. Under the influence of alcohol,or otherm altering drugs,including inhalants(within Yes No deepest 8 hours). Describe: T. Viable signs of ET014 or drug withdrawal,Le.extremepe►rspiration,pinpoint pupils, Yea Ion shakes,nausca,vomiting or cramping. Describe: 8. Oellevior suggesting suicide or aseault,i.e.withdrawn,suloidafthoughts,or aggressive Yes No behavior. Describe: 9. berrying medbation or dveportbeg being on lion: With you:Yin N C3 Yes No 1 10. Visbissigns of physical defer.(8 arsaderitsfr ttoosc) Yes No Describe: 11. Allergies Yes No Dribs: t2. Have you had a recent head injury? Yee No Describe~ { 13. tinder the care of s Physician? Yes No With what For whet 14. Famelow Are you currently Yea No Dabs of lept Menstrual CYsd: Method.of birth Control 10. T reture: Soreendne Officer. 000 Updated 10/24118 ,1 EXHIBIT B PARENTAL CONSENT FOR MEDICAL TREATMENT Page 12 of 12 IiOTSAP COUNTY JUVENILE DETENTION CENTER HEALTH SERVICES Parental Consent for Medical Treatment detainee lithe Mop County intuits Detention facer(l D�l�r give ofgesetilen for the rr na eadlorr �or dental are ender immunizations,es deemed ne assery by the Health Services stiff or the Detention Specialist stsl, -In die event sty child develops it medial or duel problem beyend the cepubilities eta,KCIDP Health Saviors,I suthorke the medical dental hell the medical or dental provider to which my child is referred,to evaluate aid deers'ss -I Puffier eatt oriee the medical or dotal* MU%the'medicator dental provider to relents such es may be needed for the completion of hospital claims,teeny hum or to the WIMP and Heide Services for the dates off slless-up treatment. I also agree to be flltencie lly responsible for any end sit medbusi and dental sere,includhigprosattions gamey be maser/for my child. I further sutherite the RCMP stall;under the direction of the`Melds Services waft to administer any approved prescription or oven counter medicatloaar,to any child pumato the prescribed medical indications and directions on dm oontei es% All approved medications given my child shall be apradately recorded. -limergeseyreedited cal will be provided at Kaiser Penneneue in Prat Diehard,at CIE Piettelseen Health tirnat Cam Clinic,Port Orchard, the Emergency Roan, Renton Medial Cadet Breese/a"for caretse or the merg Emergency Root;Nast Hospliel, omento t,(dependent upon acuteness, ' urgency tad eli Our deny physician Is Mogi should be notified i t odor toCan=a end,if possible, provide emergency steel tlnnirrg medial owe for my silent, This a utborlaotatba is valid from this dere of Otis setheittatiee until the minor h es completed en detention time under this Cause Number as e by the Court,remain uatn the minor hear reached the age of Wit. Medial l Contract Group Insurance 1 Number Number (if possible,p gee Mach a photocopy of the coupon or bssuriece card. a Parent/Guardian/Otter Date lime a_ DOel Detention Officsr/Probetion Officer Date This Consent Verbal consent given by. ,parent or legal guardian of named Juvenile ra tta medial or daunt cam listed above by mkgengsgpfiggso with the Detention Intake Officer. (Two Detention ors`signatures are respired when rewiring verbal medial consent) Detention Officer ill , Doe Date; Timm Detention Officer An DO# Date: Wit; Comments: "Noe parent*: ig 0elar nre*embalm or they puny feaurret g PrElitid cony Am them any medical problems your child is being treated for? Yes No 1 If yes,describe; 1 is your child liddng any medication? Yes No i If yes,dead: [ Is there any importing information we should know about your child? Yes No if yes,desalts; Does your child have any fbod/dtug all/glee or require any special needs while in detention? If yes,dew, -.. Have visitation ties and procedure been explained? Yes No I Has cart time anifar probable manse weekend procedure been '` mod? Yes No le the child in special education et does the child have an JEP(lndividuul Education Plan)at school? Yes No Does the child receive 881(Supplemental Sec urtly Mourns)? Yes No Does the Child have a ODD(Division of Developmental Dtaa )Case Manager? Yes No Case Manager,name_ updated 10124/18 -2-